TFN: FT.8 Afaf Ibrahim Meleis (Transitions Theory)

Transitions Theory

What is Afaf Ibrahim Meleis’ Theory?

Transitions Theory

Focus of the theory are people that don’t make healthy transitions

1. Types & Patterns of Transitions

2. Properties of Transition Experiences

3. Transition Conditions

4. Patterns of Responses or Process & Outcome Indicators

5. Nursing Therapeutics

5 Majors Concepts of the Transitions Theory

Types & Patterns of Transitions

One of the major concepts of the Transitions Theory; includes types of transitions (developmental, situational, organizational, health/illness) and patterns of transition (single, multiple, sequential, simultaneous, related, unrelated)

Developmental, Situational, Health/Illness, Organizational

4 types of transitions

Developmental Transition

One of the types of transitions; includes Birth, Adolescence, Menopause, Aging, Death

Birth, Adolescence, Menopause, Aging, Death

Examples of transitions included in the Developmental Transition

Health/Illness Transition

One of the types of transitions; includes Recovery process, hospital discharge, diagnosis of chronic illness

Recovery process, hospital discharge, diagnosis of chronic illness

Examples of transitions included in the Health/Illness Transition

Organizational Transition

One of the types of transitions; includes changing environmental conditions affecting lives of clients

Changing environmental conditions affecting lives of clients

Definition of the Organizational Transition

Patterns

Includes multiplicity (single, multiple…) and complexity; can experience more than one transition

Multiplicity & Complexity

2 factors included in patterns

Single, Multiple, Sequential, Simultaneous, Related, Unrelated

6 types of patterns

Properties of Transition Experiences

One of the major concepts of the Transitions Theory; includes 5 components (awareness, engagement, changes and differences, time span, critical points)

Awareness, Engagement, Changes and Differences, Time Span, Critical Points

5 components under the properties of transition experiences

Awareness

One of the components of the Properties of Transition Experiences; is the perception, knowledge, and recognition of transition experience

Engagement

One of the components of the Properties of Transition Experiences; the degree to which a person demonstrates involvement in the process inherent in the transition

Changes

One of the components of Changes & Differences (one of the Properties of Transition Experiences); brings a sense of movement or direction to internal and external processes

Differences

One of the components of Changes & Differences (one of the Properties of Transition Experiences); dissimilarity between expectation & reality

Time Span

One of the Properties of Transition Experiences; shows how transitions are flowing and moving over time

Critical Points & Events

One of the Properties of Transition Experiences; markers like birth, death, menopause, and illness which intensify awareness to change

Transition Conditions

One of the major concepts of the Transitions Theory; circumstances that influence the way a person moves through a transition, and that facilitate or hinder progress toward achieving a healthy transition

Personal, Community, Societal Conditions

3 original transition conditions

Personal Conditions

Original transition condition(s) includes meanings, cultural beliefs and attitudes, SES, preparation (anticipatory or or lack of) and knowledge

Meanings, cultural beliefs and attitudes, SES, preparation (anticipatory or or lack of) and knowledge

Examples of Personal Conditions

Community & Societal Conditions

Original transition condition(s); both facilitators or inhibitors for transitions

Community Resources

Example of Community Condition

Marginalization of immigrants in host country

Example of Societal Condition

Patterns of Responses or Process & Outcome Indicators

One of the major concepts of the Transition Theory; includes process or outcome indicators

Process Indicators

Part of the Patterns of Responses; direct clients into health or toward vulnerability and risk make nurses conduct early assessment and intervention to expedite healthy outcomes

Outcome Indicators

Part of the Patterns of Responses; mastery and fluid integrative identities; extent of mastery of the skills and behaviors that people in transition show to manage their new situations or environments

Nursing Therapeutics

One of the major concepts of the Transitions Theory; includes 3 measures widely applicable to therapeutic intervention during transitions

Assessment of Readiness, Preparation for Transition, Role Supplementation

3 original nursing therapeutics

Assessment of Readiness

One of the original nursing therapeutics; assessment of each of the transition conditions in order to generate a personal sketch of client readiness

Preparation for Transition

One of the original nursing therapeutics; includes education as the main modality for generating the best condition to be ready for a transition

Role Supplementation

One of the original nursing therapeutics; role is identified and can be preventative or therapeutic

Nursing

One of the Meleis’ metaparadigm views; states that nurses are the primary caregivers of clients and their families who are undergoing transitions; transitions both result in change and are the result of change

(1) nurses (2) clients and their families (3) transitions

According to Meleis’ nursing metaparadigm view, (1) ___ are the primary caregivers of (2) ___ and ___ ___ who are undergoing (3) ___

(1) result in change (2) result of change

According to Meleis’ nursing metaparadigm view, transitions both (1) ___ __ ___ and are the (2) ___ __ ___

Person

One of Meleis’ metaparadigm views; transitions involve a process of movement and change in fundamental life patterns, which are manifested in all individuals; daily lives of clients, environments, and interactions are shaped by the nature, conditions, meanings, and processes of their transition experience

(1) movement (2) change in fundamental life patterns

According to Meleis’ person metaparadigm view, transitions involve a process of (1) ___ and (2) ___ in ___ ___ ___, which are manifested in all individuals

(1) identities (2) roles (3) relationships (4) abilities (5) patterns of behavior

According to Meleis’ person metaparadigm view, transitions cause changes in (1) ___, (2) ___, (3) ___, (4) ___, and (5) ___ of ___

(1) clients, environments, and interactions (2) nature, conditions, meanings, and processes

According to Meleis’ person metaparadigm view, the daily lives of (1) ___, ___, and ___ are shaped by the (2) ___, ___, ___, and ___ of their transition experience

(1) complex (2) multidimensional (3) multiplicity (4) complexity

According to Meleis’ health metaparadigm view, transitions are (1) ___ and (2) ___ having patterns of (3) ___ and (4) ___

Environment

One of Meleis’ metaparadigm views; vulnerability is related to transition experiences, interactions, and environmental conditions that expose individuals to potential damage, problematic or extended recovery, or delayed or unhealthy coping

(1) vulnerability (2) potential damage (3) problematic or extended recovery (4) delayed or unhealthy coping

According to Meleis’ environment metaparadigm view, (1) ___ is related to transition experiences, interactions, and environmental conditions that expose individuals to (2) ___ ___, (3) ___ or ___ ___, or (4) ___ or ___ ___