Transition: a literature review

Kralik, Debbie; Visentin, Kate; Loon, Antonia van

doi:10.1111/j.1365-2648.2006.03899.x

Cited by 392 publications

(423 citation statements)

References 49 publications

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“…20 Early in the analysis, it became clear that participants' narratives about the future were strongly shaped by and described in terms of past experiences, particularly past transitions. This prompted us to subsequently use transition theory [22][23][24] as a guiding framework to help focus our analysis. According to transition theory, people's responses and adaptation during change such as serious illness can result in new ways of how they view themselves.…”

Section: Qualitative Analysismentioning

confidence: 99%

The Future as a Series of Transitions: Qualitative Study of Heart Failure Patients and Their Informal Caregivers

et al. 2014

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BACKGROUND: Advance care planning often only focuses on written advance directives rather than on future goals important to patients and families. Heart failure has a particularly uncertain future with variable clinical trajectories. A better understanding of patient and family concerns about and perceptions of the future could improve advance care planning. OBJECTIVE: We aimed to identify how patients with heart failure and their informal (family) caregivers perceive their future. DESIGN: This was a cross-sectional study using qualitative methods. PARTICIPANTS: Thirty-three patients from an academic health care system with New York Heart Association class II-IV heart failure and 20 of their informal caregivers participated in the study. We used a purposive sampling strategy to include patients within a range of ages and health statuses. APPROACH: Participants were asked in individual, semistructured interviews: "When you think about what lies ahead, what comes to mind?" Qualitative analysis used an inductive approach. Early in the analysis, it became clear that participants' narratives about the future were described in terms of past transitions. This led us to use transition theory to further guide analysis. Transition theory describes how people restructure their reality and resolve uncertainty during change. KEY RESULTS: Patients and their caregivers talked about past and present transitions when asked about the future: "The present gets in the way of talking about the future." We identified four common pivotal transitions, including the shock of first being diagnosed with heart failure; learning to adjust to life with heart failure; reframing and taking back control of one's life; and understanding and accepting that death is inevitable. Concerns about the future were framed based on the most recent transition. CONCLUSIONS: Heart failure is a series of transitions according to patients and caregivers. By recognizing and educating patients about transitions, identifying transition-specific concerns, and supporting patients and caregivers through transitions, the process of planning for the future as part of advance care planning may be improved.

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Section: Qualitative Analysismentioning

confidence: 99%

The Future as a Series of Transitions: Qualitative Study of Heart Failure Patients and Their Informal Caregivers

et al. 2014

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“…Wie zahlreiche Untersuchungen zeigen, kann die Diagnosestellung bei PatientInnen zu Schock, Angst und Hoffnungslosigkeit führen (Buzaglo et al, 2014;Künzler, Mamié & Schürer, 2012;Sterckx et al, 2013 Gaston-Johansson & Ohlen, 2009;Kralik et al, 2006;Pusa, Persson & Sundin, 2012;Wall, Kristjanson, Fisher, Boldy & Kendall, 2013 Krankheitsmanagement ist mehr als «etwas tun». Es ist auch gekoppelt mit «etwas sein» und «etwas werden» (Kralik, Koch, Price & Howard, 2004).…”

Section: Diskussionunclassified

“…Dabei handelt es sich um Passagen zwischen relativ stabilen Zeitperioden, in denen ein Mensch von einer Lebensphase in eine andere wechselt. Übergänge sind psychische Anpassungsprozesse, die im Rahmen von Veränderungsprozessen stattfinden (Kralik, Visentin & van Loon, 2006). Gesamthaft geht es darum, in der neuen Realität weiterleben zu lernen (Corbin & Strauss, 2010).…”

Section: Introductionunclassified

«Die Welt nicht zu klein werden lassen»

Chabloz-Süssenbach

Schramm

Stoll

et al. 2016

Pflege

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Zusammenfassung:Hintergrund: Menschen mit einer Krebserkrankung und ihre Angehörigen erleben viele Übergänge in den letzten Lebensmonaten Schlüsselwörter: Krankheitsmanagement, fortgeschrittene onkologische Erkrankung, Übergang, Dyade, qualitative Forschung "Don't let the world become too small" -How patients with advanced cancer and their significant others cope with transitions during the last year of life. A qualitative study Abstract:Background: In the last year of life, persons with advanced cancer and their significant others are affected by several transitions. They perform psychological adjustment processes during transformation. This requires strategies for patients and their significant others. Research in German about this theme is missing. Aim: We explored the experiences with illness management during transitions in the last year of life of patients with advanced cancer and their significant others. Method: In this qualitative study, we conducted structured interviews with five dyads, consisting of persons with Karnofsky Index ≥ 60 % and life expectancy of six to twelve months as well as their significant others. To interpret the interviews, we used qualitative content analysis according to Mayring. Results: The main theme "Don't let the world become too small" expresses that limitations diminished the lifeworld and the participants struggled against this process. This is revealed in three categories: "Being shocked by diagnosis -realigning again", "Bearing limitations and loss -finding new ways in daily life", "Living in uncertainty -holding out together".

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“…11 It is thus a complex process that calls for constant adjustment on several dimensions. 12,13 One definition of transition often used in the literature is that proposed by the Society for Adolescent Medicine, 14 which regards transitioning as a deliberate, planned process that addresses the medical, psychosocial, vocational, and educational needs of adolescents and young adults with chronic conditions when moving from a pediatric service to adult-oriented care. This transition should be recognized as merely one part of the broader set of educational, personal, family-related, and social transitions that adolescents experience.…”

Section: Transitioningmentioning

confidence: 99%

“…Hence, in the health care context, the word "transition" carries the additional meaning of a process of psychological adaptation to a change or break. 13 …”

Section: Transitioningmentioning

confidence: 99%

A transição de adolescentes com HIV/AIDS para a clínica de adultos: um novo desafio

Machado¹,

Succi²,

Turato³

2010

J. Pediatr. (Rio J.)

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Objective: To review the literature on transition from pediatric to adult-oriented health care and discuss this issue in the specific context of chronic conditions. Sources: MEDLINE and LILACS were searched for relevant English and French-language articles published between 1990 and 2010. Summary of the findings:The transition of adolescents with chronic diseases from pediatric care to adultoriented services has been a growing concern among pediatric specialties. In recent years, young people living with HIV/AIDS have begun to reach adulthood, giving rise to several challenges. The studies reviewed herein discuss such relevant topics as: the difference between transfer, an isolated event, and transition, a gradual process; the transition models used in different services; the importance of transitioning in a planned and individualized manner; the need for comprehensive interaction between pediatric and adult-oriented care teams; the importance of joint participation of adolescents, their families, and health professionals in the process; barriers to and factors that promote successful transitions; and the special needs of adolescents with HIV/AIDS in this important period of life. Conclusions:Several authors agree that transitioning adolescents to adult-oriented health care should be a gradual process not determined by age alone. It requires a plan established with ample dialogue among adolescents, their families, and pediatric and adult care teams. However, there is little evidence to support any specific model of health care transition. This should prompt researchers to conduct more prospective studies on the theme, especially in more vulnerable groups such as adolescents living with HIV/AIDS.

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Transition: a literature review

Cited by 392 publications

References 49 publications

The Future as a Series of Transitions: Qualitative Study of Heart Failure Patients and Their Informal Caregivers

The Future as a Series of Transitions: Qualitative Study of Heart Failure Patients and Their Informal Caregivers

«Die Welt nicht zu klein werden lassen»

A transição de adolescentes com HIV/AIDS para a clínica de adultos: um novo desafio

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