Year of Publication

2017

Degree Name

Doctor of Nursing Practice

Committee Chair

Dr. Dianna Inman

Clinical Mentor

Deborah Howard

Committee Member

Dr. Leslie Scott

Abstract

PURPOSE: The purpose of this study was to initiate a transition readiness program which uses motivational interviewing at the Pediatric Endocrinology Clinic located within the UK HealthCare Kentucky Clinic. An evaluation of this program was conducted by assessing participant outcomes related to readiness for transitioning.

METHODS: This study was a quasi-experimental one group pretest posttest design to assess the effectiveness of transition readiness interventions on adolescent readiness and confidence in transition of care at the Pediatric Endocrinology Clinic located at the Kentucky Clinic. The sample consisted of 14 patients.

RESULTS: No statistical significance was found in the TRAQ tool and the Transition Readiness Assessment Questionnaire pre-/post-intervention due to the small sample size and the number of study subjects who were lost to follow up. The intervention of motivational interviewing and the establishment of a plan of care was completed for 64% of the study subjects. The Transition Registry was utilized to track study subjects for each stage of the study.

CONCLUSION: Statistical significance was not found due to a small sample size; however, there is clinical importance in the fact that establishing formal policies within clinics to guide and assist with training, and creating a standardized transition process, will guide healthcare providers and allow for more successful transitions. Therefore, formal practices and programs that address when to identify and assess the knowledge of a transitioning youth will allow for a well-prepared, well-thought out, time invested transition period. More research is needed to further understand the factors surrounding transition of care, and future researchers should develop controlled, large sample size studies to help providers understand how to utilize these factors.

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