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Original Article

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

Jung Mi Chae1, Hyunjong Song2, Gunseog Kang3, Ji Yun Lee4
Journal of Korean Academy of Nursing Administration 2015;21(2):174-183.
Published online: March 31, 2015

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Corresponding author: Lee, Ji Yun. Department of Nursing, Kangwon National University, 1 Kangwondaehak-gil, Chuncheon 200-701, Korea. Tel: +82-33-250-8885, Fax: +82-33-242-8840, leejiyun@kangwon.ac.kr
• Received: October 20, 2014   • Revised: December 26, 2014   • Accepted: January 29, 2015

Copyright © 2015 Korean Academy of Nursing Administration

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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  • 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.
  • Key Words: Nurse staffing; Oral care; Patient outcome; Pneumonia; Long term care
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Table 1

Hospital and Patient Characteristics

jkana-21-174-i001.jpg

ADL=Activities of daily living.

Table 2

Staffing Level, Percent of Oral Care and Pneumonia Patients in the Hospitals (N=37)

jkana-21-174-i002.jpg

*Nursing staff include registered nurses and nursing assistants.

Table 3

Difference of Hospital Nurse Staffing Level by Provision of Oral Care (N=37)

jkana-21-174-i003.jpg

*Skill mix means percent of registered Nurses in nursing staff.

Table 4

Impact of Nurse Staffing Level on Provision of Oral Care in Long-term Care Hospitals (N=37)

jkana-21-174-i004.jpg

OR=Odds ratio; Ci=Confidence interval.

Table 5

Impact of Nurse Staffing Level and Oral Care on Hospital Acquired Pneumonia in Long-term Care Hospitals (N=6,593)

jkana-21-174-i005.jpg

OR=Odds ratio; Ci=Confidence interval.

Figure & Data

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    • The Level of Performance, Frequency and Educational Needs of Nursing Activities in Long-term Care Hospital
      Sun-Sook Moon, Yeon Ok Suh, Kyung-Woo Lee, Jasung Gu
      The Korean Journal of Rehabilitation Nursing.2018; 21(2): 110.     CrossRef

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    Impact of Nurse Staffing Level and Oral Care on Hospital Acquired Pneumonia in Long-term Care Hospitals
    J Korean Acad Nurs Adm. 2015;21(2):174-183.   Published online March 31, 2015
    DOI: https://doi.org/10.11111/jkana.2015.21.2.174
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    Impact of Nurse Staffing Level and Oral Care on Hospital Acquired Pneumonia in Long-term Care Hospitals
    J Korean Acad Nurs Adm. 2015;21(2):174-183.   Published online March 31, 2015
    DOI: https://doi.org/10.11111/jkana.2015.21.2.174
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    Impact of Nurse Staffing Level and Oral Care on Hospital Acquired Pneumonia in Long-term Care Hospitals
    Impact of Nurse Staffing Level and Oral Care on Hospital Acquired Pneumonia in Long-term Care Hospitals

    Hospital and Patient Characteristics

    ADL=Activities of daily living.

    Staffing Level, Percent of Oral Care and Pneumonia Patients in the Hospitals (N=37)

    *Nursing staff include registered nurses and nursing assistants.

    Difference of Hospital Nurse Staffing Level by Provision of Oral Care (N=37)

    *Skill mix means percent of registered Nurses in nursing staff.

    Impact of Nurse Staffing Level on Provision of Oral Care in Long-term Care Hospitals (N=37)

    OR=Odds ratio; Ci=Confidence interval.

    Impact of Nurse Staffing Level and Oral Care on Hospital Acquired Pneumonia in Long-term Care Hospitals (N=6,593)

    OR=Odds ratio; Ci=Confidence interval.
    Table 1 Hospital and Patient Characteristics

    ADL=Activities of daily living.

    Table 2 Staffing Level, Percent of Oral Care and Pneumonia Patients in the Hospitals (N=37)

    *Nursing staff include registered nurses and nursing assistants.

    Table 3 Difference of Hospital Nurse Staffing Level by Provision of Oral Care (N=37)

    *Skill mix means percent of registered Nurses in nursing staff.

    Table 4 Impact of Nurse Staffing Level on Provision of Oral Care in Long-term Care Hospitals (N=37)

    OR=Odds ratio; Ci=Confidence interval.

    Table 5 Impact of Nurse Staffing Level and Oral Care on Hospital Acquired Pneumonia in Long-term Care Hospitals (N=6,593)

    OR=Odds ratio; Ci=Confidence interval.

    Table 1

    Table 2

    Table 3

    Table 4

    Table 5

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