Afaf Meleis’ Transitions Theory In Nursing

Afaf Meleis’ Changes Theory in Breastfeeding


In order to encourage the lively recovery of a new patient, a doctor must create a new platform for adjustments in the former’s life. The determined step also suggests that a patient‘s family members should accept and grasp the change that’s needed is for the campaign of any patient’s health. Nevertheless , the specific transition often transforms out to get rather hard to guarantee because of the particular incongruence of the particular family members’ steps. Without an involvement that encourages loved ones to support a new patient actively, the particular success of the particular recovery may end up being questioned. Herein untruths the importance regarding utilising an appropriate principle for enhancing understanding among family people.

Found in the case beneath analysis, a 48-year-old woman suffers coming from Diabetes Mellitus Sort II (DM II). Because of the particular advanced of glucose in her bloodstream plus the lack regarding insulin, the sufferer requires a massive enhancements made on her dieting practices and the selection of meals. On the other hand, she believes that will the change is going to be impossible since the woman family members may not accept this. Particularly, the lady presumes that her hubby and two daughters will do not consume the food that may represent an altered menu for the particular patient.

The situation is a very clear representation of the particular lack of recognition among family people and the next absence of assistance from their website. While more analysis of the particular relationships involving the female and her hubby, as well like her children, is usually needed to provide an in-depth perception in the issue, the present problem stems coming from miscommunication involving the sufferer and her loved ones. Therefore, an involvement involving all loved ones members is necessary.


Afaf Meleis’ Transitions Concept introduces order in to the complicated platform of helping individuals transfer in one atmosphere to another safely and securely. According to Meleis, the specified theory assists to perform a move successfully by determining its enhancers plus inhibitors, and also identifying the nature associated with a transition within question (Joly, 2016). As an outcome, possible patterns associated with stakeholders’ response towards a big change in the particular setting could be situated, and crucial hurdles in instilling switch can be recognized. The theory furthermore offers a rather sophisticated typology from the factors listed above, like types, patterns, plus properties that characterize the nature associated with a transition; individual, community-based, or societal factors; and process- and outcome-focused reactions produced by individuals (Fegran, Hall, Uhrenfeldt, Aagaard, & Ludvigsen, 2014). Thus, a huge range of variants inside a specific situation could be identified plus utilized to select the particular best group of techniques for health administration.

Primary on both individual and societal aspects that could inhibit or even boost the promotion associated with recovery in individuals doubtlessly is a good advantage of Meleis’ Transitions Theory. The profound examination associated with societal and community-related issues that may prevent the recovery raises the likelihood of the positive outcome. Additionally , the theory will become the instrument for creating some sort of setting in which in turn a patient will develop the essential healthy habits and even adopt the behaviour suggested by the health-related provider (Bohner, 2017). The active promo of healthy manners through bonding involving a patient and even their family turns into possible due to presentation of awareness seeing that a combination involving “perception, knowledge, and even recognition of some sort of transition experience” (Ramsay, Huby, Thompson, & Walsh, 2014, s. 610). Consequently , typically the framework is specially significant in the cases in which household relationships are between the factors of which define a patient’s ability to retrieve.

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Considering that the case underneath analysis shows some sort of drastic deficiency of comprehending between the affected individual and her family, adopting Meleis’ Changes Theory is vital to making sure a beneficial outcome. Since DM II can be a serious disorder that can not currently be remedied completely, will probably be needed to sustain your health by aiding her follow typically the prescribed diet. Coping with her fear involving changing the household food selection will require building better communication between your woman, her partner, and her kid. The next phase of the input will require reassessing and resetting typically the family’s priorities and even values. Specifically, some sort of nurse will kick off the process of preparation plus knowledge to produce the platform for that husband and kids to realize the gravity of the situation. Consequently, their own general degree of consciousness will increase, and they will recognize the require to change the family members menu to be able to support the patient and help prevent her wellness from further damage, including nerve damage, blood flow issues, and vision problems (Lotfy, Adeghate, Kalasz, Singh, & Adeghate, 2017). Thus, the health threat may be prevented successfully.

