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How many more decades?!?

Nurses   (512 Views | 3 Replies)
by NursesTakeDC NursesTakeDC (Trusted Brand) Trusted Brand

2 Followers; 2 Articles; 1,241 Profile Views; 25 Posts

How many more decades must we continue this fight for safe nurse to patient ratio staffing?!?! Remember the “mandated ratio” legislation INCLUDES patient acuity and nurse skill mix adjustment.  #SafePatientLimits indeed saves lives.

“Nightingale rigorously researched the impact of the introduction of trained nurses on mortality in military hospitals. Once having established an association between trained nurses and reductions in patient deaths, she spent much of her life advocating for these findings to be widely translated into practice to improve the quality and safety of hospital care. The International Year of the Nurse and Midwife in 2020 in recognition of the 200th anniversary of Florence Nightingale’s birth is a fitting time to take action based on the preponderance of evidence to date that good professional nurse staffing results in safer and higher quality hospital inpatient care. “

 “All three papers confirm—at least with respect to mortality—that low RN staffing increases the risk for poor outcomes for patients. What is especially important about the confirmation provided by the Needleman et al 4 11 and Griffiths et al 13 papers is that they show longitudinal associations between RN staffing and patient outcomes at the patient level, within hospitals, which suggests that the cross-sectional associations found in studies that use hospital-level RN staffing data and compare outcomes across hospitals, such as the RN4CAST study, are more likely to be causal than artefactual and reflect differences in patient exposures to different staffing levels as well. We provide additional evidence of this in our own recent work”

“The findings of the RN4CAST paper on the outcomes of nursing skill mix are closer to those of Griffiths et al than to Needleman et al, showing, for example, that substituting one nursing assistant for an RN for every 25 patients is associated with a 21% increase in the odds of dying”.

Credit to authors: Linda H Aiken and Douglas M Sloane

Nurses Matter: More Evidence

 

#NursesTakeDC www.nursestakedc.com

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tnbutterfly - Mary is a BSN, RN and specializes in Peds, Med-Surg, Disaster Nsg, Parish Nsg.

14 Followers; 124 Articles; 5,511 Posts; 198,637 Profile Views

Safe staffing is a cause well worth fighting for. Remember...one day you or your loved ones will be a hospital patient.  Wouldn't it be wonderful if we could be assured that our nurse is not too busy to take care of us because of safe staffing laws that we helped to enact??

As the most trusted profession as voted by the public, we would surely have the backing of the public if they only knew the truth about the staffing challenges nurses have to deal with each shift. 

The time to let our voices be heard is NOW! 

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4 Posts; 615 Profile Views

It's also politics. Big hospital corporation lobbies Congress to deny nursing to patient ration because of money. More patient the hospital accept, the more hospitals can suck the patient insurance money out. It's all business here in the USA

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Asystole RN is a BSN, RN and specializes in Vascular Access, Infusion Therapy.

2,292 Posts; 25,943 Profile Views

5 hours ago, shakeRN said:

It's also politics. Big hospital corporation lobbies Congress to deny nursing to patient ration because of money. More patient the hospital accept, the more hospitals can suck the patient insurance money out. It's all business here in the USA

I would urge you to look into the Prospective Payment System and the rationale for the MS-DRG and labor base rate in the early 1980's. 

Nurse to patient ratios were an early target for federal healthcare spending reform. 

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