Theoretical Framework for Nursing Practice – Module 6
A. Compare and contrast two of the models or theories presented in this chapter considering their usefulness in practice, research, education and administration.
For the purposes of this discussion, I have selected King’s Theory of Goal Attainment and Peplau’s Theory of Interpersonal Relations. On a broad perspective, both theories aim at explaining the interaction processes that happen between a nurse and her patient. Imogene King’s basic assumption of her theory is that the nurse and the client communicate information, set goals mutually, and act to attain those goals. The same can actually be said with Peplau’s theory wherein she states that nursing is an
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A waiting time of more than an hour feels like an eternity for patients but passes swiftly for a busy nurse. King (1981) accentuated that waiting makes time seem even longer. To address the problem, the installation of televisions both in the lobby/waiting lounge and the pediatric area as well as telephones in the patient’s rooms has proven successful helping patients and relatives pass the time and reduce some apprehensions. More so, the department has formulated a strategy of constantly revisiting and reassessing waiting patients to make an impression that they are being taken cared off and not being forgotten about. The busy nature of the emergency department also creates an intimidating environment for patients for which they may feel threatened, or feel that they have no control over decisions that affect their care. To cite an example, patient DP a 68-year old, hypertensive, diabetic, woman was experiencing severe chest pain and was rushed to the emergency room by her husband. Because of the severity of her condition, the emergency room nurses attending for this particular patient immediately began taking actions to stabilize her condition, such as securing an IV line, drawing blood for labs, applying oxygen and doing an ECG all at the same time. When asked by a nurse to take her ordered dose of aspirin the patient fearfully verbalized, “What are you doing to me?” Soon after, when the patient’s