The Nightingale-KOMI Care Theory

・From Nightingale’s Nursing Theory to The Nightingale-KOMI Care Theory
The 19th century
  The 21st century

          A nursing care theory that fully reflects Nightingale’s thoughts

・What is The Nightingale-KOMI Care Theory?

It is the nursing care theory which is formed on the basis of Nightingale’s theory by our principle researcher, Hitoe Kanai. It is aimed at leading our country’s nursing practice by following Nightingale’s ideas about what nursing should be.

Though theory is very useful when carried out by practice, theory without practice is ruinous to nurses. (Addresses to Probationers and Nurses of the Nightingale school at St. Thomas’s Hospital, 1881)

The Nightingale-Komi Care Theory can alternatively be called guidance to an effective nursing and caring practice. As we are now growing into a super-aging society that highly demands home & community care, this guidance has a significant meaning. It will lead both family caretakers and professional nurses to more compassionate and true ‘care’, which I believe should be the standard of nursing and caring in the 21st century.
The KOMI Care System which provides a practical approach to the theory was also created in 2004.

・What KOMI means

KOMI is named after the theory’s founder, Kanai. It stands for Kanai’s Original Modern Innovation.

Later we also learnt that ‘comi (=KOMI)’ means ‘care’ in ancient Greek.

・An overview of Nightingale-KOMI Care Theory

・The purpose: what is ‘nursing and caring’?
・The scope: our nursing viewpoint to see a patient as a whole
・The diseases: our nursing viewpoint to see the basic structure of the human body and its internal environment, illness and symptoms
・The method: the route of the nursing process
・The education: how to educate the professionals
・The supervision: how to supervise and manage the organisation
・The research: how to keep improving our practice

・Nightingale’s definition of nursing:

What Nursing has to do is to put the patient in the best condition for nature to act upon him. (Notes on Nursing, 1860)

Nursing ought to signify the proper use of fresh air, light, warmth, cleanliness, quiet, the proper selection and administration of diet - all at the least expense of vital power to the patient. (Notes on Nursing, 1860)

・KOMI’s definition of nursing (by Hitoe Kanai):

Nursing care is concerned with ‘preparing the daily life environment based on the daily procedural prescription’ and what nursing has to do is to support any maintenance activities of the human body/mind by assisting the patient’s own remaining power to regain as much as possible his or her disrupted daily life routine. It sometimes means supporting his or her dying process as naturally and comfortably as possible so that the patient can die a natural death.

・The five nursing ‘scales’ by Kanai:   

1. Support for the maintenance of life (including reparative processes).
2. Support that protects life from hazards.
3. Support that minimises the expenditure of vitality.
4. Support that extends the power of life.
5. Support that fully utilises a person’s remaining health and power.

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