Dr. Linda Aiken did have supportive research concluding that hospitals with high patient-to-nurse ratios patient experience higher risk-adjusted 30-day mortality and failure to rescue rates. Supportive research needs to be conceived in this area as it is only looking at part of elephant. Individual institutions might benefit from conducting their own analysis of nurse-to-patient ratios and it's impact on quality and outcomes. However, the concept of ratios should not be ignored, besides a decrease in quality care, nurses are more likely to leave the patients bedside if they are burned out and feel powerless to change their work environment. This is a problem that is not easily solved and with each "knot released" there is the potential to create further complications.