Afaf Ibrahim Meleis Flashcards
Afaf Ibrahim Meleis
Transitions Theory
assisting people to manage life transitions is a key function of nursing
Transitions Theory
MAJOR CONCEPTS & DEFINITION of Transitions Theory
- Transition Types and Patterns
- Transition Properties
- Transition Conditions
- Patterns of Response
- Nursing Therapeutics
Transition Types :
- Developmental
- Health and illness
- Situational
- Organizational
birth, adolescence, menopause, aging (or senescence), and death
Developmental
recovery process, hospital discharge, and diagnosis of chronic illness
Health and illness
changing environmental conditions that affect the lives of clients, as well
as workers within them
Organizational
- changes in educational and professional roles
- homelessness and leaving an
abusive relationship
Situational
“perception, knowledge, and recognition of a transition experience,”
Awareness
Transition Properties :
- Awareness
- Engagement
- Changes and differences
- Time span
- critical points and events
Transition Patterns :
- Single
- Multiple
- Sequential
- Simultaneous
- Related
- Unrelated
“the degree to which a person
demonstrates involvement in the process
- Engagement
starting point, period of instability,
confusion, and distress; to an eventual ‘ending’ with a new beginning or period of stability
Time span
- all transitions associate changes, although not all changes are
associated with transitions. - differences can be seen as different
Changes and differences
markers such as birth, death, the cessation of menstruation, or the diagnosis of an illness
Critical points and events
Transition Conditions
- Personal conditions
- Community conditions or societal conditions
— meanings, cultural beliefs and attitudes, socioeconomic status, preparation, and knowledge.
Personal conditions
could be facilitators or inhibitors for transitions.
Community conditions or societal conditions
Patterns of Response
- Process indicators
- Outcome indicators
“feeling connected”, a healthy transition; if immigrants add new contacts to their old contacts with their family members and friends
Process indicators
mastery and decided by the extent of mastery of the skills
Outcome indicators
Nursing Therapeutics
- Assessment of readiness
- Preparation for transition
- Role Supplementation
it requires assessment of each of the transition conditions
Assessment of readiness
includes education as the main modality
Preparation for transition
— conveying of information to provide support
Role Supplementation
