title: Environmental turbulence: staff nurse perspectives.
abstract: The purpose of this qualitative study was to explore staff nurses' perceptions of how turbulence in the internal environment affected their ability to provide patient care. The themes that emerged from the data point toward multiple factors impinging on a staff nurse's ability to provide quality care in today's healthcare environment. The authors discuss these factors, the consequences for staff nurses, patients, and the organization, and the implications for nursing administrators and their colleagues in hospital administration.
authors.affiliation: Department of Adult Health Nursing, Virginia Commonwealth University, Richmond, USA.
authors.forename: H J
authors.initials: HJ
authors.lastname: Tillman
authors.forename: J
authors.initials: J
authors.lastname: Salyer
authors.forename: M C
authors.initials: MC
authors.lastname: Corley
authors.forename: B A
authors.initials: BA
authors.lastname: Mark
mesh_terms: D000328:Adult; D006272:Health Facility Environment; D017721:Hospital Costs; D006801:Humans; D007400:Interprofessional Relations; D007588:Job Satisfaction; D008873:Mid-Atlantic Region; D008875:Middle Aged; D009718:Nurse Administrators; D009738:Nursing Service, Hospital / Q000458:organization & administration* / Q000639:trends; D009741:Nursing Staff, Hospital / Q000191:economics / Q000458:organization & administration / Q000523:psychology*; D010561:Personnel Staffing and Scheduling; D000078329:Workforce; D016526:Workload