“…Other approaches have also been suggested, such as greater delegation to other nursing team members, especially for the care of early discharges and chronically sick patients. Others (Down, 1975) have argued that staffing norms should be related more directly to patients' needs, particularly dependency levels. The London Health Policy Consortium proposed, in 1981, that the staffing guidelines be increased 20 percent in recognition of high turnover, heavier workloads, and inexperienced staffs.…”