Concepts of Katharine Kolcaba’s Mark Concerning Nursing Essay

Nursing theorist provide nurses and nursing students with a framework upon which to view the practice of nursing. (Hood, L. & Leddy, S., 2006, p. 107) The nursing theorist provides us with an understanding of why and how nursing actions should be practiced with the patient foremost in mind. When investigating the various theories of nursing practice, Katharine Kolcaba stands out of the pack with her focus on comfort. Katharine Kolcaba’s theory touches on the external and internal processes that culminate in the patient perception of comfort lead to an integrated approach to health care. Katharine Kolcaba is a remarkable woman that has left a mark on nursing. Her passion for comfort is something all nurses need to embrace. This paper will explore the life and work of Katharine Kolcaba.Concepts of Katharine Kolcaba’s Mark Concerning Nursing Essay

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Katharine Kolcaba lists one of the most influential events in her life as the death of her father when she was eight years old (Kolcaba K. , Frequently Asked Questions, 2010). This event led to her being raised without her father. She contributes her desire to work in gerontology to her paternal grandmother, whom she visited every summer (Kolcaba K. , Frequently Asked Questions, 2010). She decided to go into nursing in high school, because she liked people and had an aptitude for science (Kolcaba K. , Frequently Asked Questions, 2010). She also received a full scholarship to a diploma program, which allowed her to help her brother with his tuition at a state university (Kolcaba K. , Frequently Asked Questions, 2010). She did not focus on her graduate studies until her late thirties, waiting until her children were older and more independent (Kolcaba K. , Frequently Asked Questions, 2010).Concepts of Katharine Kolcaba’s Mark Concerning Nursing Essay

In the early part of the 20th century, comfort was the central goal of nursing and medicine. Comfort was the nurse?s first consideration. A ?good nurse? made patients comfortable. In the early 1900?s, textbooks emphasized the role of a health care provider in assuring emotional and physical comfort and in adjusting the patient?s environment. For example, in 1926, Harmer advocated that nursing care be concerned with providing an atmosphere of comfort.

In the 1980?s, a modern inquiry of comfort began. Comfort activities were observed. Meanings of comfort were explored. Comfort was conceptualized as multidimensional (emotional, physical, spiritual). Nurses provided comfort through environmental interventions.
It was in this decade that Kolcaba began to develop a theory of comfort when she was a graduate student at Case Western Reserve in Cleveland, Ohio. She is currently a nursing professor at the University of Akron in Ohio.Concepts of Katharine Kolcaba’s Mark Concerning Nursing Essay

Kolcaba?s (1992) theory was based on the work of earlier nurse theorists, including Orlando (1961), Benner, Henderson, Nightingale, Watson (1979), and Henderson and Paterson. Other non-nursing influences on Kolcaba?s work included Murray (1938). The theory was developed using induction (from practice and experience), deduction (through logic), and from retroaction concepts (concepts from other theories).

The basis of Kolcaba?s theory is a taxonomic structure or grid that has 12 cells (Kolcaba, 1991; Kolcaba & Fisher, 1996). Three types of comfort are listed at the top of the grid and four contexts in which comfort occurs are listed down the side of the grid. The three types are relief, ease and transcendence. The four contexts are physical, psycho-spiritual, sociocultural and environmental.Concepts of Katharine Kolcaba’s Mark Concerning Nursing Essay

Kolcaba does not believe that a focus on comfort is unique to nursing and she believes that her theory can be interdisciplinary. She believes that multiple professions can converge around her theory of comfort and provide holistic care to patients.

Kolcaba’s Theory of Comfort
Katy Hess
Lewis-Clark State College
Kolcaba’s Theory of Comfort Nursing theories have been an integral part of developing the standards and principles that are used in today’s nursing. Nursing theories are a foundation where policies and protocols are taken and applied in hospitals. Standards of care are made from various nursing theories. The basis of nursing has been taken from nurse theorists, through research and science, have developed these theories that nurses use on a daily basis. The theorist I chose for this paper is Katharine Kolcaba. Katharine Kolcaba’s theory is the Theory of Comfort. This paper will go into more detail about her and how she developed this theory. The paper will also dive deeper into the theory itself and a clinical application of the theory.Concepts of Katharine Kolcaba’s Mark Concerning Nursing Essay
Biography of Kolcaba Katharine Kolcaba’s Theory of Comfort was originally developed in the 1990’s (Petiprin, n.d., para. 1). Katharine Kolcaba developed this theory when she conducted a concept analysis of comfort that examined literature from many disciplines such as medicine, psychology, nursing, psychiatry, ergonomics, and English (Petiprin, n.d., para. 2)

Nursing theorists provide a framework for nurses and nursing students to observe nursing practice. (Hood, L. & Leddy, S., 2006, p. 107) The nurse theorist gives us an understanding of why and how to implement patient-centered care behavior. When investigating the various theories of nursing practice, Catherine Colcava is outstanding and focuses on comfort. The theory of Katharine Kolcaba includes external and internal processes that ultimately lead to a perception of patient comfort leading to a comprehensive approach to healthcare.Concepts of Katharine Kolcaba’s Mark Concerning Nursing Essay

