The above links will take you to the Center for the Health Professions
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Minimum
Nurse Staffing Ratios in California Acute Care Hospitals Assembly Bill 394 (1999) directed the California Department of Health Services to establish "minimum, specific, and numerical licensed nurse-to-patient ratios by licensed nurse classification and by hospital unit." This legislation also limited scopes of practice for unlicensed personnel. AB394 generated considerable attention nationwide. California was the first state to legislate minimum nurse staffing ratios, although ratios have been specified in union contracts at hospitals in several other states. Since passage of AB394, similar bills were introduced in several other states. AB 394 may have a major impact on demand for nursing personnel, the adequacy of nursing supply and the quality of nursing care provided to consumers. Unions representing nurses saw this bill as a means for improving patient and employee safety. Hospitals were concerned that AB 394 would exacerbate the difficulties they face in recruiting and retaining nurses. Building on the Center's previous work, the California Workforce Initiative
conducted research and analysis to inform the development of the minimum
nurse staffing regulations; collected information to inform the ratio-setting
methodology, looked at "best practices" in hospitals across
the state; and convened key stakeholders, including representatives of
hospitals, labor unions and professional associations to share research
findings and to discuss options for determining how to set the ratios To download this report click here. To download updated data tables (September 2001) based on this study click here. To download estimated cost and staffing impacts of the Governor's proposed ratios (January 2002), click here. For more information about this project, please contact Jean Ann Seago. Staff members of this project included: Janet Coffman, MPP This project was funded by the California
HealthCare Foundation and the U.S.
Bureau of Health Professions.
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