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Imogene King's Theory of Goal Attainment: Empowering Nurses to Facilitate Patient Wellness

Rebecca Heron*

Department of Community Medicine and Rehabilitation, University of Kentucky College of Nursing, Lexington, KY, USA

*Corresponding Author:
Rebecca Heron
Department of Community Medicine and Rehabilitation
University of Kentucky College of Nursing
Lexington, KY, USA

Received: 01 September, 2023, Manuscript No. jnhs-23-117061; Editor Assigned: 04 September, 2023, Pre QC No. P-117061; Reviewed: 15 September, 2023, QC No. Q-117061; Revised: 20 September, 2023, Manuscript No. R-117061; Published: 28 September, 2023, DOI: 10.4172/ JNHS.2023.9.5.98

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Imogene King, a renowned nursing theorist, introduced the Theory of Goal Attainment, which revolutionized the nursing profession. This theory emphasizes the importance of nurse-patient collaboration, focusing on mutual goal setting and achievement. By embracing this theory, nurses can create therapeutic relationships, enhance patient outcomes and contribute significantly to the overall well-being of individuals in their care. At the heart of King’s Theory of Goal Attainment lies the dynamic interpersonal relationship between the nurse and the patient. King posited that nurses and patients work together to establish health-related goals. The theory comprises three interacting systems: personal, interpersonal and social. The personal system represents the individual's perception and understanding of their health and wellbeing. The interpersonal system involves the nurse and patient, with both parties contributing to the establishment of goals. The social system encompasses the broader healthcare environment and the resources available to support goal achievement.


Imogene King's Theory, Healthcare, Nurse-patient collaboration


One of the fundamental aspects of King’s theory is the collaboration between nurses and patients in setting and achieving health-related goals. This collaboration fosters a sense of empowerment among patients, making them active participants in their care journey. By involving patients in the decision-making process, nurses acknowledge their autonomy and individuality. This approach not only enhances patient’s self-esteem but also encourages them to take ownership of their health, leading to improved compliance with treatment plans and overall wellness. Effective communication is pivotal in King’s Theory of Goal Attainment. Nurses must employ active listening skills to understand patient’s perceptions, concerns and aspirations fully. By comprehending patient’s viewpoints, nurses can establish realistic and attainable goals that align with patient’s values and preferences[1]. Moreover, open and empathetic communication strengthens the nurse-patient relationship, fostering trust and collaboration.

When patients feel heard and understood, they are more likely to actively engage in the healthcare process, leading to better health outcomes. Central to King’s theory is the concept of a therapeutic relationship between nurses and patients. A therapeutic relationship is characterized by trust, respect, empathy and genuineness. Nurses who embody these qualities create a supportive environment where patients feel safe to express their concerns and aspirations openly. Through this relationship, nurses can gain valuable insights into patient’s goals and motivations[2]. By incorporating patient’s values and beliefs into the goal-setting process, nurses can establish goals that are meaningful and relevant to the individual, thereby increasing the likelihood of goal attainment. Incorporating Imogene King’s Theory of Goal Attainment into nursing practice involves a holistic approach to patient care.

Literature Review

Nurses can use this theory to develop individualized care plans that prioritize patient’s unique goals and aspirations. By integrating patient’s objectives into the care plan, nurses provide personalized, patient-centered care. Regular evaluations of progress toward these goals allow nurses to make necessary adjustments and celebrate achievements, reinforcing patient’s confidence and motivation. Imogene King’s Theory of Goal Attainment stands as a guiding beacon in contemporary nursing practice. By embracing this theory, nurses empower patients to actively participate in their care, fostering a sense of ownership and responsibility for their health. Through meaningful collaboration, effective communication and the cultivation of therapeutic relationships, nurses facilitate the achievement of health-related goals, leading to improved patient outcomes and overall wellbeing.

