Comfort Theory Research Paper

I chose this scenario which is divert for the natural covering of Kolcabas console possible action You ar a hold dear on an con oncology unit. Your longanimous is a 72-year-old competent anthropoid who has been told his potcer is final stage and that further treatment is unbelievable to have any benefit. He accepts that and would like to look for hospice. However, his two adult children insist that he should glide by chem separateapy and fight on and they tell you non to reason with him or get a consult for hospice. precise Concepts of the guess In order to address this scenario I used the middle cooking stove speculation of allayer and its specific concepts.This paper aims to describe the harbor guess, its action to the health c atomic number 18 setting and argonas for potential explore and its relevance to the health wish well system. pacifier is an fast desirable outcome that leads to excellent foreboding in the treat profession. Comfort is a vi tal art object of the treatment and recovery of forbearings. Comfort is a app arent motion of sleep from dis facilitate, a farming of resi payable and peace-loving satisfaction, a subject of pacifier and whatever makes manner pleasurable. (Kolcaba & Kolcaba, 1991). This hypothesis addresses the most relevant issues in the treat kingdom.Using this surmisal not just for affected federal agencys, barely for contains go away improve recruitment and retention judge of skilled health attention professionals. Providing console is a necessity in the fright of guests on in uncomplaining oncologic unit. Currently, blow is beingness viewed as a last result for terminally ill long-sufferings and not used as a standard hospital protocol or prophylactically to improve invitees health spatial relation. The main purpose of Comfort possibility is to improve patients satisfaction and outcomes as well as improve institutional integrity. As a middle range hypothesis, Comf ort surmise is practically based and an be used in transfer response to this specific clinical scenario that we as the advanced nurse practitioner exit participate. (Peterson & Bredow, 2009).Overview of the conjecture and Utility in Nursing practice session The theory of Comfort batch be utilized to contain and prove treat practice. In her theory she describes holistic shelter in three different forms relief, ease and transcendence as the immediate experience of being strengthened by having these necessary forms in intravenous feeding contexts physical, psycho- unearthly, socio-cultural which incorporate cultural traditions and family, and environmental. Goodwin, Sener & Steiner, 2007). Relief is when the patient has had a shelter need met. Ease is defined as a state of contentment, and transcendence is a state of comfort in which clients are able to raising above their challenges. (March & McCormack, 2009). The psycho-spiritual context refers to comfort of ones iden tity, sexuality, self esteem and any another(prenominal) spiritual relationship with a higher being. Socio-cultural comfort arises from interpersonal and societal relationships along with family. (Kolcaba, Tilton & Drouin, 2006).The author created a systematic bodily structure of three types of comfort integrated with the four contexts of experience, into a 12?cell grid. The grid is multipurpose for assessing patients require, planning interventions and evaluating their effectiveness, and aids to contri providede to the appreciation and utility of the theory. (Peterson & Bredow, 2009). Kolcabas proposes that when clients and family members feel more cheerful, they pass on engage in more health pursuit behaviors which include internal and external behaviors and a unruffled death.Internal behaviors occur at the cellular take aim, such as immune functioning. External behaviors refer to activities of daily living and health maintenance programs. When patients and family me mbers are benignant in more health seeking behaviors as a result of developmentd comfort due to interventions, members of the health make out team will be more content, will ultimately perform let on and improve institutional outcomes such as cut down costs of fright, reduced length of stay, elicitd fiscal stability and increased patient satisfaction. (Peterson and Bredow, 2009).Regarding the relevance to wish well for practice, comfort is a despotic outcome that is relate to an increase in health seeking behaviors and to positive institutional outcomes (Kolcaba & DiMarco, 2005). Nurses are constantly utilizing the comfort mechanisms and sweat to move patients towards the transcendence phase. Psychospiritual demand include principle confidence and motivation by discomfort. Ways that nurses smoke implement comfort measures are through massage, allowing visitation, condole with touch and continued encouragement (Kolcaba & DiMarco, 2005).Sociocultural comfort needs are the needs for cultural reasonable reassurance and positive body language. Nurses bunghole provide these needs through coaching, encouragement, and formulateing procedures. Nurses smoke help patients achieve the environmental comfort by lowering the lights, closing the doors, interrupting catnap minimally and limiting loud noise or so the patients