Care left undone, interchangeably referred to as missed care, unfinished nursing care and task incompletion, is pervasive in contemporary healthcare systems. Care left undone can result in adverse outcomes for the patient, nurse and organization. The rhetoric that surrounds care left undone infers it is a contemporary nursing phenomenon; however, a seventeenth‐century Spanish nursing treatise, Instruccion de Enfermeros (Instructions for Nurses), challenges this assumption. Instruccion de Enfermeros was an instructional guide that was written for members of the Congregation of Bernardino de Obregon who worked as nurses at the Madrid General Hospital. The treatise provides a historical commentary on the daily roles, responsibilities and working conditions of the Obregonian nurses. Its content and context suggest the Obregonian nursing resource was consistently time poor due to a confluence of internal and external stressors. Consequently, the Obregonians were under considerable role strain resulting in inferior patient care. This article explores the antecedents of care left undone through a historical lens using exemplars from the 1625 edition of Instruccion de Enfermeros. Factors contributing to care left undone in Obregonian nursing will then be examined to offer insights into the similarities between what a nurse suffered 400 years ago and what exists in contemporary nursing practice.
Background: The 'digital age' has led to a renaissance in historical methods. The way in which nurse historians can search, collate and analyse sources has changed exponentially over the past two decades. The mass digitisation of books, newspapers and other documents has resulted in the removal of many longstanding barriers to performing historical research, such as budgetary and access restrictions. Despite these expanded opportunities, the nurse historian now faces new challenges when performing historical research. Aim: This paper aims to stimulate discussion on the risky business of conducting nursing historical research in the 'digital age'. In this paper, we examine the technology-born challenges encountered by nurse historians with the objective of proffering potential solutions to address such issues. Discussion: Three contemporary challenges faced by nurse historians are: not knowing how to contain and articulate online searching; being unable to reduce the number of optical character recognition inaccuracies with digitised archaic sources; and being unsure of how to safely incorporate technological tools into historical analysis. Conclusion: Used correctly, new technologies can augment and strengthen traditional historical methods. Nurse historians need to be mindful that the way in which technologies are used is controlled by the user, rather than the technology itself.
AimTo understand the current application and benefits of coaching practice in nursing and identify potential areas for future research.DesignAn integrative literature review was conducted using Whittemore and Knalf integrative review methods.Data sourcesA search of the literature from Medline (PubMed) and CINHAL platform for abstracts and/or full‐text articles from 2012 to 2022.MethodsA systematic approach was used to screen and analyse the literature. Inclusion and exclusion criteria were applied, a quality appraisal of the literature was undertaken and summarised into themes. Eighteen articles were selected, two articles were different aspects of the same studies. Coaching was found to have benefits to the individual related to performance, role effectiveness, role transitions and confidence in performing in the role. The outcomes for individuals add to the overall organisational benefits with performance, support, teamwork, communication and culture.ResultsThis literature review sought to understand the current use of coaching in nursing and identify any gaps in the application of coaching within the discipline. Supporting, developing staff knowledge and skills and nurturing nursing staff into the profession has occurred in several ways and evolved to include coaching. Coaching provides capabilities to enhance nursing leadership, performance improvement and to provide support to staff. The findings from this literature review found a need to conceptually define coaching in nursing and the opportunity to explore the use of coaching to support both the clinical and managerial workforce (job satisfaction, intention to stay and building resilience). The benefits of coaching in nursing extend beyond the leadership level and there is opportunity to extend the operationalisation of coaching practice and coaching training within the discipline of nursing. This integrative review explains how coaching has been utilised in nursing to be a valuable tool in developing nurse leaders and clinical staff.
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