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About The Issue

Massive reductions in nursing budgets, combined with the challenges presented by a growing nursing shortage have resulted in fewer nurses working longer hours and caring for sicker patients. This situation compromises care and contributes to the nursing shortage by creating an environment that drives nurses from the bedside.

ANA and its Constituent & State Nurses Associations (C/SNAs) in the states are promoting legislation to hold hospitals accountable for the development and implementation of valid, reliable, unit-by-unit nurse staffing plans. These staffing plans, based upon ANA's Principles for Nurse Staffing (member login required), are not mandated ratios. They are created in coordination with direct care registered nurses (RNs) themselves, and based on each unit's unique circumstances and changing needs.

Read more »


News Release: ANA Commends Introduction of the Registered Nurse Safe Staffing Act »

Safe Staffing Fact Sheet »

ANA's Principles for Nurse Staffing, 2nd Edition (Member Login Required) »

Registered Nurse Safe Staffing Act (Full text, Cosponsors, & Latest Actions) »

State Safe Staffing Legislation »

Tools for Providing an Optimal Work Environment