Final answer:
California and Massachusetts have implemented nurse-staffing ratios. California addressed the obstacle of resistance by implementing a phased-in approach and providing funding for nursing education programs. Massachusetts addressed the obstacle of opposition by implementing a flexible staffing plan and establishing a monitoring system.
Step-by-step explanation:
The implementation of nurse-staffing ratios varies by state. Two states that have implemented nurse-staffing ratios are California and Massachusetts.
An obstacle that California encountered in the implementation phase was resistance from hospitals and healthcare organizations who were concerned about the increased costs and limited availability of nurses. To address this obstacle, California implemented a phased-in approach, allowing hospitals time to adjust and gradually meet the staffing ratios. They also provided funding for additional nursing education programs to increase the number of qualified nurses.
In Massachusetts, an obstacle they encountered was opposition from hospital administrators and large healthcare systems who believed that one-size-fits-all ratios would not work for all hospitals. To address this obstacle, Massachusetts implemented a flexible staffing plan that took into account the unique needs and characteristics of different hospitals. They also established a monitoring system to ensure compliance with the staffing ratios and provide support to hospitals that needed assistance.