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11–14 APRIL, 2018, HELSINKI, FINLAND
S4: ADOLESCENT UROLOGY
Moderators: Karen Kwak (Netherlands), Alexandra Vermandel (Belgium)
ESPU-Nurses Meeting on Thursday 12, April 2018,
14:30–14:50
14:30–14:40
S4-1 (LO)
EXPERIENCES, WISHES AND NEEDS OF ADOLESCENTS
IN TRANSITION
Femke GLAAP-ROEVEN, Karen KWAK, Jacqueline KNOLL and Robert DE GIER
Radboud university hospital Nijmegen, Paediatric urology, Nijmegen, NETHERLANDS
PURPOSE
As a result of improvement in medical care, 90 % of chronically ill young people nowadays reach the
adult age. Transition to adult health care is therefore inevitable. Because transition to adult health
care generally does not run smoothly, a lot of research is performed on the problems and pitfalls
of transition. Knowledge is lacking on the experiences, wishes and needs of the adolescents who
will undergo transition. Aim of this study was to map the experiences with transition and identify
recommendations of the adolescent to adjust and improve the transition process.
MATERIAL AND METHODS
With a qualitative study data were collected by semi-structured interviews with eight adolescents
who underwent transition in our hospital.
RESULTS
After transition adolescents experience major differences between the pediatric outpatient clinic and
the adult outpatient clinic. Adolescents experience less personal approach at the adult outpatient
clinic as problematic. It is only after the transition process that many adolescents realize they are
lacking of self-management. Transition at the adult outpatient clinic is regarded as a stimulant
to develop independence and responsibility. It's the adolescents opinion that preparation for the
transition process should start earlier in the pediatric outpatient clinic. Possible influencing factors of
developing self- management advance to transition are: development phase and the role of parents
and peers.
CONCLUSIONS
To facilitate the transition to the adult outpatient clinic a adequate preparation for transition is
needed. Therefore the professionals at the pediatric outpatient clinic should focus on increasing
self-management of the adolescent.