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Volume 3, Issue 1, June 2019, Page: 12-16
Transition Theory Applications -- “Wishes”
Angela Pauline Halpin, Department of Case Management, University of California, Irvine Medical Center, Orange, United States
Felicia Schanche Hodge, Department of School of Nursing and Fielding School of Public Health Faculty, University of California, Los Angeles, United States
Received: Mar. 6, 2019;       Accepted: Apr. 25, 2019;       Published: May 20, 2019
DOI: 10.11648/j.ajeit.20190301.13      View  410      Downloads  74
The aim of exploring transition theory is outlined in its concepts and application uses in nursing practice. Literature review methods applied precepts to demonstrate the theory’s usefulness in care management. Results validate transition knowledge identifies wishes of patients and families as a method of joint communicating and decisions on choices for healthcare. The process of making decisions for transition post discharge requires knowledge of the theory. In conclusion, identifying patient/family needs and clarifying what is required to resume self-care after treatments incorporates either immediate or long-term identified needs. Nursing and medical scholars have added transitions to processes within acute care hospitals to address the needs of patients and families.
Transition Theory, Concepts, Nursing, Client/Patient
To cite this article
Angela Pauline Halpin, Felicia Schanche Hodge, Transition Theory Applications -- “Wishes”, American Journal of Education and Information Technology. Vol. 3, No. 1, 2019, pp. 12-16. doi: 10.11648/j.ajeit.20190301.13
Copyright © 2019 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License ( which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Chick, N. & Meleis, A. I. (1986). Transitions: A Nursing Concern. In P. L. Chinn, Nursing Research Methodology: Issues and Implementation (pp. 237-255). Maryland: Aspen Publishers, LLC. (2012, March 13). Retrieved from
Meleis, A. I., & Trangenstein, P. A. (1994). Facilitating transitions: Redefinition of the nursing mission. Nursing Outlook, 42(6), 255-259.
Meleis, A. I. (2012). Theoretical Nursing Development and Progress. (5th ed.). Philadelphia, PA: Wolters Kluwer, Lippincott Williams & Wilkins. Meleis, A. I.
Brooten, D., Brown, L. P., Munro, B. H., York, R., Cohen, S. M., Roncoli, M., Hollingsworth, A., (1988). Early discharge and specialist transitional care. Image: Journal of Nursing Scholarship, 20(2), 64-68.
Meleis, A. I. (2010). Transitions Theory Middle Range and Situation Specific Theories in Nursing Research and Practice. New York, NY: Springer Publishing.
Goldberg, L. R., Koontz, J. S., Rogers, N., & Brickett, J. (2012). Considering accreditation in gerontology: The importance of interprofessional collaborative competencies to ensure quality health care for older adults. Gerontology & Geriatrics Education, 33(1), 95-110. doi: 10.1080/02701960.2012.639101.
Kahneman, K. (2011). Thinking, Fast and Slow. Chapters 28, p. 302, 304; Chapter 26, 1st ed, New York, NY: Farrar, Straus & Giroux.
Brooten, D., Brown, L. P., Munro, B. H., York, R., Cohen, S. M., Roncoli, M., & Hollingsworth, A. (1988). Early discharge and specialist transitional care. Image: Journal of Nursing Scholarship, 20(2), 64-68.
Brooten, D., Kumar, S., Brown, L., Butts, P., Finkler, S. A., Bakewell-Sachs, S.,... Delivoria Papadopoulos, M. (1986). A randomized clinical trial of early hospital discharge and home follow-up of very-low-birth-weight infants. New England Journal of Medicine, 315(15), 934-939.
Naylor, M. D., Bowles, K. H., McCauley, K. M., Maccoy, M. C., Maislin, G., Pauly, M. V., & Krakauer, R. (2011). High value transitional care: transition of research into practice. Journal of Evaluation in Clinical Practice, International Journal of Public Health Services Research March 16, 1-7 [published online Wiley data base, retrieved 11. 7. 2011].
Naylor, M. D., Brooten, D., Campbell, R., Jacobson, B. S., Mezey, M. D., Pauly, M. V., & Schwartz, S. J. (1999). Comprehensive discharge planning and home follow-up of hospitalized elders: A randomized clinical trial. Journal of the American Medical Association, 281(7), 613-620.
Centers for Medicare and Medicaid Services (CMS). (2010). HHS Conditions of Participation: Discharge planning 42 CFR Ch. IV (10-1-10 edition Conditions of Participation Discharge Planning. HHS § 482. 43 23-25. Centers for Medicare & Medicaid Services (1994, 2004). 23-24.) Retrieved from: sec482-13.pdf
Joynt, E. K, Orav, E. J., & Jha, A. K. (2011). Thirty-day readmission rates for Medicare Beneficiaries by Race and Site of Care. Journal of American Medical Association JAMA, 305, 675-681.
Braes, T., Moons, P., Lipkens, P., Sterckx, W., Sabbe, M., Flaming, J.... Milisen, K. (2009) Screening for risk of unplanned readmission in older patients admitted to hospital: predictive accuracy of three instruments. Aging Clinical and Experimental Research, 22(4), 345-351.
Halpin, A. P., Hodge, F. S. (2016). Framed messages effects on readmissions. Journal of hospital administration. 8(2), 95-102. ISSN 1927-6990(Print) ISSN 1927-7008(Online);
Epstein, A. M., Jha, A. K., Orav, E. J. (2011). The relationship between hospital admission rates and rehospitalizations. New England Journal of Medicine, 365(24), 2287-2295.
Epstein, R. M., & Gramling, R. E. (2013). What is shared in shared decision making? Complex decisions when the evidence is unclear. Medical Care Research and Review, 70(Suppl 1), S94S112. doi: 10.1177/1-7758712459216.
Health Research & Educational Trust (HRET report, 2010) Health Care Leader Action Guide to Reduce Avoidable Readmissions, affiliates of the American Hospital Association (AHA), The Commonwealth Fund and The John A. Hartford Foundation. Retrieved from:
Naylor, M. D., Leeman, J., Colon C. Hanson L. (2018). Implementing a standardized transition care plan in skilled nursing facilities. Journal of Applied Gerontology, doi: 10.1177/0733464818783689.
Lown, B. A., & Manning, C. F. (2010). The Schwartz center rounds: Evaluation of an interdisciplinary approach to enhancing patient-centered communication, teamwork and provider support. Academic Medicine, 85(6), 1073-1077.
Ulrich, C. Marcantonio, S., Coburn, K, Naylor M., Moriarty, H. (2012). “In our corner” A qualitative study on patient engagement in a community-based care coordination program.
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