In assessing nurse staffing effectiveness, the standards require organizations to use data from the use of nursing-sensitive clinical and human resources indicators, such as adverse drug events, patient falls staff turnover rate, use of overtime, patient and family complaints, and staff injuries on the job (Dailey, 2005).
It is hence worth noting that the legislature makes many laws that govern the actual day-to-day duties of a nurse, and those laws may affect nursing care in a negative manner. With this in mind, there should therefore be a link between nursing and politics (Dailey 2005). The state of Pennsylvania has played its part in realizing to full effect the importance of nursing and health care. Lobbyists and legislators have highlighted its importance and championed for improvement of the health care systems in place. They have tried to create meaningful consumer access to Advanced Practice Nurses through greater representation as primary care providers in insurance company provider networks. With greater representation, real solutions come about, bringing quality care and appropriate allocation of resources. Nurse legislators can represent the interests of their colleagues in a way that no one else can (Johnston, 2003).
The state of Pennsylvania has also seen its legislators champion for the expansion of consumer access to care by Advanced Practice Nurses by eliminating existing statutory barriers that prohibit Nurse Practitioners and Clinical Nurse Specialists from performing their
full scope of practice in all settings, for all populations. These experts offer an untapped resource for the entire state whereby they help improve health care. They therefore should lie utilized fully to the extent of their capabilities. In addition to this, a bill has lain passed to allow prescriptive privileges for nurse practitioners in Pennsylvania and a bill that affects the usage and education of unlicensed assistive personnel. This is all in the effort to increase the number of medical practitioners in the state. With its recent reports on patient safety and health care quality, the Institute of Medicine provided a call to action for the health care industry to reduce substantially, the frequency of preventable medical errors and resulting adverse events (Dailey, 2005). In the wake of these reports, health care organizations have rallied around the safety issue, introducing a variety of measures to reduce error. Nevertheless, what lies done to solve the nurse-staffing problem, and the compromised patient safety and health care quality that lie in its wake? Nurses have lain described as the canaries in the coalmine. Many have suffered sacrifice before the now widespread realization that there is something wrong with the work environment. Nurses leave hospitals because they are overworked and overburdened, often with tasks that were once the responsibilities of less skilled workers (Nathanson, 2005). They similarly have neither the managerial support nor the control over their environments, through delegated authority, to marshal and deploy scarce resources in order to manage the often challenging and sometimes critical patient care situations which they may face at any hour of the day or night. Another key resolution by legislators is to end the further creation of unintended barriers within statute