Mandating nurse staffing ratios Australia 1 on 1 sex cam
Learn more » When health care employers fail to recognize the association between RN staffing and patient outcomes, laws and regulations become necessary.
A Federal regulation has been in place for some time, 42 Code of Federal Regulations (42CFR 482.23(b) which requires hospitals certified to participate in Medicare to "have adequate numbers of licensed registered nurses, licensed practical (vocational) nurses, and other personnel to provide nursing care to all patients as needed".
Proposed minimum, nurse-to-patient staffing ratios, such as those enacted by California, are intended to address a growing concern that patients are being harmed by inadequate staffing related to increasing severity of illness and complexity of care.
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.
Identifying and maintaining the appropriate number and mix of nursing staff is critical to the delivery of quality patient care.
Numerous studies reveal an association between higher levels of experienced RN staffing and lower rates of adverse patient outcomes.
This article will argue for the benefits of implementing a nursing intensity adjustment for nursing care by briefly reviewing the process by which nurses lost their economic independence; describing the gap between the supply and demand for registered nurses; presenting the arguments for and against mandatory, nurse-to-patient staffing ratios; offering a different approach for increasing the number of registered nurses at the bedside, namely nursing intensity billing; proposing sources of funding to pay for nursing intensity billing; and identifying limitations of nursing intensity billing. This situation has motivated some state legislatures to enact or consider regulatory measures to assure adequate staffing.