Instrumental support: A conceptual analysis

Abstract

The aim of this paper was to use the Walker and Avant method of concept analysis to evaluate the concept of instrumental support in the context of hospital to home care transitions. Findings from this concept analysis suggest three defining attributes of instrumental support: informal support providers, tangible support, and unmet personal needs. Antecedents identified: a strong and supportive social network, an independently functioning adult, an illness resulting in hospitalization, a change in functional status, and the patient being discharged home from the hospital. Consequences of not having adequate instrumental support: unsuccessful recovery at home, increased risk for hospital readmission, decline in physical functioning, health complications, and increased risk of mortality. Empirical referents: patient's report of successful recovery, returning to an independent level of functioning, and the lack of hospital readmission or health complication. A model and a contrary case study were developed to provide examples of clinical cases related to instrumental support.Recommendations related to clinical practice include evaluating the availability/ adequacy of instrumental support before hospital discharge and including the identified instrumental support person in the discharge planning process. There are proven benefits of having people within one's social network providing instrumental support during the home recovery period.

Connecting the dots: How parent support shapes career readiness through psychological capital

“…This research was built using the SCCT framework. Social career cognitive theory focuses on the role of contextual factors in developing skills, interests, career-related decision-making and satisfaction with individual career choices (Schultz et al, 2022). Support from family, peers, teachers, and others in the school and community setting is conceptualised as environmental support, which supports the development of self-efficacy beliefs and expectations of positive outcomes and the transformation of one's interests into concrete goals and actions.…”

“…Researchers have become increasingly interested in understanding how In today's rapid technological advancement, social support is an essential component of individual job readiness (Harris et al, 2001;Nabi, 2001;Wang & Fu, 2015). One has long been known to gain advantages from social support (Schultz et al, 2022). Individuals may gain from a supportive environment as it increases their positive aspirations for the future (Higgins et al, 2010).…”

The role of non‐resident family ties in rural staying

“…Examples of instrumental support—assistance provided to meet tangible needs (Schultz et al, 2022)—included grandparents. An example was Astrid, who, like several others in the sample, provided childcare for her grandchildren, enabling her adult children to have greater employment flexibility.…”

Por Que Você Não Fala a Minha Língua Para Compreender Minhas Necessidades De Saúde? Um Relato De Experiência

“…No grupo-alvo, os mecanismos de coping mais prevalentes nos dois momentos prendem-se com os mecanismos centrados no problema e na emoção, nomeadamente: "utilizar suporte instrumental" -utilizar o apoio de outros: colegas, familiares, amigos (SCHULTZ et al, 2022); "planear" -pensar acerca de como enfrentar o agente stressor (MCKINLEY et al, 2020); e "reinterpretação positiva" -mecanismo focado na emoção que se traduz na reinterpretação de uma experiência negativa (FRITZ, 2021;MUNROE et al, 2022).…”