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This study is a follow-up and extension of our first analysis exploring nurse staffing and nursing-sensitive outcomes comparing 2002 pre-ratios regulation data to 2004 postratios regulation data. For the current study we used postregulation ratios data from 2004 and 2006 to assess trends in staffing and outcomes. Findings for nurse staffing affirmed the trends noted in 2005 and indicated that changes in nurse staffing were consistent with expected increases in the proportion of licensed staff per patient. This report includes an exploratory examination of the relationship between staffing and nursing-sensitive patient outcomes. However anticipated improvements in nursing-sensitive patient outcomes were not observed. This report contributes to the growing understanding of the impacts of regulatory staffing mandates on hospital operations and patient outcomes.<\/jats:p>","DOI":"10.1177\/1527154407312737","type":"journal-article","created":{"date-parts":[[2008,3,12]],"date-time":"2008-03-12T12:58:31Z","timestamp":1205326711000},"page":"238-250","source":"Crossref","is-referenced-by-count":91,"title":["Mandated Nurse Staffing Ratios in California: A Comparison of Staffing and Nursing-Sensitive Outcomes Pre- and Postregulation"],"prefix":"10.1177","volume":"8","author":[{"given":"Linda","family":"Burnes Bolton","sequence":"first","affiliation":[{"name":"Cedars-Sinai Health System\/Burns & Allen Research Institute"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carolyn E.","family":"Aydin","sequence":"additional","affiliation":[{"name":"Cedars-Sinai Medical Center\/Burns & Allen Research Institute"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nancy","family":"Donaldson","sequence":"additional","affiliation":[{"name":"Center for Research and Innovation in Patient Care at the University of California, San Francisco School of Nursing"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diane","family":"Storer Brown","sequence":"additional","affiliation":[{"name":"Quality & Continuous Readiness for Accreditation, Regulation and Licensing"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meenu","family":"Sandhu","sequence":"additional","affiliation":[{"name":"Cedars-Sinai Medical Center\/Burns & Allen Research Institute"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Moshe","family":"Fridman","sequence":"additional","affiliation":[{"name":"AMF Consulting, Inc."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harriet","family":"Udin Aronow","sequence":"additional","affiliation":[{"name":"Cedars-Sinai Medical Center\/Burns & Allen Research Institute"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2007,11,1]]},"reference":[{"key":"atypb1","doi-asserted-by":"crossref","unstructured":"AB 394, Chapter 945, Statutes of 1999. 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