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Cited by 398

The DOI matches its Crossref record; 24 of the 24 references it cites were found in a registry or an index.

Implications of the California Nurse Staffing Mandate for Other States

Open access
Aiken, Linda H., Sloane, Douglas M., Cimiotti, Jeannie P., Clarke, Sean P., Flynn, Linda, Seago, Jean Ann, Spetz, Joanne, Smith, Herbert L.·2010·Health Services Research

Abstract

Objectives. To determine whether nurse staffing in California hospitals, where state‐mandated minimum nurse‐to‐patient ratios are in effect, differs from two states without legislation and whether those differences are associated with nurse and patient outcomes. Data Sources. Primary survey data from 22,336 hospital staff nurses in California, Pennsylvania, and New Jersey in 2006 and state hospital discharge databases. Study Design. Nurse workloads are compared across the three states and we examine how nurse and patient outcomes, including patient mortality and failure‐to‐rescue, are affected by the differences in nurse workloads across the hospitals in these states. Principal Findings. California hospital nurses cared for one less patient on average than nurses in the other states and two fewer patients on medical and surgical units. Lower ratios are associated with significantly lower mortality. When nurses' workloads were in line with California‐mandated ratios in all three states, nurses' burnout and job dissatisfaction were lower, and nurses reported consistently better quality of care. Conclusions. Hospital nurse staffing ratios mandated in California are associated with lower mortality and nurse outcomes predictive of better nurse retention in California and in other states where they occur.

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Metadata

Authors
Aiken, L. H., Sloane, D. M., Cimiotti, J. P., Clarke, S. P., Flynn, L., Seago, J. A., Spetz, J., & Smith, H. L.
Venue
Health Services Research
Publisher
Wiley
Published
2010-07-08
Volume
45
Issue
4
Pages
904-921
ISSN
  • 0017-9124 (ISSN-L)
  • 1475-6773
OpenAlex
W1583788972
Cited by
398
References
24
FWCI
87.11
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Implications of the California Nurse Staffing Mandate for Other States. https://app.cochat.ai/papers/10.1111/j.1475-6773.2010.01114.x
The paper
Aiken, L. H., Sloane, D. M., Cimiotti, J. P., Clarke, S. P., Flynn, L., Seago, J. A., Spetz, J., & Smith, H. L. (2010). Implications of the California Nurse Staffing Mandate for Other States. Health Services Research. https://doi.org/10.1111/j.1475-6773.2010.01114.x

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Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.