Lundin Carina Sparud, Danielson Ella, Ohrn Ingbritt
Institute of Health and Care Sciences, Sahlgrenska Academy, Göteborg University, Sweden.
Int J Integr Care. 2007 Feb 15;7:e05.
The purpose of this study was to explore how care providers handle the transition process from paediatric to adult diabetes outpatient clinic and to describe their perception of adolescents' needs during this process.
Participant observations of patient visits to nurses and physicians and 10 semi-structured interviews with care providers in two paediatric and two adult clinics in Sweden were carried out. Data were analysed using the constant comparative method developed in the grounded theory tradition.
The integrated framework developed in the analysis consists of subcategories, process categories and a core phenomenon. The preparation phase showed in this study that preparing transition requires modified strategies. The transition phase implied transferring responsibility and changing care relations while the evaluation phase revealed that care providers are creating mutual understanding through appraisal. All categories are related to the generated core phenomenon: enabling integration through professional meetings. The way care providers construct meeting arenas has a crucial impact on the possibility to bridge uncertainty, insufficient knowledge, routines and strategies.
The way participating clinics handle transition greatly influences the process. Professional meetings appeared to be of vital importance to enable the building of bridges between paediatric and adult diabetes care in this study.
本研究旨在探讨医疗服务提供者如何处理从儿科糖尿病门诊到成人糖尿病门诊的过渡过程，并描述他们在此过程中对青少年需求的看法。
对瑞典两家儿科诊所和两家成人诊所的护士和医生的患者就诊情况进行了参与观察，并对医疗服务提供者进行了10次半结构化访谈。使用扎根理论传统中发展起来的持续比较法对数据进行了分析。
分析中形成的综合框架包括子类别、过程类别和一个核心现象。本研究中的准备阶段表明，准备过渡需要调整策略。过渡阶段意味着转移责任和改变护理关系，而评估阶段则显示医疗服务提供者正在通过评估建立相互理解。所有类别都与产生的核心现象相关：通过专业会议实现整合。医疗服务提供者构建会议平台的方式对弥合不确定性、知识不足、常规和策略方面的差距的可能性有着至关重要的影响。
参与研究的诊所处理过渡的方式对这一过程有很大影响。在本研究中，专业会议对于在儿科和成人糖尿病护理之间架起桥梁似乎至关重要。
