Transitions Theory: Middle Range and Situation Specific Theories in Nursing Research and Practice

✍ Scribed by Afaf Meleis PhD DrPS (hon) FAAN

• Publisher: Springer Publishing Company
• Year: 2010
• Tongue: English
• Leaves: 664
• Edition: 1
• Category: Library

✦ Synopsis

''Understanding and recognizing transitions are at the heart of health care reform and this current edition, with its numerous clinical examples and descriptions of nursing interventions, provides important lessons that can and should be incorporated into health policy. It is a brilliant book and an important contribution to nursing theory.''

 

-Kathleen Dracup, RN, DNSc,

Dean and Professor, School of Nursing

University of California San Francisco

 

 

Afaf Meleis, the dean of the University of Pennsylvania School of Nursing, presents for the first time in a single volume her original ''transitions theory'' that integrates middle-range theory to assist nurses in facilitating positive transitions for patients, families, and communities. Nurses are consistently relied on to coach and support patients going through major life transitions, such as illness, recovery, pregnancy, old age, and many more.

 

A collection of over 50 articles published from 1975 through 2007 and five newly commissioned articles, Transitions Theory covers developmental, situational, health and illness, organizational, and therapeutic transitions. Each section includes an introduction written by Dr. Meleis in which she offers her historical and practical perspective on transitions. Many of the articles consider the transitional experiences of ethnically diverse patients, women, the elderly, and other minority populations.

 

Key topics discussed:

 

• Situational transitions, including discharge and relocation transitions (hospital to home, stroke recovery) and immigration transitions (psychological adaptation and impact of migration on family health)
• Educational transitions, including professional transitions (from RN to BSN and student to professional)
• Health and illness transitions, including self-care post heart failure, living with chronic illness, living with early dementia, and accepting palliative care
• Organization transitions, including role transitions from acute care to collaborative practice, and hospital to community practice
• Nursing therapeutics models of transition, including role supplementation models and debriefing models

 

