基于熵权法和秩和比法的医院护理绩效评价研究及应用

Hospital nursing performance evaluation study and application based on the entropy weight method and Rank-sum ratio

目的 探索科学有效的医院护理绩效评价方法.方法 运用平衡计分卡（BSC）、关键绩效指标法（KPI）和德尔菲法（Delphi）构建护理绩效指标体系;运用熵权法确定护理绩效指标权重系数;运用秩和比法（RSR）对实施护理绩效管理的病区以及实施前后整体效果进行对比分析.结果 得到护理绩效指标一级4个、二级9个、三级27个,通过计算得到了各项指标权重系数;对实施护理绩效管理的25个病区按照差、较差、中等、较好、优秀五个档次进行了优劣排序;25个病区实施护理绩效评价后与未实施以前总体绩效管理效果差异有统计学意义.结论 熵权法和秩和比法联合应用评价护理绩效科学合理、针对性强,评价结果可作为考核护理绩效的依据.

Objective To explore scientific and effective evaluation methods of hospital nursing performance.Methods Using balanced score card （BSC）,Delphi method and key performance indicator （KPI） to build a system of nursing performance indicators; using entropy weight method to determine the weight coefficients of nursing performance indicators; using RSR method to compare the nursing effects of wards before and after the nursing performance management.Results 4 first-level nursing performance indicators,9 secondary-level ones and 27 tertiary-level ones were obtained,and the weight coefficient of every index was computed; According to terrible,poor,moderate,good,excellent levels,25 wards were ranked after implementing nursing performance management.There was significant difference of the overall performance management effects of 25 wards after implementing performance evaluation,comparing with the case before.Conclusions To combine entropy weight method and Rank-sum ratio （RSR） method is pertinent,scientific and reasonable,and the results can be taken as the evidence for nursing performance evaluation.