5-20: a model of minimum nurse-to-patient ratios in Victoria, Australia

Journal of Nursing Management
M F Gerdtz, S Nelson


This study presents a critique of a new model of minimum nurse-to-patient ratio and considers its utility alongside established Patient Dependency Systems. Since 2001 legislation mandating minimum nurse-to-patient ratios has been enacted throughout large public hospitals in the state of Victoria, Australia. The Victorian model mandates minimum staffing of five nurses to 20 patients in acute medical and surgical wards. In conjunction with this approach, Patient Dependency Systems are employed to anticipate short-term resource needs. Although this legislation has been successful in attracting nurses back into the public sector workforce, no published empirical evidence exists to support specific ratios. In addition, neither ratio nor Patient Dependency Systems approaches account for the critical influence of skill mix on hospital, employee, or patient outcomes. There is an urgent need for further research that specifically examines relationships between models of staffing, skill mix and quality outcomes.


Feb 1, 1983·The Journal of Nursing Administration·R R Alward
Oct 1, 1994·The Journal of Nursing Administration·H A DeGroot
Sep 1, 1994·The Journal of Nursing Administration·H A DeGroot
Feb 10, 1993·Nursing Standard·J Buchan
Mar 20, 1993·BMJ : British Medical Journal·M WhiteheadM A Scheuer
Jul 27, 1996·BMJ : British Medical Journal·J Buchan
Apr 1, 1996·The Journal of Nursing Administration·D L Hlusko, B S Nichols
Mar 1, 1997·Journal of Nursing Management·J Needham
Apr 3, 1999·Nursing Inquiry·H Gibb
Sep 24, 1999·The Journal of Nursing Administration·K MallochA Conovaloff
Dec 1, 2000·The Journal of Nursing Administration·M L Botter
Jun 23, 2001·Journal of Nursing Scholarship : an Official Publication of Sigma Theta Tau International Honor Society of Nursing·L B BoltonD Harms
Nov 1, 2001·Journal of Health Services Research & Policy·J BuchanF O'May
Jan 23, 2002·The Journal of Nursing Administration·Jean Ann Seago
May 22, 2002·The Journal of Nursing Administration·Jean Ann Seago
Jul 4, 2002·The Journal of Perinatal & Neonatal Nursing·E S Marshall
Oct 22, 2002·JAMA : the Journal of the American Medical Association·Linda H AikenJeffrey H Silber
Dec 12, 2002·Australian Health Review : a Publication of the Australian Hospital Association·Mary HarrisWarwick Conn
Jan 25, 2003·The American Journal of Nursing·Sean P Clarke, Linda H Aiken
Sep 25, 2003·JAMA : the Journal of the American Medical Association·Linda H AikenJeffrey H Silber
Oct 3, 2003·Journal of Advanced Nursing·Linda McGillis Hall
Jan 23, 2004·The Journal of Nursing Administration·Linda McGillis HallGeorge H Pink
Feb 3, 2004·American Journal of Infection Control·Judith Morrison, UNKNOWN Health Canada, Nosocomial and Occupational Infections Section
Feb 6, 2004·Journal of Advanced Nursing·Auvo Rauhala, Lisbeth Fagerström
Aug 11, 2004·The Journal of Nursing Administration·Thomas A LangRichard L Kravitz
Oct 16, 2004·Australian Health Review : a Publication of the Australian Hospital Association·Reta CreeganKim Forrester
Oct 29, 2004·Journal of Nursing Management·C M Shuldham
Oct 29, 2004·Journal of Nursing Management·James Buchan
Jan 6, 2005·The Journal of Nursing Administration·Joanne Spetz
Oct 13, 2007·Contemporary Nurse·Liza HeslopBoon Choo Poh

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