Health Watch USA Logo Importance of Nursing

Importance of Nursing

Click on the upper left hand corner of the video to see and select from the play list.

2026, Aug. 19. Nurse Retention and Promotion of the Workplace Environment.
Dr. Jeannie Cimiotti, professor at Emory University’s Nell Hodgson Woodruff School of Nursing and longtime Health Watch USA member, presented research on how nurse workload, staffing, and work environment affects nursing burnout, job satisfaction and most importantly, patient outcomes. Drawing on more than 20 years of studies, she emphasized that nursing care strongly influences mortality, failure to rescue, infection rates, and readmissions. Her work shows that assigning fewer patients to each nurse is associated with lower 30-day mortality and fewer preventable deaths, especially in hospitals with supportive work environments. Studies comparing California’s mandated staffing ratios with New Jersey and Pennsylvania suggested that similar ratios could have prevented substantial numbers of deaths and improved nurse satisfaction and care quality. Dr. Cimiotti also discussed sepsis research showing that additional registered nurse hours per patient day reduce mortality, while heavier workloads increase deaths and readmissions. She highlighted pediatric findings linking higher nurse workloads to increased readmissions, and evidence that nurse practitioners improve outcomes in acute care. Overall, she argued that adequate nurse staffing, better work environments, and reduced burnout are essential to patient safety and healthcare quality. Health Watch USA Meeting.  Aug. 19, 2026. View Video https://youtu.be/Cmk0VpBcPF4

6 Key Points:
1. Nursing workload directly affects patient outcomes. Research cited in the presentation connects nurse staffing levels with mortality, failure to rescue, infections, readmissions, ICU admissions, and length of stay.
2. Lower patient-to-nurse ratios are associated with fewer deaths. Studies comparing California’s staffing mandate with New Jersey and Pennsylvania found that mandated ratios could have prevented substantial numbers of deaths and improved care quality.
3. Sepsis outcomes improve with more registered nurse time. Additional registered nurse hours per patient day were associated with lower sepsis mortality, while heavier nurse workloads increased mortality and readmissions.
4. Burnout is a patient safety issue, not only a workforce issue. High nurse burnout was linked to higher rates of catheter-associated urinary tract infections and surgical site infections, with significant preventable costs.
5. Supportive work environments strengthen the impact of staffing. Better staffing was most effective when paired with strong work environments, leadership support, and adequate resources for bedside nurses.
6. Investing in nurses can reduce costs and improve retention. Evidence presented showed that improved staffing, higher registered nurse skill mix, nurse practitioner presence, and retention strategies can lower adverse outcomes, shorten stays, reduce turnover, and save money.
View Video: https://youtu.be/Cmk0VpBcPF4
   

2026, July 28 - AI is replacing nurses in NY. I fear the same fate for KY. | opinion
"Nurse staffing levels are strongly tied to patient outcomes. Their replacement at any level of care needs to be performed with the utmost caution and certainly not with inadequately-tested technology...Artificial intelligence is marketed as being more efficient, but it also appears to be creating work for itself to do. And if no one is employed, who will buy the products or pay taxes? All of this necessitates the need for government oversight - and soon - because the dire AI predictions are starting to become realities." References  Courier Journal.
 

2025, Aug. 29. - A view from the Frontlines: The current state of infection control in U.S. healthcare facilities
Lisa Baum, a lead representative for the New York State Nurses Association, highlighted persistent issues in infection control within healthcare facilities, emphasizing the spread of nosocomial infections including airborne infectious diseases. Despite improvements, infection rates and associated deaths remain high, exacerbated by underreporting and insufficient data—particularly for airborne diseases.

Critical contributing factors include understaffing, rapid room turnovers, inadequate cleaning, inadequate ventilation and lack of training on effective use of disinfectants, such as proper dwell time for pathogen elimination. Environmental services staff shortages and overcrowding in emergency departments further increase transmission risks, with patients sometimes placed in hallways or separated only by curtains. Ventilation is a recurring concern. While negative pressure rooms and advanced local exhaust systems exist; they are not widely implemented. There is inadequate regulation and the regulations that do exist are not adequately enforced.

Personal protective equipment (PPE), though essential, is not the most effective control in the hierarchy, often hampered by supply chain challenges and improper fit. The pandemic revealed deeper systemic flaws, with crisis measures sometimes prioritizing operational needs over safety.

Lisa advocates for layered controls: improved identification and isolation protocols robust testing, enhanced staffing, better ventilation, and a shift to reusable PPE. She stresses the necessity of regulatory reforms to ensure consistent and effective infection prevention and supports empowering organizations like NIOSH to restore scientific leadership in occupational health. Health Watch USAsm Aug. 29, 2025 Webinar.  View Video https://youtu.be/1Aa5AhHU0JA   Download Slides
  

2023, Oct. 11, 2023 - Artificial Intelligence in the Prevention of Healthcare Violence
Kevin Kavanagh, MD, MS, discusses the increasing occurrence of workplace violence and how artificial intelligence (AI) holds the future promise of prevention and interdiction. The impact AI and robotics will have on the workforce is also discussed along with the associated far reaching safety concerns which will impact our society. This presentation also contains several Deepfake Videos. Nov. 2, 2023. A previous version was presented to the Massachusetts Nurses Association. View Video: https://youtu.be/RX7PrB_iXT4  Download Slides
 

