California law mandating nurse pt ratios whos dating pooch hall
Proponents of mandatory, inpatient nurse-to-patient staffing ratios have lobbied state legislatures and the United States Congress to enact laws to improve overall working conditions in hospitals. 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. These are associated with higher rates of nosocomial infections among infants with very low birth weights. Each additional patient per nurse was associated with the risk of within 30 days of readmission for heart failure (7%), myocardial infarction (9%), and pneumonia (6%).“In all scenarios, the probability of patient readmission was reduced when nurse workloads were lower and nurse work environments were better.” State-Mandated Nurse Staffing Levels Lead to Lower Patient Mortality and Higher Nurse Satisfaction The California safe staffing law has increased nurse staffing levels and created more reasonable workloads for nurses in California hospitals, leading to fewer patient deaths and higher levels of job satisfaction than in other states without mandated staffing ratios.
Nurse Staffing and Inpatient Hospital Mortality "Studies involving RN staffing have shown that when the nursing workload is high, nurses' surveillance of patients is impaired, and the risk of adverse events increases." "…The American Nurses Association (ANA) supports a legislative model in which nurses are empowered to create staffing plans specific to each unit.This approach aides in establishing staffing levels that are flexible and account for changes; including intensity of patient's needs, the number of admissions, discharges and transfers during a shift, level of experience of nursing staff, layout of the unit, and availability of resources (ancillary staff, technology etc.).A nursing intensity adjustment to hospital payment, such as that described above, has already been endorsed by national nursing organizations. The safety and quality of patient care is directly related to the size and experience of the nursing workforce. Efforts to implement this model nationwide within the next few years have already been initiated. Inpatient working conditions have deteriorated in some facilities because hospitals have not kept up with the rising demand for nurses. Adjustment of inpatient care reimbursement for nursing intensity.
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.