Nurse-to-Patient Ratios Make a Difference

A recent study found a correlation between the ratio of nurses to hospital patients and patient mortality. The study by the University of Pennsylvania concluded that required nurse-to-patient ratios in California are strongly linked with lower patient mortality, as compared to other states with fewer  nurses on staff.

Advocates for better ratios are rallying around the study to protest what they contend are unfair labor practices; 25,000 nurses affiliated with National Nurses United in California and Minnesota plan to conduct a one-day strike on June 10 at 15 health systems and hospitals in order to bargain for better ratios in their contracts.

Citing the study, the nurses’ group also demonstrated outside the U.S. Capitol last month to support better nurse-to-patient ratios and other workplace improvement legislation. Eighteen states are currently considering lowering their nurse-staff ratios.

In 2004, California became the first state to mandate minimum nurse-to-patient ratios. The California nurses who plan to strike next week work at five University of California medical centers and say that UC is not following the law.

The UPenn study surveyed over 22,000 hospital staff nurses in 2006 in California, New Jersey and Pennsylvania and asked them to estimate incidents of burnout, verbal abuse by patients or staff and how often they felt they overlooked changes in patients’ conditions.

In California, nurses care for an average of one less patient per shift, and researchers estimated that if New Jersey and Pennsylvania hospitals implemented the average California ratio, New Jersey would have seen 13.9 percent fewer surgical deaths and Pennsylvania 10.6 percent less, over the same 30-day period.

The latest UPenn study is the first to comprehensively evaluate the mandated nurse-patient ratio since the state enacted the controversial measure half a decade ago.

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2 comments to “Nurse-to-Patient Ratios Make a Difference”

  1. Uniforms and Scrubs

    Nurse staffing is really a good way of preventing mortality rate of patients. It was proved in California but still many states in the country are not yet practicing it. There are already strikes done and ongoing strikes but some hospitals are still stubborn on this issue and I don’t know why even knowing that this could help. Still there is a new research which revealed that there are many nurses who become depressed in overcrowded wards. Whew! More and more evidence is coming however till now few hospitals have nurse-to-patient ratios.

  2. Dennis

    An excellent Op-Ed by the new york times a couple months ago states how some insurance companies are paying the salaries of nurses to care for chronic patients. Thereby eliminating the need to see the practitioner; thereby reducing insurance costs to the provider and increasing the nurse-to-patient ratios. http://www.nytimes.com/2010/06/22/business/22geisinger.html?_r=1

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