ESPU Congress 2018 - Abstract Book

231 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.