Critical Analysis Of Kolcaba's Theory Of Comfort

“If a patient is cold, if a patient is feverish, if a patient is faint, if he is sick after taking food, if he has a bed-sore, it is generally the fault of not of the disease, but of the nursing. I use the word nursing for want of a better” (Nightingale, 1860, p. 8). While Nightingale stressed the impact of one’s environment to promote healing, Virginia Henderson aimed to establish on the fundamental needs as a knowledge base to guide Professional nursing practice. Henderson emphasized on fourteen components required for effective nursing care which includes: breathing normally, eating and drinking adequately, elimination of body wastes, movement and posturing, sleep and rest, select suitable clothes-dress and undress, maintaining body temperature, keeping body clean and well groomed, avoiding dangers in the environment, communication, worship according to one’s faith, work accomplishments, play or participate in various forms of recreation, and learn, discover, or satisfy the curiosity (Fernandes et al., 2015). Her division of the fourteen components acknowledged patient needs with a holistic approach that is applied through the nursing process in a clinical setting.

The nurse also has to be aware of the nature of the nurse-patient relationship, the environment in which it takes place in, as well as an understanding of the context and the moment of the interactions in order to share a meaningful experience. Finally, nurses have to be passionate about his or her career. Nurse’s care and tend to the patients’ needs because nurses are passionate about the career. Even though the fundamental pattern of personal knowing, it provides a holistic nature of knowing. Many humanistic theories and models of nursing have been derived from personal knowing such as Peplau’s interpersonal relation theory, Kolcaba’s comfort theory, and Jean Watson’s theory of caring.

In my nursing practice I frequently care for long term elderly residents on ventilators and who suffer from stage 3 or 4 pressure ulcers, diabetic, venous ulcers etc. Instead of simply providing pain medications and wound treatment to ease their pain or giving medications to relax them, I wanted to learn ways to enhance the comfort of these residents. This led me to learn more about Katherine Kolcaba’s theory of comfort. I found her theory to be useful in understanding the theory of comfort. Hence as a nurse, it became important for me to analyze, evaluate and research more on its applicability in the world of nursing and also in other health care disciplines.

Theories are a series of interconnected proposals. Theories are an effort to describe, explain, predict, and finally control a period of events. We are able to base our experiments and select the contenders for the experiments off of our theories. We are able to test our theories by how well the cumulated data describes, relates to and predicts reality. Theories act as patterns for interpreting specific data that we may refer back to. These patterns ensure we stay on topic and are able to obtain the proper results needed to verify our theories.

The comfort theory is a nursing theory that was first developed in the 1990s by Katharine Kolcaba. The Theory of Comfort considers patients to be individuals, families, institutions, or communities in need of health care (Petiprin, 2015). The environment in which this theory can be applied is in any aspect of the patient, family, or institutional surroundings that can be controlled by a nurse or a patient’s loved one by means to enhance their comfort. Health is considered to be optimal functioning in the patient, as defined by the patient, group, family, or community (Kolcaba, 2005).

A theory is a set of systematic informed hunches about the way things work. A good theory goes beyond accepted wisdom and offers explanations and speculations about phenomena. Additionally, a good theory consists of a system of concepts which means that the theorist were able to make connections among his ideas. A theory tends to shape our perception of reality and behaviour and guides us through unknown areas.

It is my personal belief that environment plays a considerable role in the patient’s short term and long-term wellbeing. When nurses acknowledge the environment that the patient is interacting in while receiving their care we know this greatly impacts the overall successfulness of the care plan. The patient’s feelings must be

Kristen M. Swanson’s Caring Theory is the solution in bridging the gap between nursing practice and theory. It offers an explanation of the links between patient well-being and the caring process (Tonges & Ray, 2011). Swanson explained that nurses should be able to demonstrate that they care about their patients, and that caring about their wellbeing is as important as their patients’ current medical problem (Tonges & Ray, 2011).

Practicing as a nurse, I realize I follow my own metaparadigm of nursing. In this paper, I relate my own personal beliefs with that of a popular nursing theorist. Though my research on theory is just beginning, I feel my metaparadigm most relates to that of Katharine Kolcaba and her theory of comfort. I will seek to illustrate my philosophy with the knowledge and nursing experience I have.

A theory is an explanation of why or how things are related to each other (Bohm & Vogel, 2011). Additionally, a theory is defined as a plausible or scientifically acceptable principle, or a body of principles, offered to explain phenomena (Merriam-Webster Dictionary, 2017). Furthermore, crime theories examine and attempt to identify relationships among humans, criminal behavior, and specific factors such as biological factors, psychological factors, sociological factors, and economic factors (Bohm & Vogel, 2011). Since we have defined a theory, let us further discuss how theories are created beginning with the components of a theory.

The concept of comfort is one that nurses provide every shift; however, it is not always easy to define. Katherine Kolcaba’s Comfort Theory will be used. Walker and Avant’s method for concept analysis will be used. The first step is to select a concept, which is comfort. The next step is determining the purpose of the analysis. The purpose is to define what comfort means and what comfort measures are and how they are used in nursing. The third step is to identify the uses of the concept of comfort. This includes definitions of term comfort and a literature search. The fourth step is to determine the defining attributes of comfort. This allows for insight into the

Swanson's (1993) Theory of Caring is structured around five principles that encompass the overall definition of caring in nursing practice. This theory states that caring revolves around five categories: knowing, being with, doing for, enabling, and maintaining belief. When applied to nursing practice, each of these five categories can fuel the caregiver's attitude and improve overall patient well-being. In nursing, as well as other areas caring can be defined as, "a nurturing way of relating to a valued other toward whom one feels a personal sense of commitment and responsibility'. Upon examination, the five processes of Swanson's Theory of Caring can be used in nursing practice to achieve an enhanced

Comfort is defined by Merriam-Webster’s dictionary (2014) as “a state or situation in which you are relaxed and do not have any physically unpleasant feelings caused by pain, heat, cold, etc.” or as “a state or feeling of being less worried, upset, frightened, etc., during a time of trouble or emotional pain.” Dictionary.com (2014) defines comfort as “a feeling of relief or consolationm” or “a person or thing that gives consolation,”or “ a state of ease and satisfaction of bodily wants, with freedom from pain and anxiety.” Dictionary.com (2014) lists the origin of the word comfort as coming from the 13th century Old French term confort, meaning “source of alleviation or relief.” One can see there are multiple meanings and interpretations of the word comfort. This paper will set forth to discuss the word comfort as a concept and its interpretation and use in many disciplines, including its significance in nursing.

that directs human behavior.4 Patients have implicit and explicit comfort needs that, when met, strengthen them and motivate them to perform better in therapy, rehabilitation, and learning/adhering to new health regimens.2 Second, needs are a force that is driven by social and cultural politics.4 Patient comfort needs are driven by expectations, and patients

A theory is primarily meant to explain or predict an event, behaviour or outcome. Proponents of a theory look for evidence to support the theory. This evidence should be independently observed and consistent after repeated observations. Some theories are speculative or ideas or guesses floated to encourage researchers to undertake the observations required to prove or disprove the theory. The question often debated is what comes