Concept Development of Identification of Discomfort for Nursing Home Patients With Advanced Dementia

Su Jung Lee, Min Sun Park, Young Rim Choi, Sung Ok Chang

Research output: Contribution to journalArticlepeer-review

3 Citations (Scopus)


PURPOSE: The aim of this study is to clarify the concept of discomfort identification by concept development in the nursing home. METHODS: The Schwartz–Barcott and Kim's hybrid model was used. FINDINGS: The identification of discomfort can be explained as an interactive and confirmative process of sympathetically responding to patients with dementia's problem behavior expressions that communicate unmet needs. CONCLUSIONS: The identification of discomfort has the potential to improve the detection of multidimensional discomfort related to nursing diagnosis as a holistic and patient-centered approach. IMPLICATION FOR NURSING PRACTICE: The findings could help nursing home nurses have a better understanding of identification of discomfort and can improve nurses and interdisciplinary caregivers' knowledge for developing appropriate comfort caring activities.

Original languageEnglish
Pages (from-to)274-285
Number of pages12
JournalInternational journal of nursing knowledge
Issue number4
Publication statusPublished - 2021 Oct

Bibliographical note

Funding Information:
This research was supported by Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Education, Science and Technology (NRF‐2017R1A2B4007896).

Publisher Copyright:
© 2020 NANDA International, Inc.


  • Discomfort, patients with dementia, nursing home

ASJC Scopus subject areas

  • Research and Theory
  • Fundamentals and skills


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