It is estimated that approximately 750,000 children with special health care needs (CSHCN) transition from pediatric to adult care in the United States every year. To ease the change, transitional care is utilized to provide support needed through the use of provider, parent and patient education. The American Academy of Pediatrics (AAP), the American Academy of Family Physicians (AAFP) and the American College of Physicians (ACP), as well as a Healthy People 2020 recommend the use of transitional care programs (2002). Despite evidence that supports that transitional care in adolescents improves patient outcomes, only about 40% of children receive adequate transitional care that enables them to function in adult healthcare settings (McManus
…show more content…
The earliest use of transition theory was used by anthropologists as early as the 1960s to describe “rite of passage”, various social transitions that occur within all cultural groups (Kralik, Visentin, & Van Loon, 2006). The development of the transition theory that is used in nursing also started in the 1960 by Afaf Meleis who studied the phenomenon of transitioning in to parenting roles after the birth of a child (Im, 2011). No theory was formally created until the 1990s after Meleis expanded her research to include various transitional situations including health, social, behavioral and developmental transitions (Im, 2009). Meleis, who had a doctorate degree in sociology borrowed the sociology theory symbolic interactionism to use in her theory’s framework (Im, …show more content…
Transitions theory is used to describe the process and stages that individuals go through when they transition; however, it is predictive in that it states factors that determine if an individual undergoing a transition will be successful in the change (A. I. Meleis, 2010). Core concepts of transitions theory include three main concepts: the nature of transition, conditions for transitions and patterns of response (Geary & Schumacher, 2014). The nature of transitions is used to describe the types of transitions that individuals will go through (developmental, health, situational, and organizational) as well as the properties of the transitional experience (Im, 2009). Properties of transition experience included awareness (recognition or transition), engagement (involvement in transition process), changes and differences (accepting changes in new roles), time span (set boundaries of time on transitional experience) and critical points and events (markers that signal beginning of transitions) (Im, 2009). The second core concept, transition conditions, addresses the circumstances that individuals transition and the barriers and facilitators of that transition. The third and final core concept, patterns of response, are indicators of healthy transitions which include process indicators and outcome indicators (Im,
The earliest use of transition theory was used by anthropologists as early as the 1960s to describe “rite of passage”, various social transitions that occur within all cultural groups (Kralik, Visentin, & Van Loon, 2006). The development of the transition theory that is used in nursing also started in the 1960 by Afaf Meleis who studied the phenomenon of transitioning in to parenting roles after the birth of a child (Im, 2011). No theory was formally created until the 1990s after Meleis expanded her research to include various transitional situations including health, social, behavioral and developmental transitions (Im, 2009). Meleis, who had a doctorate degree in sociology borrowed the sociology theory symbolic interactionism to use in her theory’s framework (Im, …show more content…
Transitions theory is used to describe the process and stages that individuals go through when they transition; however, it is predictive in that it states factors that determine if an individual undergoing a transition will be successful in the change (A. I. Meleis, 2010). Core concepts of transitions theory include three main concepts: the nature of transition, conditions for transitions and patterns of response (Geary & Schumacher, 2014). The nature of transitions is used to describe the types of transitions that individuals will go through (developmental, health, situational, and organizational) as well as the properties of the transitional experience (Im, 2009). Properties of transition experience included awareness (recognition or transition), engagement (involvement in transition process), changes and differences (accepting changes in new roles), time span (set boundaries of time on transitional experience) and critical points and events (markers that signal beginning of transitions) (Im, 2009). The second core concept, transition conditions, addresses the circumstances that individuals transition and the barriers and facilitators of that transition. The third and final core concept, patterns of response, are indicators of healthy transitions which include process indicators and outcome indicators (Im,