ArticleJournal of advanced nursing2026
'I Feel the Pressure of Racing the Clock': An Institutional Ethnography Examining Home Care Nursing in Canada.
Article in Journal of advanced nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
Home care nursing is an essential component of health care in Canada, yet little is known about the work of home care nurses. AIMS AND
designAs a part of a larger Canadian study on home care, this institutional ethnography (IE) focused on home care nurses in one health authority in Western Canada. The purpose of this research was to explore the work of home care nurses and to trace how this is organised and coordinated from the standpoint of the nurses.
methodsIE is a methodology that focuses on day-to-day work from an established standpoint to uncover what is coordinating the work at a systems level. In this research, the standpoint of nurses was explored through interviews, observations and collected texts. Data were collected from March 2020 to December 2021.
resultsNurses work in home care includes the determination, coordination and provision of care, documentation, supporting care givers, communication and referrals. The role is complex and uniquely autonomous. Texts that are used to collect information about home care nursing focus on task completion resulting in a representation of nursing practice that misses significant components including the organisation, relational and ethical work. Analysis shows that nurses' work, coordinated through electronic health documentation systems and texts, is influenced by dominant safety, efficiency and measurement discourses.
conclusionHome care nurses' time is increasingly spent managing their referrals, documentation and schedules eclipsing time spent on direct client care. IMPACT: Understanding the invisible but dominant forces organising, and at times disorganising, the everyday work of nurses is a vital first step in creating change for home care nursing. PATIENT OR PUBLIC CONTRIBUTION: None. CONTRIBUTION TO THE WIDER GLOBAL COMMUNITY: Globally there is an increasing need for home care nursing to be delivered effectively; this research provides insights relevant to home care systems across jurisdictions.
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