Self-transition in Type 2 Diabetes Mellitus Client: A Concept Analysis

Abstract

Objective: Behavioural modification required transition process to occur. There is limited data discussed on self-transition process to occur. Thus, this paper is aimed to examine self-transition concept for better understanding in managing Type 2 Diabetes Mellitus client. Methods: A Walker & Avant guideline was employed during concept analysis carried out. 20 articles have been extracted from CINAHL, ProQuest and Science Direct with duration of published paper within 2000 to 2016. Keywords of transition, transitions, self-transition and self-transition were used in extracting relevant articles. Results: Trust and empowerment are required antecedents prior to self-transition occurrence. There are four different attributes namely as challenges, availability of support system, vulnerability and self-regulatory/self- efficacy. Consequence of self-transition will lead to behavioural modification which may occurs through self -evaluation or epiphanies. Sustainability is another aspect that should be considered in maintaining behavioural modification. Conclusion: Self-transition will occur with the assistance of self-regulatory/self- efficacy based on the availability of support system. Furthermore, challenges and vulnerability will assist in shaping a person self-transition. Indeed, trust and empowerment are the antecedents prior to the development of individual self-transition. Successfulness of self-transition occurrence depends on sustainability of resources and perceptive behavioural modification changes either through self- evaluation or epiphanies.