The Pros And Cons Of Safe Staffing For Nurses

Improved Essays
Sine California passed the law that mandated a safe staffing act; there have been seven other states that adopted laws in regard to staffing for nurses. These states include Oregon, Washington, Ohio Illinois, Connecticut, Rhode Island and Texas. The difference between the other seven states and California, however, is that California has a fixed nursing-to-patient ratio. Majority of the other states tend to model the American Nurses Association Safe Staffing Principles model, which only requires that hospitals have staffing committees, consisting of 50-55% nurses who will develop staffing guidelines that cater to the specific hospital’s needs. Oregon requires hospitals develop hospital-wide nurse staffing plans with input from direct care nurses. …show more content…
staffing plans. Labor unions such as the National Nurses United Association (2015) have a nationwide campaign that supports safe staffing for RNs and patients. They have two bills that are currently in the senate and in the House of Representatives. The National Nursing Shortage Reform and Patient Act (2015) and the Nurse Staffing Standards for Patient Safety and Quality Care Act (2015) both aim to establish direct care registered nurse-to-patient ratios requirements in hospitals. Unlike professional organizations like that ANA, their goal is to mandate minimum and specific numerical ratios within each hospital unit that applies at all …show more content…
The Registered Nurse Staffing Act (2015) will address all the concerns of the stakeholders, hospitals, patients and registered nurses in regards to safe staffing practices. The Registered Nurse Safe Staffing Act of 2015 amends the title XVII Medicare of Social Security Act to mandate that each hospital funded by Medicare, implements a hospital-wide staffing plan for all nursing services provided by the institution. This plan requires that an appropriate, yet not fixed, number of registered nurses provide direct care on each of the hospital’s unit during each shift. The staffing plan will allow for variation in the number of nurses on each unit/shift based on the characteristics of the patients and the unit. This will result in the delivery of safe quality care. Each hospital must develop a hospital nurse staffing committee who will be responsible for implementing the plan. Any hospital found violating the requirements of the act would be penalized. The bill was introduced in Senate on April 29th, 2015 and currently referred to the Committee on Finance. At this time the committee must take action on the bill by scheduling a hearing or else the bill will “die” as in previous years. If the bill does advance and is scheduled for a public

Related Documents

  • Decent Essays

    Critics of safe staffing guidelines argue that this will only increase their high operational costs. When you look at everything that will result from the guidelines it will show that safe staffing patterns can be very cost effective. High nursing turnover and the need to utilize agency or traveling nurses increase nursing costs. By keeping nurses satisfied, less stressed, and with the tools to adequately care for their patients those issues are nonexistent which places staffing costs back in budget. Safe staffing guidelines will improve performance, improve patient mortality rates, and decrease liability.…

    • 177 Words
    • 1 Pages
    Decent Essays
  • Superior Essays

    Safe Harbor, two words nurses use to protect themselves and the safety of their patients during times of unfavorable working condition. Texas Board of Nursing (TBON, n.d.a) clarifies Safe Harbor as a nursing peer review process the nurse may initiate, under good faith, when asked to engage in assignments or conduct the nurse believes to violate Standards of Practice, Duty to Patient, or Nursing Practice Act (NPA) (“Safe Harbor Peer Review”). Registered nurse of 20 years and a peer review committee member, V. Clay states the hospital follows the TBON policies exactly when initiating, processing, and completing a Safe Harbor peer review (Personal Communication, June 24, 2016). As the nursing shortage remains steady and hospital units are required…

    • 997 Words
    • 4 Pages
    Superior Essays
  • Improved Essays

    These all are positive effects on a health care system for having staffing ratios. A con for this bill would be several organizations may not be able to afford to hire the additional nursing staff, which could cause facilities to close or cause patient costs to increase. With the shortage of nurses now, I am wondering if they have taken into consideration that facilities may mandate nurses to work extended shifts to meet these requirements? Overall, I believe there are more pros than cons in the H. R. 2083 /S. 1132, Registered Nurse Safe Staffing…

    • 453 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    I personally have not had any direct interaction with the Kansas State Board of Nursing. During my senior year of high school I obtained my certified nursing assistant license, which I have only had to renew once. My current job at Overland Park Regional Medical Center does not enforce that I have to reinstate my license since I am currently in nursing school pursing my degree. With graduation coming up soon I am sure all of us will have communication with the BON (Board of Nursing) before we know it.…

    • 361 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Unionization is good for the nursing profession because it gives power and strength to nurses who can negotiate contracts in numbers and can identify working conditions, including acceptable nurse-to-patient ratios, standard of care, and overtime, pay scale, benefits, and paid time off. According to Sanders and McCutcheon (####), a major issue in the negotiations is the nurse-to-patient staffing ratios. In 1999 California became the first state to mandate minimum nurse-to-patient ratios in hospitals (Coffman, Seago, Spetz, 2002). Nurses believed in acceptable nurse-to-patient ratios and wanted to prevent jeopardizing quality patient care and prevent nurses from leaving the profession.…