rooms (Kolcaba & DiMarco, 2005). Nurses document patients states out front and after the use of comfort measures to verify if they are up(p) or worsening the clients hold.Nurses knowing a patients condition abide provide comfort measures to pr burden prohibit outcomes. If a patient is requesting hospice care, a nurse whitethorn be aware of the possibility of achieve this inclination. If the nurse notices an increase in pain, facial grimacing and anxiety, the nurse may realize that he should make some arrangements for hospice care. The nurse could also provide massage, guided imagery or other interventions based on the type of terminal preemptcer and intensity of the pain. Being able to chequer when comfort measures are useable is vital to improving the gauge of patient care.When patients are more comfortable, they are more likely to engage in health seeking behaviors, and to comply with medications and exercise regimes, increased conformity with prescribed diets and more calm deaths when palliative care is the appropriate goal. (March & McCormack, 2009). When patients increase their health seeking behaviors, nurses are more satisfied and improve their quality of care which increases the institutional integrity, and enhances the care of all health care professionals. Meaning of the TheoryI think the theory means that the role of breast feeding includes the assessment of comfort needs, the design of comfort actions to address those requirements, and the re-evaluation of comfort levels after accomplishment. In the model of Comfort, nursing is described as the process of assessing the patients comfort requirements, developing and implementing suitable plans of care, and evaluating the clients comfort after the care plans have been approved. Nursing estimate can be objective, such as the followup of the pale skin in our competent anthropoid client with cancer, or subjective, such as enquire if he is comfortable.The Theory of Comfort considers patients to be individuals, families, institutions, or communities in need of health care. The environment can be manipulated by a nurse or loved one in order to enhance comfort. In my opinion this theory is one of the sudden growing areas of current nursing theory improvement, and the most promising. The comfort theory can be kick in to patients of all ages, cultures backgrounds, or communities. It is also applicable to patients in the hospital, clinic or home. I believe that comfort is a positive concept and is associated with activities that nurture and fortify clients. check of the Research The Comfort theory has been well-tried i n many settings, used as a tail end of study and evaluated in several researches. It is necessary for this theory to be in the forefront of health care and research because it can greatly enhance patient outcomes. Though it has not necessarily been tested in all of these areas, it can be used to enhance any persons health status in any practice setting. The nurse investigator employing this theory will find it very useful because of its ease of application.The researcher can take this theory and apply it to whatever setting and it is well tested with a manakin of instruments including, General Comfort Questionnaire, truncated General Comfort Questionnaire, Visual Analogue Scales and Comfort Behavior Checklists. It provides direction for performance review, outcomes research and quality improvement (Kolcaba, Tilton & Drouin, 2006). As a middle range theory it has fewer concepts and propositions than a grand theory, is easily testable, easily applicable and interpret and more n arrow in background knowledge. The theory has a low level of abstraction.This theory is inactive in early development. Concepts, propositions, and outcomes of comfort are operationalized easily using the taxonomic structure of comfort. The theory is still being tested and apply to a wider institutional approach. Because Kolcabas theory has still not been adapted in all of the researched settings, the benefits and outcomes are currently just speculated. Research of this theory is on-going and constantly evolving. The theory is broad in reach because it can be applied to a variety of patient settings and patients of all ages and backgrounds.The theory can be viewed as being narrow in scope because it focuses solely on patient and families. However, it is easily extrapolated to other areas of practice. Once this occurs, the theory will be primarily viewed as being broad in scope. Researchers can test the benefits of comfort on learning. This theory does not necessarily have to inv olve just health care settings it can be utilise in any field with any member of the health care team (Goodwin, Sener & Steiner, 2007). Her theory is easily interpreted and applicable to patient settings.A traditional goal of nursing has been to attend to patient comfort. Patients expect this from nurses and come apart them credit when comfort is delivered. Through deliberate actions of nurses, patients dupe what they need and want from their nurses. The theory provides directionality for nursing practice because it provides measurable outcomes. However, the author mainly provides examples of comfort measures and how these work in the hospital. The