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Tuthill EL, Maltby AE, Odhiambo BC, Akama E, Dawson-Rose C, Weiser SD. Resilient Mothering: An Application of Transitions Theory From Pregnancy to Motherhood Among Women Living With HIV in Western Kenya. ANS Adv Nurs Sci 2024; 47:E20-E39. [PMID: 36656116 PMCID: PMC10354209 DOI: 10.1097/ans.0000000000000478] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
Abstract
Efficacious strategies can now prevent the transmission of HIV from mother to child. However, transmission rates remain unacceptably high, especially in sub-Saharan Africa. Understanding women's perinatal transitions can inform interventions to support adherence to preventive strategies. Therefore, we applied Transitions Theory in a longitudinal qualitative study to explore perinatal transitions among women living with HIV in western Kenya. We conducted in-depth interviews with 30 women living with HIV at 3 key time points and, using our findings, described the theory's concepts in terms of participants' experiences. We then proposed theory-based interventions that could support smooth transition processes and positive outcomes.
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Affiliation(s)
- Emily L. Tuthill
- Department of Community Health Systems, School of Nursing University of California, San Francisco, CA, USA
| | - Ann E. Maltby
- Department of Community Health Systems, School of Nursing University of California, San Francisco, CA, USA
| | | | - Eliud Akama
- Kenya Medical Research Institute- Center for Microbiology Research, Nairobi Kenya
| | - Carol Dawson-Rose
- Department of Community Health Systems, School of Nursing University of California, San Francisco, CA, USA
| | - Sheri D. Weiser
- Division of HIV, Infectious Disease, and Global Medicine, Department of Medicine, University of California San Francisco
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Cuzco C, Delgado-Hito P, Marin-Pérez R, Núñez-Delgado A, Romero-García M, Martínez-Momblan MA, Martínez-Estalella G, Castro P. Transitions and empowerment theory: A framework for nursing interventions during intensive care unit patient transition. ENFERMERIA INTENSIVA 2023; 34:138-147. [PMID: 37246109 DOI: 10.1016/j.enfie.2022.10.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2021] [Accepted: 10/03/2022] [Indexed: 05/30/2023]
Abstract
OBJECTIVES 1) To explore the main characteristics of intensive care unit transition according to patients' lived experience and 2) To identify nursing therapeutics to facilitate patients' transition from the intensive care unit to the inpatient unit. METHODOLOGY Secondary Analysis (SA) of the findings of a descriptive qualitative study on the experience of patients admitted to an ICU during the transition to the inpatient unit, based on the Nursing Transitions Theory. Data for the primary study were generated from 48 semi-structured interviews of patients who had survived critical illness in 3 tertiary university hospitals. RESULTS Three main themes were identified during the transition of patients from the intensive care unit to the inpatient unit: 1) nature of ICU transition, 2) response patterns and 3) nursing therapeutics. Nurse therapeutics incorporates information, education and promotion of patient autonomy; in addition to psychological and emotional support. CONCLUSIONS Transitions Theory as a theoretical framework helps to understand patients' experience during ICU transition. Empowerment nursing therapeutics integrates the dimensions aimed at meeting patients' needs and expectations during ICU discharge.
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Affiliation(s)
- C Cuzco
- Área de Vigilancia Intensiva, Hospital Clínic de Barcelona, Barcelona, Spain; Departamento de Enfermería Fundamental y Medicoquirúrgica, Escuela de Enfermería, Universidad de Barcelona, Barcelona, Spain; Instituto de Investigaciones Biomédicas August Pi i Sunyer (IDIBAPS), Barcelona, Spain
| | - P Delgado-Hito
- Departamento de Enfermería Fundamental y Medicoquirúrgica, Escuela de Enfermería, Universidad de Barcelona, Barcelona, Spain; Grupo de Investigación Enfermera del Instituto de Investigación Biomédica de Bellvitge (GRIN-IDIBELL), L'Hospitalet de Llobregat, Barcelona, Spain.
