Christina L. Sieloff

King’s Conceptual System and Theory of Goal Attainment: Past, Present, and Future

Imogene King is universally recognized as a pioneer of nursing theory development. Her interacting conceptual system for nursing and her theory of goal attainment have been included in every major nursing theory text, are taught to thousands of nursing students, form the basis of nursing education programs, and are implemented in a variety of service settings.

Is the first-line nursing managers’ power congruent with that of the nursing group?

Aim This research examined the relationship between nursing managers’ power and nursing group power in public health service organizations. Approach/Methods A cross-sectional survey of first-line nurse managers (n = 264) from 11 Finnish hospitals was conducted. The power of nurse managers and nursing groups was examined through two reliable instruments: the Nursing Managers’ Power instrument and the Sieloff-King Assessment of Group Power within Organizations instrument©. Findings The power of nurse managers was perceived to be moderate on a 5-point Likert scale. Managers reported that they gained the most power from their role and position as a nursing manager, and lastly, from their resources. The power of nurse managers correlated no more than moderately with nursing group power. Implications for Nursing Management Organizations need to ensure that nursing managers have the power and opportunity to influence nursing goals and outcomes.

Imogene M. King's Scholars Reflect on Her Wisdom and Influence on Nursing Science:

Reflections on the impact of the work of great leaders are vital for both scientists and practitioners to gain important perspectives on the progress of the evolution of the discipline. Recognizing the influence of a particular theorists impact is particularly important at the time of death, which is the time where the development of a particular theory moves from the originator to the followers. This column serves as a tribute to Imogene M. King, and is dedicated to her wisdom in promoting the conceptual system she developed.

Effect of local cold and hot pack on the bruising of Enoxaparin Sodium Injection Site : A Randomized Controlled Trial

Purpose: This study aimed to assess the effect of the application of local cold and cold-hot packs upon the size of bruising at the injection site of subcutaneous enoxaparin sodium.Methods: One-hundred and eighty patients with coronary diseases were allocated randomly to three groups: (i) local cold gel pack group; (ii) local cold-hot gel pack group; and (iii) control group. Assessment of the presence of a bruise was conducted at 24, 48 and 72 hours after the injections for all patients.Results: The cold-hot pack group had significantly less and smaller injection site bruising than the two other groups at 48 and 72 hours (both p < 0.001).Conclusions: The local application of cold-hot packs is more effective on reducing bruises following enoxaparin sodium injections when compared with local cold pack application alone.Thus, this process can improve the quality of nursing care for hospitalized patients receivingthese injections.

Empowerment in Nursing Literature: An Update and Look to the Future

This review was conducted to describe empowerment theories that have influenced nursing practice, education, and research. Multiple perspectives of empowerment including structural, psychological, and group have contributed to the failure to consistently describe and measure this complex concept. The majority of empowerment literature originates from nonnursing theoretical frameworks. This review suggests that the nursing theory of work team/group empowerment, a midlevel nursing theory based upon King’s conceptual framework of nursing, may be used to better understand and improve nurses’ work team’s/group’s empowerment within healthcare organizations.

Effect of aromatherapy massage on anxiety, depression, and physiologic parameters in older patients with the acute coronary syndrome : A randomized clinical trial

PURPOSE This study aimed to investigate the effect of aromatherapy massage on anxiety, depression, and physiologic parameters in older patients with acute coronary syndrome. METHODS This randomized controlled trial was conducted on 90 older women with acute coronary syndrome. The participants were randomly assigned into the intervention and control groups (n = 45). The intervention group received reflexology with lavender essential oil, but the control group only received routine care. Physiologic parameters, the levels of anxiety and depression in the hospital were evaluated using a checklist and the Hospitals Anxiety and Depression Scale, respectively, before and immediately after the intervention. RESULTS Significant differences in the levels of anxiety and depression were reported between the groups after the intervention. The analysis of physiological parameters revealed a statistically significant reduction (P < .05) in systolic blood pressure, diastolic blood pressure, mean arterial pressure, and heart rate. However, no significant difference was observed in the respiratory rate. CONCLUSIONS Aromatherapy massage can be considered by clinical nurses an efficient therapy for alleviating psychological and physiological responses among older women suffering from acute coronary syndrome.

Content and factor validation of the Sieloff-King-Friend Assessment of Group Empowerment within Educational Organizations

BACKGROUND AND PURPOSE Nursing education programs have responsibilities to their stakeholders to prepare graduates who can provide safe, effective patient centered care while leading health care changes. Empowered nurses have been associated with low nurse turnover and higher patient satisfaction; however, less is currently known about group empowerment in nursing education. In order to examine group empowerment in schools of nursing, the Sieloff-King Assessment of Group Empowerment in Organizations (SKAGEO©) was adapted and tested for content validity and confirmatory factor analysis. METHODS/RESULTS The adapted instrument, the Sieloff-King-Friend Assessment of Group Empowerment within Educational Organizations (SKFAGEEO) was first reviewed by nurse experts who provided quantitative and qualitative data regarding each item. A total of 320 nurse deans and faculty comprised the final sample for the second order confirmatory 8 factor analysis. Findings revealed factor loadings ranging from .455 to .960.The overall fit of the propose model was Chi Square=1383. 24, df=566, p<.001; GFI=.786, RMSEA=0.69. CONCLUSIONS The study results indicated that the SKFAGEEO has acceptable psychometric properties.