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Turbulence in Nursing-A Conceptual and Contextual Exploration
Helene Åvik Persson1, Anders Palm1,2, Karin Samuelson1
1Department of Health Sciences, Faculty of Medicine, Lund University, SE-221 00 Lund, Sweden.
Nursing Reports (Pavia, Italy)
|April 27, 2026
Summary
This study clarifies "turbulence in nursing," identifying eight key factors impacting care quality. The findings offer a model to detect and manage workplace turbulence, enhancing patient safety and the nursing environment.
Area of Science:
- Nursing Science
- Healthcare Management
- Organizational Psychology
Background:
- Modern healthcare faces challenges like rapid change, high workloads, and staff shortages.
- These factors can negatively impact patient care quality and create workplace turbulence in nursing.
- Existing research lacks conceptual clarity on the factors and implications of nursing turbulence.
Purpose of the Study:
- To explore and analyze the concept of turbulence in nursing.
- To identify the underlying factors contributing to turbulence in the nursing profession.
- To develop a conceptual model for understanding and addressing nursing turbulence.
Main Methods:
- Utilized the Simultaneous Concept Analysis Method.
- Involved a consensus group and a nursing care expert group.
- Employed content validity index ratings for validation.
Main Results:
- Identified eight distinct factors related to turbulence in nursing.
- Developed a conceptual model illustrating the interrelationships of these factors.
- Formulated a comprehensive definition of turbulence in nursing based on the model.
Conclusions:
- Achieved a deeper understanding of nursing turbulence through identified factors and their impact.
- Presented a conceptual model to detect and counteract workplace turbulence.
- Provides a practical guide for healthcare leaders to improve the work environment, enhance resilience, and ensure patient safety.
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