Write 3 pages with APA style on Changing Nurse-Patient Ratio Staffing. Several studies have also shown a correlation between nursing staffing and improved patient outcomes (Aiken et al. 2010). As a result, there has been a growing need to improve the nurse-staffing ration in the country to prevent the deaths that occur due to lack of enough nurse personnel. Currently, California became the first state to introduce a threshold on nurse-patient ratio in all general acute care health care institutions as noted by Aiken et al. (2010). Many states have failed to pass this critical legislation due to the nature of politics involved in any legislative process. Abood (2007) argues that any health care issue such as the legislation of nurse patient ratio has to go through different phases of policy processes, beginning with proposal all through to implementation phase. These stages are impacted largely by elected officials, organizations, individuals, and special interests. The divergent views and competing interest of the different factions normally make it difficult to pass any legislation regardless of how beneficial the health issue might be to citizens. As a result, a nurse must use effective strategies to influence the different factions to accept and pass a given legislation. Below are the strategies that will be employed to influence legislators to pass the nurse patient ratio bill.