title: Environmental turbulence. Impact on nurse performance.
abstract: Changes in the external regulatory environment have created turbulence in the internal hospital environment. Nursing administrators must create and maintain clinical environments that support practice; however, little is known about the effects of the dramatic changes in the healthcare environment on nurse performance. The author discusses a study that analyzed the effects of environmental turbulence on nurses' job performance. One characteristic of a turbulent environment, the number of admissions to/discharges from a unit in a 24-hour period, had a negative impact on self-rated quality of performance. The findings give direction to nurse administrators regarding efforts and resources required to support nurse performance in the unstable and rapidly changing healthcare environment.
authors.affiliation: Department of Adult Health Nursing, School of Nursing, Medical College of Virginia/Virginia Commonwealth University, Richmond, USA.
authors.forename: J
authors.initials: J
authors.lastname: Salyer
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D003430:Cross-Sectional Studies; D004650:Employee Performance Appraisal; D005161:Facility Regulation and Control / Q000639:trends; D005260:Female; D006272:Health Facility Environment; D006801:Humans; D008297:Male; D008875:Middle Aged; D016294:Models, Nursing; D008960:Models, Psychological; D009718:Nurse Administrators; D009741:Nursing Staff, Hospital / Q000523:psychology* / Q000592:standards; D015144:Southeastern United States; D013315:Stress, Psychological