However , in the case under analysis, it is not the possibility of the husband and son being against the new diet but the patient’s attitude toward the suggested change that raises the greatest concerns. Normally, it is expected that close family members should support a patient when the need to manage a disorder a serious as DM II arises. However , the patient is entirely sure that neither her husband nor her children will support her and, instead, expects them to be frustrated and have little to no compassion or understanding of her condition. Thus, it will also be necessary to use Meleis’ theory to change the dynamics of interactions within the family. Particularly, it will be required to ensure that all of its members are willing to recognize each other’s needs. Therefore, the patterns of the transition can also be described as multiple and simultaneous, thus, involving the change in the patient’s perception of her relationships with her family, possible alterations in the latter’s perspective of family needs, and the resulting shift in the family values toward well-being and safety of its members.


Meleis’ Transitions Theory seems to be extraordinarily helpful for patients that experience difficulties changing the family dynamics to promote the health and support of the family members. The framework is impeccable for addressing the case described above, yet it can also be applied to manage other health issues, such as the management of patients’ needs in the context of a hostile social environment. The identified approach is especially important for vulnerable groups that experience social contempt, such as people with HIV/AIDS and people with sexually transmitted infections (STIs) (Rosenberg et al., 2016). Since the Transitions Theory provides the platform for an in-depth analysis of external factors affecting patients and the subsequent opportunities for the latter to either change these conditions or adapts to them, it can be applied to any case involving a social conflict in between a patient and also a specific group regarding people (Barimani, Vikström, Rosander, Frykedal, & Berlin, 2017). As a result, the theory ought to be regarded as a new crucial constituent regarding successful healthcare exercise. Because of the particular clever typology regarding factors affecting a new patient’s health insurance and the particular ways of executing the transition, Meleis’ theory deserves in order to be listed amongst the essential frames for promoting well being within the worldwide community.


Barimani, M., Vikström, A., Rosander, Michael., Frykedal, K. Farreneheit., & Berlin, A new. (2017). Facilitating in addition to inhibiting factors inside transition to parenthood–ways by which health specialists can support moms and dads. Scandinavian Journal of Patient Sciences, 31 (3), 537-546. Net.

Bohner, K. (2017). Principle description, critical representation, and theory analysis of the changes theory of Meleis et al based to Chinn in addition to Kramer (2011). Advances found in Nursing Science, 45 (3), E1-E19. Web.

Fegran, L., Area, E. O., Uhrenfeldt, L., Aagaard, They would., & Ludvigsen, Michael. S. (2014). Adolescents’ and young adults’ transition experiences any time transferring from paediatric to adult proper care: a qualitative metasynthesis. Global Journal of Breastfeeding Studies, 51 (1), 123-135. Net.

Joly, E. (2016). Developing transition theory in addition to bioecological theory: A new theoretical perspective regarding nurses supporting the particular transition to legalis homo for teenagers together with medical complexity. Journal regarding Advanced Nursing, seventy two (6), 1251-1262. Web.

Lotfy, M., Adeghate, J., Kalasz, They would., Singh, J., & Adeghate, E. (2017). Chronic complications regarding diabetes mellitus: A new mini review. Current Diabetic Reviews, 13 (1), 3-10. Net.

Ramsay, P., Huby, H., Thompson, A., & Walsh, T. (2014). Intensive care survivors’ experiences of keep based care: Meleis’ theory of breastfeeding transitions and function development among essential care outreach providers. Record of Clinical Nursing jobs, 23 (5-6), 605–615. Web.

Rosenberg, In. E., Stanley, D., Rutstein, S. At the., Bonongwe, N., Kamanga, G., Pettifor, A new., … Miller, Watts. C. (2016). Enrolling the social connections of STI sufferers for HIV verification in Lilongwe, Malawi: Process evaluation in addition to assessment of acceptability. Physically Tran

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