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✦ Table of Contents

Contents......Page 8
Contributors......Page 12
Foreword......Page 14
Preface......Page 16
Acknowledgments......Page 18
Permissions......Page 20
Part I: Transitions From Practice to Evidence-Based Models of Care......Page 24
Part II: Transitions as a Nursing Theory......Page 34
1.1 Role Insufficiency and Role Supplementation: A Conceptual Framework......Page 36
1.2 Transitions: A Nursing Concern......Page 47
1.3 Transitions: A Central Concept in Nursing......Page 61
2.1 Experiencing Transitions: An Emerging Middle-Range Theory......Page 75
2.2 Facilitating Transitions: Redefinition of the Nursing Mission......Page 88
2.3 Transition: A Literature Review......Page 95
Part III: The Experience of and Responses to Transitions......Page 108
3.1 Developmental Transitions......Page 110
3.2 Becoming a Mother Versus Maternal Role Attainment......Page 117
3.3 The Conceptual Structure of Transition to Motherhood in the Neonatal Intensive Care Unit......Page 127
3.4 Nursing Practice Model for Maternal Role Sufficiency......Page 137
3.5 A Situation-Specific Theory of Korean Immigrant Women’s Menopausal Transition......Page 144
3.6 Helping Elderly Persons in Transition: A Framework for Research and Practice......Page 152
3.7 Geriatric Sexual Conformity: Assessment and Intervention......Page 168
4.1 Perceived Readiness for Hospital Discharge in Adult Medical-Surgical Patients......Page 176
4.2 Transition Experiences of Stroke Survivors Following Discharge Home......Page 193
4.3 Assessing Older Persons’ Readiness to Move to Independent Congregate Living......Page 205
4.4 Women’s Well-Being After Relocation to Independent Living Communities......Page 210
4.5 Women in Transition: Being Versus Becoming or Being and Becoming......Page 221
4.6 Meleis’s Theory of Nursing Transitions and Relatives’ Experiences of Nursing Home Entry......Page 232
5.1 Migration Transitions......Page 249
5.2 A Model of Psychological Adaptation to Migration and Resettlement......Page 255
5.3 Immigrant Transitions and Health Care: An Action Plan......Page 264
5.4 Primary Health Care Nurses’ Conceptions of Involuntarily Migrated Families’ Health......Page 265
5.5 Transnational Health Resources, Practices, and Perspectives: Brazilian Immigrant Women’s Narratives......Page 273
5.6 Employed Mexican Women as Mothers and Partners: Valued, Empowered and Overloaded......Page 294
6.1 Exploring the Transition and Professional Socialisation From Health Care Assistant to Student Nurse......Page 306
6.2 Clinical Transition of Baccalaureate Nursing Students During Preceptored, Pregraduation Practicums......Page 315
6.3 There Really Is a Difference: Nurses’ Experiences With Transitioning From RNs to BSNs......Page 323
6.4 A Qualitative Study of How Experienced Certified Holistic Nurses Learn to Become Competent Practitioners......Page 333
7.1 Self-Care of Heart Failure: A Situation-Specific Theory of Health Transition......Page 343
7.2 Health–Illness Transition Experiences Among Mexican Immigrant Women With Diabetes......Page 349
7.3 Transitions in Chronic Illness: Rheumatoid Arthritis in Women......Page 361
7.4 Recurrence of Ovarian Cancer—Living in Limbo......Page 370
7.5 Admitted With a Hip Fracture: Patient Perceptions of Rehabilitation......Page 381
7.6 Taiwanese Patients’ Concerns and Coping Strategies: Transition to Cardiac Surgery......Page 389
7.7 Suffering in Silence: The Experience of Early Memory Loss......Page 409
7.8 Transition Towards End of Life in Palliative Care: An Exploration of Its Meaning for Advanced Cancer Patients in Europe......Page 419
7.9 Towards a Conceptual Evaluation of Transience in Relation to Palliative Care......Page 433
8.1 On Becoming a Flexible Pool Nurse: Expansion of the Meleis Transition Framework......Page 446
8.2 The Experience of Role Transition in Acute Care Nurse Practitioners in Taiwan Under the Collaborative Practice Model......Page 453
8.3 Guiding the Transition of Nursing Practise From an Inpatient to a Community-Care Setting: A Saudi Arabian Experience......Page 462
8.4 Implementing an Interdisciplinary Governance Model in a Comprehensive Cancer Center......Page 468
Part IV: Nursing Therapeutics......Page 478
9.1 The Transitional Care Model for Older Adults......Page 482
9.2 Transitional Environments......Page 488
9.3 Transitional Care of Older Adults Hospitalized With Heart Failure: A Randomized, Controlled Trial......Page 503
9.4 Adolescents With Type 1 Diabetes: Transition Between Diabetes Services......Page 517
9.5 Advanced Practice Nurse Strategies to Improve Outcomes and Reduce Cost in Elders With Heart Failure......Page 528
10.1 Preventive Role Supplementation: A Grounded Conceptual Framework......Page 537
10.2 Role Supplementation for New Parents—A Role Mastery Plan......Page 546
10.3 A Role Supplementation Group Pilot Study: A Nursing Therapy for Potential Parental Caregivers......Page 554
10.4 Role Supplementation: An Empirical Test of a Nursing Intervention......Page 562
10.5 Group Counseling in Cardiac Rehabilitation: Effect on Patient Compliance......Page 575
10.6 Family-Focused Cardiac Rehabilitation: A Role Supplementation Program for Cardiac Patients and Spouses......Page 586
10.7 Role Supplementation as a Nursing Intervention for Alzheimer’s Disease: A Case Study......Page 594
10.8 Transition Entry Groups: Easing New Patients’ Adjustment to Psychiatric Hospitalization......Page 602
11.1 A Survey of Postnatal Debriefing......Page 605
11.2 The Longitudinal Effects of Midwife-Led Postnatal Debriefing on the Psychological Health of Mothers......Page 613
11.3 Perceived Effectiveness of Critical Incident Stress Debriefing by Australian Nurses......Page 626
11.4 Critical Incident Stress Debriefing: Application for Perianesthesia Nurses......Page 635
Part V: Epilogue (Frequently Asked Questions)......Page 640
Epilogue......Page 642
B......Page 648
C......Page 649
D......Page 651
F......Page 652
H......Page 653
I......Page 654
K......Page 655
M......Page 656
P......Page 658
R......Page 660
S......Page 662
T......Page 663
Y......Page 664