Comfort and Person-Centered Care: Adaptation and Validation of the Colcaba-32 Scale in the Context of Emergency Services.
Introduction: Patient comfort is a central concept in nursing practice, and is particularly important in emergency contexts, where clinical complexity and care overload challenge the provision of humanized care. Katharine Kolcaba's Theory of Comfort offers a robust theoretical framework for assessin...
| Publicado en: | Nursing Reports Vol. 15; no. 11; pp. 383 - 402 |
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| Autores principales: | , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
MDPI
Nov2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=189677041&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 189677041 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 2039439X EGNT jtl: Nursing Reports issn: 2039439X maglogo: N pubinfo: dt: Nov2025 vid: 15 iid: 11 pid: 97109 pub: MDPI artinfo: ui: 189677041 189677041 189677041 10.3390/nursrep15110383 189677041 ppf: 383 ppct: 19 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Comfort and Person-Centered Care: Adaptation and Validation of the Colcaba-32 Scale in the Context of Emergency Services. aug: au: Marques, Maria do Céu Goes, Margarida João, Ana Oliveira, Henrique Mendes, Cláudia Pires, Rute Bravo, Nuno affil: Universidade de Évora, Comprehensive Health Research Centre (CHRC), Escola Superior de Enfermagem São João de Deus, Departamento de Enfermagem, 7000-811 Évora, Portugal sug: subj: Instrument Adaptation Instrument Validation Scales Evaluation Psychometrics Evaluation Critical Illness Therapy Critically Ill Patients Psychosocial Factors Comfort Evaluation Patient Centered Care Emergency Service Patient Attitudes Evaluation Human Male Female Quantitative Studies Validation Studies Descriptive Research Exploratory Research Cross Sectional Studies Factor Analysis Triage Psychological Tests Internal Consistency Nursing Assessment Reproducibility of Results Criterion-Related Validity Construct Validity Data Analysis Software Descriptive Statistics Funding Source Male Female ab: Introduction: Patient comfort is a central concept in nursing practice, and is particularly important in emergency contexts, where clinical complexity and care overload challenge the provision of humanized care. Katharine Kolcaba's Theory of Comfort offers a robust theoretical framework for assessing and promoting comfort in multiple domains. The main objective is to psychometrically validate the adapted version of Kolcaba's Comfort Scale—COLCABA-32—in critically ill patients treated in a Portuguese hospital emergency department. Method: A quantitative, descriptive, cross-sectional study was conducted using a sample of 165 adult patients triaged with urgent clinical priority. Data collection was performed through individual interviews. The COLCABA-32 Scale and the Mini-Mental State Examination (MMSE) were used. Statistical analysis included descriptive statistics, principal component analysis (PCA), internal consistency (Cronbach's alpha), and correlation with clinical priority according to the Manchester Triage. Results: PCA revealed six factors with eigenvalues greater than 1, explaining 59.01% of the total variance of the scale. The dimensions identified were psycho-emotional comfort and autonomy, physical and symptomatic comfort, relational comfort and information, spiritual comfort, environmental comfort and motivational comfort and hope. The overall Cronbach's alpha was 0.897, indicating excellent internal consistency. Correlations with clinical priority confirmed partial convergent validity. Conclusions: The COLCABA-32 Scale demonstrated adequate psychometric properties for assessing the comfort of critically ill patients in an emergency setting and is a valid, reliable, and sensitive instrument for the multiple dimensions of comfort, as proposed by Kolcaba. Its application can contribute to more person-centered and evidence-based nursing practices. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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