untitled

frequent limitation expressed regarding theoretical
formulations are their culture-bound nature.
Several authors specifically addressed the utility of
King’s framework and theory for transcultural
nursing. Spratlen (1976) drew heavily from King’s
framework and theory to integrate ethnic cultural
factors into nursing curricula and to develop a cul-
turally oriented model for mental health care. Key
elements derived from King’s work were the focus
on perceptions and communication patterns that
motivate action, reaction, interaction, and transac-
tion. Rooda (1992) derived propositions from the
midrange Theory of Goal Attainment as the frame-
work for a conceptual model for multicultural
nursing.
Cultural relevance has also been demonstrated
in reviews by Frey, Rooke, Sieloff, Messmer, and
Kameoka (1995) and Husting (1997). Although
Husting identified that cultural issues were implicit
variables throughout King’s framework, particular
attention was given to the concept of health, which,
according to King (1990), acquires meaning from
cultural values and social norms.
Undoubtedly, the strongest evidence for the

cultural utility of King’s conceptual framework and

midrange Theory of Goal Attainment (1981) is the

extent of work that has been done in other cultures.

Applications of the framework and related theories

have been documented in the following countries

beyond the United States: Canada (Coker et al.,

1995), Japan (Funashima, 1990; Kameoka &

Sugimori, 1992), Portugal (Moreira & Arajo, 2002;

Viera & Rossi, 2000), and Sweden (Rooke, 1995a,

1995b). In Japan, a culture very different from the

United States with regard to communication style,

Kameoka (1995) used the classification system of

nurse-patient interactions identified within the

Theory of Goal Attainment (King, 1981) to analyze

nurse-patient interactions. In addition to research

and publications regarding the application of

King’s work to nursing practice internationally,

publications by and about Dr. King have been

translated into other languages, including Japanese

(King, 1976, 1985; Kobayashi, 1970). Therefore,

perception and the influence of culture on percep-

tion were identified as strengths of King’s theory.

Table 16–10 lists applications of King’s work in

countries outside the United States.

CHAPTER 16 Applications of King’s Theory of Goal Attainment 257

Hanna

DeHowitt

Porter

Kemppainen

Frey

Husband

Gonot

Sowell and Lowenstein

Temple and Fawdry

King

Rosendahl and Ross

Frey and Norris

Olsson and Forsdahl

Tritsch

Gill, Hopwood-Jones, Tyndall, Gregoroff, LeBlanc, Lovett,

Rasco, and Ross

Jones, Clark, Merker, and Palau

Nagano and Funashima

Sowell and Lowenstein

Hampton

Jackson, Pokorny, and Vincent

Norris and Hoyer

1993

1992

1991

1990

1989

1988

1986

1994

1992

1984

1982

1997

1996

1996

1995

1995

1994

1993

1993

1993

1993

(Continued on the following page)

Table 16–10 Application within Nursing Work Settings

TOPIC AUTHOR(S) YEAR

Clinics

Community

Home health

Hospitals