Applying Middle-Range Nursing Theory to Bariatric Surgery Patients: Experiencing Transitions

Abstract

Obesity has reached epidemic levels in the United States, and bariatric surgery is becoming an increasingly prevalent intervention. Nurses play an integral role in the care of these patients before, during, and after surgery. Using theory in practice provides a systematic, organized space that promotes a comprehensive yet individualized approach to patient problems. Middle-range theories, such as the theory of experiencing transitions, can easily be used for research and practice development. The theory was described and evaluated for substantive foundations, structural integrity, and functional adequacy. The evaluation demonstrates the use of the theory in nursing practice and research with patients experiencing the transitions associated with bariatric surgery.

We Can Cross the Breast Cancer Surgery Gateway With Meleis’ Transitions Theory

“…Breast cancer and mastectomy are processes that involve intense physical and social transitions, accompanied by emotional instability [4,5]. Mastectomy is comparable to bariatric surgery where the rapid and massive weight loss leads to transitions that reach well beyond the physical realm, such as family relations [6]. The effects of the operation would differ, depending on the type of surgery chosen and the meaning attributed to the breast by the women.…”