    • 424 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Powered byLoading... NDNQI Taylor, Page 1 Kim Taylor HBI 110-801 December 13, 2015 NDNQI NDNQI stands for National Database of Nursing Quality Indicators. It is the only national nursing database that provides quarterly and annual reporting of structure, process and outcome indicators to evaluate nursing care at the unit level. It links between nurse and staffing levels using patient outcomes that have already been demonstrated through the use of this database. Presently over 1100 facilities in the United States add to this rising database which can now be used to show the cost-effective effects of several levels of nurse staffing.…

    • 1039 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    Health Legislation Policy

    • 703 Words
    • 3 Pages

    - requires each participating hospital to establish a hospital nurse staffing committee which shall implement such plan. This plan would be based on a number of factors such as the number of patients on the unit, severity of the patients’ conditions, experience and skill level of the RN, availability of support staff and technological resources. In addition to all this, the bill also seeks to ensure that RN’s are not forced to work in units where they are not trained or experienced. Establish adjustable minimum numbers of RN’s and take into account the staffing levels and services provided by other healthcare personnel associated with nursing…

    • 703 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Nurse Practice Act As a registered nurse, the most important responsibility to have is to the patient. The nurse is a trusted advocate, not only providing care, but also education and support that benefits the patient’s overall well-being. There is an obligation that registered nurses must maintain a safe and competent practice for every aspect of nursing and this is how the Nurse Practice Act becomes incorporated into the care. Many possibilities can arise in nursing and situations are never the same, thus, continuously creating new standards produced by laws. These standards are constantly changing due to the growth and demand of society and accomplishes protection for clients and the guidance of nurses in their practice (Russell, 2012,…

    • 736 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Nurse Patient Ratio Essay

    • 1527 Words
    • 7 Pages

    This program consists of a group of nurses who reach out to members of congress in order to ensure that the issues concerning nursing are heard (American Nurses Association [ANA], 2014). Members of this organization have the opportunity to meet with local and state legislatures, which is a great opportunity to network and promote the…

    • 1527 Words
    • 7 Pages
    Improved Essays
  • Decent Essays

    Mandatory Staffing Ratio

    • 312 Words
    • 2 Pages

    Creating a mandatory staffing ratio between nurses and patients will prevent many medical errors. Medical errors account for 98,000 preventable patient deaths each year, these can be caused by distractions, interruptions, ineffective communication, etc (Townsend, 2013). Over working our nurses can create higher nurse burnout and worsening health. We don’t need research to show that fatigue and sleep deprivation causes memory problems, slower reaction time, longer information processing time, and many other issues that leads to unsafe outcomes for patients and nurses themselves. On top of high patient to nurse ratios, most hospitals in the US are still allowing nurses to work 12 hours shifts because that means they don’t have to hire as many…

    • 312 Words
    • 2 Pages
    Decent Essays
  • Improved Essays

    Appropriate Staffing

    • 480 Words
    • 2 Pages

    Appropriate staffing is one of the many factors that go into the quality of patient care. During my time on the observational floor the staffing levels have been consistent. Staffing included four Registered Nurses (RN), each caring for up to six patients and three unlicensed technicians caring for up to 12 patients each. The RN's on the observational floor take care of admissions, giving medications, continuous monitoring of patients as they are typically being transferred from the emergency room with a wide variety of health conditions, patient teaching and discharge. The technicians on the observational floor assist RN's as needed, assist with patient requests within scope of practice, draw blood for labs, take vital signs, take blood sugar…

    • 480 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Safe Staffing Ratios on a Med-Surge Unit Nurse staffing is a complex issue with no easy or quick solution. Staffing needs and problems will intensify as the changing need for health care grows in our society. Nurses have an integral and important role in the health care system. In order to retain nurses and have quality patient care, acceptable nurse to patient ratios must be obtained. Hiring additional staff is an economic issue, however, the outcomes could offset the cost.…

    • 1026 Words
    • 5 Pages
    Improved Essays
  • Great Essays

    A Nurse’s Role Providing patient safety is not the of a nurse. The nurse must also show commitment, from the code of ethics, to provide competent and ethical care. Registered nurses also have the professional obligation to raise concerns regarding any patient assignment that may put the patient, the nurse or both at risk. This professional obligation is anchored in the Nursing’s Social Policy Statement Code of Ethics for Nurses with Interpretive Statements Nursing Scope and Standards of Practice. Under the Provisions of the Code of Ethics provision 3 it states, “The nurse promotes, advocates for, and protects the rights, health, and safety of the patient”.…

    • 1151 Words
    • 5 Pages
    Great Essays
  • Improved Essays

    Patient safety, my last key point, aligns with the supporting resource, Professional Collaboration: Who Should Determine Safe Staffing for Nurses?" because this resource demonstrates that when there is enough staff to care for clients, the rate of mortality decreases…

    • 943 Words
    • 4 Pages
    Improved Essays
  • Great Essays

    A nursing shortage provides opportunities for future nurses; however, it causes consequences as well. The impacts of low nursing levels have several negative effects, such as increased risk for medical errors, death, workplace injuries, etc. For a healthcare facility to work efficiently, effectively and safely, there needs to be a sufficient number of working nurses and experienced nurses available to care for patients. Since there is a close connection between patient safety and nurses, staffing levels have become a concern for the public, government and healthcare…

    • 1017 Words
    • 5 Pages
    Great Essays

Related Topics