Minimum Standards for Staffing of Registered Professional Nurses in New Jersey
There are higher levels of acuity experienced among patients in health care facilities
presently than in the past. According to recent studies, this current trend is attributed to changes
in the delivery of health services which highlights a relationship between adequacy in the
staffing of professional nurses in the hospitals and improvement in mortality rates (Oredsson, et
al., 2011) . The impact of this link, consequently, is a subsequent rise in the quality of health care
services that are provided in these institutions. Deadly errors among medical staff, the
transmission of infections, and the probability of patients succumbing to injuries during
treatment can be as a result of the understaffing of nurses. Since legislative affairs do have
impacts on how professionals discharge their duties, the enactment of certain regulations by
states organs can provide grounds for better service delivery, especially in the health sector.
To address issues of health, therefore, a health care bill formulated in New Jersey outlines
the standards for staffing of nurses in the inpatient institutions in the state. In its regulations, the
bill entails certain nurse-to-patient ratios that are aimed at the betterment of the quality of
services that are provided in these health systems, besides, it establishes the standards for the
staffing of professional nurses who are registered in pursuit of the threshold qualifications for the
staffing of the health caregivers. The provisions of the bill indicate the various number of nurses
that are required to attend to a given number of patients (Cornell, et al., 2010) . The
Commissioner of Health, through the Department of Health, is to implement the bill by enforcing
the various patient-to-nurse ratios that are stipulated in the enactment of these regulations.
During the implementation process, however, if the commissioner determines that a health
institution operates in distress, financially, then at his digression, he shall waive the minimum
qualifications for the staffing of nurses in such facilities. Furthermore, as provided for in the
STANDARDS FOR STAFFING OF PREFFESSIONAL NURSES 3
bills, a system is to exist that enables the hospital staff or any individual in the public to raise
complaints if they feel there is a violation of the various requirements for acuity by the facility.
In response, the commissioner is required to carry out an investigative determination of whether
the facilities that will be so accused violate the said regulations. Hence, in compliance with the
requirements by the bill, the commissioner shall take necessary actions against such a hospital in
case they are found to be culpable for the complaints.
The bill, essentially, will affect the mode of practice by the nurses. Firstly, the quality of
services and the level of attention that patients get from the nurses shall be better. Since the bill
provides for given pre-determined ratios that indicate the number of patients that can be attended
to by a certain number of nurses, there will be a reduction in the possible levels of strain by
nurses concerning the workload (Qureshi, Purdy, Mohani, & Neumann, 2019) . Secondly, since
the bill determines standards of practice and provides for systems through which complaints can
be raised by members of the public and practicing health staff, the health care practitioners are
expected to endeavor to maintain a high level of professionalism and ethics in their practice to
avoid any possibility of breaching the terms of service as provided for in the bill.
In conclusion, the health care services bill is a general composition of regulations that can
positively impact the quality of health of patients while addressing mortality rates. This is so
since, besides providing for the various professional requirements and standards of service by
nurses, the bill takes into account the need to ensure the safety of patients and equal importance,
that of caregivers in the health facilities in the state (Carlesi, Padilha, Toffoletto, Henriquez-
Roldán, & Juan, 2017) . Therefore, the health care services bill is a crucial tool in the endeavor to
ensure efficient delivery of professional, standard, and high-quality care services.
STANDARDS FOR STAFFING OF PREFFESSIONAL NURSES 4
Carlesi, K. C., Padilha, K. G., Toffoletto, M. C., Henriquez-Roldán, C., & Juan, M. A. (2017).
Patient safety incidents and nursing workload. Revista Latino-Americana de enfermagem,
Cornell, P. H.-G., Keim, C., Petschonek, S., Sanders, A. M., D'mello, S., & Shepherd, G. (2010).
Transforming nursing workflow, part 1: the chaotic nature of nurse activities. The
Journal of Nursing Administration, 40(9), 366-373.
Oredsson, S., Jonsson, H., Rognes, J., Lind, L., Göransson, K. E., Ehrenberg, A., & Farrohknia,
N. (2011). A systematic review of triage-related interventions to improve patient flow in
emergency departments. Scandinavian journal of trauma, resuscitation, and emergency
medicine, 19(1), 43.
Qureshi, S. M., Purdy, N., Mohani, A., & Neumann, W. P. (2019). Predicting the effect of nurse-
patient ratio on nurse workload and care quality using discrete event simulation. Journal
of nursing management, 27(5), 971-980.