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1. DAVAO DOCTORS COLLEGE, Inc.
MASTER OF ARTS IN NURSING
AFAF IBRAHIM MELEIS THEORY
TRANSITIONAL THEORY
PREPARED BY: JOSEPH D. MAAMBONG,RN

2. AFAF IBRAHIM MELEIS THEORY
 Afaf Ibrahim Meleis (born 1942) is an Egyptian-American nurse-scientist,
researcher, and medical sociologist. She is a Professor of Nursing and
Sociology and Dean Emerita at the University of Pennsylvania, where she
served from 2002 through 2014. This followed her 34-year tenure as a nursing
faculty professor at the University of California, Los Angeles (UCLA) and the
University of California, San Francisco (UCSF).
 Meleis graduated with a Bachelor of Science in Nursing magna * laude from
Alexandria University in 1961. She then came to the US as a Rockefeller
Foundation Fellow to advance her education, earning a Master of Science in
Nursing (1964), a Master of Arts in Sociology (1966) and a Doctor of
Philosophy degree in Medical and Social Psychology (1968) from UCLA. She
was engaged to Mahmoud Meleis when she left Egypt, and after two years
apart, convinced Egyptian President Gamal Abdel N*er to allow him to join her
in the United States. They both completed their PhDs at UCLA, Mahmoud’s in
nuclear engineering, before moving together to San Francisco.
TRANSITIONAL THEORY

3. Career
Me leis is an expert on women and immigrant
healthcare, global health, Transitions Theory, and
nursing knowledge. She joined the Board of Directors of
the International Council on Women’s Health Issues
(ICOWHI) in 1998 and was elected President of
ICOWHI in 2000. Though she has since stepped down
from the position, she continued as an active member,
and representative during Congresses (Botswana in
2008,

6. For example, there is a situation when a young man lost his wife when she gave birth to their
daughter. Now, it is time to leave a hospital and begin a new life with a new person, experiencing
unbelievable grief because of an unexpected loss. A nurse has to communicate with the father,
carefully focusing on the main aspects of child care and the father’s emotional state. Transitions
theory may serve as a good plan to develop trust and understanding between the hospital workers
and the widowed father during the first several months of care. This person has to deal with two
change triggers: having a baby and becoming a father (developmental) and the loss of a wife
(situational). This theory helps recognize several problems and challenges. Therefore, treatment and
care should be organized from several perspectives. The knowledge and awareness of how to
become a father maybe not enough for the man. A nurse has to think about how to support and
deal with such a serious loss as well.
SAMPLE CASE ANALYSIS

7. In general, I believe that transitions theory plays a crucial role in the development of nursing
interventions. Its peculiar feature is not only the possibility for patients to recognize their needs but a
great chance for nurses to understand what kind of help can be offered in and out of hospital settings.
People have to deal with multiple changes and transitions in their lives, and the usefulness of this
theory is the development of a clear guide, disregarding existing diversities and attitudes.

8. STRENGTHS
 Transitions theory aids early intervention
and focuses on ways to help patients cope
with the new norm, early intervention and
addressing as they arise is important in
client success whereas meleis theory lack ,
is the research is needed to see if providing
more support and care to those going
through transition is actually beneficial to
the patient well being

9. Weaknesses
 Not many patients are able to cope with transitions associated with
interventions and interactions. There are many ways to support and guide
people, and the theory of transitions is one of the available options. This
theory is the result of long and serious work that Afaf Ibrahim Meleis began in
the mid-1960s and ended in the 1980s (Im, 2018). It aims at providing a
framework to identify the experience of people who have to confront, live
with, and cope with a situation that requires the development of new skills
and behaviors (Meleis, 2015). Changes cannot be avoided in human life, and it
is necessary to determine the factors with the help of which appropriate
facilitating and inhibiting steps can be offered (Bohner, 2017). The goal of this
theory is to instruct nurses on how to prepare patients and families for
healthcare transitions.

10. ASSUMPTION THEORY
 ENVIRONMENT
Vulnerability is related to transition experience interaction, and
environmental conditions that expose an individual to potential damage,
Problematic or extended recovery, or delayed or unhealthy or unhealthy
coping
NURSING
 Nurses are the primary caregivers of clients and their families who are
undergoing transitions
 Transitions both result in change and are the result of the change.

11. HEALTH
 Transition is complex and multidimensional. Transitions have patterns of
multiplicity and complexity
 All transitions are characterized by flow and movement over time
PERSON
 Transitions involve a process of movement and changes in fundamental life patterns,
which are manifested in all individuals
 transitions cause changes in identities, roles, relationships, abilities, and pattern
behavior
 The lives of clients, environment, and interaction are shaped by the nature, conditions,
meaning, and processes of their transition experience.

12. Significance of the theory
 Education
meleis taught an independent graduate elective course on transitions and
health at the university of California, san Francisco.
 practice
Transitions theory is useful in explaining health /illness transitions such as
the recovery , process , hospital discharge, diagnosis of chronic disease.
 RESEARCH
researcher have tested of researcher have used transition theory through
their studies

13. THANK YOU AND GOD BLESS