As nurses continue to apply King’s theory, they not only enrich the lives of their patients but also elevate the nursing profession, embodying the core principles of compassion, understanding and patient empowerment. Imogene King’s Theory of Goal Attainment extends beyond physical health, encompassing the holistic well-being of individuals. Nurses, armed with this theory, can delve into patient’s emotional, social and spiritual dimensions, recognizing that overall wellness involves a balance of these aspects. By engaging in open dialogue and active listening, nurses can identify patient’s emotional concerns, social support systems and spiritual beliefs[3,4]. Integrating these elements into the goal-setting process ensures that patient wellness is addressed comprehensively, leading to a profound sense of fulfillment and contentment. King’s Theory of Goal Attainment places a significant emphasis on patient empowerment and self-efficacy—the belief in one’s ability to achieve goals.


Nurses play a pivotal role in nurturing this sense of empowerment. By acknowledging patient’s strengths, validating their achievements and encouraging them to set realistic goals, nurses boost patient’s confidence in their ability to manage their health. This empowerment not only enhances patient’s self-esteem but also fosters resilience, enabling them to overcome challenges and setbacks. As patients experience the fulfillment of achieving their goals, their confidence in their capabilities grows, leading to a positive cycle of self-efficacy and well-being. Incorporating King’s Theory of Goal Attainment into patient education initiatives enhances health literacy and promotes informed decision-making. Nurses can tailor educational materials and discussions to align with patient’s goals and preferences [5,6]. By providing clear, concise and personalized information, nurses empower patients to make educated choices about their health. Additionally, nurses can assess patient’s understanding of the information shared, ensuring that patients are equipped with the knowledge and skills necessary to work toward their goals effectively.

Health literacy, coupled with goal-oriented education, enables patients to actively engage in their care, making informed decisions that positively impact their well-being. King’s Theory of Goal Attainment equips nurses with a systematic approach to address barriers that hinder patient’s progress. By identifying obstacles such as financial constraints, lack of social support, or psychological challenges, nurses can collaborate with patients to develop strategies for overcoming these hurdles. Whether it involves connecting patients with community resources, providing counseling support, or exploring alternative approaches to achieve goals, nurses play a central role in navigating these challenges. King’s theory underscores the importance of adaptability and creativity in problem-solving, ensuring that patients receive comprehensive support tailored to their unique circumstances.


Imogene King’s Theory of Goal Attainment transcends traditional healthcare boundaries, transforming nursing practice into a dynamic, patient-centered endeavor. By empowering patients, fostering therapeutic relationships and addressing the diverse dimensions of wellness, nurses elevate patient care to new heights. As nurses integrate this theory into their practice, they embark on a journey that not only enriches the lives of their patients but also redefines the essence of nursing itself. In the realm of King’s Theory of Goal Attainment, nursing becomes a profound partnership, where nurses guide, support and celebrate the achievements of their patients. Through this transformative approach, nurses not only facilitate goal attainment but also inspire hope, instill confidence and empower individuals to embrace a future defined by wellness, resilience and the fulfillment of their aspirations.



Conflict of Interest



  1. Subu MA, et al. Types of stigma experienced by patients with mental illness and mental health nurses in Indonesia: a qualitative content analysis. Int J Ment Health Syst. 2021;15:1-2.

    Google Scholar, Crossref, Indexed at

  2. Stewart S, et al. Seasonal variations in cardiovascular disease. Nat Rev Cardiol. 2017;14:654-664.

    Google Scholar, Crossref, Indexed at

  3. Nichols GL, et al. Coronavirus seasonality, respiratory infections and weather. BMC Infect Dis. 2021;21:1-5.

    Google Scholar, Crossref, Indexed at

  4. Winasti W, et al. Creating coherence-based nurse planning in the perinatology care system. InHealthcare. 2022;10:925.

    Google Scholar, Crossref, Indexed at

  5. Takagi H, Kanai Y and Misue K. Queueing network model for obstetric patient flow in a hospital. Health Care Manag Sci. 2017;20:433-451.

    Google Scholar, Crossref, Indexed at

  6. De Bruin AM, et al. Modeling the emergency cardiac in-patient flow: An application of queuing theory. Health Care Manag Sci. 2007;10:125-137.

    Google Scholar, Crossref, Indexed at