International Journal of Scientific and Research Publications, Volume 7, Issue 3, March 2017 104
ISSN 2250-3153
www.ijsrp.org
Application of Katharine Kolkaba Comfort theory to
nursing care of patient
Afsha Awal khan
RN, MSN. Institute of Nursing Sciences, Khyber Medical University, Peshawar, Pakistan
I. INTRODUCTION
aring is in practice since existence but caring as profession
named Nursing was scientifically Coined by the founder of
modern nursing who in her writings “what it is and what it is
not”declared the boundaries along with its Constitutional
elements. Those elements with appropriate association not only
revealed the nature of caring dogma it also shows that it is doing
something base on thinking something or in simple words this is
practice rely on theory.
According to McCrae, (2011) For the sake of assuming
valuable status ofprofession in society nursing struggle to
legitimate its position by generation and application of theory.
Nursing literature is rich regarding theory practice
association. although constant body of argument, counter
argument and lack of agreed conclusion regarding nursing theory
creates a bit confusion among nurses but ideally nursing theory
should set the code of every day practice of nurses(Giltinane,
2013) as lack of a valued unique contribution nurses make to
health care based on a specialized body of knowledge will
portrayed nursing role as subordinate to doctor (Mccrae, 2011)
Eminent nurses’ theorist, scientist, Researchers, Clinicians,
Educators and intellectual intelligentsia aid evidence to different
perspectives of theory practice link. Some unanimous convincing
narratives argue that the relationship is reciprocal and according
to (Mckenna, 2005) Nursing theory takes its origin from practice,
than reverse to practice for testing and at the end become set to
guide the practice.
II. PURPOSE
The desire behind this paper is an effort to explain the
practical application of nominated theory to critical scenario of
patient I cared in my clinical practice.
III. CLINICAL SCENARIO
My patient was Mr. X admitted to our unit about 10 days
back. Mr. X was 18 years old FSc student and was injured in a
bomb blast injury. He was accompanied by his sisters and
mother at the time of admission he was operated on day first in
order to save his limb but unfortunately surgery does not work
and consequently his limb amputated for the sake to save his life.
now Mr. X was well oriented and hemodynamically stable,
wound dressing was intact and dry, He was afebrile but was
complaining pain 5/10, he was used to realize his condition. He
was looking anxious, unable to cope this tragic event and was
denying his condition.
Possible concepts derived from scenario:
Physiological discomfort, anxiety, Pain, Fear, Image
disturbance, traumatization.
Application of appropriate nursing theory:
Theory of comfort devised by Katharine Kolcaba is suited
best to me for application to care of my patient.
Introduction to theorist:
Born in 1965 atCleveland, Ohio, isgerontology specialist
nurse and theorist.Kolcaba developed a middle range theory
where she operationalized the comfort as an outcome of care and
later on her theory has been tested in numerous interventional
studies (Parker & smith, 2010.)comfort theory is developed in
1990s and is up to date in application to current health care
industry as it is continues to change and have last updated in
2007(March & McCormack, 2009)
Description of comfort theory:
C
