Sorry, I clearly wasn't communicating well in the above post--
this executive does believe that the hospital administrators are responsible for staffing ratios, and for support staff- he says that he is working on other execitives in his organization- CFO, etc- to budget for more nursing positions, especially on med-surg units to get the ratios of patients to nurses down.
Work processes also includes departments other than nursing--housekeeping, lab, etc - because, as we all know, nurses always have to pick up the slack of other departments. For example, at one hospital where I worked, the lab management decided not to staff for phlebotomists on the weekends, so in addition to everything else we had to do we had to draw routine labs on the weekend. Somehow, other departments can always say they don't have the staff, or whatever, and nurses get stuck with picking up non-nursing tasks.
#4- he also did not imply that this is a nursing responsibility.
Mid-level nurse managers certainly have no control over compensation.
As for the comment "nurses leave managers" - this included ALL hospital management, including non-clinical managers, such as hospital CEO, etc..
Sorry that my comments weren't clear the first time--please forgive me!