I absolutely agree that nurses should have staffing ratio laws! I am in school for my BSN and recently did an assignment about this topic. Unfortunately, hospital administrators are going to try and stop any legislation change that will cost them more money, even if it is at the cost of the patients. Healthcare systems are being pushed more than ever to be efficient with their spending- which they do by cutting staffing. I think it is senseless for nurses to work with high patient loads. The research that supports low nurse to patient ratios has been around since 1990s! In 1999 it was found between 168 hospitals in Pennsylvania, investigators reported that for each additional patient a nurse was assigned, there was a seven percent increase in the likelihood of dying for a patient under that nurse's care†(f/ Nursing World). I don't see how mandated staffing ratios could be in the near future for areas that are more conservative like Ohio. I think it is great that California and New York have passed laws. Hopefully, in the years to come more research will be published that shows how safe nurse ratios help patients and hospitals! Realistically, one step towards safe ratios would be if hospitals had to report their staffing ratios as one of their public statistics. Right now, "hospitals aren't required to disclose staffing ratios at all, which makes it difficult to track whether they're improving or to compare one hospital with another. If nurse-to-patient ratios became one of the public metrics that go into rankings and evaluations" (Washington Post). The statistics could also be used to prove that hospitals with horrible nurse-to-patient ratios have poorer patient outcomes and cost hospitals more money in the long run. Washington Post: More nurses are better for patients. Why is it so hard to get hospitals to hire them? - The Washington Post Nursing World: Mandatory Hospital Nurse to Patient Staffing Ratios: Time to Take a Different Approach