Please use this identifier to cite or link to this item:
Title: A framework of comfort for practice: An integrative review identifying the multiple influences on patients' experience of comfort in healthcare settings.
Epworth Authors: Botti, Mari
Other Authors: Wensley, Cynthia
McKillop, Ann
Merry, Alan
Keywords: Comfort
Cross-cultural Issues
Patient Experience
Patient-Centred Care
Qualitative Methods
Quality Improvement
Quality Indicators
Patient Satisfaction
Training Education
Emergency Departments
Medical and Surgical Wards
Staff Engagement
Self-Comforting Strategies
External Factors
Epworth Deakin Centre for Clinical Nursing Research, Epworth HealthCare, Victoria, Australia.
Issue Date: Jan-2017
Publisher: Oxford University Press
Citation: Int J Qual Health Care (2017) 29 (2): 151-162
Abstract: PURPOSE: Comfort is central to patient experience but the concept of comfort is poorly defined. This review aims to develop a framework representing patients' complex perspective of comfort to inform practice and guide initiatives to improve the quality of healthcare. DATA SOURCES: CINAHL, MEDLINE Complete, PsycINFO and Google Scholar (November 2016); reference lists of included publications. STUDY SELECTION: Qualitative and theoretical studies advancing knowledge about the concept of comfort in healthcare settings. Studies rated for methodological quality and relevance to patients' perspectives. DATA EXTRACTION: Data on design, methods, features of the concept of comfort, influences on patients' comfort. Data were systematically coded and categorized using Framework method. RESULTS OF DATA SYNTHESIS: Sixty-two studies (14 theoretical and 48 qualitative) were included. Qualitative studies explored patient and staff perspectives in varying healthcare settings including hospice, emergency departments, paediatric, medical and surgical wards and residential care for the elderly. From patients' perspective, comfort is multidimensional, characterized by relief from physical discomfort and feeling positive and strengthened in one's ability to cope with the challenges of illness, injury and disability. Different factors are important to different individuals. We identified 10 areas of influence within four interrelated levels: patients' use of self-comforting strategies; family presence; staff actions and behaviours; and environmental factors. CONCLUSION: Our data provide new insights into the nature of comfort as a highly personal and contextual experience influenced in different individuals by different factors that we have classified into a framework to guide practice and quality improvement initiatives.
PubMed URL:
ISSN: 1353-4505
Journal Title: International Journal for Quality in Health Care
Type: Journal Article
Affiliated Organisations: School of Nursing and Midwifery, Deakin University, 221 Burwood Highway, Burwood, VIC 3125,
School of Nursing, University of Auckland, 89-91 Grafton Rd, Grafton, Auckland 1010, New Zealand.
Department of Anaesthesiology, School of Medicine, University of Auckland and Specialist Anaesthetist Auckland City Hospital, 2 Park Rd, Grafton, Auckland 1023, New Zealand.
Type of Clinical Study or Trial: Systematic Reviews
Appears in Collections:Health Administration

Files in This Item:
There are no files associated with this item.

Items in EKB are protected by copyright, with all rights reserved, unless otherwise indicated.