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Articulating nurse practitioner practice using King's theory of goal attainment

de Leon-Demare, Kathleen MN, RN, NP1,5; MacDonald, Jane MN, RN, NP1,5; Gregory, David M. PhD, RN2,6; Katz, Alan MBChB, MSc, CCFP, FCFP3,7; Halas, Gayle RDH, MA, PhD(c)4,8

Journal of the American Association of Nurse Practitioners: November 2015 - Volume 27 - Issue 11 - p 631–636
doi: 10.1002/2327-6924.12218
ORIGINAL RESEARCH
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Purpose: To further understand the interactions between nurse practitioners (NPs) and patients, King's nursing theory of goal attainment was applied as the conceptual framework to describe the interactions between NPs and patients in the primary care setting.

Data sources: Six dyads of NPs and their patients were video- and audio-taped over three consecutive clinic visits. For the purposes of this arm of the study, the audio-taped interactions were transcribed and then coded using King's concepts in her theory of goal attainment.

Conclusions: King's theory was applicable to describe NP practice. King's concepts and processes of nurse–patient interactions, such as disturbances, mutual goal setting, and transactions, were observed in NP–patient interactions.

Implications for practice: Disturbances during clinical encounters were essential in the progression toward goal attainment. Elements, such as social exchange, symptom reporting, role explanation, and information around clinical processes facilitated relationship building. NPs as practitioners need to be reflective of their own practice, embrace disturbances in the clinical encounter, and attend to these as opportunities for mutual goal setting.

1 Winnipeg Regional Health Authority, Winnipeg, Manitoba, Canada

2 Department of Nursing, University of Regina, Regina, Saskatchewan, Canada

3 Faculty of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada

4 Department of Family Medicine, University of Manitoba, Winnipeg, Manitoba, Canada

5 (Primary Care Nurse Practitioner)

6 (Dean of Nursing)

7 (Professor)

8 (Research Associate)

Received: 1 November 2013; accepted: 23 May 2014

Correspondence Kathleen de Leon-Demare, University of Calgary in Qatar, Doha, Qatar. Tel: +974-4406-5200; Fax: +974-4406-5299; E-mail: kathleen.deleondemar@ucalgary.ca

Grant sponsor: Social Sciences and Humanities Research Council of Canada.

© 2015 American Association of Nurse Practitioners
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