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.
Author Affiliation: Assistant Professor, Orvis School of Nursing, University of Nevada, Reno.
The author declares no conflicts of interest.
Correspondence: Dr Serratt, University of Nevada, Reno, 1664 N Virginia St, Reno, NV 89557 (firstname.lastname@example.org).
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