Objectives/background: Based on structure-process-outcome approach, this study examined the association of registered nurse (RN) staffing hours and five quality indicators,
including two process measures (catheter use and antipsychotic drug use) and three
outcome measures (pressure ulcers, urinary tract infections, and weight loss).
Setting/participants: We used data on resident assessments, RN staffing, organizational
characteristics, and market factors to examine the quality of 195 nursing homes operating
in a rural state of United States — Colorado