1. Scott, Kimberly RN

Article Content

I am a nursing supervisor at a San Francisco Bay Area hospital, and I've observed firsthand the implementation of California's nurse-patient ratio law, which was completed last January (AJN Reports, "California's Ratio Law, Four Years Later," March). But rather than see patient care improve, I've seen the opposite. On a daily basis, nurses frantically run around with little time to read their patients' charts. I have asked my charge nurses why the situation hasn't improved if they are caring for fewer patients, and they tell me they have sicker patients, less help from ancillary providers, and increased paperwork and are dealing with a host of broken systems. Is it safe to assume that California's nurse-patient ratio law has not been as effective as initially thought?


Your article on this topic confirmed that better ratios alone will not improve our work environment. As Marilyn Chow of Kaiser Permanente says in the article, it isn't just one factor that will lead to improved job satisfaction.


I am all for the ratios if they lead to safer, higher-quality patient care, but the result can't be closed hospitals, reduced resources, or a nursing workforce that is dissatisfied.


Kimberly Scott, RN


Hayward, CA


Section Description

AJNwelcomes letters to the editor regarding recently published articles, although critiques of original research may be submitted at any time. Submissions must be typed, contain fewer than 300 words, and list the correspondent's name, address, and phone number or e-mail address; include no more than three references for any statistics or studies cited. Letters will be edited for length, clarity, and accuracy. Submission of a letter will constitute the author's permission to publish it, although it doesn't guarantee publication. Letters become the property of AJN and may be published in all media. Send letters to AJN Lippincott Williams & Wilkins 333 Seventh Avenue, 19th Floor New York, NY 10001 (212) 886-1206 (fax)