Influence of Conceptual Systems on Goal Attainment

Influence of Conceptual Systems on Goal Attainment

Conceptual systems are interrelated and influence goal attainment as a whole. Insufficiency in one system may jeopardize healthcare practice despite the efficacy of other systems. Adib-Hajbaghery and Tahmouresi (2018) argue how “others’ behaviors toward the HIV‑positive patient altered his body image, gave him feeling of despair over the future, and made him feel ashamed of his body” (p. 142). Changes in one’s body image contribute significantly to mental instability and affect healthcare outcomes. Healthcare providers’ wrong perception of the HIV‑positive patient negatively influenced their relationships and communication and resulted in poor medical practice overall (Adib-Hajbaghery & Tahmouresi, 2018). Negative feelings relating to the nurse-patient interactions, treatment, and the organization always hinder the goal attainment.

The ineffectiveness of the interpersonal system can result in drastic consequences as well. For example, not providing complete treatment‑related information leads to the patient’s lack of understanding of the health issue and its treatment. Adib-Hajbaghery and Tahmouresi (2018) note a case in which a patient refused treatment of acute pulmonary edema because he did not understand the scope of the problem. Such missteps from healthcare providers are life-threatening and question the institution’s reputation. As for the social system, the nurse’s accurate knowledge regarding their role and power in the facility can guarantee a beneficial relationship with a patient and goal attainment (Adib-Hajbaghery & Tahmouresi, 2018). Conversely, a nurse without a proper understanding of their status is not able to “play significant roles in maintaining and restoring patient health” (Adib-Hajbaghery & Tahmouresi, 2018, p. 143). In conclusion, understanding conceptual systems and acting upon them enables healthcare providers to attain set goals without obstacles.

Application of the Theory Regarding Clinical Quality

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Various clinical problems may arise due to poor healthcare practice. Friend and Sieloff (2014) note: “[initially] the problems were identified as (1) a lack of a professional nursing language, (2) lack of theoretical nursing phenomena, and (3) limited concept development” (p. 136). Nowadays, comprehension of King’s ideas helps define and avoid some of the medical errors, notably misdiagnoses, amenable mortality, lack of clarity in diagnoses, and other preventable mistakes. The theory is well structured, and concepts are clear and supported by examples, enabling knowledge-building in nursing (Gonzalo, 2021). As a result, nurses are equipped with guidelines for establishing appropriate relationships with patients and setting goals. Poor practice displayed in the examples above could be avoided with empathy, extensive communication, and awareness of one’s responsibilities as a healthcare professional.

Quality Improvement Initiative in Clinical Practice

King identified how her ideas might be integrated into the nursing process. The process involves actively working with patients to understand their health issues, set goals, apply treatment, and prevent risks. Using personal and interpersonal systems, a nurse collects information about a patient during the assessment, for example, a patient with chronic obstructive pulmonary disease (Gonzalo, 2021). The nurse makes sure that the patient with COPD understands his condition and realizes the risk factors associated with the disease. The patient is a heavy smoker and suffers from obesity, having no interest in physical activity; hence the nurse communicates the risks to the patient. Then, the nurse promotes the cessation of smoking and increased physical activity. The goal is mutually set to reduce symptoms of COPD and avoid possible complications. The means to achieve the goal are agreed upon, and the nurse assists the patient to follow them. They include giving up smoking, physical and breathing exercises, proper rest, and regular food and water consumption. The nurse supervises oxygen usage and intake of medications. Such nursing care will help the patient alleviate symptoms and avoid risks.