Nursing Theory

The purpose of this paper is to describe and examine the application of Kolcaba’s theory of comfort on the prevention and management of neonatal pain in the NICU. I’ve chosen this mid-range theory because of its ease of application to actual practice in a variety of settings and situations. In neonatal and pediatric nursing care, comfort and pain management are a top priority in caring for this population. Comfort has many meanings and definitions and can be applied to this area of nursing.

References AAP Committee on Fetus and Newborn and Section on Anesthesiology and Pain Medicine (2016). Prevention and management of procedural pain in the neonate: an update. Pediatrics, 137(2), [e20154271]. Doi: 10.1542/peds.2015-4271 https://pediatrics.aappublications.org/content/137/2/e20154271 Abdel Razeq, N.M., Akuma, A.O., and Jordan, S. (2016). Status of neonatal pain assessment and management in Jordan. Pain Management Nursing, 17(4), pp 239-248. https://doi.org/10.1016/j.pmn.2016.02.050 Ashktorab, T., Heidarzadeh, M., Khalafi, J., Mehrnoush, N., and Momenzadeh, S. (2018). Factors influencing neonatal pain management from the perspectives of nurses and physicians in a neonatal intensive care unit: a qualitative study. Iranian Journal of Pediatrics, 28(1), pp 1-9. http://dx.doi.org.proxy.libraries.uc.edu/10.5812/ijp.10015 Birindibade Souza, R.R., doValle Andrade Medeiros, F., Herdy Alves, V., Paira, E.D., Pereira Dames, L.J., and Pereira Rodrigues, D. (2016). Nurses practical knowledge on the clinical management of neonatal pain: a descriptive study. Online Brazilian journal of Nursing, 15(3), pp 393-403. http://www.objnursing.uff.br/index.php/nursing/article/view/5413 Bueno, M., Harrison, D., and Reszel, J. (2015). Prevention and management of pain and Stress in the neonate. Research and Reports in Neonatology, 5. http://dx.doi.org/10.2147/rrn.552378 Cong, X.S., Delaney, C., and Vazquez, V. (2013). Neonatal nurses’ perceptions of pain Assessment and management in NICU’s: a national survey. Advances in Neonatal Care, 13(5), pp 353-360. Doi: 101097/ANC. 0b013e3189d62e8 http://dx.doi.org.proxy.libraries.us.edu/10.1097/anc. 0b013e3189d62e8 DiMarco, M.A. and Kolcaba, K. (2005). Comfort theory and its application to pediatric nursing. Pediatric Nursing, 31(3), pp 187-194. http://link.galegroup.com/apps/doc/A133808229/EAIM?u=ucinc_main&sid=EAIM&xid=4d416cec Kolcaba, K. (1994). A theory of holistic comfort for nursing. Journal of Advanced Nursing, 19(6), pp 1178-1184. http://dx.doi.org.proxy.libraries.uc.edu/10.111/j.1365-2648.1994.tb01202.x Kolcaba, K.Y. (2001). Evolution of the mid range theory of comfort for outcomes research.  Nursing Outlook, 40(2), pp 86-92. https://doi.org/10.1067/mno.2001.110268