Open AccessJournal Article
[Comfort: a concept analysis].
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TL;DR: Analysis found comfort to have multiple dimensions and confirmed it as a clinical issue that should receive greater emphasis and valuation and to increase nurse understanding of the concept of comfort.
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Abstract: Comfort is an important concept and core value of nursing. The defining attributes, antecedents and consequences of comfort need further analysis and exploration, even though the concept of comfort has been addressed previously in nursing literature. We employed the strategies of concept analysis as described by WalkerA 2) family and meaningful relationships; 3) maintaining functionality; 4) self-characteristics; 5) physical symptom relief, states, and interventions; 6) psychological, spiritual activities and states; and 7) a sense of safety and security. Antecedents consist of discomfort, distress and suffering. Consequences consist of (1) met/satisfied needs; (2) increased sense of control; (3) sense of inner peace; (4) a pleasant experience; (5) feeling cared for; (6) relief of symptoms; (7) reduced suffering; (8) decreased disequilibrium; and (9) absence of discomfort. We also outline the construction of cases, empirical references and comfort measurement tools. Analysis found comfort to have multiple dimensions and confirmed it as a clinical issue that should receive greater emphasis and valuation. Findings are hoped to increase nurse understanding of the concept of comfort and enable nurses to evaluate level of comfort and follow up on variations in such using empirical tools. Concept analysis can guide further comfort related interventions and research to benefit patients.
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Citations
Comfort, well-being and quality of life: Discussion of the differences and similarities among the concepts.
TL;DR: The distinction among the concepts of comfort, well‐being and QoL is often unclear, and this ambiguity can lead to redundancies, gaps, and knowledge dispersion.
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Evolutionary Analysis of the Concept of Comfort.
TL;DR: A clear and evidence-based definition of comfort is provided, improving research, development, and implementation of specific nursing interventions.
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The context of care as a supporting axis for comfort in a palliative care unit
Rodrigues Pereira,Patricia Pontífice Sousa +1 more
TL;DR: The context of care significantly influences comfort provision in a palliative care unit, shaping its structures and guiding principles.
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Health-related quality of life of children and adolescents with sickle cell disease: An evolutionary concept analysis
Suthan Pandarakutty,Judie Arulappan +1 more
Abstract: The concept of Health-Related Quality of life (HRQOL) of children and adolescents with Sickle cell disease (SCD) is not clearly understood due to the lack of available studies. This review aimed to elucidate various attributes and related concepts of HRQOL in children and adolescents with SCD using Rodgers' et al. (2018) concept analysis framework. A systematic search was performed to identify studies reporting the attributes, antecedents, consequences, surrogate terms, and related concepts of HRQOL in children and adolescents with SCD. The review included 75 articles, including 70 quantitative, two mixed-methods, and three qualitative studies. These were categorized into attributes, antecedents, consequences, surrogate terms, related concepts, and an exemplar of HRQOL in children and adolescents with SCD. The review identified nine important attributes. It includes multidimensional and dynamic concepts, acknowledging the illness, maintaining emotional balance and self-control, coping with the disease, pain management, stigma and discrimination, treatment burden, palliative care and personal resilience. The antecedents were knowledge and attitude toward the disease, self-efficacy, social support, spirituality and spiritual well-being, disease severity, access to healthcare, environmental factors, and financial considerations. The consequences were independence in personal life, improved physical health outcomes, psychological well-being, family and caregiver well-being, improved family, social and peer relationships and social interactions, improved school performance, and improved overall HRQOL and long-term outcomes. This analysis provides an overview of HRQOL concepts related to children and adolescents with SCD, guiding further research into nursing care and clinical practice.
Ways and means to comfort people at the end of life: how is the nurse a privileged player in this process?
01 Jan 2023
TL;DR: In this article , the authors conducted a qualitative study using an ethnographic approach to understand the ways and means of comfort perceived by the person at the end-of-life hospitalized in a palliative care unit, their family, and health staff as well as the value of the nurse in this process.