Mention is made of patients with symptoms associated with discomfort of the heart syndrome, based on the care approach of Katharine Kolcaba (2003) Medium Care Comfort Theory. The concrete intervention of the “quiet time” is its potential as a measure of comfort for coping with Colcova’s four pleasant contexts (physical, mental, environmental, socio-cultural) It was explained as use. I do not understand that many nurses can practice to improve patient comfort within the Colcaba theoretical framework. Clear application of comfort theory can be beneficial to nursing practice. The use of comfort theory in the study can provide evidence of quiet time intervention for cardiac patients

Katharine Kolcaba’s comfort theory requires extreme caution in the concept of comfort. Traditionally, nurses provide comfort to patients and their families by observing comfort. Internationally, comfortable behavior strengthens patients and families. If patients and their families strengthen the behavior of nurses, they can tackle looking for healthy behavior. Concepts of Katharine Kolcaba’s Mark Concerning Nursing Essay(Http://www.thecomfortline.com/comfort-theory.html) Labor room accommodation. Despite the lack of privacy and lack of support for women to take the position they desire, such as mats and beds, the laboratory should be something like this. In hospitals it may be convenient to place other supports such as mats and live balls in the room so that the mother can freely walk around and remove the effort from the traditional place in the middle of the room. Labor decision

This study highlights the theory of comfort of Katherine · Correka which is classified as a medium theory and can serve as a basis for clinical care for new mothers. This theory was chosen because in a study conducted by researchers at the CNPq Female Nursing Research Group (GRUPESME – UECE), this study systematically took care of new mothers with the participation of leading authors It is because it was used. The research The usefulness of this research theory was confirmed by a critical analysis. Therefore, the aim here is to evaluate the usefulness of Corcova’s comfort theory in clinical care of a new mother. This assessment will support the widespread use of nurses’ theories in nursing practice and will help to improve the clinical care of new mothers.Concepts of Katharine Kolcaba’s Mark Concerning Nursing Essay

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.Concepts of Katharine Kolcaba’s Mark Concerning Nursing Essay

According to McEwen (2014), the major concepts in the theory of comfort include:
1. Comfort: “The satisfaction of the basic human needs for relief, ease, or transcendence arising from health care situations that are stressful” (p. 244). Basically, this is the pleasure gained from the patient’s needs for relief in their medical condition.
2. Comfort care: The art of administering comforting actions by the nurse to the patient.
3. Comfort measures: The comforting actions done to meet particular comfort needs.
4. Comfort needs: Health care needs (physical, social, environmental, psychospiritual) for comfort that arises from stressful health care situations.
5. Health-seeking behaviors: The active process of seeking ways to change one’s lifestyle or environment to increase his or her health.
6. Institutional integrity: “The values, financial stability, and wholeness of health care organizations at local, regional, state, and national levels” (Theoretical Model). In other words, it is the reliability and truthfulness of healthcare at an institution.
7. Intervening variables: Other factors such as a patient’s background or emotional state that influence the level of total comfort (Theoretical Model).Concepts of Katharine Kolcaba’s Mark Concerning Nursing Essay
8. Enhanced comfort: The positive trend over time of the patient’s comfort level through comfort interventions (Theoretical Model).

Kolcaba’s 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.[1] Comfort can enhance health-seeking behaviors for patients, family members, and nurses.[2] The major concept within Katharine Kolcaba’s theory is the comfort. The other related concepts include caring, comfort measures, holistic care, health seeking behaviors, institutional integrity, and intervening variables.[2]

Kolcaba’s theory successfully addresses the four elements of nursing metaparadigm.[3] Providing comfort in physical, psychospiritual, social, and environmental aspects in order to reduce harmful tension is a conceptual assertion of this theory.[3] When nursing interventions are effective, the outcome of enhanced comfort is attained.[2]Concepts of Katharine Kolcaba’s Mark Concerning Nursing Essay

This theory was derived from Watson’s theory of human care and her own practice.[4] Kolcaba was a head nurse asked to define her job as a nurse outside of specialized responsibilities. She realized the lack of written knowledge on the subject of comfort being important in patient care.[5] The first publication was in 1994, then expanded in an article in 2001, and further developed in a book written in 2003.[6]

Kolcaba’s theory became so popular that it was tested in multiple studies such as: women with early stage breast cancer going through radition therapy conducted by Kolcaba and Fox in 1999, persons with urinary frequency and incontinence conducted by Dowd, Kolcaba, and Steiner in 2000, and persons near end of life conducted by Novak, Kolcaba, Steiner, and Dowd in 2001 Concepts of Katharine Kolcaba’s Mark Concerning Nursing Essay