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King’s Theory as Foundation for an Advance Directive Decision-Making Model

College of Nursing, University of South Florida, Tampa

Ermalynn M. Kiehl, RN; PhD

School of Nursing, University of Central Florida, Orlando

Janice Z. Peterson, RN; PhD

School of Nursing, University of Central Florida, Orlando

This article discusses the utilization of King’s conceptual system, transaction process model, and theory of goal attainment as foundations for an advance directive decision-making model. Research has shown nurses may be educationally unprepared, experience conflicts between beliefs and actions, or resist the responsibility to address advance directives and end-of-life issues. Nurses, especially nurse practitioners providing primary care, are in positions to facilitate the process. By understanding and incorporating this model into practice, both the nurse and the client may achieve mutual goal attainment resulting in both increased client autonomy and Patient Self-Determination Act compliance.

Key Words: advance directive • decision-making model • King • self-determination

Nursing Science Quarterly, Vol. 15, No. 3, 237-241 (2002)
DOI: 10.1177/08918402015003010


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