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Nursing Ratios Brochure

The information does not need to be in brochure format. I appreciate any help with this information.

Develop a brochure, which reflects the controversial issues of the mandated nurse-patient ratios. You can use the brochure template available in Word (Microsoft Publisher is NOT allowed). California is a good example, if your state does not mandate nurse-patient ratios. The brochure needs to include the following:

a. The facts (explanation of what it means, actual ratios, staging progression of ratio proposed)
b. History
c. Is this legislative regulation effective to support a positive nursing work environment?
d. Controversial aspects for the nursing profession, health care organizations, consumers, others.
e. Your opinion (Editorial comments)
f. Answer the following questions in your editorial summary:

1) Do you believe that legislated patient ratios are an effective way to manage the nursing workload?

2) Would you consider the response to mandated ratios in California to be positive (why), or are there additional issues that have arisen since the legislation has been enacted?

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Interesting topic! Let's look at each section through discussion and links for further expansion. I also attached two supporting articles.


a. The facts (explanation of what it means, actual ratios, staging progression of ratio proposed)

Establishing safe staffing ratios is a nationwide movement to protect patients. Nurses have requested the assistance of elected officials on the state and federal level to protect patients by holding hospitals accountable for the provision of adequate nurse staffing through legislative or regulatory means. Safe staffing ratios is the setting of minimum ratios of staff-patient for each type of care unit, requiring use of patient classification / patient acuity system before adjusting the legislated minimum ratios.

The minimum-staffing ratio represents the ratio that is deemed safe for providing quality care to patient.

In California, legislation mandated specific nurse to patient ratios (1: 5 respectively) based on patient acuity.

In 1999, for exmaple, legislation was enacted in CA calling for regulations to be adopted that would define the same unit specific nurse to patient ratios to be utilized in all nursing units in all California hospitals. Currently, a few states now require specific ratios in specialty areas such as intensive care and labor and delivery units, but none require ratios in every patient care unit in every hospital as required in the California regulations. The mandated ratios represent minimum requirements that may be adjusted based upon patient acuity. California hospitals have been required to utilized a patient classification system, described in regulations by the California Department of Health Services, since 1986. The system is intended to set nursing staffing levels that identify the nursing care requirements of individual patients, and indicate to the hospital the amount of nursing staff needed to provide the identified care by patient, by unit and by shift. The California staffing ratio legislation, first enacted in 1999 with subsequent amendments is enhanced by the continuation of the mandated use of a patient classification system.

For empirical findings of actual ratios please see chart of ratios at, p. 48).

b. History

IN 1999, California passed Assembly Bill 394, which was the first comprehensive legislation in the United States to establish minimum staffing ratios for registered nurses (RNs) and licensed vocational nurses (LVNs) working in hospitals. AB 394 directs the California Department of Health Services (DHS) to establish "minimum, specific, and numerical licensed nurse-to-patient ratios by licensed nurse classification and by hospital ...

Solution Summary

This solution discuses the sections of the nursing ratios brochure, including an editorial summary. Supplemented with two articles on minimum staffing ratios.