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This unsafe nurse-to-patient ratio poses a quandary, a state of moral distress for the nurse. “Patient safety is an essential and vital component of quality care (Ballard, 2003).” We as nurses are taught to do no harm, but often we are put in circumstances that seem to be no-win for either the nurse or the patient. Patient safety, quality care, and positive patient outcomes as nurse’s aims are challenged when the nurse is faced with these dilemmas. “Nurse staffing levels and the organizational environment for nursing practice are independently predictive of patient outcomes (Aiken, 2002)...
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