优质护理服务绩效考核在护士长管理考评中的应用

Application of performance appraisal of high quality nursing in the head nurse management

目的探讨全面、科学、有效的护士长管理考评方法。方法建立护士长绩效考核机制，并应用于护士长管理考评中，对实施前后护理质量评分及医护人员对护士长工作满意度及护士长对护理部管理方法的认可度进行比较。结果实施护士长绩效考核后护理质量得分：护士长管理（97．43±2．41）分，各班工作质量（96．39±4．51）分，护理文件书写（97．75±4．25）分，基础护理（96．11±1．96）分，三基考核（95．12±4．29）分，明显高于实施前（90．03±1．23）分，（89．26±2．19）分，（90．10±3．37）分，（90．94±2．54）分，（89．25±5．48）分，两者比较，差异具有统计学意义（t分别为12．63，10．12，12．72，12．23，10．06；P〈0．05）；实施前后住院患者满意度分别为91．19％和98．04％，两者比较，差异有统计学意义（x2=6．02，P〈0．05）；实施后医护人员对护士长工作满意度及护士长对护理部管理方法的认可度也分别提升（x。分别为6．78，6．46，P均〈0．05）。结论科学的护士长绩效考核方案有利于提升护士长的综合管理能力，确保护理质量与安全，增强医院的组织核心竞争力。

Objective To explore a comprehensive, scientific and effective approach in head nurse management. Methods Performance appraisal for head nurses was established and applied in the management. Grading of the nursing quality, medical personnel＇ s satisfaction with head nurses and head nurses＇ recognition of management were compared before and after performance appraisal. Results The scores of nursing quality after performance appraisal were （97.43 ± 2.41 ） in head nurse management, （96.39± 4.51 ） in performance quality, （97.75 ±4.25） in nursing document writing, （96.11 ± 1.96） in basic care and （95.12± 4.29） in basic knowledge, all of which were higher than those before performance appraisal [ （90.03 ± 1.23 ）, （ 89.26 ± 2.19）, （90. 10 ±3.37）, （90.94 ±2. 54）, （89.25 ±5.48）, respectively]. The differences were statistically significant （t = 12.63,10.12, 12.72, 12.23, 10.06, respectively; P 〈 0.05）. Inpatients＇ satisfaction before and after performance appraisal were 91.19% and 98.04%, and the differences were statistically significant （x2 = 6.02 ;P 〈0.05）. Medical personnel＇s satisfaction with head nurses and head nurses＇ recognition of the management had also been improved （X2 =6.78, 6.46, respectively;P 〈0.05）. Conclusions The application of performance appraisal can improve head nurses＇ comprehensive management ability, ensure nursing quality and safety, and enhance core competitiveness of hospitals＇ organization.