It is important to recognize that in Meleis’ theory, many of the details are addressed in the type of transition, the facilitators and inhibitors in the transition and the patterns of response. I do think that the complexity science concepts are crucial in maintaining and providing long term maintenance of chronic illness and the trajectory of the client in their understanding of their illness. Complexity science illuminates the nature of the transition process and changes that occur while a transition is unfolding (Geary & Schumacher, 2012). It focuses on the agents within the system and what they bring to the situation and then encourages an open boundary system, so that self-organization, sense making and emergence can happen for the
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I agree with the conclusions of Geary and Schumacher when they stated, “Integration of transition theory and complexity science encourages the recognition that transitions affect multiple agent: patients, informal caregivers, HCPs, and the health care system.” When everyone works within the system and care plan, communicating throughout the care of the patient, new ideas, improved policies, beliefs, behaviors and outcomes emerge from the transition that has taken place and continues along the continuum of care. However, I do believe there are a couple aspects not considered in their theories. One is motivation for change including self-efficacy, two is ethics and its role in the patient transition. The Transtheoretical Model of Change, developed by Prochaska and DiClemente, explains and predicts how and when people will reject poor health care choices and adopt healthy ones (Giddens, 2013). Mr.C’s motivation to change was great when it was referring to his diabetes and self-management, but when discussing other factors of health needing change, he didn’t seem as motivated. If the level of self-efficacy he has isn’t enough for more change, the action behind the desire for change will not happen. Ethics and the principles it contains, respect for person, non-maleficence, beneficence and justice, are essential for patients, colleagues and others to truly understand your position, and will be more willing to consider it (Giddens, 2013). Less often considered, but equally as important is the principle of fidelity (Giddens, 2013), which is important in establishing trust, dependability and maintaining a higher standard of care. This is a common
I agree with the conclusions of Geary and Schumacher when they stated, “Integration of transition theory and complexity science encourages the recognition that transitions affect multiple agent: patients, informal caregivers, HCPs, and the health care system.” When everyone works within the system and care plan, communicating throughout the care of the patient, new ideas, improved policies, beliefs, behaviors and outcomes emerge from the transition that has taken place and continues along the continuum of care. However, I do believe there are a couple aspects not considered in their theories. One is motivation for change including self-efficacy, two is ethics and its role in the patient transition. The Transtheoretical Model of Change, developed by Prochaska and DiClemente, explains and predicts how and when people will reject poor health care choices and adopt healthy ones (Giddens, 2013). Mr.C’s motivation to change was great when it was referring to his diabetes and self-management, but when discussing other factors of health needing change, he didn’t seem as motivated. If the level of self-efficacy he has isn’t enough for more change, the action behind the desire for change will not happen. Ethics and the principles it contains, respect for person, non-maleficence, beneficence and justice, are essential for patients, colleagues and others to truly understand your position, and will be more willing to consider it (Giddens, 2013). Less often considered, but equally as important is the principle of fidelity (Giddens, 2013), which is important in establishing trust, dependability and maintaining a higher standard of care. This is a common