Regarding the article “Nurses express little faith in their employers: survey”:
It is important for your readers to understand the inherent biases in the American Nurses Association survey. This is not a randomized survey of hospital-based nurses, and it is inappropriate to assume this data accurately represents the views of today's hospital nurses.
While no one can deny the importance of adequate nurse staffing in ensuring safe, quality patient care, it is even more important that we focus on the real value that a highly accountable and engaged, well-educated, clinically expert professional nursing workforce represents to a hospital or healthcare system.
Having lived under the staffing ratio law in California since its inception, I can assure you that numbers alone guarantee nothing. In my heart I believe nursing has lost something important with the disproportionate focus on numbers.
Clinical excellence comes from strong nursing leadership supported by an organizationwide commitment to building a work environment that cultivates a strong, confident, clinically expert and accountable nursing workforce. There is simply no substitute.
Carol BradleyRegional chief nursing officerTenet CaliforniaSanta Ana