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Abstract
The application of theory to practice is multifaceted. It requires a nursing theory that is compatible with an institution's values and mission and that is easily understood and simple enough to guide practice. Comfort Theory was chosen because of its universality. The authors describe how Kolcaba's Comfort Theory was used by a not-for-profit 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.
... Among these, the works of both Janice Morse and Katharine Kolcaba, stand out for their systematization and clearer definition in relation to this theme, and their theories are still used today when trying to define or support the most correct perspective regarding comfort. If for Morse (2000) this is the result and final stage of well-being resulting from therapeutic attitudes and Nursing interventions, for Kolcaba (2006) this derives from a holistic experience that is evidenced by those who receive comfort care. In fact, for this same author, fulfilment by acting on needs can only be achieved by satisfying the three types of comfort needsrelief, tranquility and transcendenceincorporated in the four levels of experience: physical, psychospiritual, socio-cultural and environmental (Ibidem). ...
Resumo Introdução: A competência para avaliar é essencial em qualquer profissão na área da saúde. O conceito de conforto está intrinsecamente ligado aos cuidados paliativos, sendo uma preocupação compartilhada por qualquer profissional de saúde. Estes, quando analisam, devem saber o que estão à procura e o que devem esperar encontrar. Objetivos: Mapear como os profissionais de saúde avaliam o conforto das pessoas em situação paliativa e fim de vida. Métodos: Esta revisão seguirá a metodologia proposta pela Johanna Briggs Institute (JBI) para scoping reviews. Serão considerados estudos descritos em espanhol, inglês e português, sem definição temporal. As bases de dados a pesquisar serão: MEDLINE Complete, Academic Search Complete, CINAHL Complete e Mediclatina (via EBSCOhost), Scopus e Web of Science Core Collection. Para fontes de estudos não-publicados será usada a pesquisa no RCAAP (repositório de acesso aberto em Portugal). Dois revisores independentes avaliarão os artigos e extrairão
... Among these, the works of both Janice Morse and Katharine Kolcaba, stand out for their systematization and clearer definition in relation to this theme, and their theories are still used today when trying to define or support the most correct perspective regarding comfort. If for Morse (2000) this is the result and final stage of well-being resulting from therapeutic attitudes and Nursing interventions, for Kolcaba (2006) this derives from a holistic experience that is evidenced by those who receive comfort care. In fact, for this same author, fulfilment by acting on needs can only be achieved by satisfying the three types of comfort needsrelief, tranquility and transcendenceincorporated in the four levels of experience: physical, psychospiritual, socio-cultural and environmental (Ibidem). ...
Introduction: The competence to evaluate is essential in any profession in the health area. The concept of comfort is intrinsically linked to palliative care, being a concern shared by any health professional. These, when analyzing, must know what they are looking for and what they should expect to find. Objectives: To map how health professionals assess people's comfort in palliative and end-of-life situations. Methods: will follow the methodology proposed by the Johanna Briggs Institute (JBI) for scoping reviews. Considered studies in Spanish, English and Portuguese, without temporal definition. Databases to search: MEDLINE Complete, Academic Search Complete, CINAHL Complete and Mediclatina (EBSCOhost), Scopus and Web of Science Core Collection. For unpublished studies, the RCAAP (open access repository in Portugal) will be used. Two independent reviewers will evaluate the articles and extract the data using a specific tool created. In case of discrepancies, a third reviewer will be requested. Results: It is expected to map the data used by health professionals in assessing the comfort of people in palliative care. Conclusions: This review will make it possible to identify instruments used to collect data and what is the professional competence of the group that has in its practice the assessment of comfort. This can form the basis for a systematic review and/or help identify gaps where it may be important to invest in the future. This protocol was registered on the OSF platform with the DOI: 10.17605/OSF.IO/UF52X.
