基于Delphi专家咨询法护士长绩效评价指标体系的构建

Construction of performance evaluation system for head nurses based on Delphi method

目的构建护士长绩效评价指标体系，对护士长进行公平公正地量化绩效考核，以增强护士长的工作责任心和危机感，提高护士长竞争意识。方法以平衡计分卡4要素为基准，初步构建绩效评价指标的基本框架；采用Delphi专家咨询法，确定各级指标；进一步应用层次分析法确定各级指标的权重值。结果共进行2轮咨询，专家的积极性较高，积极性系数在93％以上，权威系数为0．76。构建的评价指标体系包括财务、客户、内部流程和学习与成长4个一级指标，护理服务项目、护理设备、患者及家属、护士、医生、上级管理者、相关科室人员、学生、护理工作量、护理质量、科研、继续教育、教学、科内学习、培训及考核和科室文化环境16个二级指标。结论基于Delphi专家咨询法构建的评价指标体系能够公平公正考核护士长的绩效，可在护理领域中应用。

Objective To construct the head nudes performance evaluation system in order to measure their performance fairly and equitably and to enhance their responsibility, crisis and sense of competition. Methods Many methods were used such as the balanced scorecard four elements were used to construct the basic framework of the performance evaluation system and Delphi method was used to determine the various index, analytic hierarchy process was used to identify the index of value at all levels. Results Two wheels consultation were used and the enthusiasm of exports was high with the coefficient was 88% and authoritative coefficient was 0.76. Four primary indexes of performance evaluation system were consisted, such as finance, client, interior process, learn and study. It included sixteen secondary indexes, such as nursing service projects, nursing equipments, patients and families, nurses, doctors, and so on. Conclusions Performance evaluation system construction of head nurses based on the Delphi method can measure their performance fairly and equitably and it is worth to applying in nursing.