- •California is the only state with a minimum hospital nurse staffing mandate.
- •Postmandate, staffing improved faster in California than in other states.
- •During the Great Recession, nurse staffing was stable in California hospitals.
- •Hospital nurse staffing declined in other states during the Great Recession.
- •Entropy balancing helped account for systematic differences in California hospitals.
Purchase one-time access:Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
One-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
- Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction.JAMA. 2002; 288: 1987-1993https://doi.org/10.1001/jama.288.16.1987
- Nurse staffing and education and hospital mortality in nine European countries: A retrospective observational study.The Lancet. 2014; 383: 1824-1830https://doi.org/10.1016/S0140-6736(13)62631-8
- Implications of the California nurse staffing mandate for other states.Health Services Research. 2010; 45: 904-921
American Hospital Association. (2018). Trendwatch Chartbook 2018: Trends affecting hospitals and health systems. https://www.aha.org/system/files/2018-07/2018-aha-chartbook.pdf
American Hospital Association. (2020). Data collection methods: American Hospital Association. AHA Data & Insights. https://www.ahadata.com/data-collection-methods/
- The balanced budget act of 1997 and US hospital operations.Inquiry. 2004; 41: 401-417https://doi.org/10.5034/inquiryjrnl_41.4.401
- Trends in inpatient admission comorbidity and electronic health data: Implications for resident workload intensity.Journal of Hospital Medicine. 2018; 13 (PMID: 29578553): 570-572https://doi.org/10.12788/jhm.2954
- The economic value of professional nursing.Medical Care. 2009; 47: 97-104
- Matching and regression to the mean in difference-in differences analysis.Health Services Research. 2018; 53: 4138-4156https://doi.org/10.1111/1475-6773.12993
- Nursing and the great recession.Monthly Labor Review. 2017; 140
- Is nursing recession-proof?.MCN: The American Journal of Maternal/Child Nursing. 2009; 34: 274https://doi.org/10.1097/01.NMC.0000360415.54906.92
- Entropy balancing for causal effects: A multivariate reweighting method to produce balanced samples in observational studies.Political analysis. 2012; 20: 25-46
- Ebalance: A Stata package for entropy balancing.Journal of Statistical Software. 2013; 54: 1-18
Kane, N. M., & Siegrist, R. B. (2002). Understanding rising hospital inpatient costs: Key components of cost and the impact of poor quality. https://pdfs.semanticscholar.org/05e2/640b427a5e112918e5ad1fcefe1b11488bf5.pdf
- Recession contributes to slowest annual rate of increase in health spending in five decades.Health Affairs. 2011; 30: 11-22https://doi.org/10.1377/hlthaff.2010.1032
- Case for hospital nurse-to-patient ratio legislation in Queensland, Australia, hospitals: An observational study.BMJ Open. 2020; 10e036264https://doi.org/10.1136/bmjopen-2019-036264
- Impact of nurse staffing mandates on safety-net hospitals: Lessons from California.The Milbank Quarterly. 2012; 90: 160-186https://doi.org/10.1111/j.14680009.2011.00658.x
- Contradicting fears, California's nurse-to-patient mandate did not reduce the skill level of the nursing workforce in hospitals.Health Affairs. 2011; 30: 1299-1306https://doi.org/10.1377/hlthaff.2010.1118
- Nurse-staffing levels and the quality of care in hospitals.New England Journal of Medicine. 2002; 346: 1715-1722https://doi.org/10.1056/NEJMsa012247
- Nurse staffing and inpatient hospital mortality.New England Journal of Medicine. 2011; 364: 1037-1045https://doi.org/10.1056/NEJMsa1001025
- Minimum nurse staffing legislation and the financial performance of California hospitals.Health Services Research. 2012; 47: 1030-1050https://doi.org/10.1111/j.1475-6773.2011.01356.x
- The costs and savings associated with prevention of adverse events by critical care nurses.Journal of Critical Care. 2009; 24 (471. e1-e7)https://doi.org/10.1016/j.jcrc.2007.12.021
- California's minimum nurse-to-patient ratios: The first few months.JONA: The Journal of Nursing Administration. 2004; 34: 571-578
- How many nurses per patient? Measurements of nurse staffing in health services research.Health Services Research. 2008; 43: 1674-1692
- Why mandated nurse-to-patient ratios have become one of the most controversial ideas in health care.whyy.org. 2019https://whyy.org/segments/why-mandated-nurse-to-patient-ratios-have-become-one-of-the-most-controversial-ideas-in-health-care/
- BLS spotlight on statistics: The recession of 2007–2009.2012
- Employment in health care: A crutch for the ailing economy during the 2007–09 recession.Monthly Labor Review. 2011; 134: 13-18