PubMed · 10151474
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J Morrissey. 1995-10-02. Basic services key to CHIN's quick start.. https://pubmed.ncbi.nlm.nih.gov/10151474/
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The need for partnerships between health care professionals within geographical communities is becoming increasingly important as new health care needs, trends, and issues are identified. Frequently, nurses are key stakeholders within these alliances or partnerships. This article identifies three essential elements associated with successful collaborative partnerships, namely networking, leadership, and vision. It shares examples of various collaborative efforts in which the authors have engaged, illustrating how networking, leadership, and vision have enhanced these collaborative efforts.
Both medical and community support services for people living with HIV and/or AIDS have been implemented on a widespread basis since the implementation of the 1990 Ryan White CARE Act. However, many services are provided without adequate evaluation or quality assurance, in spite of federal directions to both evaluate and ensure quality. This report details the development and implementation of a quality improvement project to evaluate Ryan White CARE services using a community stakeholder-based effort. The evaluation was consumer rather than administratively driven, including both consumers and providers to define, measure, and improve services. Project phases included: (1) developing service standards for 14 areas of service provided under Title I of the Ryan White CARE Act; (2) creating and implementing a provider/consumer peer site visit instrument to assess agencies' activities in meeting the service standards; and (3) developing a mechanism to improve quality by linking agencies to technical assistance resources in the metropolitan provider community. By involving providers and consumers in evaluation roles, recommendations by peers could serve as the basis for ongoing quality improvement.
PURPOSE: To clarify the concept of social support. DESIGN: Template Verification and Expansion Model. METHODS: Meta-synthesis strategies. FINDINGS: Social support is composed of emotional and instrumental support. It is an advocative interpersonal process characterized by reciprocal exchange of information, it is context specific, and it results in improved mental health. Antecedents of emotional and instrumental support include a perceived need plus a social network and climate that are conducive to the exchange of social support. CONCLUSIONS: In keeping with the nonprofessional nature of social support, nurses are advised to encourage patients to use and enhance personal support networks. For the same reason, nurses should reconsider investigating social support as a nursing intervention. Expanded efforts are needed to differentiate social support from concepts such as caring.