OBJECTIVE: The aim of the study was to identify and describe the impact of California’s nurse-to-patient ratios on hospital level outcomes from a comprehensive literature review.
BACKGROUND: While implemented in 2004, questions remain about the effects ratios have had on hospitals’ financial status and access to care.
METHODS: A comprehensive literature review was conducted.
RESULTS: Findings suggest labor costs increased, and some reductions in services were made after the implementation of staffing ratios.
CONCLUSIONS: Implementing staffing ratios had a negative financial impact on selected outcomes of California hospitals.