Turbulence in Nursing—A Conceptual and Contextual Exploration.
Background/Objectives: Contemporary healthcare systems are characterised by rapid change, high workload, and staff shortages, creating conditions that may compromise care quality and generate turbulence in nursing. Turbulence has been discussed in nursing research. However, greater conceptual clarit...
| Publicado en: | Nursing Reports Vol. 16; no. 4; pp. 119 - 135 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
MDPI
Apr2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=193440299&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 193440299 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 2039439X EGNT jtl: Nursing Reports issn: 2039439X maglogo: N pubinfo: dt: Apr2026 vid: 16 iid: 4 pid: 97109 pub: MDPI artinfo: ui: 193440299 193440299 193440299 10.3390/nursrep16040119 193440299 ppf: 119 ppct: 16 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Turbulence in Nursing—A Conceptual and Contextual Exploration. aug: au: Åvik Persson, Helene Palm, Anders Samuelson, Karin affil: Department of Health Sciences, Faculty of Medicine, Lund University, SE-221 00 Lund, Sweden sug: subj: Workload Work Environment Quality of Nursing Care Patient Safety Nursing Care Standards Human Male Female Sweden Concept Analysis Consensus Expert Clinicians Content Validity Descriptive Statistics Models, Theoretical Nursing Shortage Workflow Leadership Technology Clinical Competence Personnel Staffing and Scheduling Interpersonal Relations Continuity of Patient Care Male Female ab: Background/Objectives: Contemporary healthcare systems are characterised by rapid change, high workload, and staff shortages, creating conditions that may compromise care quality and generate turbulence in nursing. Turbulence has been discussed in nursing research. However, greater conceptual clarity is needed regarding its underlying factors and implications for nursing work. The aim of this study was to explore and analyse the concept of turbulence in nursing and its related factors. Methods: The study was conducted using the Simultaneous Concept Analysis Method involving a consensus group and a nursing care, expert group and included content validity index ratings as a validation technique. Results: Eight factors related to turbulence in nursing were identified. A conceptual model was developed to illustrate the interrelationships among these factors and their role within the turbulence concept. Based on this model and the demonstrated contextual interconnections, a comprehensive definition of turbulence in nursing was formulated. Conclusions: The study has achieved a deeper understanding of the concept "turbulence in nursing" through the identification of eight different, generally valid turbulence-related factors and their presumed impact on nursing care. A conceptual model of interacting forces in turbulence in nursing has been presented as both a detector and a compass for mapping and counteracting future tendencies toward turbulence in the work environment. The study enables healthcare professionals and leaders to detect and address emerging turbulence in nursing practice and education. By clarifying its underlying major related sources, the model serves as a practical guide for improving the work environment, strengthening team resilience, and ultimately enhancing patient safety and quality of care. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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