“ANA and its Constituent & State Nurses Associations (C/SNAs) in the states are promoting legislation to hold hospitals accountable for the development and implementation of valid, reliable, unit-by-unit nurse staffing plans.These staffing plans, based upon ANA's Principles for Nurse Staffing (member login required), are not mandated ratios.The subject of nurse-patient ratios comes up often in nursing circles, and can often be a topic of discussion in state legislatures around the United States.
Interestingly, the bill would require hospitals to publicly post the mandated nurse-patient ratios, and it also forbids the imposition of mandatory overtime to meet staffing demands.
The ratio can be as low as one to one in neonatal and intensive care units.
Analysis of official data….showed almost every hospital in England had insufficient nurses on duty to guarantee safe patient care.
They are created in coordination with direct care registered nurses (RNs) themselves, and based on each unit’s unique circumstances and changing needs.” Most healthcare providers recognize that safe staffing can impact the safety and quality of patient care.
However, there are many forces at play in relation to mandates on nurse-patient ratios, and fights often ensue when attempts are made to enact them.