Katharine kolcabas comfort theory psychmental health np. Comfort theory applied to care of cardiac patients kolcabas comfort theory is readily applicable to cardiac patients. Katherine kolcaba developed comfort theory in early 1990s. Institutions have recognized the value of designing comfort environments for both their patients and their staff. The theory of comfort by katherine kolcaba is middle range theory. The theory of comfort can be used as the guideline to enhance the nurses comfort and improve the practice environments in reality. Benefits are listed for integrating comfort care into practice. She is a comfort warrior in her homeland, where she teaches nursing, and has several publications to her credit. However it is unknown what factors facilitate or hinder the experience of comfort, from the perspective of inpatients of palliative care units. Webinar presentation to nurse leaders at kaiser permanente national health system, feb.
According to her theory, patient comfort exists in three forms. Health care needs which imply the needs identified by the patient in a particular nursing practice setting. I consider comfort theory to be a middlerange predictive theory because of the limited number of concepts and their lower degree of abstraction compared to conceptual models and grand theories the diagram above which shows the concepts in relation to the other concepts, i consider to be a conceptual framework. Comfort theory has been clearly defined in journals, research and literature. Application of katharine kolcaba comfort theory in post operative.
The authors describe how kolcaba s comfort theory was used by a notforprofit new england hospital to provide a coherent and consistent pattern for enhancing care and promoting professional practice, as well as to serve as a unifying framework for applying for magnet recognition status. What links here related changes upload file special pages permanent link page. Also, kolcaba described 4 contexts in which patient comfort can occur. This theory has the potential to place comfort in the forefront of healthcare. Propositions for comfort care are derived from a theory of comfort. Comfort theory offers a simple and holistic pattern for identifying needs, creating interventions to meet those needs, and evaluating the effects of those interventions. The other component of this chapter consists of the philosophical underpinnings of the theory and its definitions. The structure can be used to develop comfort pretests as the nurse assesses possible needs in a given situation and to develop comfort post tests, to assess the effectiveness of comfort measures. It is a middle range nursing theory designed for nursing practice, research, and education. An analysis of the concept of comfort kolcaba 1991. The aim of this article is to demonstrate how comfort theory has been applied throughout 1 veterans administration system to fulfill the goal of providing quality veteran. The comfort theory by katharine kolcaba presentation by erin carline, rn, bsn, ccrn who is katharine kolcaba.
Testimony from a student who learned and applied comfort care provides support for its effectiveness as a learning tool. The institutions may have the intentions to promote comfort environments based on the theory of comfort. Kolcabas theory of comfort explains comfort as a fundamental need of all human beings for relief, ease, or transcendence arising from health care situations that are stressful. Comfort theory and practice 9780826116338 katharine. Families are often very useful in this detective work, and their presence alone, is a comfort measure. The theory of comfort is dedicated to sustaining nursing by bringing the discipline back to its roots. This book places comfort at the forefront of nursing care, by presenting a carefully researched theory of. A theory of holistic comfort for nursing kolcaba 1994. There are more than 1 million books that have been enjoyed by people from all over the world.
In addition to perianesthesia nursing, the theory of comfort can also be applied to the oncology, radiation therapy, and endoflife nursing practices. The comfort theory in nursing care for new mothers applied to study analysis revealed that this theory meets the criteria of usefulness because it. However, i think nurses are astute as discerning if a patient is comfortable, and possible detractors from comfort when they seem restless, are grimacing, etc. A model of human press is the framework within which comfort is related to a interventions that enhance the state of comfort.
This book places comfort at the forefront of nursing care, by presenting a carefully researched theory of comfort that nurses can use as a framework for practice. The major concepts of kolcaba s theory of comfort are as follows. Application of katharine kolkata comfort theory to nursing. Katharine kolcaba born december 28, 1944 is an american nursing theorist and nursing professor. The comfort which is the immediate desire of being strengthened by being relieved from physical, psychospiritual and environmental needs kolcaba, 2015. Open access research patient evaluation of emotional. However, kolcaba s theory of comfort is classified as a high middle range theory making it a more general and abstract theory. This lack of knowledge hinders the development of comfort. Comfort can enhance healthseeking behaviors for patients, family members, and nurses.
Get ebooks comfort on pdf, epub, tuebl, mobi and audiobook for free. Katherine kolcaba theory of comfort was applied in clinical setting to the care a young surgical patient successfully. Comfort is discussed as the term is found in nursing, including texts, standards of care, diagnoses and theory. The aim of this article is to demonstrate how comfort theory has been applied throughout 1 veterans administration system to fulfill the goal of providing quality veterancentric care. Palliative care aims to provide maximum comfort to the patient. Human beings have a need for comfort and will seek comfort wherever possible. Read online kolcaba s comfort theory and patient centered care. Pdf use of the kolcabas comfort theory in the nursing. She was born in cleveland, ohio on 8 december, 1944. Theory of comfort devised by katharine kolcaba is suited best to me for application to care of my patient. Research on the concept of comfort is limited and the meaning of comfort has not been defined. A model of human press is the framework within which comfort is related to a interventions that enhance the state of comfort and b desirable subsequent outcomes of nursing care.
Achieving comfort was the main goal, and the client was the one perceiving the physical and psychospiritual pain. Middle range theories contain a limited number of concepts and have a more limited scope. An account of patient needs assessment is used to cull three technical senses of the. Evolution of the mid range theory of comfort for outcomes research. Kolcaba s theory of comfort was first developed in the 1990s.
