Document Type


Publication Date

Fall 11-12-2021


The purpose of this research was to determine if nurse satisfaction was greater in California intensive care units (ICUs) where there is a mandatory nurse-to-patient ratio of 1:2, one registered nurse (RN) to two patients. Greater nurse satisfaction contributes to the overall improvement of both nurse and patient outcomes. Nurses who work in intensive care units experience high rates of mental distress and poor health due their job demands. Research shows that the mandatory nurse-to-patient ratios in California ICUs lead to fewer work injuries, greater nurse retention, and less burnout - all of which improves nurse satisfaction. This is compared to other ICUs with nurse-to-patient ratios of 1:3 and higher where burnout, fatigue, stress, and emotional exhaustion were more present.


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