Skip to main content

Young people’s transition from children’s to adult services in primary and community care settings

Literature review

The Queen’s Nursing Institute (QNI) was funded by the Burdett Trust for Nursing to deliver a comprehensive programme of work to improve the experience of a young person transitioning from children’s to adult services, with a specific focus on district nursing and general practice nursing. This project will involve identifying evidence-based approaches to improve the transition experience of young people and developing resources and ‘transition champions’ to promote learning and embed best practice.

To inform the work, the QNI undertook a literature search at the beginning of the project to identify relevant research. It was recognised that the literature would need to be reviewed throughout the project in order to maintain an up-to-date understanding of the evidence. The initial search comprised UK literature published within the last ten years.

The following databases were searched: British Nursing Index, Social Policy and Practice, Royal College of Nursing Library and Heritage Centre Catalogue. Key words used in the search included: transition, adult, adolescent, community health, community nursing, district nursing, primary care, general practice, teen transition. There was a paucity of relevant literature as much of the research on transition was hospital-focussed and was therefore excluded. Whilst some articles made a general mention of community services and primary care, no research was identified that specifically referred to district nursing or general practice nursing.

The research that was identified is considered below in relation to three themes: the role of the key worker in the community, the role of community nurses more generally, and the role of primary care; followed by a review of relevant policies and best practice guidance.