Transition of care in adolescents with chronic disease: A concept analysis

PurposeThe aim of this concept analysis was to define the concept of transitional care as it applied to adolescents with chronic health conditions as they transfer from pediatric to adult care. Design and MethodsWalker and Avant's eight step method was used to guide this concept analysis. An electronic search of the literature using CINAHL, PubMed, and MEDLINE was conducted in March of 2022. Articles were included if they were peer-reviewed articles published in English between 2016 and 2022 and aided in the development of the concept. ResultsA total of 14 articles met inclusion criteria within the search. These articles were used to identify the defining attributes of transitional care as it applied to adolescents with chronic disease. These attributes were empowerment, a comprehensive process, and transfer completion. The antecedents identified were aging, readiness, and support. For an individual to begin the transition process all of these must be present. Consequences include growth, independence, and improved quality of life and health outcomes. Model, borderline, related, and contrary cases were presented to exemplify the concept. Practice ImplicationsAdolescents and young adults with chronic disease require unique care as they transition to adulthood. Defining the concept of transitional care as it relates to this population provided a foundation of knowledge that has implications for nursing practice. This conceptual structure provided a foundation of knowledge for theory development and encouraged widespread use of transition programs. Future research should explore the long-term outcomes of specific interventions used during transitional care.

Automated summary

The aim of this study was to define the concept of transitional care for adolescents with chronic health conditions as they transition from pediatric to adult care. The defining attributes of transitional care included empowerment, a comprehensive process, and transfer completion. The antecedents were aging, readiness, and support, while the consequences were growth, independence, and improved quality of life and health outcomes. This study has important implications for nursing practice.