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Rx for the Nursing Crisis? The Economic Impact of Mandatory RN Staffing to Patient Ratios

Boston College, William F. Connell School of Nursing, Chestnut Hill, MA.

Sharon Andres, RN, MBA

University of Maryland General Clinical Research Center (GCRC)

Monique Fountain, MD, MBA

Johns Hopkins University, Bloomberg School of Public Health, Baltimore, MD.

Acquenetta Wheeler, MD, MBA

Maryland and Physician’s Care, Baltimore, MD.

Efforts to legislatively mandate minimum registered nurse (RN) to patient ratios is a complex issue that appears to benefit RNs and patients alike. However, such ratios have significant economic implications for the RN workforce, patient care delivery, hospitals, third-party payors and purchasers of health care, and nursing education. The potential changes in market demands and unintended consequences for each of these entities are explored. Evidence indicates that mandatory RN to patient ratios have some significant downsides that need to be considered prior to adoption.

Policy, Politics, & Nursing Practice, Vol. 3, No. 3, 220-227 (2002)
DOI: 10.1177/15254402003003005


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