{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T05:19:28Z","timestamp":1761801568153,"version":"build-2065373602"},"reference-count":30,"publisher":"MDPI AG","issue":"11","license":[{"start":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T00:00:00Z","timestamp":1761609600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000780","name":"European Union","doi-asserted-by":"crossref","award":["GR24011"],"award-info":[{"award-number":["GR24011"]}],"id":[{"id":"10.13039\/501100000780","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nursing Reports"],"abstract":"<jats:p>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\u2019s 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\u2019s Comfort Scale\u2014COLCABA-32\u2014in 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\u2019s 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\u2019s 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.<\/jats:p>","DOI":"10.3390\/nursrep15110383","type":"journal-article","created":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T02:23:28Z","timestamp":1761704608000},"page":"383","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Comfort and Person-Centered Care: Adaptation and Validation of the Colcaba-32 Scale in the Context of Emergency Services"],"prefix":"10.3390","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2658-3550","authenticated-orcid":false,"given":"Maria do C\u00e9u","family":"Marques","sequence":"first","affiliation":[{"name":"Universidade de \u00c9vora, Comprehensive Health Research Centre (CHRC), Escola Superior de Enfermagem S\u00e3o Jo\u00e3o de Deus, Departamento de Enfermagem, 7000-811 \u00c9vora, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6017-6874","authenticated-orcid":false,"given":"Margarida","family":"Goes","sequence":"additional","affiliation":[{"name":"Universidade de \u00c9vora, Comprehensive Health Research Centre (CHRC), Escola Superior de Enfermagem S\u00e3o Jo\u00e3o de Deus, Departamento de Enfermagem, 7000-811 \u00c9vora, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8600-6790","authenticated-orcid":false,"given":"Ana","family":"Jo\u00e3o","sequence":"additional","affiliation":[{"name":"Instituto Polit\u00e9cnico de Santar\u00e9m, Escola Superior de Sa\u00fade, 2001-904 Santar\u00e9m, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8687-4291","authenticated-orcid":false,"given":"Henrique","family":"Oliveira","sequence":"additional","affiliation":[{"name":"Instituto de Telecomunica\u00e7\u00f5es, 3810-193 Aveiro, Portugal"},{"name":"Escola Superior de Tecnologia e Gest\u00e3o, Instituto Polit\u00e9cnico de Beja, 7800-295 Beja, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7873-5558","authenticated-orcid":false,"given":"Cl\u00e1udia","family":"Mendes","sequence":"additional","affiliation":[{"name":"Instituto Polit\u00e9cnico de Santar\u00e9m, Escola Superior de Sa\u00fade, 2001-904 Santar\u00e9m, Portugal"},{"name":"Universidade de \u00c9vora, Comprehensive Health Research Center (CHRC), 7004-516 \u00c9vora, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5903-1712","authenticated-orcid":false,"given":"Rute","family":"Pires","sequence":"additional","affiliation":[{"name":"Universidade de \u00c9vora, Comprehensive Health Research Center (CHRC), 7004-516 \u00c9vora, Portugal"},{"name":"Departamento de Ci\u00eancias e Tecnologias da Sa\u00fade, Escola Superior de Sa\u00fade\/Instituto Polit\u00e9cnico de Portalegre, 7300-110 Portalegre, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-0319-5436","authenticated-orcid":false,"given":"Nuno","family":"Bravo","sequence":"additional","affiliation":[{"name":"Unidade Local de Sa\u00fade Alto Alentejo, Servi\u00e7o de Cirurgia, 7300-853 Portalegre, Portugal"}]}],"member":"1968","published-online":{"date-parts":[[2025,10,28]]},"reference":[{"key":"ref_1","unstructured":"Nightngale, F., and Ferraz Germano, C.C. 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