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Jwilson policydebriefingdocument 01262021

Jwilson policydebriefingdocument 01262021

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Policy Briefing Document

Jennifer L. Wilson, RN

Rasmussen University

NUR4327: Influence of Policy, Finance & Law on Healthcare

Professor David Campbell-Odell

January 26,2021

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Executive Summary

Unmanageable situations are being increasingly placed upon nurses by their management, who

demand they care for more patients than what is safe (NNU,2019). The unsafe patient-to-nurse

staffing ratios are an issue for both nurses and patients and are proliferating.

The ability to deliver safe, quality care to patients in all practice settings depends upon adequate

staffing to patient ratio. As the number of patients increases, the quality of patient care decreases.

It is essential to hire more nursing staff to maintain a safe level of nurse-to-patient ratios.

The first state on board to establish minimum RN-to-patient ratios for hospitals was California

(Kasprak, 2004).

Context and Importance of the Problem

California State Senator Sheila Kuehl authored Assembly Bill 394, known as the California RN

Staffing Ratio law, and sponsored by the California Nurses Association and National

Nurses of California (IHSP, 2001). In February of 1999, the introduction of Assembly Bill 394

occurred; this bill was signed into law by Governor Gray Davis in the fall of 1999 (IHSP, 2001).

The regulation to meet the new staffing requirements become effective in 2004 after 2003

implementation of the law occurred (IHSP, 2001). The first introduction attempts of this

legislation occurred in the Assembly in 1993, but the bill died in committee (IHSP, 2001). In

1997 with AB 695, the legislature passed another attempt: however, former Governor Wilson

vetoed this law (IHSP, 2001). over a decade passed before this legislation was adopted, and

implementation of this policy occurred in hospitals.

The creation of AB Three hundred ninety-four addresses concerns with the safety and health of

the increasing number of patients admitted into hospitals, alongside the demand on nurses to care

for these patients. California realized that nurses' growing demand had become unsustainable and

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Policy Briefing Document Jennifer L. Wilson, RN Rasmussen University NUR4327: Influence of Policy, Finance & Law on Healthcare Professor David Campbell-Odell January 26,2021 2 Executive Summary Unmanageable situations are being increasingly placed upon nurses by their management, who demand they care for more patients than what is safe (NNU,2019). The unsafe patient-to-nurse staffing ratios are an issue for both nurses and patients and are proliferating. The ability to deliver safe, quality care to patients in all practice settings depends upon adequate staffing to patient ratio. As the number of patients increases, the quality of patient care decreases. It is essential to hire more nursing staff to maintain a safe level of nurse-to-patient ratios. The first state on board to establish minimum RN-to-patient ratios for hospitals was California (Kasprak, 2004). Context and Importance of the Problem California State Senator Sheila Kuehl authored Assembly Bill 394, known as the California RN Staffing Ratio law, and sponsored by the California Nurses Association and National Nurses of California (IHSP, 2001). In February of 1999, the introduction of Assembly Bill 394 occurred; this bill was signed into law by Governor Gray Davis in the fall of 1999 (IHSP, 2001). The regulation to meet the new staffing requirements become effective in 2004 after 2003 implementation of the law occurred (IHSP, 2001). The first introduction attempts of this legislation occurred in the Assembly in 19 ...
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