... Comfort is a highly subjective and individual dimension. Kolcaba [1] suggests that it has four aspects: physical, psychospiritual, sociocultural, and environmental. Quiet environments are especially important at night and at certain other times of day, such as after lunch. ...
Background:
Sleep is an essential element for patients' recovery during a period of hospitalisation. Hospital Clínic de Barcelona has developed the ClíNit project to promote patients' sleep by identifying elements that affect the quality of sleep and implementing actions to improve rest at night.
Objective:
Our aim is to select actions to improve sleep quality.
Methods:
The study population included night-shift nurses from two clinical units where the pilot actions were to be carried out (n: 14). The nurses prioritised actions to improve sleep quality using the methodology proposed by Fogg: clarification, magic wand, crispification, and the focus-mapping technique.
Results:
Two sessions were organised for each unit and 32 actions considered high impact and easy to implement were proposed, of which 43.75% (14/32) were directly dependent on nurses. It was then agreed to implement four of these pilot studies.
Conclusions:
One aspect worth highlighting is that using prioritization techniques such as the Fogg technique is a good strategy to implement the general objectives of intervention programmes in large organizations in an easy way.
... Sugiarto (1999) states that comfort is a feeling that arises when someone feels accepted as they are, and is happy with the existing situations and conditions so that someone will feel comfortable [5]. Kolcaba's opinion (2005) that comfort is a basic need of a holistic individual, including physical, psychospiritual, sociocultural, and environmental comfort [6]. ...
Building maintenance is one of that is needed in keeping the urban environment clean and convenient. The initial review found that some office buildings yet do not bring comfort to the facility users, there are still many managers who ignore building maintenance and consider it not the most important thing. This type of descriptive research by distributing questionnaires to users who work in the agency under study and understand the meaning of building maintenance as many as 60 respondents. Data analysis using multiple linear regression method. The results simultaneously show the variable of architectural maintenance, structural maintenance, environmental maintenance, housekeeping, and mechanical & electrical variables have a significant effect on the comfort of the work environment (Y), with the regression equation Y= 2.029 + 0,255 X1 -1,28 X2+ 0.367X3+ 0.140 X4- 0,029 X5. The results of the study can provide input to further improve the maintenance of office buildings to create a comfortable working environment.
... Kolcaba's theory of comfort is based on the idea that humans have holistic responses to complicated stimuli (Kolcaba et al., 2006). In this way, the desired holistic consequence of the nursing discipline will be comfort. ...
This article is focused on the major features of Orem's self-care theory, grand theory, and Katharine Kolcaba's comfort theory, a middle-range theory Kolcaba developed in the 1990s. It is a middle-range nursing theory designed for nursing practice, research, and education. According to her theory, patient comfort exists in three forms, relief, ease, and transcendence. These comforts can occur in four contexts: physical, psycho-spiritual, environmental, and sociocultural. Dorothea Orem established the Self-Care Nursing Theory, often known as the Orem Model of Nursing, between 1959 and 2001. Orem's theory comprises three theories, the theory of self-care, the theory of self-care deficit, and the theory of the nursing process. The article is based on a real-life scenario. The aim of this paper is to compare the mentioned theorists, their impacts on the outcomes, and their relationships with the clinical scenario in their own approaches.
... The majority of studies (N=47) did not report using an educational philosophy in development or delivering of the intervention; however, some studies made reference to using 'adult learning philosophies and instructional methods (eg, train-the-trainer)'; 53 'Comfort Theory' 54 and the 'Adult Learning Theory'; 55 56 'Bandura's Theory of Social Learning'; 57 58 'Calgary-Cambridge model; [58][59][60] 'COMSKIL conceptual framework' 61 62 and 'Interaction Adaptation Theory'. 63 64 Figure 1 PRISMA flow diagram. ...
