and suggested that the linkage between patient comfort and behavior, move the patient to a state of well-being. In the study the patients denies any discomfort level that where not managed by the nursing interventions. Comfort and hope are important aspect when caring for perianesthesia patients (Seyedfatemi, N. Rafii, F. Rezaei, M. Kolcaba, K., 2013). My next article is comfort and Hope in preanesthesia stage in patients undergoing surgery. This article aim was to find out the relationship between comfort and hope. The survey was conducted using 191 surgical patients. The data collected was in the form of Preanesthesia Comfort Questionnaire consisted of 24 questions from the taxonomic structure of comfort and the Herth Hope Index has …show more content…
Patient with higher hope reporter more comfort. The study limitations used was a convenience sample of prospective surgical patients from one Iranian hospital. Also age range was wide and information about patient’s diagnoses was not collected. Inferences about comfort and hope among specific groups were not possible. The next study focused on the experience of critically ill children. The research questions was what are a critically children source of discomfort and comfort? This study sample were twelve children age ranging from three to seventeen years old. Four were girls and 8 boys. Data source were formal and informal interviews. The child’s developmental and functional level were taken into consideration with each questions. Children were from the pediatric ICU (PICU) of one Canadian children hospital. PICU length of stay ranged from two to 43 days. All data were kept confidential, but only the investigator knew the participants identity. The children were asked what was it like? There discomfort, fear and worries; hunt and pain; invasive interventions; missing significant people; other discomforts; comforts; parents and visitors and friends and hospital staff. The research showed that parents were highlighted as a primary source of comfort, their present was comforting in itself by the majority of the participants (Carneval, F. A., & Gaudreault, 2013). Discomfort varied was not widely share among participants, but
This theory has been a guiding frame for a lot of studies and researches. Some of the areas are nurse midwifery, perioperative nursing, urinary bladder control, orthopedic nursing, etc. For clinical practice, the perianesthesia nurses incorporated comfort theory in managing their patients’ comfort. The comfort theory was also used as a teaching philosophy in a fast- track nursing education program for students. Kolcaba developed the General Comfort Questionnaire to measure holistic comfort in a sample of hospital and community participants. She also asserts that emphasizing and
children and families cope and adjust to the challenges of hospital visits. Although a child life
The pre-operative stage is an important phase in patient’s surgery process. This is the time where the patients is experiencing a lot of anxiety issues and have questions regarding the impending procedure. To help ensure good patient outcomes, it is imperative to provide complete preoperative instructions and discharge instructions (Allison & George, 2014). It is the nurses’ duty to safe guard and protects the patient’s welfare during the surgical experience. Effective preoperative preparation is known to enhance postoperative pain management and recovery. Health professionals need to be cognizant of the contextual factors that influence patients’ preoperative experiences and give context appropriate care (Aziato & Adejumo, 2014).
In the Comfort Theory, proposed by Catharine Kolcaba, the tradition of nursing discipline - deriving theory from former disciplines is examined, and the notion of former healthcare disciplines deriving nursing theory has been recommended. A short literature review of plagiarized theory sets the position to examine the modification of the theory. She describes convenience as one of the mechanisms for the full rehabilitation of the patient, and the personal desire of the patient to recovery across the permanency of the diseases. Holistic comfort has been described as the instant experience of being powered through having the requirements for relief, transcendence, and ease met in the four bases of experience (physical, environmental, psycho-spiritual, and social). Providing comfort is necessary for the care of a patient in the hospital background (March, 2009). Nowadays, comfort is being regarded as the last outcome for the terminally sick patient, and it is not seen as a standard hospital practice, when they prophylactically or for protocol, try to develop the patient’s health status. Theorist Katherine Kolcaba was among the first nurse researchers to advance a theory of comfort to develop patient’s outcomes and satisfaction, and to improve institutional integrity. This paper aims at describing the Comfort Theory, as well as its weaknesses and strengths as a middle-rank theory. It also defines its applications beyond the healthcare background, bases for further
In the physical realm of patient-centered care pain, comfort, sleep, and rest are important aspects of the fourth dimension of patient-centered care. Patient-centered care is the complete focus of the medical team on providing respectful care to meet patient needs, preferences and values guide decisions on each individual patient care. To understand the subjective view of the patient, these four aspects are at the forefront of their needs within the hospital setting to provide the best patient outcome. Nurses provide good patient-centered care by actively partnering with patients to determine care priorities and plans to tailor their level of involvement, according to their preferences, and being flexible by changing the care plan as the situation changes including providing smooth transitions between care goals. By doing this, nurses can assist patients with all pain by providing comfort and assuring the patient that there will be no deficiency of their quality of sleep.
The management of postoperative pain has received much interest nowadays. The intensity of postoperative pain depends on many factors such as type and duration of the surgery, type of anesthesia and analgesia used, and the patient’s mental and emotional status (11).
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
Concept analysis of comfort Background : Comfort is an important concept and core value of nursing. comfort is a broad concept that has multiple uses in literature (Hu Li Za Zhi 2012) , it describes physical , emotional spiritual and psychological status changes in human being , Reference to the concept of comfort measures is growing in the nursing and medical literature (Oliveira,2013) .
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.
The model that is utilized in this paper is based upon Katherine Kolbaca's comfort theory. Those living with chronic illness face ongoing battles in their pursuit of comfort and wellbeing. The comfort theory is a middle-range nursing theory developed by Katherine Kolbaca (Kolbaca, 2011). This theory is looking into patient’s specific needs and asserts that providing comfort to all patients is an integral part of nursing care and should be a priority. The main objective of Dr. Kolcaba theory was to improve patient’s satisfaction and outcomes (Kolcaba, 2011).
The developmental stages of the mid range theory of comfort are discussed in this article, which includes its philosophic orientation and its inductive, deductive, and retroductive reasoning. Other steps that are described are the concept analysis of comfort, the operationalization of the outcome of patient comfort, the application of the theory in previous nursing studies, and the evaluation of the current theory as it has been adapted for outcomes research. This article is a guide that shows how a concept grows, becomes embedded in theory, is tested, and is adapted for the rapidly changing health care environment. The theory of comfort
Bronchiolitis, primarily affecting infants and toddlers, is a common, acute respiratory infection brought on by respiratory syncytial virus (RSV). Though it is an acute illness, infected infants and young children often display a multitude of symptoms that can be quite alarming to the parents of the patients, and hospitalization is often required for those with more severe cases. Parents and other family members of hospitalized children often experience a multitudinous amount of stress and worriment, and these distressful feelings can lead to further family problems, including that of their sick child. Clinical nurses Solrun W. Kamban and Erla Kolbrun Svavarsdottir conducted a study to assess whether or not a short-family therapeutic conversation
Metaparadigm Concepts of nursing as defined in Kolcaba’s theory of comfort are: Person: Kolacaba refers to person as recipients of care. Person may be individuals, families, institutions, or a community that is in need of health care services (Kolacaba, 2003). Environment; This includes any aspect of a person that can be worked with the nurse, or the institution to improve comfort. Kolacaba considered health as optimal functioning of the patient, the family, the health care provider, or the community. And lastly, nursing, this is the intentional assessment of comfort to address person’s needs, and reassessment of comfort level after implementation of intervention.
For years, surgical operations had a reputation for being extremely painful and uncomfortable, hindering the attending physician’s ability to operate on the patient receiving the surgery. However,
In this survey was used qualitative research, it was used about 10 to 15 minutes to collect 20 participants’ thoughts, opinions and feelings who are aged more than 18 years. And they are come from four different medical units, at two metropolitan hospitals in Australia