Labour standards and practice

Safety in Numbers: Nurse-to-Patient Ratios and the Future of Health Care 2008

Client:  AN - Australian Nurses Federation/Cornell University Press

Legally mandated nurse-to-patient ratios are one of the most controversial topics in health care today. Safety in Numbers is the first book to examine the arguments for and against ratios, utilizing survey data, interviews, and other original research to 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. It shows 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, and provides an in-depth account of the difficult but ultimately successful campaigns waged by nurses and their allies to win mandated ratios. Safety in Numbers analysis of the nurse-to-patient ratios debate contributes to an understanding of the issue for anyone concerned about the quality of patient care contemporarily.

Report Available Online