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A Scoping Review of Transitions, Stress, and Adaptation Among Emerging Adults

Hanna, Kathleen M. PhD, RN; Kaiser, Katherine Laux PhD, RN; Brown, Sara G. EdD, RN; Campbell-Grossman, Christie PhD, RN; Fial, Alissa MA, MLIS; Ford, Amy DNP, ARPN-NP, WHNP-BCS; Hudson, Diane B. PhD, RN; Keating-Lefler, Rebecca PhD, RN; Keeler, Heidi PhD, RN; Moore, Tiffany A. PhD, RN; Nelson, Audrey E. PhD, RN; Pelish, Peggy PhD, ARNP-NP; Wilhelm, Susan PhD, RNC

doi: 10.1097/ANS.0000000000000214
Special Topic: Children and Adolescents

This scoping review examined research on transitions among emerging adults, 18- to 30-year-olds, to identify designs, populations, frameworks, transition types, and transition outcomes. A librarian conducted the search, yielding 2067 articles. Using predefined criteria, teams screened abstracts and reviewed articles, with 82% to 100% interrater agreement. Data from the final 160 articles were placed in evidence tables and summarized. Most frequently, the studies had exploratory-descriptive designs (69%), nondiagnosed samples (58%), no theoretical frameworks (58%), developmental transitions (34%), and health-related behavior outcomes (34%). This transition research is in an early stage of knowledge development and would benefit from further theory development.

University of Nebraska Medical Center College of Nursing, Omaha (Drs Hanna, Kaiser, Brown, Campbell-Grossman, Ford, Hudson, Keating-Lefler, Keeler, Moore, Nelson, Pelish, and Wilhelm); and University of Nebraska Medical Center McGoogan Library of Medicine, Omaha (Ms Fial).

Correspondence: Kathleen M. Hanna, PhD, RN, University of Nebraska Medical Center College of Nursing, 9985330 Nebraska Medical Center, Omaha, NE 68198 (

The authors have disclosed that they have no significant relationships with, or financial interest in, any commercial companies pertaining to this article.

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