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Mandating Nurse-Patient Ratios 1) WRITE a 750 word paper; using the two (2) articles: Abood (2007) and Aikan et al., (2010), and your textbook assigned chapter readings; as references. The IOM report concluded that there was insufficient evidence to support specific nurse staffing ratios in hospitals and called for additional research (Wunderlich, Sloan, and Davis 1996).
Aiken and her colleagues investigated how nurse workloads compared in three states, California, New Jersey, and Pennsylvania.
Seven states[b] require hospitals to have committees responsible for staffing policy, and five states[c] require disclosure or public reporting of staffing. More legislation is being introduced, including proposals by three states[d] to create staffing committees, proposals by three states[e] to require public disclosure laws, proposals by seven states[f] to set staffing ratios, and four states[g] with alternative nurse staffing bills. In 2006, Florida passed a safe staffing ratio law similar to California’s. Clarke, Linda Flynn, Jean Ann Seago, Joanne Spetz, and Herbert L. “Implications of the California Nurse Staffing Mandate for Other States.” The Department for Professional Employees, AFL-CIO (DPE) comprises 21 AFL-CIO unions representing over four million people working in professional and technical occupations.
The law addresses minimum staffing requirements for nursing homes and requires a registered nurse (RN) in the operating room during all surgical procedures. “To determine whether nurse staffing in California hospitals, where state-mandated minimum nurse-to-patient ratios are in effect, differs from two states without legislation and whether those differences are associated with nurse and patient outcomes.” This study comes from 2006 survey data of 22,366 hospital staff nurses in California, Pennsylvania, New Jersey, and state hospital discharge databases from those states. New Jersey and Pennsylvania were chosen because these states lacked nurse staffing standards at the time of the study. DPE-affiliated unions represent: teachers, college professors, and school administrators; library workers; nurses, doctors, and other health care professionals; engineers, scientists and IT workers; journalists, and writers, broadcast technicians and communications specialists; performing and visual artists; professional athletes; professional firefighters; psychologists, social workers, and many others.
A recent ANA survey of nearly 220,000 RNs reported that 54% of nurses do not have sufficient time with patients, 43% have been working extra hours because of short staffing, and 20% found that inadequate staffing affected admissions, transfers, and discharges.
Legislation to aid in staffing plans and ratios has been discussed on both the state and federal levels.