Unraveling the complexities of veterans health care needs. Kolcaba s comfort theory and patient centered care 9 to my case study, the salient concepts are uncertainty of illness resulting in preoperative anxiety, health seeking behaviors identified through observation and patient nurse dialogue, and providing comfort through patient centered care and human caring in the patientnurse interaction. Born dec 28th, 1944 in cleveland ohio diploma in nursing st. The use of a theoretical framework in the design of the nursing care. Katharine kolcaba comfort theory frame work used to assess patient condition, plan and deliver. This site is like a library, you could find million book here by using search box in the header.
Comfort theory free download as powerpoint presentation. According to the model, comfort is an immediate desirable outcome of nursing care. Her work there is a wonderful example of the cultural universality of comfort theory. The theoretical work presented here utilizes an intra. In kolcaba s theory, comfort was viewed as a positive outcome which encompassed physical, psychospiritual, social and environmental dimensions. Engagingly written, the book combines a firstperson account of the development of the theory with supporting research, and practical information for its application. By definition, grand theories are abstract, complicated, and removed from practice. Whether theories are grand or mid range mr, they organize disciplinary thinking and influence practice and research. Katharine kolcaba s contribution to nursing theory.
Although relatively new, the theory has materialized into a world renounced theory that challenges nurses to prioritize patient comfort. With the availability of the comfort questionnaires for different clinical practices on kolcaba s website, nurses can have easy and free access for using this theory of comfort. The assessment of comfort needs is certainly different in icu, especially if the patient is nonverbal. A taxonomic structure for the concept comfort kolcaba. The strength of theory is that it coversfulfilling all needs of surgical patients in holistic way. Comfort theory in nursing research if he paid for each days comfort with the small change of his illusions, he grew daily to value the comfort more and set less store upon the coin. Analysis of katherine kolcabas theory of comfort sara. Katharine kolcaba s comfort theory and dorothea orems theory of selfcare deficit are both theories that are often practiced simultaneously in. The authors describe how kolcaba s comfort theory was used by a notforprofit new england hospital to provide a coherent and consistent pattern for enhancing care and promoting professional practice, as well as to serve as a unifying framework for applying for magnet. Usefulness of the comfort theory in the clinical nursing care of new. When patients and families engage in healthseeking behaviors, institutions have better outcomes. Comfort is a holistic outcome of effective nursing care. Its application to integrate comfort in patient care was excellent and result oriented.
Abstract kolcabas comfort theory is one of the many theories that are clearly applicable to todays nursing practice. Of the 14 theoretical studies, six were concept analyses 79, 29, 80, 81, two utilized previous concept analyses to develop a comfort taxonomy and process for operationalizing comfort, two described the development of comfort theory 83, 84, and one explored historical changes in the role of comfort in nursing care. A practical application of katharine kolcabas comfort. If specific comfort needs of a patient are met, for example, the relief of postoperative pain by administering prescribed analgesia, the individual experiences comfort in the relief sense. Comfort theory was chosen because of its universality. Nurses are in a position to identify the comfort needs of their patients, design comfort measures, and assess outcomes to support enhanced comfort. Lukes hospital 1965 bsn frances payne bolton son1987 phd and clinical nursing. Implementing comfort theory, sept 2008 and progress report. Read a practical application of katharine kolcaba s comfort theory to cardiac patients, applied nursing research on deepdyve, the largest online rental service for scholarly research with thousands of academic publications available at your fingertips. Kolcabas theory of comfort explains comfort as a fundamental need of all human beings for. Kolcaba s theory of comfort is arguably the sturdier theory.
The unique function of the nurse is to assist the individual, sick or well, in the performance of those activities contributing to health or its recovery or to peaceful death that he would perform unaided if he had the necessary strength, will or knowledge. It fits in the category of a middle range theory because it has fewer. Kolcaba published the theory of comfort as a middle range theory. The paper concludes with a discussion about the theory of comfort as a significant one for the discipline of nursing. The grid represents a taxonomic structure of the concept that organizes the meanings of this complex concept. Peplaus phases worked effectively to achieve the best care for the client but failed to focus on psychological aspects of the clients inner environment. The application of comfort theory to daily patient and family care, discharge planning, and followup in various settings. Katharine kolcaba and dorothea orem 2 katharine kolcaba and dorothea orem introduction nursing care is based off many different theories working congruently with each other to provide the most appropriate care to the patient as an individual person.
Kolcaba developed her comfort theory after conducting a concept analysis of comfort that examined literature from medicine, psychology, nursing, psychiatry, english and ergonomics. Comfort is a term that has a significant historical and contemporary association with nursing since the time of nightingale, it is cited as designating a desirable outcome of nursing care comfort is found in nursing science, for example in diagnostic taxonomies, and in references to the art of nursing, as when practice is described roy, orlando, watson, paterson and others use comfort in major. She specializes in nursing and her main areas of specialization are end of life and long term care interventions, gerontology, nursing theory and research, instrument development, and comfort theory. Comfort is an antidote to the stressors inherent in health care situations today, and when comfort is enhanced, patients and families are strengthened for the tasks ahead. Inaddition,thistaxonomyof comfortcanbeappliedtospeci. Always update books hourly, if not looking, search in the book search column. All books are in clear copy here, and all files are secure so dont worry about it. Live presentation to summit of nursing leaders, april 29, 2010. Katherine kolcabas theory of comfort, a midrange nursing theory and conceptual framework, was first developed in the early 1990s.
975 683 889 222 7 128 1060 64 478 1025 1458 720 139 1424 454 851 583 611 1043 1224 1295 7 734 729 1132 146 646 909 674 1400 578 426 1409 165 1389