The Meaning of High-quality Nursing Care Derived from King's Interacting Systems
View File(s)
Item Information
Item Link - Use this link for citations and online mentions.
Abstract
The purpose of this study is to conceptualize quality within a framework unique to nursing, King's Interacting Systems. Clarification of the concept within the metaparadigm and a nursing conceptual framework provides understanding of the domain and scope of nursing for the ultimate benefit of the patient.
Gadamer's philosophical hermeneutics involves a dialogical interaction between the whole and parts of the text and between the horizons of the text and the interpreter. King's (1981) A theory for nursing: Systems, concepts, process was approached with the question: What are the characteristics of high-quality nursing care? Within Fawcett's (1997) Structural Hierarchy of Contemporary Nursing Knowledge, the meaning of high-quality nursing care is found in the metaparadigm relational proposition: nursing is concerned with the nursing actions or processes by which positive changes in the person's health status are effected.
Performed in an interpersonal field, nursing actions are 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 and reflects both the unique and shared values of the participants. Goal attainment provides measurable evidence of the quality of the nursing care provided.
Empathic understanding, requiring the nurse's self-awareness and perceptual accuracy, guides communication during the nurse-patient interaction aimed at mutual decision-making regarding actions leading to goal attainment. Role and power influence mutuality, an interdependence of nurse and patient, in decision-making. Goals and subsequent actions are reflections of the patient's values manifested through nursing interventions.
The fusion of the horizons of the text and the interpreter's situation in today's health care environment results in a theory of high-quality nursing care from which specific empirical indicators may be developed. The theory supports the baccalaureate degree as entry level for professional nursing with recommendations regarding curriculum content; supports differentiated practice care delivery models; and identifies future research questions and problems.
Description
This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 3010322; ProQuest document ID: 251806120. The author still retains copyright.
Repository Posting Date
2019-11-25T17:40:56Z
Notes
This item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.
Type Information
| Type | Dissertation |
| Acquisition | Proxy-submission |
| Review Type | None: Degree-based Submission |
| Format | Text-based Document |
Category Information
| Evidence Level | Other |
| Research Approach | Qualitative Research |
| Keywords | Nursing Theory; Scope of Nursing Care; Nurse-Patient Relations |
| CINAHL Subject(s) | King Open Systems Model; Quality of Nursing Care |
Degree Information
| Grantor | The University of Tennessee |
| Advisor | Alligood, Martha Raille |
| Level | PhD |
| Year | 2001 |
Rights Holder
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Related items
Showing items related by title, author, creator and subjects.
-
Testing Peplau's theory of interpersonal relations in nursing using data from patient experience surveys
Patients’ experiences in hospitals are important indicators of quality. Patients’ opinions about their experiences in hospitals are significantly associated with their opinions of those hospitals’ nursing ... -
Differences of weekend versus weekdays, nurse-to-patient staffing ratios, patient diagnosis, and direct patient care time
The purpose of this study was to determine differences in time spent providing direct nursing care time on weekends versus weekdays, nurse-to-patient ratios, medical-surgical nursing units, and weekend versus weekday patient ... -
Applying the Theory of the Dynamic Nurse-Patient Relationship to develop communication skills for nurses
(2018-03-15)This work proposes a model that affords a visual demonstration of Orlando’s Theory of the Dynamic Nurse-Patient Relationship that can act as a framework to support the examination of patient interactions with both ... -
Correlation between theoretical classroom instruction and related learning experiences: Evidence from a Philippine nursing university
(2019-12)In nursing education, it is expected that theory underlies practice. However, studies have indicated nursing students still experience theory and practice gap. This study attempted to determine the relationship between ... -
Impact of technology on nurse-patient interactions: A skill-based method for improvement
Use of technology at the bedside is having an impact on nurse-patient interactions and patient satisfaction. A skill-based approach developed with effective communication as a driving force, may be a practical tool for ...
