Katherine Kolcaba's Nursing Process Discipline Theory

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We will compare and contrast he strength and limitations of Katherine Kolcaba’s Comfort Theory with Ida Jean Orlando’s Nursing Process Discipline theory. In Katherine Kolcaba’s theory of comfort, she identifies four contextual areas in which comfort can occur. These are psycho-spiritual, physical, environmental and sociocultural. Kolcaba felt her theory was applicable for use in multiple disciplines (Petiprin, 2016). Nurses are instrumental in assessing and asking patient’s specific questions to help provide holistic care. Kolcaba identifies 3 states of comfort, ease, relief and transcendence. In the case study about Laura, I felt the theory was applicable to the goal of Laura achieving comfort. The theory is successful in addressing comfort as a concept. The fault I found with the Comfort Theory was in the end goal of achieving comfort. The theory also states that attaining a high level of comfort promotes health seeking behaviors and provides the power for patients to actively participate in their care. Lastly, the quality of health care is a direct reflection of the institution’s integrity and best practices can be achieved at this level (Blais and Hayes, 2016, p. 114-115). There is fault in the end goal of the patient achieving comfort being synonymous with increasing health seeking behaviors and promoting …show more content…
The theory utilizes the five steps in the nursing process. In the assessment stage, the nurse completes a holistic assessment of the patients’ needs including subjective and objective data. In the second stage, the nurse utilizes nursing judgement to form a nursing diagnosis. In the planning stage the nurse addresses each problem and identifies an appropriate outcome. In the implementation stage the care plan is put into action and in the evaluation stage the nurse reviews the progress towards the goals (Petiprin,