It is a daily struggle that nurses face. It takes away the possibility of individualization that patients deserved. Nurses must learn to perform tasks quickly to care for their patients. If the patient has high acuity and high ratio, it can be difficult and dangerous for nurses to manage him safely. There should be a way for nurses to effectively address this problem that continues to grow. Nurses should break out of the box and start lobbying the government more instead of others who know nothing about the nursing profession. Our voices must be heard because we are advocating for the safety of all human beings who are entrusted to our care when they are ill. Patient safety should always be the key factor in helping them improve. Reimbursement from health insurance companies is really important, but how important will it be if the patient suffers harm during the treatment period. According to Needleman, as mentioned above, staff is important and is very important to achieve patient satisfaction. This should not be overlooked in order for a facility to look to reduce hiring more people to do the job properly. Negligence in this area could affect refunds