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Essay / Research Paper Abstract
A 6 page research paper in outline form that argues the "con" position in the debate concerning the efficacy of legislated nurse/patient ratios. Bibliography lists 7 sources.
Page Count:
6 pages (~225 words per page)
File: D0_khnurp.rtf
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Unformatted sample text from the term paper:
they see it as the only way feasible of forcing all health care employers to employ an adequate nursing staff. However, as Kathy Malloch, RN, PhD, a health care consultant,
points out, the letter of the law frequently creates situations that are either inappropriate or impossible (Shindul-Rothschild, et al, 2003). Examination of this issue shows that while there are legitimate
reasons for supporting legislating nurse/patient ratios, this legislation causes more problems than it remedies. I. Pro side -- There are many studies fueling the incentive to have legislated nursing/patient
ratios. A. Published in the Journal of the American Medical Association (JAMA) in the fall of 2003, a study by Linda H. Aiken, RN, PhD, and her fellow researchers
at the University of Pennsylvania added fuel to the controversy over nursing quotas due to the fact that their study data suggested that patients have a "substantial survival advantage if
treated in hospitals with a higher proportion of nurses educated at the baccalaureate level or higher (Long, Bernier and Aiken, 2004). 1. Aiken, et al, not only suggest that there
should be nursing ratios, but that RNs with university degrees should be favored over those with associated degrees. However, other voices have pointed to problems in Aikens conclusions. B.
Sharon Bernier, RN, PhD and President of the National Organization for Associate Degree Nursing, points out that Aikens study also showed that hospitals that employ more associate degree nurses could
also be characterized as having fewer technological resources and high workloads (Long, Bernier and Aiken, 2004). C. One would logically expect hospitals with such noticeably weaker resources and higher
workloads to also encounter higher mortality rates, regardless of their staffing characteristics. Despite this the study cited nursing educational levels as the only primary cause of higher mortality. D.
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