Hi Megan,
I think you’ve chosen a really important and timely topic for your PICO question. The lack of legislation around safe nurse-to-patient ratios is a critical issue across many healthcare settings. While your focus on Long Term Care (LTC) is incredibly relevant, especially given the chronic staffing challenges in those environments, I agree it’s essential to recognize that this concern extends to all areas of nursing. Inpatient care nurses, for example, often find themselves managing upwards of 12 patients on their own in an acute setting, which can compromise both patient safety and nurse well-being. Highlighting this issue across the broader spectrum of nursing could strengthen your research and emphasize the urgency for systemic change.