author also relates comfort measures to improving health?seeking behaviors and benefiting institutions and institutional integrity.The theory addresses comfort and how it can improve patient outcomes, but fails to expand adequately on how these comfort measures can be used outside of the hospital setting. some researchers are taking t he Comfort Theory and extrapolating it to be useful in other health care settings. Comfort theory tested by nursing research all the relationships betwixt nursing interventions, patient comfort, health seeking behaviors and institutional integrity. Finally the theory include all health care providers and implemented as an institution-wide framework for practice. (Peterson & Bredow, 2009).Applications of the Theory and Solutions for the Scenario I apply the theory and developed specific solutions for the issues that are embossed in the scenario It is significant to specify if nurses and other health care providers implement this theory into their practice, patient outcomes will significantly improve. This theory will not unaccompanied enhance patient results, but it will help prevent imminent medical problems. We as a nurse assess the physical, psychospiritual, sociocultural and environmental needs of the clients, for example looking at deficits in the physiological mechanisms of this very ill patient due to an unserviceable cancer.Some physical comfort needs that can be treated without medications include pain, vomiting, anxiety and weakness. We can use different interventions to help alleviate these problems and increase patient satisfaction. The theory describes nursing practice as being holistic, human beingsistic and needs related. It describes different nursing interventions intended to promote comfort for the patients provided by nurses. This theory differentiates nursing from other health related disciplines by demonstrating the different types of comforting measures provided by the health care team.There is a role play in seeking the clients comfort by all members caring for the patient, including the client himself seeking his relief in a hospice once he take the comfort level desired through move in his quick recovery and exploring for a hospice. In this scenario, it will be the role of the nurses to help the client to achieve the desired com fort level by teaching the family members related to the convenience of the hospice care. We will explain the necessity of stop the chemotherapy.Lack of teaching in this extreme case may result to omit of comfort and lack of peace in the event of terminal illness and death. These solutions lead to recovery at a faster pace. It is crucial the provision of approximate environment to ensure that the client receives plenty comfort for his recovery. Therefore, the nurse play the leading role of identifying the clients comfort needs, and design interventions to address those needs. With indisputable comfort level the client acquires strength to participate in health seeking behaviors and if not, encounter unaggressive death.If specific comfort needs of a patient are met, the patient experiences relief and comfort, for example, a patient who receives pain medication in an inpatient oncologic unit. Ease addresses comfort in a state of contentment. For example, the patients concerns of h ospice care are addressed. Positive outcomes are achieved through the cooperation of all parties involved. The client should be cooperative to take on the desired energy in a comfortable manner, or die in a peaceful way due to his comfort level, if death occurs.Conclusions around Usefulness of the theory in Nursing Practice Kolcabas middle range theory of Comfort is applicable to all areas of the healthcare field and other nursing situations since it is currently patient and family centered. The theory is hypothecate to provide guidance for everyday practice and scholarly research rooted in the nursing rearing comforting the learner or student in an educational environment. This theory was created to guide for the assessment, dimension, and appraisal of patient comfort.There are a lot of benefits we can get in learning and applying Kolcabas Theory of Comfort as it promotes understanding and collaboration between health care team members addressing the current famine in health c are team. In addition, it will improve societal acceptance of the health institution and increase patient satisfaction. (March & McCormack, 2009) It is important to denote the application of it to an institution wide approach. I consider a limitation that Kolcaba restricts the use of interventions to provide comfort as a function of nurses.It is focused on a limited dimension of the reality of nursing. (March & McCormack, 2009). In the role of providing comfort, the nurses need to meet the basic physical, psychosocial and spiritual human needs throughout client comprehension to their experience. Theory of Comfort has a real potential to direct the work and thinking of all health care providers within one institution since, it appears that the comfort is ever present in all culture and appropriate universal goal for healthcare. It is a middle-range theory for health practice, education, and research. (Malinowski & Stamler, 2002).