Paradoxically, as organizations succeed, they grow faster — and their ability to communicate becomes more difficult. The chart at the right shows why. A team that grows from three to 25 people increases by eight-fold — but the number of possible communication paths increases fold! Simply put, most organizations outgrow their own ability to execute.
In the mids, Imogene King wrote of the need for focus, organization, and use of a nursing knowledge base King, She proposed that knowledge for nursing resulted from the systematic use and validation of knowledge about concepts relevant to nursing situations.
The use of knowledge in critical thinking results in decisions that are implemented in professional nursing practice. InKing proposed a conceptual system for nursing around four concepts she considered universal to the discipline of nursing: These areas were identified from the synthesis and reformulation of concepts using inductive and deductive reasoning, critical thinking, and extensive review of nursing and literature from other health-related disciplines.
Concepts were organized around individuals as personal systems, small groups as interpersonal systems, and larger social systems such as community and school King, Role, status, social organization, communication, information, and energy were identified as basic concepts of functions of systems.
King proposed that concepts were interrelated and could be used across systems to identify the essence of nursing. King expanded the conceptual system during the s by further explicating the nature of persons and environment, strengthening the general systems orientation, and expanding the concepts.
A more formalized conceptual system of personal, interpersonal, and social systems was presented in Concepts in the personal system were perception, self, growth and development, body image, time, and space.
Concepts in the interpersonal system were human interaction, communication, transactions, role, and stress. Concepts in the social system were organization, authority, power, status, and decision making.
Also presented in the text was the Theory of Goal Attainment, derived from the personal and interpersonal systems and a process model of human interactions. The Theory of Goal Attainment specifically addresses how nurses interact with patients to achieve health goals.
The initial concepts of the theory perception, communication, interaction, transaction, self, role, and decision making represented the essence of nursing King,ab.
The model of human interaction defines the observable behaviors in nurse-patient interactions that lead to transactions. The linkage between interactions and health is behavior, or human acts.
Nurses must have the knowledge and skill to observe and interpret behavior and intervene in the behavioral realm to assist individuals and groups cope with health, illness, and crisis King, Concepts gleaned from an extensive review of the nursing literature organize knowledge about individuals, groups, and society King, King notes that the concepts are often interrelated and can be applied across systems.
According to King,concepts are critical because they provide knowledge that is applicable to practice.The 4 Disciplines of Execution Summary (Part 1) THE SUMMARY IN BRIEF.
Do you remember the last major initiative you watched die in your organization? In addition to Goal Setting and Weekly Leadership Meeting Agendas, the system includes a way for managers to evaluate and coach employees on both performance and behaviors — Behaviors that define your Core Values.
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Six Disciplines is unique in managing the goal-setting process because it is an excellence program that supplements goals setting with a strategy execution methodology, professional on-site coaching, and integrated leadership development.
All these capabilities will not be needed upfront, but the fact that they are available when you need them. The 4 Disciplines’ practical guidance on goal-setting and measurement resonates with groups of all levels in our organization. Many teams have applied this intuitive approach to build engagement and increase execution and accountability/5(13).
Four Disciplines of Execution and Goal Setting Most highly successful organizations have SMART* goals which include performance measures. The problem with such goals, once they are established, is they use lagging indicators to track success after the fact.