Meleis Middle-Range Transition Theory In Nursing

It is the well-known fact that the nursing profession is facing the most substantial nursing shortage worldwide; therefore, one of the critical and challenging obstacles should be the staff retention. Moreover, as nursing workforce ages and new graduates are placed in various and complex roles, they must develop transition coping skills to survive crude attitude. Therefore, Meleis' middle -range transition theory was defined as a " passage from one fairly stable state to another fairly stable one, which is a process triggered by change" (Nagarandey, p.1 ) to explain the transition process in a clinical setting. Consequently, one may experience in the new environment many stressors which include fear, anxiety, uncertainty, awareness of inadequate
Thus, awareness, engagement, change and difference, time span and critical points and events construct the part of nature of the transition. Therefore, the awareness is understood as recognition of transition where engagement identifies a level of one's evolvement in the process through seeking information, actively preparing and using role models ( Meleis, 2000). The next property is a change which reflects the ability to adaptation assisted by perceived differences ultimately allowing for a change in behavior. Moreover, one must realize that the transition process takes time allowing to pass through the first the stage of instability and end with a period of stability leading to a final phase of critical points suggesting successful engagement in the process of transition by the development of new skills, lifestyles, routines ( Meleis). Moving further in the theory of transition one must recognize the need for transition conditions distinguished between facilitators and inhibitors which may derive from either community, society or oneself. The final, step in the transition process is of course pattern of response manifested through person's feeling of belonging, connecting as well as developing much confidence and coping