Journal List > J Korean Acad Nurs Adm > v.21(2) > 1051791

Chae, Song, Kang, and Lee: Impact of Nurse Staffing Level and Oral Care on Hospital Acquired Pneumonia in Long-term Care Hospitals



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).


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.


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.


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.

Figures and Tables

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.


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