In a March 1998 Journal of Nursing Administration article, I reported that
nurse staffing did not in fact decline through 1996 in California where con
cerns about nurse staffing have been prominent. In this article, I provide
a data update indicating an increase in the number of hours worked by nursi
ng personnel in California hospitals through 1998, mostly because of an inc
rease in the number of hours worked by registered nurses. The hours worked
by nursing personnel and registered nurses per case-mix adjusted discharge
and per adjusted patient day have remained stable since 1996 Thus, the most
recent data indicate no decline in nurse staffing in the 1990s.