Passage Of Changes Research Articles

Transition of patients from intensive care unit: A concept analysis

BackgroundPatient transition in the health care system is a complex process with several potential challenges including instability and unanticipated changes which usually disturb normal life. Evidence shows that there is a need for greater clarity regarding the concept of patient transition from ICU. ObjectiveThe present study was conducted to clarify the core elements of patient transition from ICU, focusing on healthcare professionals. MethodsThe Walker and Avant model was used to provide a comprehensive definition of transition. The literature was reviewed from 2000 until 2020 in different databases with mesh extracted keywords of transition, patient transfer, critical care, ICU, transition care, and transition process. ResultsTransition is a complex, multifaceted concept with the following attributes: critical points and events, disturb normal life, the passage of change, instability and un-anticipated changes, multiple needs, multiple factors, collaborative, involving the patient, family/caregivers, multidisciplinary healthcare team, care and service coordination, awareness, engagement, and adaptation. The patient's responses to transition were different and depend on the patient's condition or environmental factors which lead to the development of confidence, adaptation, recovery from critical illness, and return to normal life or disability and other complications. ConclusionThe patient transition from ICU is a complex process, collaborative, patient-centered phenomena. Our conceptual definition can assist healthcare providers, organizational leaders, and policymakers to design and implement effective transition care and guideline. Also, the result of this study provides a definition of patient transition from ICU that can be relevant and useful for clinical and practical research.

Challenges Faced by the Leaders in Integration

The structure of health and social services will be reformed in Finland so that the reform will enter into force on 1 January 2020. This means that responsibility for providing public healthcare and social services will be assigned to autonomous regions that are larger than municipalities. Healthcare and social services will be brought together at all levels to form customer-oriented entities, and basic public services will be strengthened. The existing multisource financing will be simplified and customers will have more freedom of choice in the services. The objective is to reduce inequities in wellbeing and health between people, and to manage costs. The reform will help to bridge a large part of the sustainability gap in general government finances. The Government's aim is to save EUR 10 billion, of which approximately EUR 3 billion should be covered through the reforms in the branch of government of the Ministry of Social Affairs and Health. Besides structural reforms, the steering and operating models in healthcare and social welfare will be thoroughly modernised. The aim is to achieve better services that are not only more customer-oriented, effective and cost-efficient than before but also better coordinated. The purpose of this study is to examine the challenges faced by the leaders, when integrating health and social care. The research material was gathered from Master's degree students in the autumn 2017 in the University of Applied Sciences by method of empathy-based stories. One third of the students worked as a leader and the others in other responsible positions. We received a total of 32 stories. Through categorization of the data various forms of challenges of leadership are revealed. The research material raised the challenges of the change process. It is important to see a common goal, an up-to-date flow of information and a sufficient time resource for all actors to create new types of services. Consideration of emotions raised up to be very important in the passage of change eg resistance to change, uncertainty, well-being at work. The inefficiency of hierarchical interfaces administration – political decision-makers – leaders - employee - clients was raised in the material, creating a picture of the differences in the realities of different hierarchy levels. The key is to form a sufficiently similar reality in which the main goal would remain the same throughout the organization. The activity of the leaders with employees was supported by a positive atmosphere in which everyone has a common goal, bold networking inside and outside the own working area, increasing multi-professional co-operation and transparency of work, and a joint debate focusing on the opportunities created by change From customers' viewpoint important was experienced of customer orientation, customer involvement and service guidance, and high quality services The change challenges the skills of the leaders in many ways. They need to keep up-to-date on change-related issues, work transparently and maintain trust in both customers, employees and strategic management. Theoretically, research engages in discussion about change management, ethical leadership, inclusive leadership, and lean thinking.

Transition: a literature review

This paper reports a comprehensive literature review exploring how the term 'transition' has been used in the health literature. The meaning of transition has varied with the context in which the term has been used. The last 3 decades have seen altered understandings in the concept of transition in the social science and health disciplines, with nurses contributing to more recent understandings of the transition process as it relates to life and health. The CINAHL, Medline, Sociofile and Psychlit databases were accessed and papers published between 1994 and 2004 were retrieved to answer the questions 'How is the word transition used?' and 'What is the concept of transition informing?' Transition theoretical frameworks were also explored. Widespread use of the word 'transition' suggests that it is an important concept. Transitional definitions alter according to the disciplinary focus, but most agree that transition involves people's responses during a passage of change. Transition occurs over time and entails change and adaptation, for example developmental, personal, relational, situational, societal or environmental change, but not all change engages transition. Reconstruction of a valued self-identity is essential to transition. Time is an essential element in transition and therefore longitudinal studies are required to explore the initial phase, midcourse experience and outcome of the transition experience. Transition is the way people respond to change over time. People undergo transition when they need to adapt to new situations or circumstances in order to incorporate the change event into their lives. Transition is a concept that is important to nursing; however, to further develop understandings, research must extend beyond single events or single responses. Longitudinal comparative and longitudinal cross-sectional inquiries are required to further develop the concept.

