Which statement best reflects the position taken by the Joint Commission on mandated staffing ratios?
A) Supportive, arguing that more states should follow California's model
B) Criticism that ratios as not flexible enough due to failure to address diversity of U.S. hospitals
C) Watchful waiting by other states until California's experience can be fully evaluated
D) Direct opposition to the implementation because of the current nursing shortage
Initial research found what resulted after mandated staffing-ratio implementation in California?
A) Staffing ratios remained essentially unchanged.
B) Staffing ratios increased the number of worked nursing hours per patient day in hospitals.
C) Hospitals had less difficulty meeting ratio requirements than originally anticipated.
D) The at-all-times clause was not a significant hardship.
When reviewing a research article, the nurse notes that a randomized controlled trial (RCT) was used. What should the nurse keep in mind concerning this type of research?
A) Is often considered the gold standard of clinical research evidence
B) Yields very limited evidence regarding the results of several similar studies
C) Is the most common research methodology used in nursing studies
D) Is more commonly a tradition-based approach
A nurse is trying to understand the compliance oversight by the California Department of Health Services in acute-care hospitals. What results when a hospital does not maintain the mandatory minimum staffing ratios?
A) The hospital would be forced immediately to close its doors until it could demonstrate compliance.
B) The facility is given 48 hours to correct the deficiency after being fined substantially.
C) The hospital must discharge or transfer patients within 24 hours to reach a level of compliance.
D) There is no penalty or monetary fine for a violation unless serious injury or death occurs.
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