In research, the theory provides a way to validate improvement in patient comfort after receiving comforting interventions Dowd, 2010. The taxonomic structure of comfort was utilized to create a Portuguese instrument for hospitalized psychiatric patients to test the effectiveness of Guided imagery for increasing comfort immediate outcome and decreasing depression, anxiety, and stress subsequent outcomes. Be sure to identify your theory. Ease — synthesized from the work of Henderson 1966 , who described 13 basic functions of human beings to be maintained during care. In the early part of the 20th century, comfort was the central goal of nursing and medicine. In this phase, you are evaluating the use of the selected theory in practice.
These comforts can occur in four contexts: physical, psychospiritual, environmental, and sociocultural. An introduction to comfort theory. . External Evaluation Kolcaba 2000 offers a mid-range theory that focuses on the concept of comfort as the essence of nursing care. Comfort care: A framework for hospice nursing. Nusing Outlook, 49 2 , 86-92.
However, it could serve as essential content for undergraduate and graduate nursing students to learn. Only the definition of health seems inconsistent with the rest of the theory. Assessment can be subjective or objective; subjective as in asking the patient if they are in pain and objective as in measuring a wound healing Kolcaba, 2011. Theory of Comfort is a simple and basic theory that can be applied to a variety of situations easily because it addresses the basic needs of a patient. Environmental Roommate is a primigravida, room small, clean, and pleasant Lack of privacy, phone in room, feeling of confinement with bed rest Need for calm, familiar environmental elements and accessibility of distraction. Comfort is not only provided through the relief of pain but also in the holistic venue such as addressing depression.
Ease is felt when fear or anxiety is subsided about a treatment. Comfort theory and practice: A vision for holistic health care and research. Propositional statements from Kolcaba's 1992 theory include: 1. The environment is any aspect of the patient, family, or institutional surroundings that can be manipulated by a nurse or loved one in order to enhance comfort. Kolcaba describes comfort as holistic, illustrating there are three aspects to comfort; relief, ease and transcendence.
Models and theories in nursing practice. This leads to institutional integrity which is based on a value system oriented to the recipients of care Kolcaba, 1997, 2001. Context in which Comfort Occurs Physical — pertaining to bodily sensations and homeostatic mechanisms. Application in Practice One article summarized how a nurse can provide comfort in different settings. Journal of Holistic Nursing Practice, 14 91-103. I humbly request you to have a response on 'what may be the sixth sense, which can be applicable in nursing? When it comes to the scope of comfort theory, it is limited to comfort and is fairly simple to understand with lower level of abstraction.
Integrated Knowledge development in nursing 7th ed. The author provides several graphic images and diagrams to clarify comfort theory, including the graph shown in Figure 1 below. Patients who are given the power to engage in health-seeking behaviors of their own have a better perceptions of and about their health care. When patients and families do better, the institution does better, as in measures of patient satisfaction or improved ratings Part Three. Kolcaba described comfort existing in three forms: relief, ease, and transcendence. Comparison of healing touch and coaching on stress and comfort in young college students. Human beings strive to meet comfort needs.
Comfort theory and practice: a vision for holistic health care and research. Author Katharine Kathy Kolcaba 1944 — Katharine Kolcaba taught nursing theory and gerontology at the University of Akron College of Nursing for 23 years. Journal of Advanced Nursing, 19 6 , 1178-1184. Nursing approaches to care as based on Katharine Kolcaba's 2003 middle range nursing theory of comfort are discussed in reference to patients' suffering from symptoms related to the discomfort from cardiac syndromes. You may want to contribute to this blog site and promote comfort care throughout the world! Kathy has published extensively on the outcome of holistic comfort including an award- winning web site called The Comfort Line and her book entitled Comfort Theory and Practice 2003. Is the theory written and presented clearly and understandably? Kolcaba has also made available comfort care templates for use in practice settings.
However, as a middle-range theory, it is not incumbent on the theorist to address all of nursing but only the segment of nursing that is the focus of the theory. Coaching interventions are hoped for by patients and their families. Comfort theory is systematically and logically organized and is supported with several graphics and diagrams to illustrate the concepts. Functioning is not ever mentioned anywhere in her theoretical definitions. Kolcaba's 1992 Theory of Comfort provided the conceptual framework for a research study on comfort levels in patients with do-not-resuscitate orders Kaplow, 2000.