Concept Analysis Carrie G. Alexander Chamberlain Concept Analysis The concept of comfort is one that nurses provide every shift; however, it is not always easy to define. Katherine Kolcaba’s Comfort Theory will be used. Walker and Avant’s method for concept analysis will be used. The first step is to select a concept, which is comfort. The next step is determining the purpose of the analysis. The purpose is to define what comfort means and what comfort measures are and how they are used in nursing. The third step is to identify the uses of the concept of comfort. This includes definitions of term comfort and a literature search. The fourth step is to determine the defining attributes of comfort. This allows for insight into the …show more content…
A variety of definitions and meanings evolved about comfort with the term being related to both the patient and family. The first research study was a study on the experiences of family members being present during resuscitation efforts in the emergency room after a trauma. Some of the benefits of a family member being present are: the family feeling empowered and supportive, maintaining family-patient relationships, closure in a life shared and fostering the grief process (Leske, McAndrew, & Brasel, 2013). Data was collected over two years in a level one trauma center with trauma patients that had one family member present and were admitted to the surgical intensive care unit after resuscitation. The family member was interviewed two days later for an average of ten to thirty minutes in a quiet room away from the patient. The sample size of the study was twenty eight and the majority of the sample was female. The results showed that the majority of family members that were present felt that there role was to be supportive and protect the patient during the trauma. They felt that being present was comforting to them and the patient, regardless of the outcome. Another common theme was that the family felt comforted knowing that everything possible was done for their family member. This study was limited due to the small sample size. Although the conclusions are valid, more research with a
Many people have many different definitions of a family. Some include family as the people they live with, some include their entire extended family, and some include friends, neighbors, coaches, and teachers. According to the Vanier Institute (2013), a family is “a combination of two or more persons who are bound together over time by ties of mutual consent, birth, and/or adoption” (para. 2). Whichever way you look at it, families often play a major role in life. It only makes sense that when a person begins to go through a drastic change in life such as illness, the family will be involved. This is why it is important that nurses learn how to provide suitable client and family centered care. They can do this by following the four
Emotional Support and encouraging involvement of family and friends- Listening to patient with undivided attention .Providing clear, timely and meaningful information regarding the illness. Providing enough information regarding the patient’s illness. Respecting and acknowledging the family and friends’ support in patient care and providing supportive environment.
The concepts of the comfort theory are clearly defined and the relationships are easily understood. This theory is simple and basic to nursing care. The taxonomic structure of comfort facilitates researchers’ development of comfort instruments for new settings (Kolcaba,1991).The first assertion of the theory stating that effective comfort interventions leads to increased comfort for patients , has been tested and supported with women with breast cancer (Kolcaba & Fox, 1999), persons with UI (Dowd, Kolcaba, & Steiner, 2000), persons in hospice (Kolcaba, Dowd, Steiner, & Mitzel, 2004). And stressed college students (Dowd, Kolcaba, Steiner, & Fashinapaur, 2007). Also, the second assertion was supported in the UI study, when patients with enhanced comfort showed increased HSBs.
· What conclusions did the study reach? Are the conclusions appropriate? Why or why not?
It can be very frustrating at times dealing with the family members of the older patient that I see in the emergency room. I have such limited time to take care of everyone’s needs before the next patient comes in by ambulance that I often forget how the family feels seeing their parent on an emergency room cart in pain and confused. My definition of the comfort I can provide in the emergency room are often very different from the family’s expectations. According to Gerontological Nursing (Tabloski, 2014), the attending nurse needs to understand the patient and family’s goals, wishes and values to attend to their
Pain is one of the most common reason patient seek out help. The concept of pain can affect every person is some form or way. Pain can stand alone as a theory or fix with other theories like Comfort, Self- care, and more. As a surgical nurse I need to have a higher understanding of the patients I care for to ensure they receive the best care. Concept analysis is a form of research that allows a person to explore a theory/ concept to the fullest degree in an organized way. This concept analysis will take Walker & Avant’s steps to form a better understanding into pain.
The article showed that over the year’s clinician’s attitude to having family present had become more positive but had concerns about safety, the emotional responses of the family members, and performance anxiety. Nurses had more favorable attitudes toward family presence than physicians did. Patients and their families had positive attitudes toward family presence. Family presence is beneficial to patients, patients’ families; to them it provides emotional support, helps decrease anxiety and makes the patient feel empowered. As family presence becomes a more accepted practice, healthcare providers will need to accommodate patients’ families at the bedside and address the barriers that impede the practice.
A study ‘Experiences of childbirth by mothers at the tertiary hospital in Limpopo Province’ was conducted (Maputle & Nolte 2008), and experiences of the mothers during childbirth revealed the major concept ‘woman-centered care’. ‘Woman-centered care’ emerged as a
Pain and comfort as a rule are considered opposing in the needs of human beings. Pain is defined as an unpleasant sensory or emotional experience associated with potential tissue damage. Pain can be divided into categories of long-term pain or short-term pain and by the type of pain, level of pain, location of pain, and ease of solving the pain. Frequently, there is no way to completely manage pain, specifically in end-of-life care. Pain is at
What is your opinion regarding family presence during resuscitation ? Do you support this practice? Why or why not?
As Boyle (2015) pointed out, the presence of family members in the healthcare setting can greatly help to improve the health and clinical outcomes for the patient. The sick individual feels loved when family members are present and this can boost their morale and optimism thus leading to better health outcomes. In addition, family-centered care also increases the peace of mind for and comfort for family members. By involving themselves in the care process for their loved ones, dread of the unknown and fear and anxiety is lessened while family relationships and appreciations are enhanced (Denham, Eggenberger, Krumwiede, & Young, 2016). In addition, the family members also get an opportunity to interact with the patient and probably say their thoughts and final good byes (Denham, Eggenberger, Krumwiede, & Young,
Cullen and Gendreau compare and contrast the many studies on this subject, the meta-analyses conclusions, their strengths, weaknesses, inconsistencies, and the trends that follow the studies
Today’s nursing profession encompasses a variety of specialties and disciplines that demonstrate a wide range of phenomena. According to McEwin and Willis, in clinical practice, those phenomenon that are frequently seen aid advanced practice nurses in developing interventions and clinical protocols because they are said to be stable and reliable components of the practical nursing experience (McEwin & Willis, 2011, p. 47). The observed phenomena may or may not have had research studies associated with them in the past to concretely define them, and
Dating back to the colonial times, families have always been present for their loved ones during times of need, from birth to death. As the healthcare profession evolved, hospitals and other healthcare facilities became the expected locations where birth and death took place. Families were no longer at the bedside, but has since assumed the visitors role, they were escorted away from their loved ones and taken to
Concept analysis deals with the careful job of guiding clearness to the meaning of concepts used in science, according to McEwen, M., & Wills, E. (2010) in Nursing Theories and Nursing Practice. This paper will analyze the concept of comfort which comes from Katarine Kolcaba’s Comfort theory. Comfort is the state that is experienced automatically by receivers of comfort interventions. It involves the holistic experience of being strengthened through having comfort needs addressed as defined by McEwen and Wills (2010). Comfort is a key concept and central value of nursing. As stated by Tutton, E., & Seers, K. (2003), An exploration of the concept of comfort, comfort is defined as a state, linked to outcomes