jWilson_policydebriefingdocument_01262021.docx - Policy...

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Policy Briefing DocumentJennifer L. Wilson, RNRasmussen UniversityNUR4327: Influence of Policy, Finance & Law on HealthcareProfessor David Campbell-OdellJanuary 26,2021
2Executive SummaryUnmanageable situations are being increasingly placed upon nurses by their management, who demand they care for more patients than what is safe (NNU,2019). The unsafe patient-to-nurse staffing ratios are an issue for both nurses and patients and are proliferating. The ability to deliver safe, quality care to patients in all practice settings depends upon adequate staffing to patient ratio. As the number of patients increases, the quality of patient care decreases.It is essential to hire more nursing staff to maintain a safe level of nurse-to-patient ratios.The first state on board to establish minimum RN-to-patient ratios for hospitals was California(Kasprak, 2004).Context and Importanceof the ProblemCalifornia State Senator Sheila Kuehl authored Assembly Bill 394, known as the California RN Staffing Ratio law, and sponsored by the California Nurses Association and NationalNurses of California (IHSP, 2001). In February of 1999, the introduction of Assembly Bill 394 occurred; this bill was signed into law by Governor Gray Davis in the fall of 1999 (IHSP, 2001). The regulation to meet the new staffing requirements become effective in 2004 after 2003 implementation of the law occurred (IHSP, 2001). The first introduction attempts of this legislation occurred in the Assembly in 1993, but the bill died in committee (IHSP, 2001). In 1997 with AB 695, the legislature passed another attempt: however, former Governor Wilson

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