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Area for nursing theory development
Nursing theories assignment introduction
concept and theory in nursing
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Nursing theorist provide nurses and nursing students with a framework upon which to view the practice of nursing. (Hood, L. & Leddy, S., 2006, p. 107) The nursing theorist provides us with an understanding of why and how nursing actions should be practiced with the patient foremost in mind. When investigating the various theories of nursing practice, Katharine Kolcaba stands out of the pack with her focus on comfort. Katharine Kolcaba’s theory touches on the external and internal processes that culminate in the patient perception of comfort lead to an integrated approach to health care. Katharine Kolcaba is a remarkable woman that has left a mark on nursing. Her passion for comfort is something all nurses need to embrace. This paper will explore the life and work of Katharine Kolcaba. Katharine Kolcaba lists one of the most influential events in her life as the death of her father when she was eight years old (Kolcaba K. , Frequently Asked Questions, 2010). This event led to her being raised without her father. She contributes her desire to work in gerontology to her paternal grandmother, whom she visited every summer (Kolcaba K. , Frequently Asked Questions, 2010). She decided to go into nursing in high school, because she liked people and had an aptitude for science (Kolcaba K. , Frequently Asked Questions, 2010). She also received a full scholarship to a diploma program, which allowed her to help her brother with his tuition at a state university (Kolcaba K. , Frequently Asked Questions, 2010). She did not focus on her graduate studies until her late thirties, waiting until her children were older and more independent (Kolcaba K. , Frequently Asked Questions, 2010). She credits her work with dementia patients to l... ... middle of paper ... ...994). A theory of holistic comfort for nursing. Joumal of Advanced Nursing,, 19, 1178-1184. Kolcaba, K. (2001, March). Evolution of the Mid Range Theory of Comfort for Outcomes Research. Nursing Outlook, 49(2), 86-92. Kolcaba, K. (2010, July 27). Curriculum Vita of Katharine Y. Kolcaba. Retrieved July 09, 2011, from Comfort Line: http://www.thecomfortline.com/files/Kolcaba%20Curriculum%20Vitae.pdf Kolcaba, K. (2010). Frequently Asked Questions. Retrieved July 19, 2011, from The Comfort Line. com: http://www.thecomfortline.com/home/faq.html#personal Kolcaba, K. (2010). The Comfort Line. Retrieved July 19, 2011, from The Comfort Line: http://www.thecomfortline.com/home/intro.html Kolcaba, K., Tilton, C., and Drouin, C. (2006, November). Comfort Theory A Unifying Framework to Enhance the Practice Environment. The Journal of Nursing Administration, 36(11), 538-544.
Berman, B. (2010, August 23). Products, Products Everywhere. Retrieved from The Wall Street Journal: http://online.wsj.com/news/articles/SB10001424052748704100604575145920370092174
“Comfort is an immediate desirable outcome of nursing care. ” (Kolcaba, Introduction, 2010) Comfort in healthcare is something that many would think would be understood without a theory, but comfort has never been well defined in the past. Katharine Kolcaba is a middle-range theorist who has been developing the Comfort Theory since the 1990s (Comfort Theory: Katharine Kolcaba, 2011) in order to help define what comfort means in the healthcare setting. According to Kolcaba, comfort exists in three forms: relief, ease, and transcendence. (Comfort Theory: Katharine Kolcaba, 2011) The Comfort Theory is a modern, universal, and very applicable theory for the field of nursing as it is today.
Kolcaba published her seminal work, Comfort Theory and Practice: A Vision for Holistic Health Care and Research in 2003. Despite this impressive resume’ Kolcaba’s writing reflects her approachable and practical voice. Kolcaba (2003) believed consumers of theory must be able to understand and use the theory. As a result, her writing appealed to colleagues, helping them develop greater insights. Terminology specific to the theory was well described with minimal or uncomplicated definitions. Kolcaba provided clear, engaging examples of comfort theory in practice. The comfort theory website is extremely user-friendly and helpful for students. Kolcaba posts her e-mail address and personally responds to questions. Her website also contains a frequently asked questions
Watson, J. (1985). Nursing: Human Science and Human. Norwalk; CT: Appleton – Century – Crofts.
Wire, B. (2003, April 9). BNET. Retrieved February 22, 2008, from BNET Business Network: http://findarticles.com/p/articles/mi_m0EIN/is_2003_April_9/ai_99819475
Changes in the global environment, in conjunction with the deepest and most prolonged economic downturn since the Great Depression, have started a sea change in the domestic mattress industry. The end of conspicuous consumption for big-ticket items such as mattresses and foundations, is the result of declining new home sales, tightening of consumer credit, the consumer confidence index still well below pre-recessionary levels (Wang, 2010), and unemployment hovering near 10%. In order to remain viable in rapidly changing global and task environments, mattress manufacturers will need to lower material and manufacturing costs, develop products that differentiate them from their competitors, or develop new channels of distribution for their products.