Objectives:
Both literature and policy have identified the need for health literacy education for qualified health professionals. This study aimed to identify and map health literacy competencies and health literacy related communication skills educational interventions for qualified health professionals. The research questions included: Of the qualified health professional education interventions identified, which are focused on diabetes care? What health literacy competencies and health literacy related communication skills are integrated into each programme? What are the characteristics of each education programme? What were the barriers and facilitators to implementation? What methods are used to evaluate intervention effectiveness, if any?
Design:
Scoping review, informed by the Joanna Briggs Institute guidelines.
Data sources:
The following databases: OVID; CINAHL; Cochrane; EMBASE; ERIC: PsycInfo; RIAN; Pro-Quest; UpToDate were searched.
Eligibility criteria:
Articles were included if the education programme focused on qualified health professionals, in all clinical settings, treating adult patient populations, of all study types.
Data extraction and synthesis:
Two authors independently screened titles, abstracts and full text articles that met the inclusion criteria. The third author mediated any discrepancies. The data were extracted and charted in table format.
Results:
In total, 53 articles were identified. One article referred to diabetes care. Twenty-six addressed health literacy education, and 27 addressed health literacy related communication. Thirty-five reported using didactic and experiential methods. The majority of studies did not report barriers (N=45) or facilitators (N=52) to implementation of knowledge and skills into practice. Forty-nine studies evaluated the reported education programmes using outcome measures.
Conclusions:
This review mapped existing education programmes regarding health literacy and health literacy related communication skills, where programme characteristics were identified to inform future intervention development. An evident gap was identified regarding qualified health professional education in health literacy, specifically in diabetes care.
... Anny's article is focused on the major features of Orem's self-care theory, grand theory, and Katharine Kolcaba's comfort theory, a middle-range theory Kolcaba Kolcaba's theory of comfort is based on the idea that humans have holistic responses to complicated stimuli (Kolcaba et al., 2006). In this way, the desired holistic consequence of the nursing discipline will be comfort. ...
Objetivo: analisar a utilidade da Teoria do Conforto para a assistência de enfermagem à pessoa idosa. Método: O delineamento do estudo configura-se como crítico reflexivo através do levantamento da produção científica sobre a temática, utilizando-se do suporte analítico do Modelo de Análise de Teoria de Meleis, com ênfase no item utilidade. Resultados: A teoria demonstrou ser útil para conduzir a enfermagem em todas as dimensões aprofundadas, a saber: prática, educação, pesquisa e administração. Na prática, orienta a sistematização da assistência de enfermagem voltada à pessoa idosa e mensura a qualidade dos cuidados ante a percepção dos idosos/familiares/profissionais de saúde; na pesquisa, a adaptação transcultural do General Comfort Questionnaire para diferentes contextos voltados à atenção a pessoa idosa, bem como no desenvolvimento de intervenções promotoras de conforto para essa clientela; Na educação propõe ferramentas para fomentar a reflexão do conforto nos espaços de ensino e aprendizagem; e na administração se propõe a testar modelos em serviços de atenção à saúde. Conclusão: O modelo analítico possibilitou compreender a utilidade da Teoria do Conforto para a prática, pesquisa, educação e administração, evidenciando referenciais teóricos, filosóficos e metodológicos responsáveis por uma práxis crítica reflexiva do ser e do fazer.
Hospitalized children receive anxiety-triggering medical procedures, such as inhalation therapy. One non-pharmacological intervention that can be provided to reduce children's anxiety is pop-it therapeutic play. This study aimed to measure the effectiveness of pop-it therapeutic play on children's levels of anxiety during inhalation therapy in children's wards. This study used a randomized control trial involving 66 children aged 1-12 years who received inhalation therapy and were treated in the children's ward from three hospitals in North Sulawesi. The respondents were divided into intervention and control groups, with 33 respondents for each group. The samples were selected using simple random sampling. Anxiety level was assessed using the Visual Facial Anxiety Scale. The findings showed that playing pop-it effectively reduced children's anxiety levels during inhalation therapy, with a p value of 0.000 (α < 0.05). Therefore, playing pop-it is the right solution for children who receive inhalation therapy and is recommended as an alternative toy in hospitals. This finding can be applied in children who receive inhalation therapy because it is easy to do, efficient and effective controlling the children's anxiety.
