Theory Synthesis Matrix

Theory: Comfort :

Major Concepts: Comfort: the product of holistic nursing; comprised of 3 forms: relief; ease ( state of contentment) and transcendence (ability to rise above a person’s limitations). Comfort is physical , psychospirtial, sociocultural, and environmental.

 

Comfort may involve individuals, families, communities or any entity which needs healthcare

 

Some elements exist (social, financial, personal beliefs) which may hinder the achievement of comfort. These factors may be related to the patient or may related to the nurses ability/ environment in which they function.

 

Comfort is the result of the intentional manipulation of the environment in order to achieve comfort by the nurse. Comfort is a deliberative nursing process with interventions based on evidence.

 

PICO question: How do nurse’s belief regarding delirium impact on nursing actions to enhance comfort in the elderly mechanically ventilated patient?

 

Delirium: Acute confessional state which can result in permanent cogniative change, physical disability, early institutionalization, and premature death. Delirium is always caused by something else such as trauma, medications, prolonged sedation, or health disruptions

 

Elderly: persons over the age of 65

 

Concept Articles Exploring nurses knowledge of comfort and nursing interventions Zody 2016 Using comfort theory to establish a hospital wide approach to nursing care to improve patient comfort and satisfaction ( 2016) Comfort champions make a difference in comfort management( 2011)
Comfort Comfort defined Comfort defined Focus on pain management ( relief)
Nursing interventions to enhance comfort Interventions predominately limited to pain management Established polices and procedures to empower nurses to manage patient/ family comfort Establishment of comfort champions to aide in improvement of comfort in hospitalize patients with focus on pain. Reduction in pain stat. sig improved by______
Nursing beliefs related to comfort Nurses narrowly define comfort as pain control and therefore assess only for pain Nurses define their role in context of collaborative and do not consider their individual nursing abilities to relieve pain ( therapeutic touch, aroma therapy etc)