Effectiveness of Transition Theory Based Interventions on Outcomes of Nursing Care: A Scoping Review
Abstract
Background: Transition theory addresses the experiences of coping with changes in stages, roles, identities, situations, or positions. It emphasizes understanding the nature of these changes, facilitating and supporting the experience and response at various stages, and maintaining health before, during, or after the transition process. This study examined the effects of “transition theory‑based interventions” on nursing care outcomes.
Materials and Methods: This scoping review followed the methodology proposed by Arksey and O’Malley. A comprehensive search was conducted across ProQuest, Scopus, PubMed, ScienceDirect, ResearchGate, and Google Scholar to identify studies where transition theory‑based interventions were utilized as an independent variable in interventional designs. Identified studies underwent a four‑stage screening process, and the final selection was made based on predefined inclusion and exclusion criteria. The screening process is detailed in the PRISMA diagram.
Results: Of the 476 articles initially identified, 24 were shortlisted for further review. After applying the inclusion criteria, 11 studies focusing on care interventions grounded in transition theory were included. These comprised five randomized clinical trials and six quasi‑experimental studies. A synthesis of the findings revealed that transition theory‑based interventions significantly improved various outcomes, including quality of life, hope, self‑efficacy, readmission rates, caregiver burden, and role mastery.
Conclusions: Implementing nursing care interventions grounded in nursing theories, such as transition theory, is critical to bridging the gap between theory and practice. Transition theory‑based care tailored to individuals undergoing diverse transitional experiences can enhance positive outcomes in nursing care.
Keywords
Full Text:
PDFReferences
Smith MC. Nursing Theories and Nursing Practice. FA Davis; 2019.
Meleis AI. Transitions Theory: Middle Range and Situation Specific Theories in Nursing Research and Practice. Springer Publishing Company; 2010.
Filej B, Kaucic B. Holistic nursing practice. South East Eur Health Sci J. 2013;3:1 7.
Thompson EA, Quinn T, Paterson C, Cooke H, McQuigan D, Butters G. Outcome measures for holistic, complex interventions within the palliative care setting. Complement Ther Clin Prac 2008;14:25 32.
McKenna H. Nursing Theories and Models. Routledge; 2006.
Grove SK, Burns N, Gray JR. The Practice of Nursing Research E book: Appraisal, Synthesis, and Generation of Evidence. Elsevier Health Sciences; 2012.
Meleis AI. Theoretical Nursing: Development and Progress. Lippincott Williams and Wilkins; 2011.
McEwan M, Wills EM. Theoretical Basis for Nursing. Lippincott Williams and Wilkins; 2021.
Meleis AI, Sawyer LM, Im E O, Messias DKH, Schumacher K. Experiencing transitions: An emerging middle range theory. Adv Nurs Sci 2000;23:12 28.
Smith MC. Nursing theories and nursing practice. FA Davis; 2019.
Alligood MR. Nursing Theorists and Their Work E Book: Nursing Theorists and Their Work E Book. Elsevier Health Sciences; 2017.
Eyimaya AÖ, Tezel A. The effect of nursing approaches applied according to Meleis’ Transition Theory on menopause specific quality of life. Health Care Women Int 2021;42:107 26.
Ekim A, Ocakci AF. Efficacy of a transition theory based discharge planning program for childhood asthma management Int J Nurs Knowl 2016;27:70 8.
Chiang L C, Chen W C, Dai Y T, Ho Y L. The effectiveness of telehealth care on caregiver burden, mastery of stress, and family function among family caregivers of heart failure patients: A quasi experimental study. Int J Nurs Stud 2012;49:1230 42.
Lim H, Lee J, Lee T, Choi MN, Kim S, Lee JH, Lee SE. Development of Nurse-led Navigation Program for Gastric Cancer Patients with Gastrectomy: Exploring the Effectiveness. Medico-legal Update. 2021;21.
Duggleby WD, Swindle J, Peacock S, Ghosh S. A mixed methods study of hope, transitions, and quality of life in family caregivers of persons with Alzheimer’s disease. BMC Geriatr 2011;11:88.
Rezaeian M. An introduction to scoping review. J Rafsanjan Univ Med Sci 2018;17:291 2.
