Safe Staffing Ratios

Large group of nurses hold signs "Safe Staffing Saves Lives"

NNU’s proposal for minimum, mandated, nurse-to-patient staffing ratios protect our patients’ right to nursing care. We know that every patient deserves a single standard of high-quality care. Safe staffing ratios, coupled with nurses’ powerful voice of advocacy secured in collective bargaining, protect our patients from complications that arise from missed care such as medical errors, health care disparities, infections, and so much more. Read more »

Four nurses outside Capitol Building in Washington, D.C. holding signs "Safe Staffing Saves Lives"

Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act fact sheet

Read our fact sheet on legislation that would protect patients and improve health care by setting mandated, minimum, registered nurse-to-patient staffing ratios.

Group of nurses outside, wearing red, smiling, raised fists, holding signs "Staff Up For Safe Patient Care"

There is No Nurse Shortage

There is a nurse retention crisis due to the hospital industry’s systematic failure to invest in safe, quality, human-to-human patient care. Hospital management has created a staffing crisis.

About safe staffing ratios

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Infographic of proposed federal RN-to-patient safe staffing ratios

The science of ratios 

Decades of studies have shown that more nurses equate to lives saved and fewer complications. Researchers have been focusing on what exactly is the mediating link between increasing RN staffing and improved outcomes.

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Signs outside California State Capitol building calling for safe staffing ratios

Learning from the California experience 

In 1999, the registered nurses of the California Nurses Association successfully sponsored and lobbied the California Legislature to pass A.B. 394, the historic bill that made minimum, specific numerical staffing ratios the golden standard in the Golden State.

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Group of nurses outside California State Capitol building holding signs "Hands Off Our Ratios"

What does the California ratios law actually require? 

The CNA-sponsored safe staffing law has multiple provisions designed to remedy unsafe staffing in acute-care facilities. California’s safe staffing standards are based on individual patient acuity, of which the RN ratios is the minimum.

We need your help to get the Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act passed to improve working conditions for nurses and to protect patients. Take action by urging your elected officials to support this critical legislation.

Reports

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Close up of nurse scrub with pin "Safe Staffing Saves Lives"

Protecting Our Front Line: Ending the Shortage of Good Nursing Jobs and the Industry-created Unsafe Staffing Crisis 

In this report, National Nurses United describes how the hospital industry has driven registered nurses from the bedside.

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Nurses holding signs "Safe Staffing Saves Lives"

RN Staffing Ratios: A Necessary Solution to the Patient Safety Crisis in U.S. Hospitals 

NNU stands ready to help you bring ratios to your state. Read our booklet to learn more.

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Two nurses smiling, inside hospital, holding signs "Staff Up For Safe Care"

RN Staffing Ratios Whitepaper 

Registered nurse staffing levels that facilitate safe, competent, therapeutic, and effective care are vital to the safety of patients in U.S. hospitals. Research reveals that these ratios are associated with lower mortality, lower nurse burnout, and better nurse retention.

Videos

Safe staffing ratios protect patients and nurses

Safe RN ratios have been proven to improve the quality of care and nurse recruitment and retention in California hospitals.

California and beyond

California is the only state in the country that puts a legal limit on the number of patients a nurse can be made to care for at one time. National Nurses United fights for safe staffing ratios in our union contracts and for federal legislation for safe staffing ratios. 

Articles

National Nurses United applauded the reintroduction of federal legislation to mandate minimum registered nurse-to-patient ratios in every hospital across the country. The bill is sponsored by Rep. Jan Schakowsky and new Senate sponsors, Sen. Alex Padilla and Sen. Jeff Merkley.
Thousands of registered nurse members of National Nurses United (NNU) held actions, including marches, protests, and rallies, on Jan. 16 to demand the hospital industry ensure safe staffing levels and patient safeguards amidst the rapid introduction of artificial intelligence technologies.
Registered nurses who work at Veterans Affairs (VA) hospitals around the country, from New York to Ohio to North Carolina to Florida, held a national week of action in August. The nurses are calling on the VA to lift what is in effect a hiring freeze that has contributed to more than tens of thousands of vacancies across the health system, including thousands of RN positions.

Press releases

California nurses are celebrating today, June 1, the historic implementation of long-awaited safe nurse-to-patient staffing ratios in the state’s acute psychiatric hospitals (APH) that should dramatically improve the care behavioral health patients receive and that RNs can provide.
Nearly 1.15 million registered nurses (RNs) with active licenses are not working as nurses, announced National Nurses United (NNU). NNU reached this number by comparing the latest Bureau of Labor Statistics data, released on May 15, with data covering the same period from the National Council of the State Boards of Nursing.
Registered nurses at Houlton Regional Hospital in Houlton, Maine, will begin a four-day strike on Tuesday, May 26, to protest management’s refusal to address their deep concerns about emergency department staffing and its impact on patient care.
Registered nurses at SSM Health Saint Louis University Hospital in St. Louis, Mo., will hold a rally on Tuesday, Dec. 23, to highlight chronic short staffing and ongoing safety concerns that SSM Health has repeatedly refused to address.