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CHAPTER 15 Imogene M. King 269

Mr. Jennings visits Mr. Kyzeel last during in the hospital and says that he would like to have
rounds so that additional time is available for an someone stay with him at his home for the first night
assessment. Upon entering Mr. Kyzeel’s room, because he is not sure that his wife will be able to
Mr. Jennings asks him how he is feeling about take care of him like the nurses do in the hospital.
going home. Mr. Kyzeel complains about a vari- Of the goals identified, Mr. Jennings and
ety of minor concerns about his pending dis- Mr. Kyzeel identify the most important ones and
charge. Accepting that Mr. Kyzeel’s perceptions the order in which Mr. Kyzeel would like to achieve
are unique and valid to him, Mr. Jennings spends them. Then Mr. Jennings and Mr. Kyzeel identify
a few minutes just listening. activities that can be done by the patient and the
Because Mr. Jennings knows that Mr. Kyzeel is to staff to achieve these goals. Before leaving the
be discharged today, he asks the patient what he room, they agree on the goals, their priority, and
knows about his pending discharge and his goals the specific activities to be done, and they arrange
for leaving today. Mr. Kyzeel admits that he is con- for Mr. Kyzeel’s wife to be involved in the dis-
cerned about leaving the hospital because he does charge planning.
not know what to expect during the first 24 hours at Having established times when Mr. Jennings
home. Mr. Jennings talks with the patient and asks and Mr. Kyzeel will briefly talk to evaluate achieve-
him what goals he wants to achieve while in the ment of the goals, Mr. Jennings leaves the room
hospital and upon returning home. Mr. Kyzeel iden- and Mr. Kyzeel calls his wife to begin work on the
tifies two to three goals that he would like to achieve activities he needs to accomplish.

CRITICAL THINKING ACTIVITIES
1. Analyze an interaction you recently had with a 3. Use King’s Theory of Goal Attainment to illustrate
patient. Was a transaction achieved? If so, think how and why you would present the importance
about why you were successful; if not, reflect to of actively involving patients in their care.
identify why. 4. Analyze the goal-setting process that occurs
2. Does your health care agency’s philosophy encour- between the patient care staff and the nursing
age involvement of patients in their care? If so, does administration in the health care agency where
mutual goal setting occur? you practice.

POINTS FOR FURTHER STUDY
Publications n King, I. M. (2007). King’s conceptual system, the-
n King, I. (2007). King’s structure, process, and ory of goal attainment, and transaction process in
outcomes in the 21st century. In C. L. Sieloff, & the 21st century. Nursing Science Quarterly 20(2),
M. A. Frey (Eds.), Middle range theory develop- 109–116.
ment using King’s conceptual system (pp. 3–11). n King, I. M.,( 2003).Assessment of functional abilities
New York: Springer. and goal attainment scales: A criterion-referenced
n King, I. M. (1988). Measuring health goal attain- measure. In O. L. Strickland & C. Dilorio (Eds.),
ment in patients. In C. F. Waltz & O. L. Strickland, Measurement of Nursing Outcomes: Volume 2: Client
Measurement of Nursing Outcomes: Volume One: Outcomes and Quality of Care (2nd ed., pp. 3–20).
Measuring Client Outcomes. New York: Springer, New York: Springer.
pp. 108 –127. n Sieloff, C. L., & Frey, M. A. (Eds.). (2007). Middle
n King, I. M. (2006). A system approach in nursing range theory development using King’s conceptual
administration: Structure, process, and outcome. system. New York: Springer.
JONA 30(2), 100–104.