Kolcaba developed her comfort theory after conducting a concept analysis of comfort that examined literature from medicine, nursing, psychology, psychiatry, ergonomics and English. Form the analysis, it had confirmed that comfort care is a positive concept and it is highly associated with activities that nurture and strengthen patients’. Kolcaba had developed a theoretical framework for the work on comfort in nursing, conceptualizing suitable care as the immediate and holistic experience of feeling strengthened by meeting the needs of three types of comfort know as relief, ease and transcendence in the four contexts of holistic human experience such as physical, psychospiritual, social-cultural and environmental (Kolcaba, 1994; Kolcaba, 1995; Kolcaba & Fox, 1999 & Kolcaba, et. al. 2006).
Crumpler’s aunt was a woman who spent much of her time caring for sick neighbors and friends. In the beginning of her book, A Book of Medical Discourses, she explained that being surrounded by the work of her aunt is what made her form a liking to relieving the suffering of others, which is what pushed her to go into medicine. Crumpler became a nurse, a profession that did not require formal education in that time, and cared for patients in Massachusetts for eight years. She was eventually admitted to the New England Female Medical college in 1860, and graduated in 1864. She was the first and only African American to graduate the school due to it closing in 1873.
“The environment includes focal, contextual and residual stimuli. A focal stimulus is the confrontation with one’s internal and external environment. The individual immediately resists these internal and external stimuli” (Ursavaş, Karayurt, & İşeri, 2014, p.136). The Adaptation model is the brainchild of Sister Callista Roy. In the mid 1970’s, Roy, a professor at Mount Saint Mary’s College, felt that nursing needed to be more than a person who monitored vital signs and handed out medication for patients recovering from illness in the hospital.
It is not just the science; it is a combination of the experience and knowledge of the nurse. The art of being a nurse is to apply knowledge from different research areas to provide the patient with the highest level of support when you are in a medical facility. The current understanding of knowledge and experience could change the idea of how nurses might know their patients. The art of nursing includes the valuation of human presence, showing respect for differing opinions and connection to the client. Nurse actions are based on human experience, which formation happens due to the aesthetic qualities.
However, there was a time frame of almost one year, due to the CNL retiring, that the hospital did not employee a CNL to provide and address inpatient diabetic care needs. In the interim, care needs and education fell upon the hospital nursing staff and individual practices to fill the gap. Numerous studies have shown the benefits of tailored diabetes care and the positive impact of education upon clinical outcomes. The team approach utilizing the leadership of the CNL, staff nurse and providers greatly improve care for all diagnoses not just
Diverse cultural (theory) The evolution of transcultural in nursing beings when Leininger discovered a core concept of care during her early education and this concept had later become her inspiration to specialize in transcultural nursing exclusively. She described this concept as a fundamental nursing component based on her own experience and positive feedback from patients’. She mentioned that during her early days working in the child guidance home, she experienced a cultural shock, which eventually leading her to realize that lack of understanding concerning cultural diversity could explain persistent behavioral patterns in some children (Leininger, 1991). She notices a major shortfall in understanding differential patient demands in the context of care and wellness. She stated that, the quality of nursing education suffered due to the absence of training in cultural diversity and as a result there is a disconnection between patient and nurse.
Watson (2012, as cited in Pjnkihar, 2017) refers to nursing as a science, art, and moral ideal which essence is caring. In the ten caritas processes, Watson emphasized the promotion of a “supportive, protective, and/or corrective mental, physical, societal, and spiritual environment” (Watson 1999, as cited in Pjnkihar et al, 2017). She also highlighted the influence of internal and external environments on
The Theory of Self-Transcendence: History of the Theory The theory of self-transcendence is a middle-range nursing theory which was developed by Pamela Reed (Cramer, 2013; Smith & Liehr, 2008). Self-transcendence theory establishes a framework for healthcare providers through the promotion of well-being during life-altering events (Reed, 2008). In addition, this theory provides a holistic framework for nursing care focused on the relationship between persons and their environment (Reed, 2008). This can be achieved by creating self-transcendence activities that promote improved well-being through a broadening of personal boundaries (Reed, 2003). As a result, this facilitates the general public 's acceptance of grieving and loss while enhancing
Concept analysis is vital when it comes to nursing theory. I think that it helps to shape the foundation, and supports to provide an understanding for a need for a certain theory that may not currently exist, or one that needs to be better understood. Katharine Kolcaba developed The Comfort Theory while conducting a concept analysis on comfort. Kolcaba Comfort Theory can be applied to practice today focusing on the concept of comfort and how it affects the care provided to the patients. There are many ways to measure comfort, but one must remember that these measures are based on patients and their perspectives.
Larson (1984) defines caring as the core, essence and distinguishing attribute of nursing. I believe that I possess the strength to care for others and behave in a caring manner. In the past I have shown my strength in this area of nursing care when looking after family members that have fallen victim to sickness. Whenever someone tells me that they are not feeling well, I immediately jump into action and try my best to make sure that they feel “cared for” .The feeling of pride and satisfaction I experience after caring for a person that is unwell is what originally made me choose nursing as a career. Caring is a basic attribute of human growth and development (Griffin 1983).