Active matter describes a class of systems that are maintained far from equilibrium by driving forces acting on the constituent particles. Here I will focus on confined active nematics, which exhibit especially rich flow behavior, ranging from structured patterns in space and time to disordered turbulent flows. To understand this behavior, I will take a deterministic dynamical systems approach, beginning with the hydrodynamic equations for the active nematic. This approach reveals that the infinite-dimensional phase space of all possible flow configurations is populated by Exact Coherent Structures (ECS), which are exact solutions of the hydrodynamic equations with distinct and regular spatiotemporal structure; examples include unstable equilibria, periodic orbits, and traveling waves. The ECS are connected by dynamical pathways called invariant manifolds. The main hypothesis in this approach is that turbulence corresponds to a trajectory meandering in the phase space, transitioning between ECS by traveling on the invariant manifolds. Similar approaches have been successful in characterizing high Reynolds number turbulence of passive fluids. Here, I will present the first systematic study of active nematic ECS and their invariant manifolds and discuss their role in characterizing the phenomenon of active turbulence.