? -Identify the major concern related to patient safety and quality of care associated with unsafe nursing staff.
? -Identify the relationship between the adverse effect of patient ratio and lower nurse staffing level on nursing outcomes and patient safety.
? -Identify opportunities that help to enhance nursing performance, decreasing the Nurse workload and job dissatisfaction.
? -Limiting mandatory nursing overtime to prevent medical errors and increase safety.
? -Offering continuing education to nurses for career advancement, as well as training and coaching programs.
? -Using standard setting for establishing a plan to using sufficient staff nursing to provide the safe environment.

Although many factors effect on patient safety, but the analysis of staff and quality of care shows the close relationship between nurses’ work hours, the ratio of patients to nurses, nurse satisfaction, working environment, work efficiency, and patient safety.
The following strategies are recommended to combat unsafe nurse staffing levels and increase optimize the quality care, as well as be effective in improving nursing satisfaction and his/her outcome.
*Hiring professional nurse instead of the adjusting the nursing hours and mandatory overtime consequently leading to a reduction in the ratio of nurses to patients and reduction nursing workload and improve quality patient care. According to Allen (2013), the low ratio of nurses to the patient improves the quality of patient care through quantifiable outcomes.