And specific staff related outcomes majority of the

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and specific staff related outcomes. Majority of the studies showed association between higher patient- nurse ratios and adverse nurse outcomes. The evidence supports that limiting the number of patients a nurse can take improves the quality of patient care. Studies have shown that better staffing is positively associated with higher quality of care ( Wynendaele, Willems and Trybou, 2019).
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Nurse Staffing Ratios 5 Additional studies show a correlation of low nurse staffing levels and missed care (Griffiths et al., 2018). Following the U. S. Nursing Home Reform Act in 1987, which in part saw an increase in staffing levels, the number of residents with pressure ulcer, physical restraints, and urinary catheters decreased within nursing homes (Harrington et al., 2016). Appropriate nurse staffing based on workload in China was shown to decrease patient mortality rates and increased patient satisfaction ( Yu, Ma, Sun, Lu and Xu, 2015). Missed timeliness among patient care was also related to decreased nurse staffing (Dabney and Kalisch, 2015). Nursing leaders agree that a lack of staff compromises patient care (Twigg et al., 2016). Federally mandated minimums for patient to nurse ratios will promote nationwide improvement in patient quality of care and outcomes (Kuwata, 2017). Key stakeholders that would need to be involved to implement the change in patient-nurse ratios are the nurse managers, hospital administrators and the state legislators. The first step is to involve the nurse managers by having them accurately report patient-nurse ratios on a daily basis and the incidence of errors. Having the nurse managers encourage the use of the internal incident reporting system and encouraging staff nurses to use this to report errors will help with accurately monitoring and reporting the issue at hand. The data gathered from the hospitals on error occurrences and staffing will need to be brought to the state legislators to help push for changes in state legislation on staffing requirements. The state legislators would need to be involved in the law making of the new proposed staffing requirements. The hospital administrators would then be involved in implementing the changes throughout the hospital on staffing the floors and units appropriately. One of the biggest barriers to the change is the cost
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Nurse Staffing Ratios 6 associated with staffing the hospital. The cost associated with increasing the workforce might be beyond the hospitals available budget. Another barrier to the change is the national nursing shortage that we are experiencing. This is expected to intensify in the coming years as the baby boomers age and require hospitalization. One strategy in overcoming the cost associated with staffing is the importance of the ACA signed into law in 2010. This law focuses more on the quality of care and the patient outcomes as it
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