Joly Elizabeth
School of Nursing, University of Victoria, Canada.
J Pediatr Nurs. 2015 Sep-Oct;30(5):e91-103. doi: 10.1016/j.pedn.2015.05.016. Epub 2015 Jul 3.
This article explores how the empirical literature on the transition to adulthood for young people with medical complexity can inform nursing and advanced practice nursing. An integrative literature review informed by Meleis' Transition Theory and Bronfenbrenner's Bioecological Theory of Human Development was conducted including 11 studies and yielded three themes: it's like falling off a cliff, the paradox of independence, and it takes a village. The findings demonstrated a need for an increased focus on the process of transition and transfer for this complex population. Recommendations for pediatric nurses and advanced practice nurses based on these findings focus on advocacy, capacity-building, education, and program development and evaluation. Recommendations for future research are offered with a focus on determinants of health, psychosocial concerns, and program development and evaluation.
本文探讨了关于医疗复杂性青年向成年期过渡的实证文献如何为护理及高级实践护理提供信息。以梅莱伊斯的过渡理论和布伦芬布伦纳的人类发展生物生态理论为指导，进行了一项综合文献综述，纳入了11项研究，得出了三个主题：就像从悬崖上掉下来一样、独立的悖论以及需要众人相助。研究结果表明，需要更加关注这一复杂人群的过渡和转诊过程。基于这些发现，针对儿科护士和高级实践护士的建议集中在宣传、能力建设、教育以及项目开发与评估方面。还提出了未来研究的建议，重点关注健康的决定因素、心理社会问题以及项目开发与评估。