| | - R Marin-Pérez
- Unidad de Cuidados Intensivos Cardiológicos, Hospital Universitario de Bellvitge, L'Hospitalet de Llobregat, Barcelona, Spain; Grupo de Investigación Enfermera del Instituto de Investigación Biomédica de Bellvitge (GRIN-IDIBELL), L'Hospitalet de Llobregat, Barcelona, Spain
| | - A Núñez-Delgado
- Unidad de Cuidados Intensivos de Traumatología, Hospital Vall d'Hebron, Barcelona, Spain
| | - M Romero-García
- Departamento de Enfermería Fundamental y Medicoquirúrgica, Escuela de Enfermería, Universidad de Barcelona, Barcelona, Spain; Grupo de Investigación Enfermera del Instituto de Investigación Biomédica de Bellvitge (GRIN-IDIBELL), L'Hospitalet de Llobregat, Barcelona, Spain
| | - M A Martínez-Momblan
- Departamento de Enfermería Fundamental y Medicoquirúrgica, Escuela de Enfermería, Universidad de Barcelona, Barcelona, Spain
| | - G Martínez-Estalella
- Área de Vigilancia Intensiva, Hospital Clínic de Barcelona, Barcelona, Spain; Departamento de Enfermería Fundamental y Medicoquirúrgica, Escuela de Enfermería, Universidad de Barcelona, Barcelona, Spain; Grupo de Investigación Enfermera del Instituto de Investigación Biomédica de Bellvitge (GRIN-IDIBELL), L'Hospitalet de Llobregat, Barcelona, Spain
| | - P Castro
- Área de Vigilancia Intensiva, Hospital Clínic de Barcelona, Barcelona, Spain; Instituto de Investigaciones Biomédicas August Pi i Sunyer (IDIBAPS), Barcelona, Spain; Facultad de Medicina y Ciencias de la Salud, Universidad de Barcelona, Barcelona, Spain
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Cuzco C, Delgado-Hito P, Marin-Pérez R, Núñez-Delgado A, Romero-García M, Martínez-Momblan M, Martínez-Estalella G, Castro P. Teoría de las transiciones y empoderamiento: un marco para las intervenciones enfermeras durante la transición del paciente de la unidad de cuidados intensivos. ENFERMERIA INTENSIVA 2022. [DOI: 10.1016/j.enfi.2022.10.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/03/2022]
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Orr E, Ballantyne M, Gonzalez A, Jack SM. Mobilizing Forward: An Interpretive Description of Supporting Successful Neonatal Intensive Care Unit-To-Home Transitions for Adolescent Parents. QUALITATIVE HEALTH RESEARCH 2022; 32:831-846. [PMID: 35316117 PMCID: PMC9152603 DOI: 10.1177/10497323221079785] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
Pregnancy and parenting in adolescence and the transition home following the hospitalization of an infant in the neonatal intensive care unit (NICU) are two relatively complex phenomena; and whilst each have been consistently explored within the relevant literature, little is understood about the care required when they intersect. Using interpretive description methodology to guide our exploration, we conducted semi-structured interviews with 23 expert providers caring for adolescent parents involved in NICU-to-home transitions to describe this process in their practice. Findings suggest that supporting successful NICU-to-home transitions for adolescent parents relied strongly on understanding the impact of the NICU experience, establishing therapeutic relationships and facilitating supportive partnerships between the NICU and parents as well as the NICU and supportive services post-discharge. Findings highlight the opportunity for more integrated models of care within the NICU and extending into the community to address the complex biopsychosocial care needs of this parent population.
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Affiliation(s)
- Elizabeth Orr
- Department of Nursing, Brock University Faculty of Applied Health
Science, St. Catharines, Ontario, Canada
| | - Marilyn Ballantyne
- School of Nursing, McMaster University, Hamilton, Ontario, Canada
- Holland Bloorview Kids Rehabilitation
Hospital, Toronto, Ontario, Canada
| | - Andrea Gonzalez
- Department of Psychiatry & Behavioural
Neurosciences, McMaster University, Hamilton, Ontario, Canada
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