Student explains the theory and rationale for choosing it
My concept analysis is on promoting
the maternal-newborn bonding in the postpartum period.
I would use Dr. Afaf Meleis theory on transition
theory to support
my concept analysis around motherhood transition. Dr. Meleis have used transitions
theory to study many types of transitions such as immigration, caregivers, patients
with cardiovascular events, motherhood, menopausal, as well as the transition
of women toward integrating their roles while enhancing their wellbeing.
In my research, I will explore the
early skin-to-skin at the postpartum period and its benefits on both the baby
and the mother. The motherhood transition and maternal-newborn bonding are
directly related. Motherhood transition is a key phase to promote nurse important
role in the maternal-newborn bonding. Moreover, Dr. Meleis theory is focused on
how nurses can make a difference in helping people achieve healthy outcomes
after their transitions.
The application of the motherhood transition
theory in the nursing practice is beneficial for the mother and can give her an
optimal outcome after giving birth. Motherhood may be described as a process of
role transition that begins during pregnancy. The transition ends when the mother
develops a sense of comfort and confidence in performing the parental role.
A good understanding of the motherhood
transition will help both the new mother to go through her new experience and the
nurses to promote the maternal-newborn bonding.
Student critiques its usefulness for their proposed research.
The use of the theory is very
useful in the postpartum period, as it facilitates a healthy transition while
the mother assumes her new role. Some may critic the usefulness of motherhood
transition theory by advancing nursing intervention as unnecessary and that bonding
happens naturally between the mother and the child. While others require advanced
nursing intervention to facilitate the bonding.
Student explains how they would use it with their
Dr. Meleis’s motherhood transition
theory calls for knowledge development to be about nursing therapeutics rather
than understand the phenomena related to responses to health situations. The
therapeutic approach that nurses need to integrate in the patient care is the
most important in helping the new mother transition in motherhood and engage
her bonding with her newborn.
Student selects an appropriate peer reviewed research
The article of my choice for the purpose of this paper is “Perceived
Readiness for Hospital Discharge in Adult Medical-Surgical Patients” (waines,2017).
The authors utilized a prospective, correlational, longitudinal design with
path analyses to study relationships among transition theory to associated
variables. This study uses Dr. Meleis transition theory to comprehend how the
variables are influencing patients discharge transition.
explains how the author’s used the theory in their research.
The theory was used to guide
identification of variables for this study. The purpose of this study was to
identify patient characteristics, hospitalization factors, and hospital nursing
practices that are predictive of adult medical-surgical patients’ perceptions
of their readiness to go home at the time of discharge and the relationship of
perceptions of discharge readiness to post hospitalization coping and
Hospital discharge was viewed as a
transitional process occurring in three phases: (a) the hospitalization phase
during which discharge preparation occurs, (b) the discharge when short-term
outcomes of the preparatory process can be measured, and (c) the post-discharge
period when patients’.
Four major dimensions of
transitions theory were explored in this study: the nature of the transition
(hospitalization factors including planned or prior admissions and length of
hospital stay), transition conditions (patient characteristics including age,
gender, race, socioeconomic status, and living alone), nursing therapeutics
(discharge teaching and care coordination), and patterns of response (readiness
for hospital discharge, post discharge coping difficulty, and post discharge
utilization of health services). Transitions theory
proposes that the nature of the transition, transition conditions, and nursing
therapeutic practices will affect patterns of response during a transition.
Transitions theory concept definitions and specification of the related study
variables and empirical indicators.
critiques the author’s use of the theory.
On the article the method used to
measure the variable concerning the nursing practice prior discharge was not
clarified. The method could be more in depth of the nursing care perceived and
the quality of patient teaching prior to discharge and how this variable played
a major role on the outcomes for the discharge transition.
evaluates the usefulness of the theory in explaining their results.
Finally, the study results support Meleis’ transitions theory as a
useful model for conceptualizing and investigating framework to the discharge transition.
Moreover the results have implications for the clinical nurse specialist role
in patient and staff education, system building for the post discharge
transition, and measurement of clinical care outcomes.
Nursing Theorists and Their Work –
By Martha Raile