Kolcaba's Theory of Comfort

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]

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.[7]

References
  1. Pinto, S., Caldeira, S., & Martins, J. (2017). Evolutionary analysis of the concept of comfort. Holistic Nursing Journal, 31(4), 243-252
  2. McEwen, M., & Wills, E. (2014). Theoretical basis for nursing (4th ed.). Philadelphia, PA: Wolters Kluwer Health
  3. March, A., & McCormack, D. (2009). Nursing theory- Directed healthcare: Modifying Kolcaba's comfort theory as an institution-wide approach. Holistic Nursing Practice, 23(2), 75-80.
  4. Malinowski, Ann; Stamler, Lynnette Leeseberg (2002-09-04). "Comfort: exploration of the concept in nursing". Journal of Advanced Nursing. 39 (6): 600–602. doi:10.1046/j.1365-2648.2002.02329.x. ISSN 0309-2402. PMID 12207758.
  5. "Comfort Line | Frequently Asked Questions". Comfort Line. Retrieved 2019-12-03.
  6. Kolcaba, Katharine; DiMarco, Marguerite A. (May–June 2005). "Comfort Theory and its application to pediatric nursing". Pediatric Nursing. 31 (3): 187–94. ISSN 0097-9805. PMID 16060582.CS1 maint: date format (link)
  7. Kolcaba, Katharine; DiMarco, Marguerite A. (May–June 2005). "Comfort Theory and its application to pediatric nursing". Pediatric Nursing. 31 (3): 188. ISSN 0097-9805. PMID 16060582.CS1 maint: date format (link)


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