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Kolcaba and Comfort Theory

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For centuries, the depiction of a nurse in art is one of a person professionally dressed, but offering something of herself. That nurse is offering comfort, something decidedly outside of medical patient care, something beyond the auspices of physician and related solely to the nurse professional. “Comfort” is the idealized vision each person holds within himself when thinking of a nurse, whether it is reality. This personalized concept comes from a patient who is his most vulnerable when sick and in a hospital bed. 19 references. jvKolcab.rtf

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decidedly outside of medical patient care, something beyond the auspices of physician and related solely to the nurse professional. "Comfort" is the idealized vision each person holds within himself when thinking of a nurse, whether it is reality. This personalized concept comes from a patient who is his most vulnerable when sick and in a hospital bed. By nature, those environments are sterile and without kindness even though the patient is at his most fearful and uneasy. The desire of the patient for a friend at this moment can be overwhelming and he sees this in the nurse. Yet, this does not seem to be the basis for a scientific theory. For this reason, Kolcaba (1994) introduces comfort into theory by beginning with a definition as "the satisfaction (actively, passively, or co-operatively) of the basic human needs for relief, ease, or transcendence arising from health care situations that are stressful." (Kolcaba, 1994, 1178). Whether this is a basis for fact or a true nursing concept is debatable, but it is no more difficult to prove scientifically than other scientific classification borne out of the desire and necessity to analyze human feelings. MEANING AND CONCEPTS Jones & Krysa (1998) describe the three essential comfort interventions as listening (to the persons fears), talking (generally educating the patient in treatments and multiple options), and touching (brief, gentle movements like the touch of a hand or a comforting look). All must be applied to create the desired result of providing relief, ease and "transcendence that strengthens the individual and family" (Jones & Krysa, 1998, 30). This is one application of Kolcabas ...

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