Thispster ill present a qualitative study of nurse perceptions of caring nurse practice within the complex adaptive system of health care. A qualitative design analyzed nurses’ perspectives on caring practice within the complex adaptive system of health care. Interviews were conducted with thirteen labor and delivery nurses located in a hospital that had adopted a perinatal safety initiative and relationship focused nursing model. The nurses described caring nurse practice and the factors that affected its provision. The study found that nurses’ perspectives regarding the provision of caring nurse practice was affected by the complexity of the health care system, interactions with team members, challenges related to documentation; and respect for natural birth.