TFN FINALS.docx - Katharine Kolba Theory of comfort...

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Katharine KolbaTheory of comfortComfort is an antidote to the stressors inherente health care situations today, and when comfort is enhanced, patients and families are strengthened for the task ahead. In addition, nurses feel more satisfied with the care they are giving.”-Katharine Kolcaba (March 7, 2008)-Born and educated in Cleveland, Ohio-In 1965, received her diploma in nursing and practiced part time for many years in medical surgical nursing, long-term care and home care before returning to school.-Graduated in MSN with specialty to gerontology-Currently an emeritus associate professor of nursing in the University of Akron College of Nursing-She represents her own company, the COMFORT LINE,to assist health agencies implement Comfort Theory on an institutional-wide basis.THEORY OF COMFORTTYPE OF COMFORTRELIEF- The state of the patient who has hada specific need metEASE- The state of calm or contentmentTRANSCENDENCE- The state in which one rises above one's problems or pain.CONTEXT IN WHICH COMFORTOCCURSPHYSICAL- Pertaining to bodily SensationsPSYCHOSPIRITUAL- Pertaining to internal awareness of self.ENVIRONMENTAL- Pertaining to the external surroundings, conditions and influencesSOCIAL - Pertaining to interpersonal, family andsocietal relationship.MAJOR CONCEPTS and DEFINITIONSHEALTH CARE NEEDS-Needs for comfort arising from stressful health care situations that cannot be met by recipients' traditional support systems.COMFORT INTERVENTIONS-Nursing actions designed to address specific comfort needs of the recipientINTERVENING VARIABLES-Interacting forces that influence recipients’ perceptions of totalCOMFORT-The state experienced by recipients of comfort InterventionsFOUR(4) MAJOR THEORETICALPROPOSITIONSComfort is generally state specificThe outcome of comfort is sensitive to changes over timeAny consistently applied holistic nursing intervention with an established history for effectiveness enhances comfort over timeTotal comfort is greater than the sum of its partsMETAPARADIGMNURSING-The intentional assessment of comfortneeds, the design of comfort interventions to address those needs, and reassessment of comfort levels after implementation compared with a baseline.PATIENT-Recipients of care may be individuals, families, institutions or communities in need of health care.ENVIRONMENT-Environment is any aspect of patient, familyor institutional setting that can be manipulated by nurse, love ones or the institution to enhance comfortHEALTH
-Optimal functioning of a patient, family, health care provider or community as defined by the patient or group.ACCEPTANCE BY THE NURSINGCOMMUNITYPRACTICE-Students and nurse researchers have frequently selected this theory as a guiding framework for their studies in areas such asnurse midwifery, hospice care, perioperative nursing, long-term care, stressed college students, dementia patients, and palliative care.

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