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Aim: Professional procedures are important in the transition of
young adults with chronic illnesses from paediatric to adult health
services. The procedures increases the prospects of the young
adults making sufficient use of adult health services. Inadequate
use of services can negatively impact people’s health, quality of life
and future prospects. This transition generally does not follow pro-
fessional procedures, and it is important to prepare the young
adults for it. The aim was to study the experience of young adults
with chronic illnesses during the transition from paediatric to adult
health services at Landspitali, The National University Hospital of
Iceland.
Method: A qualitative method, based on the Vancouver School of
doing phenomenology was used. Purposeful sampling was used to
choose participants. Participants were eleven young adults with
chronic illnesses, aged 20–26 years. Nine participant were inter-
viewed once and two participant were interviewed twice.
Results: The young adults experienced themselves as teenagers at
the age of 18 years and the lack of preparedness made them feel
unready for the transition from paediatric to adult health services.
With more experience they felt that they had matured and adjusted
to new circumstances. We concluded from the interviews that pro-
fessional procedures were generally not practiced when moving
young adults from paediatric to adult health services at Landspitali.
The young adults experienced the transition as an event that had
neither been prepared for nor had a follow up. All participants
made suggestions about what could be done to improve the tran-
sition process.
Conclusion: Young people with chronic illnesses experience the
transition from paediatric to adult health services as difficult if they
are not well-prepared. The results suggest that health care profes-
sionals at Landspitali need to rethink and coordinate their standard
operating procedures, and that nurses are in a key position when
it comes to promoting improvements in the field.
Keywords: Chronic illness, experience, transition, young adults
Correspondent: kristsva@lsh.is
English Summary
Svansdottir, K.L., Sigurdardottir, A.K., Konradsdottir, E.
The Icelandic Journal of Nursing (2017), 93 (2) 86–94
The transition experience of young adults with chronic illnesses
at The National University Hospital of Iceland