Katharine Kolcaba comfort theory is a middle range theory. Comfort theory developed to look at health practice, education and research. Kolcaba (1990) described comfort as existing in three forms relief, ease and transcendence. Holistic comfort is defined as the experience of being strengthened through having the needs for relief, ease and transcendence met in four context the physical, social, psycho-spiritual and environment (Kolcaba, 2010). The theoretical structure of Kolcaba’s comfort theory contributes to nursing by guiding the work and thinking of all health care providers (March & McCormack, 2009). The comprehensiveness of this theory will benefit nursing practice in theory development and
An in-depth description of the theory will be followed to establish and explain the concepts. Finally, an application of the theory concepts to a real-life nursing situation will follow afterward. The comfort theory is a middle range theory, and its concepts include patient healthcare, institutional integrity, institutional outcomes, intervening variables, health seeking behaviors, nursing interventions, and patient comfort. Before advancements in medical discovery in early 20th century, comfort theory was widely used in nursing environment. These comfort measures were administered by physicians, and had significant improvements in both the patients’ mental and physical condition (Peterson & Breadow, 2009). With the discovery of modern medicines and methods, comfort application reduced drastically. However, comfort theory is still applied to mentally ill patients. (Peterson & Breadow,
Jean Watson is a well respected American nurse theorist that created the Theory on Human Caring. From my perspective her concept on caring for a human being simple, yet has much depth and meaning. I do believe that I became a nurse because I have the ability to care for another human being in an organic way that comes straight from my heart. As I study Jean Watson’s theory further, I can see that parts of her theory can enhance my nursing practice. I strive to continue to learn and grow on a personal and professional level daily. I am also finding that I have brought a portion of her theory into the care of my patients that I have had in the past. There are a countless number of nurses, but not all nurses truly represent the importance of being able to care for another human being, as it is an honor. The Theory of Caring by Jean Watson holds strong for nurses to work with compassion, wisdom, love, and caring. Watson’s theory is built on a foundation of giving care, the core components are: values, faith-hope, sensitivity, trust, feelings, decision-making, teaching-learning, environment, and human needs. If one is able to bring this theory into their live, one might find that it has the power to enhance themselves professionally and personally.
Around the 1960s, nursing educational leaders wanted to formulate a nursing theory that contained knowledge and basic principles to guide future nurses’ in their practice (Thorne, 2010, p.64). Thus, Jacqueline Fawcett introduced the metaparadigm of nursing. Metaparadigm “identifies the concepts central to the discipline without relating them to the assumptions of a particular world view” (MacIntyre & Mcdonald, 2014). Fawcett’s metaparadigm of nursing included concepts of person, environment, health, and nursing that were interrelated. The metaparadigm ultimately contributed to conceptual framework to guide nurses to perform critical thinking and the nursing process in everyday experiences in clinical settings.
Nursing behaviors that improve patient comfort are as simple as positioning and repositioning, knowing patients special comfort habits, and advocating for family presence (Kolcaba & DiMarco, 2005). It is important to use a measurement tool to assess comfort and remember to reassess for a positive outcome or plan a new intervention. Comfort is associated with the pursuit of healthy behavior, increased patient satisfaction, and better cost-benefit ratios (Kolcaba & DiMarco, 2005). Although Watson’s caring model is a broad philosophy that applies to nursing practice in general, nurses utilizing this theory would find Kolcaba’s middle-range comfort theory aligns well within the framework those
These assumptions are testable and useful. As a middle range theory, comfort theory has a limited number of propositions which reflect generalizations beyond specific clinical case studies. However, there are conflicting numbers of propositions in various texts. Kolcaba (2003) reported six propositions, McEwen and Willis (2014) reported eight propositions, and Smith and Parker (2015) divided the concepts into three major parts. The various numbers of propositions reflect variation in parsimonious expression of content rather than conflicting content as the major themes expressed remain consistent. The propositions listed on Kolcaba’s Comfort Line website are discussed in this paper as this author assumed Kolcaba’s website contained the most accurate and current information. Kolcaba (2010a) listed five propositions for comfort theory: Nurses identify the patient’s comfort needs unmet by existing support systems; nurses design interventions to address those needs; the intervening variables are taken into account to design the interventions and reasonable, mutually agreed upon outcomes; if enhanced comfort is achieved, patients are strengthened to engage in health seeking behaviors (HSBs) or a peaceful
Because these theory are known to have direct linkages to research and practice Most of these theory are developed from research, observation and experiences I do believe that Most nurses will agree with me if I say that the evidence based practice is a main engine for health well-being .Middle range theory signifies a growth of knowledge development in Nursing. Middle range theories offer valuable organizing frameworks for phenomena being researched by interdisciplinary terms. These theories are useful to nurses and persons from other discipline in framing phenomena of shared concern. (Archive, 2015).Middle-range theories are useful in addressing the problems of nursing, especially among vulnerable populations. Although middle-range theories address specific phenomena within nursing practice, the theories are broad enough to be applied to a variety of patient populations, and across many practice settings (Mareno, 2015). The language of middle –range theories is that used in nursing practice to deal with patient care phenomena such as pain ,unpleasant symptoms, empathy, uncertainty, comfort, change, lifestyle health promotion, relationships ,and deliberative planning for
One must have the full desire to help and care for people in order to have an enjoyable career as a nurse. Nurses are known for the care and compassion shown to the patients and this is comforting for both patients and their families. Caring for a patient can raise their spirits and can inspire a better outlook on their situation. As a nurse, I want to care for all my patients with the hope of improving their health and outlook on their life. I chose Jean Watson because she understands that caring is the core of nursing and believes caring promotes a better health than only performing medical care. She was the first grand theorist that focused on the aspect of caring for the patient while also caring for yourself as the nurse. Watson’s theory
Hanucharumkul, S. (1989). Comparative analysis of Orem's and King's theories. Journal of Advanced Nursing, 14, 365-172.