Transfer stress syndrome is a nursing diagnosis in NANDA International (NANDA-I) that was introduced in 2005. This nursing diagnosis is seen most commonly occurring among geriatric, long-term care and acute medical patients. Transfer stress syndrome is described as increased vulnerability to physiological, psychosocial and environmental stressors resulting from a disruption in the environment.
NANDA Nursing Diagnosis Definition
Transfer stress syndrome is defined by NANDA-I as “Increased vulnerability to physiological, psychosocial and environmental stressors resulting from disruption in environment.”
- Verbalization of feeling overwhelmed
- Verbalization of feeling anxious or confused
- Verbalization of helplessness
- Verbalization of loneliness
- Exaggerated response to stimulus
- Motor hyperactivity
- Sleep disturbances
- Frequent changes in attitude or mood
- Withdrawal from social contact
- Reluctance to explore/attempt new activities
- Decreased activities
- Increased vocalizations
- Inability to focus attention
- Inappropriate behavior
- Deprivation of familiar environment
- Lack of available social support
- Perceived threat of status change
- Perceived or actual loss of control
- Disruptions during the transition process
- Cultural differences between environment and caregiver
- Inability to comprehend current situation
- Situational crises
Patients particularly vulnerable to transfer stress syndrome include those with a recent hospitalization, long-term care facility transfer, change in primary caregivers, or return home from a rehabilitation facility. These patients may have difficulty adjusting to a new environment due to a disruption in routines, lack of familiarity and perceived loss of control.
Associations with transfer stress syndrome can include stress overload, fear, anxiety, immobility, pain, constipation, impaired skin integrity, sleep/rest deficits, altered nutrition: more than body requirements and altered thought processes.
Suggestions of Use
Interventions for transfer stress syndrome include routine assessment for transfer readiness, establishing communication about goals and expectations, providing instruction and anticipatory guidance, provision of physical stability, minimizing environmental distractions and providing diversional activities.
Suggested Alternative NANDA Diagnoses
Alternative NANDA diagnoses that may be considered include anxiety, acute confusion and risk for infection.
Nursing care plans for transfer stress syndrome should include techniques for promoting healthy coping strategies, such as music therapy and relaxation techniques. It is also important to consider environmental modifications that help reduce environmental stimuli and promote patient safety.
Nursing outcomes classification results that are applicable to transfer stress syndrome include the following:
- Ability to cope with demands
- Social interaction
- Social support
Nursing interventions classification interventions for transfer stress syndrome include the following:
- Environmental Modification
- Reinforcement of verbalizations of feelings
- Holistic Care Plan Development
- Orientation Facilitation
- Rehabilitation and Mobility Establishment
- Restricting Auditory Stimuli
NANDA Nursing Diagnosis: Transfer Stress Syndrome is a nursing diagnosis that is used to describe a disruption in the environment that can cause increased vulnerability to physiological, psychosocial and environmental stressors. Understanding the definition, defining characteristics, associated problems, risk population, related factors, suggestions of use, suggested alternative diagnoses, usage tips, NOC results, and NIC interventions regarding this nursing diagnosis is critical for effective comprehensive nursing practice and patient care.
Q: What is Transfer Stress Syndrome?
A: Transfer Stress Syndrome is a nursing diagnosis used to describe a disruption in the environment that can cause increased vulnerability to physiological, psychosocial, and environmental stressors.