This "leader" is just plain wrong. There have been MANY scientific studies demonstrating that safe staffing ratios save lives.
It is dishonest and harmful to patients who die due ti failure-to-rescue. The profession of nursing is considered the most honest of occupations.
Any nurse who denies the importance of sufficient nurse staffing is hinderingv the profession of nursing.
By it's opposition the ANA is violating it's own resolution:
"Massachusetts has some of the best hospitals in the country. Make no mistake: this proposal threatens the high quality of care we provide patients," said Amanda Stefancyk Oberlies, CEO of the Organization of Nurse Leaders. "It will force many hospitals to reduce critical services and will dramatically increase emergency room wait times.
This measure will prevent nurses and doctors from being able to use their best judgment in times of crisis. Further, there are no scientific studies or reports that demonstrate the effectiveness of this one-size-fits-all staffing requirement improving quality of care.
Coalition to Protect Patient Safety Launches 2 18 Ballot Question Opposition Effort - Coalition to Protect Patient Safety
In 2012 the ANA stated, "The nurse staffing resolution identifies short-staffing as a top concern for direct care nurses that negatively affects patient care and nurse job satisfaction. It notes that staffing decisions remain largely outside of nurses' control, and that staffing plans lack enforcement mechanisms.
The resolution requests ANA to "reaffirm its dedication" to advocating for a staffing process, directed by nurses, that is enforceable and that includes staffing principles, minimum nurse-to-patient ratios, data collection, and penalties for non-compliance in all health care settings where staffing is a challenge".
* JAMA surg June 2016
Hospitals with better nursing environments and above-average staffing levels were associated with better value (lower mortality with similar costs) compared with hospitals without nursing environment recognition and with below-average staffing
Comparison of the Value of Nursing Work Environments in Hospitals Across Different Levels of Patient Risk | Nursing | JAMA Surgery | JAMA Network
* Medical Care, November 2014
The study findings provide support for the value of inpatient nurse staffing as it contributes to improvements in inpatient care; increases in staff number and skill mix lead to improved quality and reduced length of stay at no additional cost.
Examining the value of inpatient nurse staffing: an assessment of quality and patient care costs. - PubMed - NCBI
* Agency of Health Research and Quality, AHRQ Healthcare Innovations Exchange, Sept. 26, 2012.
Higher nurse workloads are associated with more patient deaths, complications, and medical errors - "State Mandated Nurse Staffing Levels Alleviate Workloads, Leading to Lower Patient Mortality and Higher Nurse Satisfaction,"
State-Mandated Nurse Staffing Levels Alleviate Workloads, Leading to Lower Patient Mortality and Higher Nurse Satisfaction | AHRQ Health Care Innovations Exchange
* Medical Care Journal of the American Public Health Association: January 2013
Improving nurses' work environments and staffing may be effective interventions for preventing readmissions. Each additional patient per nurse was associated with the risk of within 30 days of readmission for heart failure (7%), myocardial infarction (9%), and pneumonia (6%). "In all scenarios, the probability of patient readmission was reduced when nurse workloads were lower and nurse work environments were better."
Hospital Nursing and 3 -Day Readmissions among Medicare Patients with Heart Failure, Acute Myocardial Infarction, and Pneumonia
* New England Journal of Medicine, March 17, 2011
"Studies involving RN staffing have shown that when the nursing workload is high, nurses' surveillance of patients is impaired, and the risk of adverse events increases."
"We estimate that the risk of death increased by 2% for each below-target shift and 4% for each high-turnover shift to which a patient was exposed."
NEJM - Error
If Pennsylvania and New Jersey matched California state-mandated ratios in medical and surgical units, New Jersey hospitals would have 13.9 percent fewer patient deaths and Pennsylvania 10.6 percent fewer deaths
* Health Services Research, August 2010
The researchers surveyed 22,336 RNs in California and two comparable states, Pennsylvania and New Jersey, with striking results, including: if they matched California state-mandated ratios in medical and surgical units, New Jersey hospitals would have 13.9 percent fewer patient deaths and Pennsylvania 10.6 percent fewer deaths.
"Because all hospitalized patients are likely to benefit from improved nurse staffing, not just general surgery patients, the potential number of lives that could be saved by improving nurse staffing in hospitals nationally is likely to be many thousands a year," according to Linda Aiken, the study's lead author. California RNs report having significantly more time to spend with patients, and their hospitals are far more likely to have enough RNs on staff to provide quality patient care. Fewer California RNs say their workload caused them to miss changes in patient conditions than New Jersey or Pennsylvania RNs
* Lancet Infectious Disease, July 2008
This study finds that understaffing of nurses is a key factor in the spread of methicillin-resistant Staphylococcus aureus (MRSA), the most dangerous type of hospital-acquired infection. The authors note that common attempts to prevent or contain MRSA and other types of infections such as requirements for regular and repeated hand washing by nurses are compromised when nursing staff are overburdened with too many patients.
Overcrowding and understaffing in modern health-care systems: key determinants in meticillin-resistant Staphylococcus aureus transmission - ScienceDirect
* Critical Care, July 19, 2007
Understaffing of registered nurses in hospital intensive care units increases the risk of serious infections for patients; specifically late-onset ventilator-associated pneumonia, a preventable and potential deadly complication that can add thousands of dollars to the cost of care for hospital patients. Curtailing nurse staffing levels can lead to suboptimal care, which can raise costs far above the expense of employing more nurses
Staffing Level: A Determinant of... (PDF Download Available)
* Medical Care: Journal of the American Public Health Association, June 2007
A review of outcomes for more than 15,000 patients in 51 U.S. hospital ICUs showed that those with higher nurse staffing levels had a lower incidence of infections, such as central line associated bloodstream infections, a common cause of death in intensive care settings. The study found that patients cared for in hospitals with higher staffing levels were 68 percent less likely to acquire an infection. Other measures such as ventilator-associated pneumonia and skin ulcers were also reduced in units with high staffing levels. Patients were also less likely to die within 30 days in these higher-staffed units.
* Evidence Report/Technology Assessment for Agency for Healthcare Research and Quality, May 2007
A comprehensive analysis of all the scientific evidence linking RN staffing to patient care outcomes found consistent evidence that an increase in RN-to-patient ratios was associated with a reduction in hospital-related mortality, failure to rescue, and other nurse sensitive outcomes, as well as reduced length of stay.
* Archives of Internal Medicine, Dec 2006
A national study of the quality of care for patients hospitalized for heart attacks, congestive heart failure and pneumonia found that patients are more likely to receive high quality care in hospitals with higher registered nurse staffing ratios.
* Journal of Nursing Administration, Jan. 2006
Increasing RN staffing increased patient satisfaction with pain management and physical care; while having more non-RN care "is related to decreased ability to rescue patients from medication errors."
* Cancer, Sept. 2005
Patients undergoing common types of cancer surgery are safer in hospitals with higher RN-to-patient ratios. High RN-to-patient ratios were found to reduce the mortality rate by greater than 50% and smaller community hospitals that implement high RN ratios can provide a level of safety and quality of care for cancer patients on a par with much larger urban medical centers that specialize in performing similar types of surgery.
* Nursing Research, March/April 2003
Increasing nurse staffing by just one hour per patient day resulted in a 9% reduction in the incidence of hospital-acquired pneumonia. The cost of treating hospital-acquired pneumonia was up to $28,000 per patient. Patients who had pneumonia, wound infection or sepsis had a greater probability of death during hospitalization.