Kolcaba's Theory, Comfort-Clinical case, depression
Since time immemorial, comfort has been consistently aligned to nursing both in- and out-of-the-hospital settings. Historically, nurses were bestowed with the responsibility of providing comfort to not only their patients but also families of patients through the comfort interventions. The dominance of the aforementioned activity was attributed to the non-existence of curative medical strategies in the past. Sloman (2002) noted that the ultimate goal of comfort interventions is to provide altruistic, patient-centered, and comfortable environment for patients and their families. Although nurses have received orders from clinicians regarding the provision of comfort to patients, Morse (1992) asserts that provision of comfort to patients and their families was the sole responsibility of nurses in the past. He concurred with Gropper's earlier belief (1992) that nurses promoted health by promoting comfort. However, it is worth noting that comfort still lacked the effective operationalization and theoretical definition in spite of its frequency and significance in nursing. This report seeks to delve deeply into the theory of comfort since its inception. The study expounds on its development, purpose, assumptions, key concepts, and propositions, as well as its congruence with the nursing profession.
The concept of comfort has been integrated neither theoretically nor operationally in the nursing profession in spite of its importance and frequency. In the past, nurses prioritized comfort as the main strategy of providing a favorable environment for the sick and their families both in- and out-of-hospital settings. However, the relevance and necessity of comfort in health care was discovered by Nightingale in the 1850s. In the early 20-century, the nursing character, and skills of an individual health worker were associated with her/his ability to provide comfort to patients. Even though orders to provide comfort to patients originated from clinicians, such an initiative was attributed to the physical, environmental, and emotional interventions initiated by nurses.
[...] At the outset, the objective and meaning of comfort theory is well articulated and explored. Notably, the study utilizes three psychiatric hospitals in the cities of Oporto and Coimbra, Portugal as a comfort place where the holistic and universal nature of comfort theory is applied. The model attempts to enhance the value and philosophy of care in the hospital. First, the language utilised by the authors is simple and easy to understand. Second, it is consistent and aligned to nursing practice as it revolves around the quality of health care and comfort of patients, nurses, axillary personnel and chief of nursing among other stakeholders. [...]
[...] Patient is hallucinating a lot characterized by poor memory and lack of sleep. Besides, the patient has poor insight as well as judgment. During the interview, it was eminent that the patient was unmotivated and hopeless. Although the concentration of the patient was poor, the memory remained intact. As per the above discussion, the patient meets the criteria for inpatient care. The necessary nursing assessments and interventions in the above case Psychiatric comfort scale is relevant in assessing the aspects of comfort of the boy. [...]
[...] However, the relevance and necessity of comfort in health care was discovered by Nightingale in the 1850s. In the early 20-century, the nursing character, and skills of an individual health worker were associated with her/his ability to provide comfort to patients. Even though orders to provide comfort to patients originated from clinicians, such an initiative was attributed to the physical, environmental, and emotional interventions initiated by nurses. Mcllveen and Morse (1995) argue that the aspect of emotional comfort started diminishing in the 1950s as an alternative medication when nurses placed much emphasis on the physical aspect of comfort such as analgesics to suppress pain among patients. [...]
[...] This report seeks to delve deeply into the theory of comfort since its inception. The study expounds on its development, purpose, assumptions, key concepts, and propositions, as well as its congruence with the nursing profession. Theory of comfort The concept of comfort has been integrated neither theoretically nor operationally in the nursing profession in spite of its importance and frequency. In the past, nurses prioritized comfort as the main strategy of providing a favorable environment for the sick and their families both in- and out-of-hospital settings. [...]
[...] Second, the major concepts of comfort theory are not only identified but also well defined. For instance, guided imagery is a comfort intervention intended to enhance comfort of the psychiatric inpatients in the hospital (comfort place) through reducing depression, anxiety and stress. The relationship of such comfort intervention and mood reduction is clear and understandable to readers. The various concepts are not only defined and consistently used but also in accordance with the above-discussed assumptions of the comforting theory. In this study, comfort theory is aligned to the nursing practice through identification of various phenomena in the nursing profession. [...]
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