Theoretical Framework in Nursing Process - Theory Analysis and Evaluation

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Pocholo N. Isidro R.N.
Philippine Women's University, Master of Arts in Nursing

Theoretical Framework for Nursing Practice – Module 4

A. Look for an example of middle-range theory. Evaluate it as to the following (Be sure to justify your answers):

1. Congruence with nursing standards.

2. Congruence with current nursing interventions or therapeutics.

3. Evidence of empirical setting, research support and validity. 

4. Use by educators, nursing researches or nursing administrators. 

5. Social relevance 

6. Transcultural relevance 

7. Contribution to nursing 

8. Conclusions and recommendations.

The middle-range Theory of Comfort by Katharine Kolcaba described the concept of comfort as existing in three forms (relief, ease and transcendence) and its inter-relationship with four different contexts of experience (physical, psychospiritual, sociocultural and environmental). (Kolcaba, 2003)

In 2005, the Philippine Board of Nursing created the Committee on Core Competency Standards Development in collaboration with the Commission on Higher Education Technical Committee on Nursing Education with the primary goal to develop the competency standards for nursing practice in the country which will then serve as a unifying framework for nursing education, regulation and practice (, accessed March 30, 2012). Among the eleven key areas of responsibility for nursing practice, the domain of “quality and safe nursing care” includes promotion of safety and comfort where Kolcaba’s theory can be integrated. Comfort has always been included in nursing education, and Kathatine Kolcaba’s theory seems simple yet an effective one when caring for a patient. We all know the definition of comfort; what we do not know is the science and the concept behind it and it is good that one fellow nurse has developed a theory to guide us in giving comfort measures. Katharine Kolcaba has presented the...
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