Interaction Theories Essay

A. Compare and contrast dickens of the models or theories presented in this chapter considering their usefulness in practice, research, teaching method and administration. For the purposes of this discussion, I have selected fagots Theory of Goal Attainment and Peplaus Theory of Interpersonal Relations. On a broad perspective, twain theories designing at explaining the interaction lickes that happen amidst a nurse and her patient. Imogene mightinesss basic assumption of her theory is that the nurse and the client communicate information, driven goals mutually, and act to attain those goals.The same can actually be said with Peplaus theory wherein she states that nursing is an interpersonal process because it involves interaction between two or more individuals with a common goal, the attainment of which is achieved through the use of a series of steps, and that the nurse and patient work together so both become mature and k straightawayledgeable in the process. A lot of simi larities can be seen from both works as they try to explain the nursing process in a nurse-patient interaction level. see fig. 1) The concepts of person, health, environment and nursing are recurring themes on both theories as they attempt to integrate it with each of their throw interaction models. The deviation between the two theories occur where the focus of their study lie in the current nursing practice. King focused on the major(ip) concept of interacting systems Personal, interpersonal and social systems, and how the accuracy of determining which system is most applicable would lead to eventual transaction.Because of the severity of her condition, the emergency live nurses attending for this detail 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 patients condition did not importantly improve but got worse, the physician advised the husband that patient be brought to the cardiac catheterization laboratory for an angiogram. The client was adamant that she did not want to take drastic measures, but the husband indicated that he wanted whatever was necessary to improve his wifes condition. This is an excellent display case of a client losing the sense of self-hood.In regard to the concept of self, King (1981) stated If nurses and other professionals interact with patients or clients as human beings, and let the individuals be themselves, nurses and patients would help each other sire in self-awareness and in understanding of human behavior, especially in stressful life experiences. In an environment that requires one to be reactive and responsive, clients often savvy nurses as being too busy or too hurried. King (1981) encouraged nurses to be aware of how they present themselves to the ir clients because the manner in which nurses enter a clients room sets the tone for the entire encounter. Poor communication skills lead to poor transactions and interactions between the nurse and the client.Poor communication skills to a fault affect goal setting and goal attainment (Williams, 2001). It is solely because of this perception that proper scripting with the patients has been constantly reiterated to all nursing personnel and including even the support staff. In stark contrast with the example presented above, here is a situation where Kings Theory of Goal Attainment was used in the emergency room setting. Patient ST, a 32-year old male trauma patient who went to the emergency room due to a traumatic amputation of an arm secondary to a repulse vehicle accident. The assessment phase of the nursing process can take in the concepts associated with the personal system.Once the patient has been hemodynamically stabilized, the nurses attention is now focused on assisting th e patient cope with the feelings of loss, separation and anger that he is experiencing. The patients feelings of perception, self body image, growth and development, time and space must(prenominal) be considered after doing the primary survey of airway, breathing and circulation. In fact, this is even specified in my institutions Emergency Room Nursing Database in its attempts to fulfill the JCI requirements in documentation. Attempting to restore the patients self-esteem in the light of the traumatic loss is a mutually established goal between the nurse and the client. It is also important for the nurse to realize that the patients perceptual field is narrowed because of the pain and emotion that he is currently experiencing.Kings theory highlights the importance of the participation of the individuals in decision making and deals with the choices, alternatives, and outcomes of nursing care. The theory offers insight into the nurses interactions with the individuals and groups wit hin the environment (Williams, 2001). Element of the theory of Imogene King is usually applied specifically in interpersonal and social systems. More often than not, the mode of interaction being used in the emergency segment is a dyad (2 people interacting), where the perception of a patient is changed because of a communication that takes place providing education to a patient with knowledge deficit.Such an example occurs in ensuring a patient and its significant others compliance if the patient does not understand the importance of a certain intervention or medication, cooperation and adherence bequeath be very difficult to achieve. But once the nurse educates them with proper nurse-patient interaction and therapeutic communication, compliance and adherence to medical regimen can be achieved. Kings Goal Attainment Theory (Client-Centered Theory) is indeed what we are practicing in the daily routine of the hospital and in any other clinical setting. Giving the patient the pertin ent information of what is going to happen or what is happening will lessen the patients anxiety that contributes to tachycardia, restlessness and pause them a sense of control of the situation.