2.50
Hdl Handle:
http://hdl.handle.net/10755/165828
Category:
Abstract
Type:
Presentation
Title:
Through a nursing lens: High-quality nursing care and King's Interacting Systems
Author(s):
Gunther, Mary
Author Details:
Mary Gunther, PhD, Assistant Professor, University of Tennessee College of Nursing, Knoxville, Tennessee, USA, email: mgunther@utk.edu
Abstract:
Conceptualizing quality within a framework unique to nursing, King's Interacting Systems, differentiates nursing knowledge from that of medicine, promotes understanding of the domain and scope of nursing, and identifies nursing-specific interventions. Such understanding fosters the continued development of the nursing discipline as well as facilitating collaboration with other health care providers for the ultimate benefit of the patient. Gadamer's Philosophical Hermeneutics involves a dialogical interaction between the whole and parts of a text and between the horizons of the text and the interpreter. In this study, King's (1981) A Theory for Nursing was approached with the question: What are the characteristics of high-quality nursing care? Interpretative findings were supported by contemporary nursing literature and validated by a King scholar. Concept development and clarification methods expanded nursing knowledge of how King's personal, interpersonal, and social system interaction result in high-quality nursing care. Findings: Nursing actions are performed in an interpersonal field and influenced by the developmental level of the personal system of each participant as well as the conceptual characteristics of the larger social system. Quality is an experiential judgment emerging from the nurse-patient interaction. High-quality nursing care necessitates an accurate judgment of patient problems and needs, appropriate actions, and goals. Empathic understanding, requiring the nurse's self-awareness and perceptual accuracy, guides communication occurring during nurse-patient interaction aimed at decision-making regarding actions leading to goal attainment. Mutuality in decision-making is affected by role and power assumed by both participants and in turn, influences stress levels and goal attainment. Feedback regarding effectiveness of nursing actions in meeting patient expectations and attaining goals facilitates learning on the part of the nurse and the patient as demonstrated by behavioral changes. Goal attainment corresponds to effective nursing care and, therefore, is an empirical indicator of high quality nursing care. Application: The fusion of the horizons of the text and today's health care environment results in a theory of high-quality nursing care from which empirical indicators may be developed. Research study findings underline the importance of teaching in the affective domain, support the baccalaureate degree as entry level into the profession, provide endorsement for differentiated practice delivery models, and suggest future research studies aimed at concept clarification.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Host:
Southern Nursing Research Society
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleThrough a nursing lens: High-quality nursing care and King's Interacting Systemsen_GB
dc.contributor.authorGunther, Maryen_US
dc.author.detailsMary Gunther, PhD, Assistant Professor, University of Tennessee College of Nursing, Knoxville, Tennessee, USA, email: mgunther@utk.eduen_US
dc.identifier.urihttp://hdl.handle.net/10755/165828-
dc.description.abstractConceptualizing quality within a framework unique to nursing, King's Interacting Systems, differentiates nursing knowledge from that of medicine, promotes understanding of the domain and scope of nursing, and identifies nursing-specific interventions. Such understanding fosters the continued development of the nursing discipline as well as facilitating collaboration with other health care providers for the ultimate benefit of the patient. Gadamer's Philosophical Hermeneutics involves a dialogical interaction between the whole and parts of a text and between the horizons of the text and the interpreter. In this study, King's (1981) A Theory for Nursing was approached with the question: What are the characteristics of high-quality nursing care? Interpretative findings were supported by contemporary nursing literature and validated by a King scholar. Concept development and clarification methods expanded nursing knowledge of how King's personal, interpersonal, and social system interaction result in high-quality nursing care. Findings: Nursing actions are performed in an interpersonal field and influenced by the developmental level of the personal system of each participant as well as the conceptual characteristics of the larger social system. Quality is an experiential judgment emerging from the nurse-patient interaction. High-quality nursing care necessitates an accurate judgment of patient problems and needs, appropriate actions, and goals. Empathic understanding, requiring the nurse's self-awareness and perceptual accuracy, guides communication occurring during nurse-patient interaction aimed at decision-making regarding actions leading to goal attainment. Mutuality in decision-making is affected by role and power assumed by both participants and in turn, influences stress levels and goal attainment. Feedback regarding effectiveness of nursing actions in meeting patient expectations and attaining goals facilitates learning on the part of the nurse and the patient as demonstrated by behavioral changes. Goal attainment corresponds to effective nursing care and, therefore, is an empirical indicator of high quality nursing care. Application: The fusion of the horizons of the text and today's health care environment results in a theory of high-quality nursing care from which empirical indicators may be developed. Research study findings underline the importance of teaching in the affective domain, support the baccalaureate degree as entry level into the profession, provide endorsement for differentiated practice delivery models, and suggest future research studies aimed at concept clarification.en_GB
dc.date.available2011-10-27T14:34:32Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T14:34:32Z-
dc.conference.hostSouthern Nursing Research Societyen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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