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    Conceptual Framework of

    Imogene M. King

    Personal SystemsInterpersonal Systems

    Social Systems

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    Personal System

    Perception

    Self

    Body Image

    Growth and development

    Time

    Space

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    Interpersonal System

    Role

    Human interaction Communication

    Transaction Stress

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    Social System

    Organization

    Authority Power

    Status Decision making

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    Personal System

    Interpersonal System

    Social System

    A conceptual framework for nursing:

    dynamic interacting systems.

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    How do the nurses

    apply this theoryinto the nursing practice ?

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    Focus to nursing process of concept of

    Kings Theory of Goal Attainment.

    Perception

    Communication

    Interaction

    Decision making

    Transaction

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    Feedback

    Nurse

    Patient

    Perception

    Judgment

    Action

    Action

    Judgment

    Perception

    Feedback

    Reaction Interaction Transaction

    A Process Of Human Interaction

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    * to guide nursing practice in a specific

    nurse - patient* Identify patients perception about

    illness* To have judgment nurse- patient

    trough action and reaction between

    nurse - patient* Nurse - patient associate reaction,

    interaction, and transaction

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    Nursing Process Base On Kings Theory

    Nurse

    Patient

    Evaluation

    Evaluation

    Assessment Diagnosis Planning Implementation

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    Assessment

    * Occur during the interaction of nurse - patient* Nurse - patient have perception.* Communication of nurse and patient help

    nurses to collect patients data and their

    health status.

    * Interaction of nurse and patient* Use GONR tool to assessment* Development of GONR ( put / delete )

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    Diagnosis

    * Share information between nurse - patient

    during assessment use to identifyproblem of patient

    * King identifies nursing diagnosis as

    disturbances problem about patient

    * Use GONR to list problem making nursingdiagnosis

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    Planning

    * After nursing diagnosis, nurse -

    patient make planning* Nurse - patient interaction to making

    decision about goals.

    * Patient participate in decision about

    their health care

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    Implementation

    * Interactions nurse - patient who come

    together in nursing care

    * Occurs in the activities to meet the goal* Continuation of transaction made

    between nurse and patient

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    Evaluation

    * Nurse - patient identified goals are

    attain and if not, why not* Nurse - patient identified effectiveness

    of nursing care* Communication, decision making,

    perception, interaction and

    transaction are importance thing

    for outcome

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    Modified GONR

    - Delete from data baseAdmitted Assistive device

    Personal habit Skin clean

    DecubitiBathing

    - Put in form data base under

    psychological status

    Stress factor

    Coping

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    Because we needto get more information from

    MI patient or their familyto support nursing process:

    assessment, diagnosis, plan,implementation, and evaluation

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    Relationship between

    concept and assessmentMyocard Infarct patient

    base on Kings Theory

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    Perception

    Patients perception important

    to their perceive about MI that

    perceive is :

    Good health

    Anxiety

    Afraid

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    Interaction

    Relationship with family oranother

    Feeling of the patient when

    they have interaction

    Consult with doctor

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    Transaction

    Association of patient

    with nurse and doctor to support

    the treatment planing

    include to get information

    from each others

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    Communication

    Communication of patient

    with their family

    Changing information or idea

    between patient , nurse,

    doctor and health care team

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    Growth and Development

    Identify information about:

    Age

    Gender

    Weight

    Family history

    Illness history

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    Time

    Illness Characteristic : Pain

    Pattern living

    Sleep

    Rest

    Activities

    Vacation

    Family

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    Role

    Patient

    Family

    wife

    children

    Nurse or Doctor

    Health Care Teams

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    King, I. M. (1981).A Theory for Nursing:System, concepts, process. New York:

    John Wiley Medical Publication

    Kozier, B., Erb, G., Blais, K. & Wilkinson, J. M.

    (1995). Fundamentals of nursing:

    Concepts, process, and practice(5th ed).

    California: Addison Wesley