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Description
Background Nurse to patient ratios or nurse staffing is a controversial topic that is often discussed and argued in the medical field for its pros and cons. Nonetheless, the nurse to patient ratio plays a vital role on how nurses’ deliver quality care and provide safety to patients in a hospital setting. In 1999, California’s legislation passed a mandated nurse to patient ratio (AB 394) that requires all hospitals in California to have a set amount of patients a nurse can have depending on the unit the nurse works for. In 2023, California is still the only state that has passed legislation on nurse to patient ratio. Objective The primary objective of this study is to examine the correlation between nurse-to-patient ratios and patient care in a hospital setting. This thesis will evaluate whether lower nurse-to-patient ratios improves quality and safety patient care or decrease patient mortality. Also, this study will compare California’s mandated nurse to patient ratio with other states that do not have an implemented nurse to patient ratio. Method (convenience sample)
This observational research study will consist of 30 med surg patients at Kaiser Terra Linda in Marin City. The med surg patients will be observed over a 30 day time period from the admission date. Patient mortality rates, negative safety factors (falls, HAI’s, pressure ulcers due to lack of positioning), and quality of care will all be measured and collected by reviewing the patient’s chart. The statistics collected from the observation will then be compared with previous statistics at Kaiser Terra Linda and other hospitals in California. Results
The results have not yet been collected for the study, but it is expected that overall quality care will be improved and that patient mortality rates will be decreased due to the nurse to patient ratio. Conclusion The literature review discussed later in this paper concluded that the nurse to patient ratio correlates with improved quality care and decreased mortality rates. The study presented in this thesis will hopefully enhance the primary purpose that nurse to patient ratios have.
Department
Nursing
Publication Date
2023
Sponsorship/Conference/Institution
The Scholarly and Creative Works Conference, Dominican University of California
City
San Rafael, CA
Keywords
California mandated nurse-patient ratio, patient safety, patient morbidity, quality patient care, patient outcomes
Disciplines
Nursing | Quality Improvement