Safety in Numbers

Safety in Numbers

Nurse-to-Patient Ratios and the Future of Health Care
Suzanne Gordon, John Buchanan, Tanya Bretherton

This book is also available as an ebook from Amazon/Kindle, iBooksGoogle EbooksKobo, and Nook.

First-place Winner of the 2009 AJN Book of the Year Awards (Leadership and Management, Public Interest and Creative Works)



Legally mandated nurse-to-patient ratios are one of the most controversial topics in health care today. Ratio advocates believe that minimum staffing levels are essential for quality care, better working conditions, and higher rates of RN recruitment and retention that would alleviate the current global nursing shortage. Opponents claim that ratios will unfairly burden hospital budgets, while reducing management flexibility in addressing patient needs.

Safety in Numbers is the first book to examine the arguments for and against ratios. Utilizing survey data, interviews, and other original research, Suzanne Gordon, John Buchanan, and Tanya Bretherton weigh the cost, benefits, and effectiveness of ratios in California and the state of Victoria in Australia, the two places where RN staffing levels have been mandated the longest. They show how hospital cost cutting and layoffs in the 1990s created larger workloads and deteriorating conditions for both nurses and their patients—leading nursing organizations to embrace staffing level regulation. The authors provide an in-depth account of the difficult but ultimately successful campaigns waged by nurses and their allies to win mandated ratios. Safety in Numbers then reports on how nurses, hospital administrators, and health care policymakers handled ratio implementation.

With at least fourteen states in the United States and several other countries now considering staffing level regulation, this balanced assessment of the impact of ratios on patient outcomes and RN job performance and satisfaction could not be timelier. The authors' history and analysis of the nurse-to-patient ratios debate will be welcomed as an invaluable guide for patient advocates, nurses, health care managers, public officials, and anyone else concerned about the quality of patient care in the United States and the world.




Also of interest

Working Construction
Why White Working-Class Men Put Themselves—and the Labor Movement—in Harm's Way
Kris Paap

Series

The Culture and Politics of Health Care Work

Subjects

Labor and Workplace Issues : Anthropology/Sociology of Work
Labor and Workplace Issues : Business and Management Studies
Medicine : Health Care Professions and Policy

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