Transitions From Clinician to Administrator

Gardner, Karen; Gander, Mary J.

doi:10.1097/00006247-199201000-00015

Cited by 5 publications

(1 citation statement)

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“…Among these transitions are changes in practice setting (Ceslowitz & Loreti, 1991;Dunn, 1992;Kane, 1992;Shea et al, 1987), return to clinical practice (Brautigan, Bryson, & Doster, 1989), changes in function and scope of practice (Reed-McKay, 1989), and the role transitions required of nurses who simultaneously care for patients with strikingly different needs (Samarel, 1989). The transition from clinician to administrator has been addressed by several writers (Gardner and Gander, 1992;Rice, 1988;Scherting, 1988;Starke & Rempel, 1990). And, in a series of columns Blouin and Brent (1992a;1992b;1992c;1992d;1992e;19920 discussed the transitions experienced by nurses upon leaving executive positions.…”

Section: Situational Transitionsmentioning

confidence: 99%

Transitions: A Central Concept in Nursing

Schumacher

Meleis

1994

Image: the Journal of Nursing Scholarship

607

680

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Transition is a concept of interest to nurse researchers, clinicians, and theorists. This article builds on earlier theoretical work on transitions by providing evidence from the nursing literature. A review and synthesis of the nursing literature (1986-1992) supports the claim of the centrality of transitions in nursing. Universal properties of transitions are process, direction, and change in fundamental life patterns. At the individual and family levels, changes occurring in identities, roles, relationships, abilities, and patterns of behavior constitute transitions. At the organizational level, transitional change is that occurring in structure, function, or dynamics. Conditions that may influence the quality of the transition experience and the consequences of transitions are meanings, expectations, level of knowledge and skill, environment, level of planning, and emotional and physical well-being. Indicators of successful transitions are subjective well-being, role mastery, and the well-being of relationships. Three types of nursing therapeutics are discussed. A framework for further work is described.

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