View Article PubMed/NCBI outcomes. 12 No. ... Kaestner R. Nurse-to-patient ratios. But, physicians may spend only 30 to 45 minutes a day with even a critically ill hospitalized patient, whereas nurses are a constant presence at the bedside and regularly interact with physicians, pharmacists, families, and all other members of the health care team. It is unknown whether these changes were associated. Executive Summary Background The state of California was the first state to pass legislation mandating nurse-to-patient ratios in 1999. Article Google Scholar Thus, the selection criteria included in the meta-analysis were (a) studies reported nurse staffing as the nurse-to-patient ratio and Citation: Welton, J., (September 30, 2007) "Mandatory Hospital Nurse to Patient Staffing Ratios: Time to Take a Different Approach"OJIN: The Online Journal of Issues in Nursing. - An article just published in the Journal of Emergency Nursing, the Emergency Nurses Association’s peer-reviewed publication, offers insights into what emergency nurses believe are the necessary components to achieve safe staffing levels in emergency departments. More studies need to be conducted on the association of nurse-to-patient ratios with nurse-sensitive patient outcomes to offset the paucity and weaknesses of research in this area. increased patient acuity, reduced the ratio of caregivers to patients, and lowered the level of training of these caregivers. Falls in older adults are a major public health concern often resulting in longstanding pain, functional impairment, disability, premature nursing home admission, increased length of stay in hospitals, and mortality (Inouye, Brown, & Tinetti, 2009; Mahoney, 1998; Oliver, Hopper, & Seed, 2000). The ratio can be as low as one to one in neonatal and intensive care units. 2018;17: 6–22. For the purpose of this review, five studies were found in peer reviewed journals, The effect of nurse-to-patient ratios on nurse-sensitive patient outcomes in acute specialist units: a systematic review and meta-analysis. Data may be obtained from a third party and are not publicly available. Inclusion and Exclusion Criteria To be included in the review, articles had to be written in English, they had to have a clear qualitative or quantitative design, and they had to have been pub-lished between1997 and 2016. analyze the nurse-to-patient ratio to determine how it affects the psychological, mental, emotional health and the nurse overall productivity in the workplace. [26] and Pope [27]. A longitudinal study using National Database of Nursing Qu… Current legislative mandates (e.g., California Bill AB 394), that define fixed nurse-patient assignment ratios, are criticized by practitioners and researchers because they fail to account for acuity levels of patients and result in unbalanced distribution of workload among nurses . Safe Staffing saves lives. For critically ill patients in the ED and those admitted to the ICU, the maximum ratio is 1:2. Data availability statement Data are available upon reasonable request. Thanks for the indulging article! 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