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Instrumental support: A conceptual analysis.

Beth E Schultz1, Cynthia F Corbett2, Ronda G Hughes2

  • 1College of Pharmacy, Natural & Health Sciences, Manchester University, Fort Wayne, Indiana, USA.

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|February 8, 2022
PubMed
Summary
This summary is machine-generated.

Instrumental support from social networks is crucial for successful hospital to home care transitions. Ensuring adequate tangible support and involving support persons in discharge planning improves recovery and reduces readmission risks.

Keywords:
care transitionsconcept analysisinstrumental supportsocial support

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Area of Science:

  • Nursing
  • Health Services Research

Background:

  • Hospital to home care transitions are complex.
  • Instrumental support plays a vital role in patient recovery.
  • The concept of instrumental support requires clear definition.

Purpose of the Study:

  • To analyze the concept of instrumental support.
  • To evaluate instrumental support in hospital to home care transitions.
  • To identify antecedents, attributes, and consequences of instrumental support.

Main Methods:

  • Walker and Avant's concept analysis method.
  • Analysis of defining attributes, antecedents, and consequences.
  • Development of a model and case studies.

Main Results:

  • Defining attributes: informal support providers, tangible support, unmet needs.
  • Antecedents: social network, patient's functional status, hospitalization.
  • Consequences of inadequacy: poor recovery, readmission, functional decline, mortality.

Conclusions:

  • Adequate instrumental support is essential for successful home recovery.
  • Healthcare providers should assess and plan for instrumental support before discharge.
  • Involving support persons in discharge planning enhances patient outcomes.