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  1. Tillman, Harry J. PhD, RN
  2. Salyer, Jeanne PhD, RN
  3. Corley, Mary C. PhD, RN
  4. Mark, Barbara A. PhD, RN


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.