Learning Objective #1: Distinguish situation-specific theories from middle-range and grand theories

Learning Objective #2: Identify unique aspects of the transition experiences of homeless adolescent mothers as compared to other populations reported in the literature

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Purpose: Situation specific theories (SST) focus on specific nursing phenomena and are limited to specific populations. The purpose of the proposed SST is to expand the middle-range theory of transitions by exploring the experiences of adolescent females, more specifically homeless adolescent mothers (HAM). Methods: The foundation for this theory was a meta-synthesis of six qualitative studies researching the experiences of HAM. This theory was developed using the approach to situation specific theories proposed by Im & Meleis (1999). Findings: These young women experienced multiple, concurrent transitions. The transitions began with the HAM finding out that they were pregnant and being subsequently evicted from their homes. These events started the long-term process of transitions that involved adapting to new roles and situations. HAM were more aware of and engaged with their migration transition and their transition to motherhood than they were with their transition to adulthood. The transition to adulthood appeared to be normalized. Their transitions were facilitated by having social supports and information resources available. For many, their migratory transition and their transition to motherhood was inhibited by their low socio-economic status and their lack of preparation for and knowledge about being homeless and/or becoming a mother. These HAM appeared to be working toward healthy transition outcomes as they reformulated their identities after the birth of their babies in an attempt to be seen as responsible, competent mothers. Conclusions: The proposed SST enhances the understanding of the transition experiences of HAM during their migration transition and their dual transitions into motherhood and adulthood. While this theory is limited in scope, it can serve as a guide for nursing interventions for those nurses working with homeless families headed by adolescent mothers. This proposed SST expands the transition theory by showing its applicability to a homeless as well as an adolescent population.