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Meleis Theory of Nursing Transition Cheat Sheet (DRAFT) by

This is a draft cheat sheet. It is a work in progress and is not finished yet.

Defini­tions

Meleis’s theory of nursing transi­tions proposes that assisting people to manage life transi­tions is a key function of nursing.
Transition
‘The passage or movement from one state, condition or place to another’
Transi­tions often require a person to incorp­orate new knowledge, to alter behavior, and therefore to change the definition of self in the new social context

Transi­tional Conditions

Personal:
Community: Availa­bility or lack of can inhibit or facilitate transi­tions
Society: Our socioc­ultural enviro­nment shapes the transition experi­ence.
Mrs. Sweet
She holds many personal beliefs and values, such as tradit­ional medicine. She has a community, but it seems she isn't connected with the resources which can help her daily life. Her socioc­ultural enviro­nment also plays against her because of past and current racism, so her idea of healthcare is greatly influenced by that.

Condit­ions: Personal

Meanings
Cultural Beliefs & Attitudes
Socioe­conomic Status
Prepar­ation & Knowledge

Condit­ions: Community

 
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Condit­ions: Society

 
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Nature of Transi­tions

Types
Patterns
Properties
These things can be things that stop or move the transition forward.

Nature: Types of Transi­tions

Develo­pmental
A woman becoming a mother
Situat­ional
An elderly person moving from home to a nursing home.
Health­/Il­lness
Recovery, chronic illness,
Organi­zat­ional
transfers from one facility or unit to another.
These events are considered signif­icant in a person's life and when they are most vulnerable mentally and physic­ally. It's important to consider these transi­tions and make them as smooth as possible.

Nature: Patterns of Transition

Single
Multiple
Sequential
Simult­aneous
Related
Unrelated
Transi­tions tend to have common patterns.

Many people will experience more than one of these factors at the same time during a transi­tion.

Nature: Properties of Transition

Awareness
Percep­tion, Knowledge, and recogn­ition of going through a transi­tion.
Engagement
Awareness can influence how much a person engages in the transi­tion. Are they involved in their transition or resistant to it? Here we can consider how Mrs.Sweet even though she doesn't know much about the wellness center, she wanted to come to visit because the curiosity got the best of her. She came because she is looking for some change in her life.
Change & Difference
How does the person deal with transi­tion? do the changes scare them? COnsider their comfort. When we were interv­iewing Mrs.Sweet for example, we all had to change our agendas to ensure her comfort in a new experience for her.
Time Span
We shouldn't put time constr­aints on transi­tions. The time it takes for someone to transition is very fluid, and throughout the transition it can change quickly. We can for example refer this back to Mrs.Sweet saying "I don't know you". She was reluctant to share about herself at first, but as soon as a common ground was found, she changed her mind with how open was to change.
Critical Points & Events
These are you could call "life changi­ng" events, such as death, birth, marriage, diagnosis, gradua­ting. Mrs. Sweets critical point could be reside­ntial school for example, or the death of her husband. A lot changed for her at these peak points.
 
Mrs. Sweet It seems like Mrs.Sweet knows she is going through some changes. She knows that the wellness center is new and situating herself in that enviro­nment puts her in a transi­tionary phase of getting to know western medicine and health­care.
Her engagement is volatile, sometimes she is receptive, and other times she is reserved. This was all depending on the type of questions we asked her. This all effects the time span for her transi­tion. Her transi­tioning is also effecting change and identity because even though she is interested in the new wellness center she wants to retain her identity as an indigenous person.
 

Patterns of Response

Process Indicators
Outcome Indicators
If a person is engaged and intera­cting, they gain that confidence to go through a transition positively and develop ways to cope and solve problems during the process.

Response: Process Indicators

Feeling Connected
- Making new contacts and mainta­ining old contacts
- Continuity in healthcare profes­sio­nals, and trust to ask questions.
Intera­cting
- By intera­cting the response to the transition is addressed and acknow­ledged. You can give holistic care in this enviro­nment.
Located & Being Situated
- Being ble to understand and justify how everything came to be in the transition and owning it.
Developing Confidence & Coping
- Involves a sense of wisdom by having to experience and live through a transition
- Having this knowledge and unders­tanding the transition process empowers the patient to be confident in overcoming problems
- This wisdom also helps patients recognize coping mechanisms during the difficult times of transi­tion.

Response: Outcome Indicators

Mastery
- Comfort with behavior required in a new situation.
- Starting to make own decisions and taking control of the situation.
- Starting to make own decisions and taking control of the situation.
Fluid Integr­ative Identities
- Formul­ating a new identity around the transi­tion. Becoming "­bic­ult­ura­l" and not just "­mon­ocu­ltu­ral­"

Outline