• Esther Sangster-Gormley, Noreen Frisch, and Rita Schreiber.
• School of Nursing, University of Victoria, Victoria, British Columbia, Canada.
• J Am Assoc Nurse Pract. 2013 Dec 1; 25 (12): 653-8.

PurposeThe purpose of this article is to describe how two mid-range theories, Kolkaba's Comfort Theory and Antonovsky's Sense of Coherence can be used to illuminate the holistic nature of nurse practitioner (NP) practice.Data SourcesOriginal research and theoretical papers related to both theories described.ConclusionsThe NP role has been in existence for more than 40 years and can be found in healthcare systems in more than 60 countries around the world. Increasingly, NPs are assuming responsibility for providing primary health care to people with complex care needs. Although researchers have consistently demonstrated the NPs provide safe, effective care, and patients are satisfied with that care, theories demonstrating the holistic nature of NP practice are less evident.Implications For PracticeComfort Theory and Sense of Coherence can be used to demonstrate how the holistic nature of NP care results in patient-centered outcomes.©2013 The Author(s) ©2013 American Association of Nurse Practitioners.

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