nursing influences such as Dretske, Murray, and Lipsey. Kolcaba (2003) also referenced governing bodies such as the American Nurses Association, International Council of Nurses, and the Health Resources and Services Administration. Kolcaba’s literature review for the concept analysis included several disciplines; nursing, medicine, psychology, psychiatry, ergonomics, and English (Kolcaba & Kolcaba, 1991). In 1992, Kolcaba completed another extensive literature review to incorporate holism into comfort theory. According to Research Gate (2015) Kolcaba’s research has been cited 547 times.
Comfort theory has been adopted by many in the health care field. Southern New Hampshire Medical Center adopted comfort theory when they successfully sought
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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 …show more content…
Comfort theory is comprehensive and understandable. Because Kolcaba (2003) believed consumers of theory must be able to understand and use the theory, the terminology specific to the theory is well described with minimal or uncomplicated definitions. All concepts are theoretically and operationally defined. The operational definitions allow for measurement of comfort and testing of hypotheses. While the definitions, derivations, assumptions, and propositions have evolved over the 20 years since the theory was introduced, they remain consistent. As previously mentioned, this author’s literature search revealed a discrepancy with some references referring to comfort theory and some referring to theory of comfort. Various texts also report conflicting numbers of propositions. Despite the inconsistency in reported numbers of propositions, the basic principles of the theory and propositions remain
Manipulation of the human condition, by where and with who contentment and satisfaction is found, is fabricated through experiences which dictate direction and purpose. William Shakespeare’s pastoral comedy, As You Like It (1611) explores individuals escaping a world poisoned by man’s inhumanity to man, to an ideal bliss where community thrives from the joyous aura circulating amongst people. Gillian Dawson’s short story, East Wind captures disconnection from place and people as a powerful driving force to find fulfilment. Further, the texts explore comfort and security spurring from the unexpected, revealing change in human nature at an instant.
The author will also discuss the nursing care required in each area (physical, psychological and social health) and some of the evidence that has supported this in relat...
This was a two-site level three study which determined that a systemic approach of “Personalized pain treatment and sedation” proved to “improve the patient’s comfort and raise the tolerance threshold for ICU treatment” (Woien, et al., 2012, p. 1552). This study complemented the results and design of the Mansouri, et al. study (2013), and supported the findings of a systematic, methodical, and organized approach to pain and sedation management. This method not only improves HCAHPS scores through increased patient satisfaction, but also gives healthcare providers and medical professionals better capabilities to care for their patients, as well as, use data to support the courses of treatment regarding any changes made to pain management (Woien, et al.
K- Describe the limits and boundaries of therapeutic patient-centered care. S- Assess levels of physical and emotional comfort. A- Value seeing health care situations “through patients’ eyes”.
on which types of emotions we are feeling. When an individual is thinking about comfort
In less stressful environment, nurses able to incorporate caring relationship, improve interactions between patient and a nurse, and develop understanding of the other person’s perspective (Nicely, K, Sloane, D., Aiden, L., 2012).
Hospice is giving dignity, support and love to end of life patients. Hospice works with the patient’s pain to give the patient comfort, not to hurry death or hasten the dying process, but to relieve symptoms that are sometimes associated with grief and dying. In my experience, I have witness the positive effects associated with comfort care for both patients and love ones. Dying patients grieve for various reasons. Sometimes it is mentally, physically, emotional or psychological and it affects their love ones as well as their level of comfort. Our promise to every patient we take care of is “To provide exceptional care, to guide the patient and their family on their journey, and to respect their choices. Their comfort, needs and wishes come first. They can count on us when and where they need us” (Hospice and Palliative Care, 2013).
McEwen, M., & Wills, E. (2011). Theoretical Basis for Nursing (3 ed.). Philadelphia, PA: Lippincott, Williams & Wilkins.
Attention Attention is defined as “notice taken of someone or something; the regarding of someone or something as interesting or important”. Attention is an important characteristic of caring in nursing because it helps the patient feel important and acknowledged. Comfort Comfort is defined as “a state of physical ease and freedom from pain or constraint” by the Oxford online dictionary (2016).
... middle of paper ... ... Fawcett, J. & Fawcett, J. (2000). The 'Secondary' of the 'Second Analysis and evaluation of contemporary nursing knowledge: Nursing models and theories.
This paper will focus on stimulus response theories to stress, it will touch upon the controversy surrounding this theory and will look at other explanations to stress in comparison.
Polit, D. F., & Beck, C. T. (2010). Essentials of Nursing Research (7th ed): Lippincott, Williams & Wilkins.
Walker, J., Payne, S., Smith, P., Jarrett, N. (2007) Psychology for Nursing and the Caring Professions. 3rd. ed. Glasgow: McGraw Hill.
Quantitative tests of heart rate, stress/fatigue levels and discomfort reports showed statistically significant improvements in physical and psychological comfort, providing scientific justification for the changes.
The human-thermal environment is not that straight-forward and that can not be expressed numerically. It can not be well defined by the acceptable ambient temperature ranges and It is a very much personal experience that is largely dependent on a lots of number of criteria and it can be largely different from any one person to another person at a same place. It may be suggested that an environment can be told to achieve very reasonable comfort at thetime when the at least 80 to 90 % of occu...