Experiences of certified nurse specialists in critical care nursing to care for patients’comfort

重症患者のcomfortの構成概念妥当性検証

“…However, a recent study suggests that some critically ill patients may experience pain as part of their illness but choose to endure it (Berntzen et al, 2018), and this may be especially true of the Japanese who consider cooperativeness and selflessness to be virtues. For this reason, patients may not say anything if they are indeed in discomfort (Oyama et al, 2020). This also may have affected the perception of nurses.…”

“…In a conceptual analysis of comfort in critical care nursing (Oyama et al, 2019), the attributes of comfort were identified as relief of pain", independence", calmness", and satisfaction". In addition, nurses perceived the comfort of critically ill patients not only from their words but also from their facial expressions, attitudes, behaviors, activities, and vital signs (Oyama et al, 2020). Integrating the results of these two previous studies and sorting out items with overlapping semantic content, this study identified 37 items in six categories that define comfort in critical care nursing.…”

“…The conceptual framework of this study was developed based on a concept analysis of comfort in critical care nursing (Oyama et al, 2019), and a qualitative descriptive study on CCNSs (Oyama et al, 2020). The concept analysis was conducted using Walker and Avantʼs approach (2005) to examine the structure and function of comfort in critical care nursing.…”

“…In a phenomenological study describing five nursesʼ experiences in the intensive care unit (ICU), nurses believe that providing physical care and comfort is one of the most important aspects of providing care to critically ill patients (Cypress, 2011). However, some nurses have experienced distress when they have perceived no options for providing comfort to patients (Mortensen et al, 2019), or that the goal of providing comfort was not clear (Oyama et al, 2020).…”