2022, Feb. 6 - Comment on U.S. Senate HELP Committee's proposed legistation: Pandemic and Public Health Preparedness and Response Bill (PREVENT Pandemics Act) to include provision for protection of frontline workers during a pandemic.  View Comment

2019, May 17 - NQF Comment on Nursing Sensitive Metric --- Pressure Injury.   View Comment

2018, Nov. 2 - Kentucky Nurses Association Conference.  Kevin Kavanagh, MD. MS. discusses healthcare worker and patient safety issues which are created by the United States Response to the drug resistant bacteria epidemic. Not setting firm standards and research integrity problems have prevented an effective response in may of our institutions.
The Epidemic of Multi-Drug Resistance Organisms -- It is NOT the Nurses Fault!! 
YouTube Video (12.36 mins):  https://youtu.be/k-_fXApc3lA     View Slides    Download Handout

2018, Oct. 4 - HW USA Conference:  Christine Pontus, MS, RN, reviews the literature and discusses the importance of nursing to assure patient safety. The negative impact of inadequate RN staffing on several key patient outcomes has been documented in the peer reviewed literature. Nationally, unions and associations representing RNs have been advocating for safe staffing legislation at state and federal levels. YouTube Video:  https://youtu.be/nkDEe2L-8h4 

2018, Jun. 27 - Support Letter:   Signed Support Letter from the Committee to Ensure Save Patient Care.  "Under this proposed ballot question, a safe maximum limit for the number of patients a nurse can care for in all areas of the hospital will be implemented to ensure that patients receive the level of professional nursing care and attention they need when they enter a Massachusetts hospital."   View Letter

2017, Nov. 3 - HW USA Conference: Said Abusalem, RN, PhD - Culture of Safety and Importance of Nursing in Long Term Care Facilities.  YouTube Video: https://youtu.be/8K9gRrpU61w 

2016, Apr. 16 - HW USA Meeting:     Deena McCullum Adequate Nurse Staffing & Patient Safety.   YouTube Video:  https://youtu.be/gbA5q4vt3P4 

2013, Nov. 1 - HW USA Conference:   Jeannie Cimiotti, PhD, RN, FAAN on Nursing Burnout and the Importance of a Culture of Safety   http://www.healthwatchusa.org/conference2013/cimiotti/20131101-cimiotti.htm   
You Tube Video: http://youtu.be/8_YbwFnATME   Presentation Slides

2012, Oct 15 - Peer Reviewed Publication:  Moving Healthcare Quality Forward With Nursing-Sensitive Value-Based Purchasing.   Journal of Nursing Scholarship  . doi: 10.1111/j.1547-5069.2012.01469.x. [Epub ahead of print]   PMID: 23066956     FREE ACCESS     http://onlinelibrary.wiley.com/doi/10.1111/j.1547-5069.2012.01469.x/full   

2012, Jul. 14 - Book Review:  Book Review:  'Appalachian Health and Well-Being'.   Courier Journal,  July 14, 2012.   Healthy living challenge for Appalachia.   http://pqasb.pqarchiver.com/courier_journal/access/2710060171.html?FMT=ABS&date=Jul+14%2C+2012      Presentation Slides

2011, Mar. 21 - Op-Ed:  UK Wrong To Downplay Loss of Nursing Honor  Herald Leader, Lexington, KY,  Mar. 21, 2011   It is important for hospitals to achieve the Magnet Recognition and to participate in the Leapfrog Group Survey.  http://www.kentucky.com/2011/03/21/1679291/uk-wrong-to-downplay-loss-of-nursing.html  

2010, Nov. 19 - HW USA Conference:   Jeannie Cimiotti, PhD, RN, FAAN on Nursing Workforce and Quality of Care.    You Tube Video: http://youtu.be/mccaerlHkUk       Presentation Slides

2008, May 28 - Op-Ed: Hospitals Reckless to Leave Floors Short of Nurses- Lexington Herald Leader, Lexington Kentucky, May 28, 2008  Low levels of hospital staff has been reported by nurses and lack of facility cleanliness and responsiveness by patients.  Medicare is no longer paying for preventable adverse patient outcomes, Medicaid should follow suit.   http://www.healthwatchusa.org/HWUSA-Publications/Op-Eds-Herald-Leader/20080628-Hospitals_reckless_short_of_nurses_Op-Ed.pdf 

2007, Aug. 8 - Peer Reviewed Publication:  Letter to the editor In response to "Assessing nursing staffing ratios: variability in workload intensity". Policy Polit Nurs Pract. 2007 Aug;8(3):182. PMID: 18178924

2007, Apr. 16 - Op-Ed:  Too Much to Expect From Too Few Nurses - Lexington Herald Leader, Lexington Kentucky, April 16, 2007  Frontline Caregivers get little support in protecting patients.   http://www.healthwatchusa.org/HWUSA-Publications/Op-Eds-Herald-Leader/20070416-Kentucky.com _Nursing.pdf