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The development of a comfort contract in nursing is an essential strategy to enhance patient satisfaction and promote healing. Yaimi Quintana Marrero’s description emphasizes the importance of clear communication and mutual understanding between patients and healthcare providers, which aligns with Kolcaba’s comfort theory that underscores relief, ease, and transcendence (Kolcaba, 2015). The contract’s incorporation of patient-rated comfort scales and open discussions about discomforts or remedies enables personalized care that addresses individual needs, ultimately improving outcomes. Regular review of the contract further ensures ongoing responsiveness to patient concerns, reinforcing trust and engagement. Evidence supports that such collaborative approaches result in higher satisfaction and better recovery experiences (Gualandi et al., 2021). Integrating these practices into nursing care fosters a holistic approach, acknowledging emotional, physical, and environmental aspects of comfort, vital in postoperative care and chronic discomfort management. As highlighted, the comfort contract not only clarifies expectations but also empowers patients, fostering a therapeutic alliance. Implementing this structured yet flexible method promotes holistic well-being by addressing both tangible symptoms and emotional needs, which is critical in achieving optimal patient-centered outcomes (Dees et al., 2022).

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The use of comfort contracts in nursing care represents a proactive approach to addressing patient needs, particularly in postoperative and chronic care settings. These contracts serve as a formal agreement between nurses and patients, ensuring that expectations regarding comfort are clearly articulated, understood, and mutually agreed upon. The integration of theories such as Kolcaba’s comfort theory is fundamental in guiding this practice, emphasizing relief, ease, and transcendence as core components of comfort (Kolcaba, 2015). Such theoretical frameworks provide the foundation for developing individualized care strategies that encompass physical, emotional, environmental, and socio-cultural aspects of patient comfort.

Implementing a comfort contract involves several critical steps. First, assessing the patient’s baseline comfort levels using a rating scale and understanding ongoing discomforts or remedies used at home allows for personalized care planning. Regular review and updates are essential to adapt to changing needs, which enhances patient satisfaction and safety (Gualandi et al., 2021). This process also encourages open communication, which fosters trust and supports patient autonomy. Further, the contract delineates specific interventions such as pain management, sleep hygiene, and relaxation techniques, tailored to individual preferences and circumstances. This personalized approach aligns with the holistic principles of nursing, recognizing that comfort extends beyond mere symptom control to encompass emotional and psychological well-being (Dees et al., 2022).

Research indicates that formalized comfort agreements improve patient outcomes by promoting clarity, reducing anxiety, and enhancing the perception of quality care (Abidova et al., 2020). They provide a structured platform for addressing not only physical discomforts but also socio-cultural and emotional needs. The successful implementation of comfort contracts requires active engagement from nursing staff, who must be willing to listen, educate, and adjust care plans accordingly. By fostering a patient-centered environment, comfort contracts support the overarching goal of holistic healing and recovery. As healthcare continues to evolve, embracing such evidence-based practices will be vital in delivering compassionate, effective nursing care that honors the individuality of each patient (Martins & Sousa et al., 2022).

References

• Abidova, A., Alcantara da Silva, P., & Moreira, S. (2020). Predictors of patient satisfaction and the perceived quality of healthcare in an emergency department in Portugal. WestJEM, 21(2), 391–403.
• Dees, M. L., Carpenter, J. S., & Longtin, K. (2022). Communication between registered nurses and family members of Intensive Care Unit Patients. Critical Care Nurse, 42(6), 25–34.
• Gualandi, R., Masella, C., Piredda, M., Ercoli, M., & Tartaglini, D. (2021). What does the patient have to say? Valuing the patient experience to improve the patient journey. BMC Health Services Research, 21(1).
• Kolcaba, K. (2015). Katharine Kolcaba’s comfort theory. Nursing theories and nursing practice.
• Martins, A. G., Sousa, P. P., & Marques, R. M. (2022). COMFORT: THEORETICAL CONTRIBUTION TO NURSING. Cogitare Enfermagem.