There is currently a growing body of evidence to support the major issue of low staffing levels leading to higher percentages of patient mortality, adverse events, and dissatisfied nurses, but what is really being done to support safe staffing levels? With the predicted crisis of the nursing shortage by the year of 2025, many evidence-based practice studies have reflected the issue in nursing in acute and long-term hospitals as well as legislative backing for safe staffing levels for registered nurses in the state of California. A proposed solution that is designed to promote better patient outcomes, less adverse events such as hospital acquired infections and medication errors, lower hospital stays, reduce health care costs, better Medicare reimbursements to hospital, and nurse retention is to mandate nurse-to-patient ratio's based upon acuity level of patients. A plan for a six month study will be conducted with a before and after evaluation of overall patient and nurse satisfaction, safety of work environment, number of adverse events, and trial staffing grid for higher staffing levels based upon patient acuity. A random qualitative questionnaire survey will be administered for nurses to fill out voluntary to measure their perceptions of work environment and satisfaction. The study will include a trial staffing grid along with an acuity flow sheet to the participating unit. Patient satisfaction scores as well as the number of adverse events will be collected prior to the start of the study and compared to the results of the same unit scored during the study. During the implementation phase, a presentation will be held to address the current proposal and issue as well as staff and administrators. The study's results will be reviewed to present stakeholders involved directly toward patient care for further approval. All data including the study's results and the proposed changes will be disseminated to administration for further deliberation towards change for nurse staffing levels, based upon acuity level of patients, to promote quality of care and promotion of better patient outcomes and safer environments. Literature review articles and studies used in this project focus primarily on the effects of unsafe nurse staffing levels, unsafe working environments, adverse outcomes, nurse burnout, and overall quality of care.