There to here: young adult patients' perceptions of the process of transition from pediatric to adult transplant care.
BACKGROUND
An increased understanding of the transition process from pediatric to adult transplant care may inform strategies for facilitating the transfer of patients and ultimately improve outcomes of care.


OBJECTIVE
To explore the transition process from pediatric to adult transplant care from the perspective of young adults.


METHODS
Using a qualitative case study approach, data were collected from transplant recipients through organ-specific focus groups, from transplant coordinators and nurse practitioners through interviews, and from electronic documents. Data were analyzed using an editorial format.


RESULTS
The analysis identified 5 elements of transition: There to Here, Getting Ready, Frame of Mind, Making It Easier, and Giving Back. In addition, threaded throughout the elements were the themes People Are Important, Expectations of Us, and Information We Need.


CONCLUSIONS
The transition for young people from a pediatric to an adult transplant center can be difficult and often traumatic. Young adults who transfer to adult care need to be better prepared for the adult center, made aware of the differences, and introduced to team members before the transfer. Transition programs that aim to improve the transition process should be developed for these patients.
McCurdy
Corinne
C
University Health Network, Toronto General Hospital, Toronto, Ontario.
DiCenso
Alba
A
Boblin
Sheryl
S
Ludwin
David
D
Bryant-Lukosius
Denise
D
Bosompra
Kwadwo
K
D000223:Adaptation, Psychological; D000293:Adolescent; D016497:Adolescent Health Services; D000328:Adult; D001294:Attitude to Health; D003266:Continuity of Patient Care; D005260:Female; D017144:Focus Groups; D006801:Humans; D008297:Male; D009864:Ontario; D016377:Organ Transplantation / Q000523:psychology; D010044:Outpatient Clinics, Hospital; D012944:Social Support