A Wake-Up Call

When presenting comfort care to students a few years ago, one earnest young man who had some prior experience working in nursing homes raised his hand and asked, "Is this a new concept? I have never seen it being practiced!"
I think his question is a wake-up call to us in nursing practice and education to get back to the basics.

- Dr. Katharine Kolcaba (2003)

Comfort: A Fundamental Need

Long ago, the field of nursing was merely perceived as giving of care to sick individuals. Just like other things, nursing has also evolved as time passed. Its evolution greatly influenced the nursing profession. Decades of study, the traditional type of care given to patients has evolved holistically. 

Pioneered by Florence Nightingale, though was posthumously accredited as a nursing theorist, her nursing contributions had influenced the field of nursing far into holistic and professional level. At that juncture, the provision of care was reinvented which after her, other nursing theories has also been formulated and adapted into the practice of nursing. 
 
According to Tomey and Alligood, nursing theory is a set of concepts, definitions, relationships, and assumptions or propositions derived from nursing models or from other disciplines. This projects a purposive, systematic view of phenomena by designing specific interrelationships among concepts for the purposes of describing, explaining, predicting, and prescribing.

Interestingly, Kolcaba's comfort theory presents the very essence of nursing. Provision of care and comfort are the initial interventions that a nurse does for a sick person. The comfort theory was highly acknowledged because of its universality across all disciplines, widely an extension of other theories and was holistically given emphasis. 

Her theory was derived from her experience in the practice of nursing. In her quest to introduce the concept to students, one young man with previous experience in nursing homes raised one question, "Is this a new concept? I have never seen it being practiced?" Unknowingly, it has been practiced even before the conceptualization of theories but with the advent of advanced technology in treating patients, providing comfort has been set aside and has never been a priority. This serves as an eye opener to all nurses. After all, comfort is one of the fundamental needs of all individuals.

Reference:

Kolcaba, K. (2003). Comfort theory and practice: A vision for holistic health care and research. New York, NY: Springer Publishing Company.

Nursing theory. (n.d.). In Wikipedia. Retrieved July 07, 2010, from http://en.wikipedia.org/wiki/Nursing_theory

Current Nursing. (2010, March 25). Application of theory in nursing process. Retrieved July 07, 2010, from http://currentnursing.com/nursing_theory/application_nursing_theories.html

Comfort Theory: An Overview

In the light of current nursing shortage, health care system should find the means to address this problem in order to continue achieving the goal, which is to provide the optimum level of health of a person or client. 

During the 1900’s, comfort is considered the goal of both nursing and medicine because it is believed that comfort will lead to recovery. Comfort is a complex term and titled as one of the distinguishing characteristic of the nursing profession yet, it has never been conceptualized, studied and researched in the field.

In this part of the blog, you will notice that we include certain terms about the theory in which you may get confused of but don’t worry because each will be discussed further as you read the other posts in this blog.

Pioneering the work on theory of comfort in nursing is Dr. Katharine C. Kolcaba PhD, RN, an American nursing scholar, a clinical nurse specialist who attained several scholastic awards and achievements. With her collated readings, knowledge, experiences and researches... she was able to provide a holistic definition for comfort not only in nursing but for the whole health care team.

The theory of comfort is one of the many middle range nursing theory because it is focused on a limited dimension of the reality of nursing. It is formulated to provide guidance for everyday practice and scholarly research rooted in the discipline of nursing.