Arksey H, O’Malley L. Scoping studies: Towards a methodological framework. Int J Soc Res Methodol 2005;8:19 32.
Düdükcü FT, Arslan FT. The effect of the health promotion monitoring program applied to mothers based on Meleis’ transition theory: A randomized controlled study protocol. KTO Karatay Üniv Sağlık Bilim Derg 2022;3:15 30.
Al-Fayyadh S, Al-Ganmi AH, Abdulwahhab MM, Hussein SM, Cook L, Al-Solais A, et al. Targeting Smoking Triggers: A Nurse-led Intervention for Tobacco Smoking Cessation. Nurse Media Journal of Nursing. 2022;12.
Lai X, Wong FKY, Leung CWY, Lee LH, Wong JSY, Lo YF, et al. Development and assessment of the feasibility of a nurse led care program for cancer patients in a chemotherapy day center: Results of the pilot study. Cancer Nurs 2015;38:E1 12.
Fang J T, Chen S Y, Yang L Y, Liao K C, Lin C H, Fujimori M, et al. Improving transitional care through online communication skills training. Aging Clin Exp Res 2022;34:3063 71.
Kosasih CE, Punthmatharith B, Boonyasopun U. Development and evaluation of the nursing therapeutics for facilitating patient transition program of patients with stroke. J Res Nurs Midwifery Health Sci 2020;40:99 115.
Duggleby W, Ploeg J, McAiney C, Fisher K, Swindle J, Chambers T, et al. Study protocol: Pragmatic randomized control trial of an internet based intervention (My tools 4 care) for family carers. BMC Geriatr 2017;17:181.
Bilgiç FŞ, Bozkurt G. Effect of online infant care training and postpartum counseling based on Meleis’ transition theory on mothers’ readiness for care and breastfeeding: A randomized controlled trial. Clin Exp Pediatr 2024;67:521 30.
Zhang L, Pan W. Effect of a nursing intervention strategy oriented by Orem’s self care theory on the recovery of gastrointestinal function in patients after colon cancer surgery. Am J Translat Res 2021;13:8010 20.
Khademian Z, Ara FK, Gholamzadeh S. The effect of self care education based on orem’s nursing theory on quality of life and self efficacy in patients with hypertension: A quasi experimental study. Int J Community Based Nurs Midwifery 2020;8:140 9.
Kurtgöz A, Koç Z. Effects of nursing care provided to the relatives of palliative care patients on caregivers’ spiritual well being and hope: A randomized controlled trial. OMEGA (Westport) 2023;88:318 32.
Terp U, Hjärthag F, Bisholt B. Effects of a cognitive behavioral based stress management program on stress management competency, self efficacy and self esteem experienced by nursing students. Nurs Educ 2019;44:E1 5.
Zhang P, Xing FM, Li CZ, Wang FL, Zhang XL. Effects of a nurse‐led transitional care programme on readmission, self‐efficacy to implement health‐promoting behaviours, functional status and life quality among Chinese patients with coronary artery disease: A randomised controlled trial. J Clin Nurs 2018;27:969 79.
Abadi TSH, Nia MN, Mazlom SR. Effect of self determination theory based discharge program on lifestyle and readmission of patients with heart failure: A clinical trial. Evid Based Care J 2020;10:25 35.
Rasmussen LF, Grode LB, Lange J, Barat I, Gregersen M. Impact of transitional care interventions on hospital readmissions in older medical patients: A systematic review. BMJ Open 2021;11:e040057.
Dağdelen D, Zincir H. Effects of dependent care theory based post surgical home care intervention on self care, symptoms, and caregiver burden in patients with primary brain tumor and their caregivers: A randomized controlled trial. Support Care Cancer 2024;32:296.
Deepradit S, Powwattana A, Lagampan S, Thiangtham W. Effectiveness of a family based program for post stroke patients and families: A cluster randomized controlled trial. Int J Nurs Sci 2023;10:446 55.
Younas A, Quennell S. Usefulness of nursing theory‐guided practice: An integrative review. Scand J Caring Sci 2019;33:540 55.
Callis AMB. Application of the roy adaptation theory to a care
Refbacks
- There are currently no refbacks.