There is a need to develop and test interventions for patients near end of life that are comforting, easy to learn and administer, and require little effort on the part of recipients. This experimental study tested the efficacy of bilateral hand massage for enhancing hospice patients’ holistic comfort as measured with the Hospice Comfort Questionnaire (HCQ). We hypothesized that, over 3 time points, patients who received hand massage would have higher comfort and less symptom distress than a comparison group. Participants were randomized into treatment (received the intervention twice weekly for 3 weeks) or comparison groups (received the intervention once at the study’s end). Findings indicated that patients receiving hand massage had increased comfort over time, while symptom distress remained flat in both groups. However, findings were insignificant. Ethical and practical issues experienced in this study are discussed.
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 nursing theories The term can signify both physical and mental phenomena and it can be used as a verb and a noun However, because comfort has many different meanings, the reader has had the burden of deciding if the term is meant in one of its ordinary language senses or if its context reveals some special nursing sense The purpose of this paper is to analyse the semantics and extension of the term ‘comfort’ in order to clarify its use in nursing practice, theory and research The semantic analysis begins with ordinary language because the common meanings of the term are the primary ones used in nursing practice and are the origin of technical nursing usages Comfort is discussed as the term is found in nursing, including texts, standards of care, diagnoses and theory An account of patient needs assessment is used to cull three technical senses of the term from its ordinary language meanings After contrasting these senses in order to justify their separateness, they are shown to reflect differing aspects of therapeutic contexts Defining attributes of the three senses are then explicated and presented in table format The last section of the paper addresses some of the ways that the extensions of the senses can be measured
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 nursing theories. The term can signify both physical and mental phenomena and it can be used as a verb and a noun. However, because comfort has many different meanings, the reader has had the burden of deciding if the term is meant in one of its ordinary language senses or if its context reveals some special nursing sense. The purpose of this paper is to analyse the semantics and extension of the term 'comfort' in order to clarify its use in nursing practice, theory and research. The semantic analysis begins with ordinary language because the common meanings of the term are the primary ones used in nursing practice and are the origin of technical nursing usages. Comfort is discussed as the term is found in nursing, including texts, standards of care, diagnoses and theory. An account of patient needs assessment is used to cull three technical senses of the term from its ordinary language meanings. After contrasting these senses in order to justify their separateness, they are shown to reflect differing aspects of therapeutic contexts. Defining attributes of the three senses are then explicated and presented in table format. The last section of the paper addresses some of the ways that the extensions of the senses can be measured.
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 also offers a way to reconceptualize nurse productivity.
Unlabelled:
Comfort management is a priority for patients in all settings. Comfort theory provides a foundational and holistic approach to comfort management. This article reviews comfort theory and presents the application of comfort theory in the perianesthesia setting.
Objectives:
-Based on the content of the following article, the reader will be able to (1) define comfort; (2) identify comfort interventions; and (3) discuss the importance of a goal for enhanced comfort in patients.
Within the last decade, a national prevention research, training, and practice agenda on mental health has been established to address the epidemiological increases in mental disorders and associated emotional and financial costs to individuals, families, and communities. In this article, the author reviews theoretical, empirical, and public policy support in favor of prevention science that inherently includes a broad positive mental health orientation with an emphasis on mental health promotion processes. Prevention within the mental health field needs to include not only minimizing mental disorders, but also enhancing positive qualities of daily functioning. The socioeconomic and cultural context of positive mental health is emphasized with particular attention given to the interrelatedness of individual, family, and community "collective sense of well being." Nursing and interdisciplinary contributions are reviewed, noting implications for future public policy and service system changes. Innovative ways to enhance mental health will require study of system integration across primary and mental health services as well as incorporating services within societal institutions such as schools and the workplace.