College of Nursing, University of Saskatchewan, SK Canada.
College of Nursing, University of Saskatchewan, SK, Canada.
J Pediatr Nurs. 2020 Nov-Dec;55:29-39. doi: 10.1016/j.pedn.2020.06.011. Epub 2020 Jul 4.
Despite the wealth of knowledge and expertise that Inflammatory Bowel Disease (IBD) nurses bring to the transition process, health literature lacks nurses' perspectives on transition readiness. The purpose of study was to ask IBD nurses to prioritize care transition readiness factors for adolescents living with IBD.
The cross-sectional exploratory survey was researcher-developed and distributed online to IBD nurses across Canada. The survey was divided into nine transition topic categories.
Fifty-six female registered nurses from six Canadian provinces participated in the study. Overall, nurses rated all items within each transition topic category to be very important in facilitating adolescent transition to adult healthcare. The highest individual mean scores and the highest prioritized categories were within the Knowing IBD and Healthcare Provider Relationships categories, emphasizing the importance for adolescents to understand their disease and feel comfortable communicating their needs and questions to healthcare providers.
The transition process needs to be individualized and comprehensive addressing a multitude of biopsychosocial factors in order to support IBD patients and families to achieve healthy adult self-care behaviours that can foster positive health outcomes.
Healthcare providers, adolescents, and parents must work collaboratively to achieve identified transition goals so that the transition process is a mutually satisfying experience. A comprehensive readiness assessment tool is suggested to assist in the transition process. Transition readiness assessment must start early, be ongoing, be age-appropriate, and be individualized to the patient needs.
尽管炎症性肠病（IBD）护士拥有丰富的知识和专业技能，但在过渡过程中，健康文献缺乏护士对过渡准备情况的看法。本研究的目的是请 IBD 护士为患有 IBD 的青少年优先考虑过渡准备因素。
这项横断面探索性调查是由研究人员开发的，并在加拿大各地的 IBD 护士中在线分发。该调查分为九个过渡主题类别。
来自加拿大六个省的 56 名女性注册护士参与了这项研究。总的来说，护士对每个过渡主题类别的所有项目都给予了高度评价，认为这些项目对促进青少年向成人医疗保健过渡非常重要。个人平均得分最高和优先级最高的类别是在了解 IBD 和医疗保健提供者关系类别内，强调了青少年需要了解自己的疾病并与医疗保健提供者沟通他们的需求和问题的重要性。
为了支持 IBD 患者和家庭实现促进积极健康结果的健康成人自我护理行为，过渡过程需要个性化和全面，解决多种生物心理社会因素。建议使用综合准备评估工具来协助过渡过程。医疗保健提供者、青少年和家长必须共同努力实现既定的过渡目标，以使过渡过程成为一个双方都满意的体验。过渡准备评估必须尽早开始，持续进行，适合年龄，并根据患者的需求进行个性化。
