OBJECTIVE: The aim of the study was to identify and describe the impact of California's nurse-to-patient ratios on hospital level outcomes from a comprehensive literature review. BACKGROUND: While implemented in 2004, questions remain about the effects ratios have had on hospitals' financial status and access to care. METHODS: A comprehensive literature review was conducted. RESULTS: Findings suggest labor costs increased, and some reductions in services were made after the implementation of staffing ratios. CONCLUSIONS: Implementing staffing ratios had a negative financial impact on selected outcomes of California hospitals.
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Teresa Serratt (2013) studied this question.
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