Book Reviews

Book reviewed in this article: Bain Attwood. Rights for Aborigines. Sarah Colley. Uncovering Australia: Archaeology, Indigenous People and the Public. Kirk Dombrowski. Against Culture: Development, Politics, and Religion in Indian Alaska. Anita Jowitt and Tess Newton Cain (eds). Passage of Change: Law, Society and Governance in the Pacific. Sinclair Dinnen with Anita Jowitt and Tess Newton Cain (eds). A Kind of Mending: Restorative Justice in the Pacific Islands. Bruce M. Knauft (ed.). Critically Modern: Alternatives, Alterities, Anthropologies. Helen Gremillion. Feeding Anorexia: Gender and Power at a Treatment Center. Jean Guiart. Et le masque sortit de la mer: Les pays anciens de Hienghène à Témala, Gomèn et Koumac. Robin Hide. Pig Husbandry in New Guinea: A Literature Review and Bibliography. William Mazzarella. Shoveling Smoke: Advertising and Globalization in Contemporary India. Louise Meintjes. Sound of Africa: Making Music Zulu in a South African Studio. Sally Merry and Donald Brenneis (eds). Law and Empire in the Pacific: Fiji and Hawaii. Peter J. M. Nas, Gerard A. Persoon and Rivke Jaffe (eds). Framing Indonesian Realities: Essays in Symbolic Anthropology in Honour of Reimer Schefold. Annemarie Mol. The Body Multiple: Ontology In Medical Practice. Sherry B. Ortner. New Jersey Dreaming: Capital, Culture and the Class of 58. Thomas C. Patterson. Marx's Ghost: Conversations with Archaeologists. Melissa Perry and Stephen Lloyd. Australian Native Title Law. Christopher Pinney and Nicolas Peterson (eds). Photography's Other Histories. Nigel Rapport. I am Dynamite: An Alternative Anthropology of Power. Renato Rosaldo (ed.). Cultural Citizenship in Island Southeast Asia: Nation and Belonging in the Hinterlands. Regina Scheyvens and Donovan Storey. Development Fieldwork: A Practical Guide. David Trigger and Gareth Griffiths (eds). Disputed Territories: Land, Culture and Identity in Settler Societies. Cecilia Van Hollen. Birth on the Threshold: Childbirth and Modernity in South India.

Book Reviews

The Australian Journal of AnthropologyVolume 16, Issue 1 p. 120-156 Book Reviews First published: 08 March 2010 https://doi.org/10.1111/j.1835-9310.2005.tb00114.xAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat Abstract Book reviewed in this article: Bain Attwood. Rights for Aborigines. Sarah Colley. Uncovering Australia: Archaeology, Indigenous People and the Public. Kirk Dombrowski. Against Culture: Development, Politics, and Religion in Indian Alaska. Anita Jowitt and Tess Newton Cain (eds). Passage of Change: Law, Society and Governance in the Pacific. Sinclair Dinnen with Anita Jowitt and Tess Newton Cain (eds). A Kind of Mending: Restorative Justice in the Pacific Islands. Bruce M. Knauft (ed.). Critically Modern: Alternatives, Alterities, Anthropologies. Helen Gremillion. Feeding Anorexia: Gender and Power at a Treatment Center. Jean Guiart. Et le masque sortit de la mer: Les pays anciens de Hienghène à Témala, Gomèn et Koumac. Robin Hide. Pig Husbandry in New Guinea: A Literature Review and Bibliography. William Mazzarella. Shoveling Smoke: Advertising and Globalization in Contemporary India. Louise Meintjes. Sound of Africa: Making Music Zulu in a South African Studio. Sally Merry and Donald Brenneis (eds). Law and Empire in the Pacific: Fiji and Hawaii. Peter J. M. Nas, Gerard A. Persoon and Rivke Jaffe (eds). Framing Indonesian Realities: Essays in Symbolic Anthropology in Honour of Reimer Schefold. Annemarie Mol. The Body Multiple: Ontology In Medical Practice. Sherry B. Ortner. New Jersey Dreaming: Capital, Culture and the Class of 58. Thomas C. Patterson. Marx's Ghost: Conversations with Archaeologists. Melissa Perry and Stephen Lloyd. Australian Native Title Law. Christopher Pinney and Nicolas Peterson (eds). Photography's Other Histories. Nigel Rapport. I am Dynamite: An Alternative Anthropology of Power. Renato Rosaldo (ed.). Cultural Citizenship in Island Southeast Asia: Nation and Belonging in the Hinterlands. Regina Scheyvens and Donovan Storey. Development Fieldwork: A Practical Guide. David Trigger and Gareth Griffiths (eds). Disputed Territories: Land, Culture and Identity in Settler Societies. Cecilia Van Hollen. Birth on the Threshold: Childbirth and Modernity in South India. Volume16, Issue1April 2005Pages 120-156 RelatedInformation

Review

Passage of Change: Law, Society and Governance in the Pacific, Edited by Anita Jowitt and Tess Newton Cain, Canberra: Pandanus Books, Australian National University, 2003. Pp:xix + 352 + index.