Safe RN-to-Patient Staffing Ratios

Large group of nurses outside The Capitol Building hold signs "Safe Staffing Saves Lives"

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

NNU’s proposal for minimum, mandated, nurse-to-patient staffing ratios protects our patients’ right to nursing care. Read our booklet to learn more.

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.

Group of nurses inside hosptial holds signs "Staff Up! For Safe Care"

Exploring the Origins of the Nurse Staffing Crisis

This CE course will examine the root causes of the so-called nursing shortage, including the corporatization of health care and the devaluation of nursing labor that has left our health care system ill-equipped to handle public health threats like Covid-19.

About Safe Staffing Ratios

Graphic of recommended nurse to patient ratios by unit

Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act

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 inside hospital hold signs "Safe Staffing Saves Lives"

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.

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.

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.

RN Staffing Ratios Whitepaper

Learn more by reading NNU's staffing ratios whitepaper.

The Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act would set specific safety limits on the numbers of patients each registered nurse can care for in hospitals throughout the United States.

Send your members of Congress a message telling them to pass this legislation and put an end to the unsafe staffing crisis!


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: National Nurses United Fights for Safe Staffing Ratios

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.

Safe Staffing Ratios Help Nurses Address Disparities in Health Care

Studies show that staffing ratios save lives, yet understaffing is a major issue RNs struggle with every day. Together, we can change that.

Join our Safe Staffing Rapid Response Team to be part of a dedicated team of online volunteers. Members of the team will get first notice about developments and news regarding safe staffing  and will be ready to take action both online and in their communities.

Nurses outside hospital hold signs "Keep nurses and patients safe"

'Treat us better': Nurses flee hospital jobs because working conditions aren't safe

Nurses know the United States is not feeling a true nursing shortage, only a shortage of nurses willing to risk their licenses or their patients’ lives by working in unsafe conditions.

Nurses outside hold signs "Safe Staffing Now"

Nurses urge federal government to address hospital staffing crisis

RNs from across the country explained the understaffing crisis at a Congressional briefing, which accompanied the launch of a new NNU report.

Nurses picketing for safe staffing

The truth about the Twin Cities’ health care bed shortage

Hospitals have traditionally run with minimal staffing and at maximum capacity. ER waits and closures, due to lack of staffing, were not new with Covid-19. Those practices have been in place for several years before Covid-19 happened.

Press Releases

Nurses will hold an informational picket on April 27 to protest chronic short staffing and the administration’s refusal to address RNs’ deep concerns about patient care and safe staffing.
Celebrants to the 2022 Frist Gala at the Frist Art Museum in Nashville will be greeted by nurses with a reminder of the less-than-celebratory record of the Frist family and the health care corporation it cofounded while reaping enormous profits during the Covid-19 pandemic.
Registered nurses at UCLA and UCSF medical centers will hold rallies and press conferences on Wednesday, April 27 to demand the University of California address critical, ongoing staffing and patient safety issues.
Registered nurses at nine Tenet hospitals throughout California will hold actions April 27 to raise awareness of chronic understaffing and high turnover rates at the hospitals.