J Korean Acad Nurs Adm.  2015 Mar;21(2):174-183. 10.11111/jkana.2015.21.2.174.

Impact of Nurse Staffing Level and Oral Care on Hospital Acquired Pneumonia in Long-term Care Hospitals

• Chae JM
• Song H
• Kang G
• Lee JY

• KMID: 2321299
• DOI: http://doi.org/10.11111/jkana.2015.21.2.174

Abstract

PURPOSE
This study was conducted to explore the impact of nurse staffing level and oral care on pneumonia in elderly inpatients in long-term care hospitals (LTCHs).
METHODS
Data were obtained from the Health Insurance Review and Assessment Services (HIRA) including the profiles of LTCHs, monthly patient assessment reports and medical report survey data of pneumonia patients by HIRA in the fourth quarter of 2010. The sample consisted of 37 LTCHs and 6,593 patients.
RESULTS
Patient per nurse staff (OR=1.43, CI=1.22~1.68) and no oral care (OR=1.29, CI=1.01~1.64) were significantly related with hospital acquired pneumonia. The difference in percent of oral care by hospital was not significant between high and low group in nurse staffing level.
CONCLUSION
In order to reduce the occurrence of pneumonia in eldery patients, effective nursing interventions are not only required but also nurse staffing levels that enable nurses to provide the intervention.

Keyword

Nurse staffing; Oral care; Patient outcome; Pneumonia; Long term care

MeSH Terms

Aged
Humans
Inpatients
Insurance, Health
Long-Term Care*
Nursing
Pneumonia*

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