This paper presents a comparative analysis of two influential nursing theories: Ida Jean Orlando's theory of functional nursing and Imogene King's goal attainment theory. Developed approximately a decade apart, the two theories are shown to be supplementary rather than contradictory. King's goal attainment theory serves as a broad framework encompassing ten key concepts of interpersonal relationships in nursing, while Orlando's theory elaborates specifically on the concept of perception within that framework. The paper examines how these theories relate to each other, how King's theory informed tools like the Goal-Oriented Nursing Record, and how Orlando's emphasis on perceptive, patient-centered care reinforces the broader goals articulated by King.
The field of nursing as a practice encompasses the broader field of medical care, extending to include the provision of health services for patients and civil society in general. On the subject of nursing as a healthcare practice, numerous theories offer either supplementary or complementary ideas about how nursing should be conducted and ideally understood.
Among the contemporary theories considered relevant to current nursing practice are Ida Jean Orlando's theory of functional nursing and Imogene King's goal attainment theory. These two theories were developed approximately a decade apart: King developed hers during the late 1940s, and Orlando developed hers during the early 1950s. In the case of Orlando and King, it can be said that the theories they proposed are supplementary to each other, meaning they share similarities in concepts and philosophy. However, there are also differences that make each theory distinct.
This paper provides a comparative analysis of the theories presented by these two nurses. King's goal attainment theory acts as an umbrella framework within which Orlando's theory can be situated. The theories supplement each other because King provides a broad overview of nursing as a practice, while Orlando's theory offers a detailed examination of one of the aspects King identifies as vital to goal attainment.
Imogene King's goal attainment theory posits that goal attainment in interpersonal relationships — the central focus of her study — encompasses ten major concepts stemming from both personal and interpersonal dimensions. These concepts are: human interaction, perception, communication, role, stress, time, space, growth and development, and transactions. The theory has been utilized to provide consistency in skills development and knowledge pursuit on the part of the nurse as a service and care provider.
Its practical application led to the development of the Goal-Oriented Nursing Record (GONR), which serves as a procedural guide for nurses throughout the conduct of care service provision and evaluation.
"Orlando's focus on perception in nursing"
"How the two theories nest and reinforce each other"
The theories of Ida Jean Orlando and Imogene King are supplementary in nature. King provides a broad theoretical framework for nursing practice organized around ten key interpersonal concepts, while Orlando elaborates specifically on perception — one of those ten concepts — elevating it to the defining principle of functional nursing. Together, the two theories offer a comprehensive and mutually reinforcing vision of nursing as a profession grounded in genuine, attentive care for patients.
Orlando, I. (1962). "Concept of function in professional nursing." Presented at the New York Academy of Medicine.
Williams, L. (2001). "Imogene King's Interacting Systems Theory — Application in Emergency and Rural Nursing." Online Journal of Rural Nursing and Healthcare, Vol. 2, Issue 1.
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