量化考核绩效管理在优质护理中的应用

Application of performance management in the role of high quality nursing

目的探讨护理绩效分配制度在优质护理中的应用，提高护理人员工作积极性，提高医院护理工作质量。方法在优质护理示范病区中应用量化考核绩效管理制度，比较实施前后患者及医生对护士工作的满意度、护理质量及护理差错发生情况。结果实施后护理质量得分分别为（96．38±0．91），（98．26±0．90），（97．39±0．93），（98．69±0．96），（97．28±0．74），（98．57±0．98），（99．26±0．93）分，均高于实施前的（92．36±0．72），（90．38±0．75），（89．26±0．76），（91．57±0．78），（89．93±0．76），（91．23±0．78），（91．38±0．79）分，差异均有统计学意义（t分别为36．647，90．990，82．833，10．910，636．529，60．461，13．177；P〈0．05）；实施后患者对护理各项工作满意度较实施前提高，差异均有统计学意义（t分别为27．750，22．733，49．430，41．483，12．926，8．980，8．517，7．806，12．920；P〈0．05）；实施后医生对护理各项工作满意度较实施前提高，差异均有统计学意义（t分别为27．336，12．975，14．344，18．237，25．745，13．100；P〈0．05）。实施后护理差错发生减少，差异有统计学意义（X2=0．845，P〈0．05）。结论将量化考核绩效管理融人护理管理中，体现优劳优酬、按劳取酬的原则，是护理管理高效科学的管理模式，确保质量改进的稳定性和持续性。

Objective To explore the application of nursing performance distribution system in high quality of nursing care so as to improve the job enthusiasm of nursing staff and improve the quality of nursing work in hospital. Methods Nursing performance distribution system was implemented in the high quality nursing units, then, the satisfaction of patients and doctors on the nursing care, the quality of nursing, nursing errors occurrence were compared before after the nursing performance distribution system was implemented. Results After the implementation of performance appraisal system, the quality of nursing work was significantly improved, that compared with the performance distribution system not implemented [ （ 96. 38±0. 91 ） vs （92.36±0.72）, （98.26 ±0.90） vs （90.38±0.75） ,（97.39±0.93） vs （89.26±0.76） ,（98.69±0.96） vs （91.57±0.78）, （97.28±0.74 ） vs （89.93±0.76） ,（98.57±0.98） vs （91.23±0.78）, （99.26±0.93） vs （91.38±O. 79） ;t =36. 647,90. 990,82. 833,10.910,636. 529,60.461,13. 177, respectively; P 〈0.05） ]. And the satisfaction of patients and doctors on nursing care both was significantly improved （ P 〈 0.05 ）, nursing errors occurrence was significantly reduced after the performance appraisal system implemented （X2 = 0. 845,P 〈 0.05 ）. Conclusions Nursing performance distribution system implementing into the quality of nursing care management reflect the principle of good payment for good work, payment according to work, and it is a scientific and efficient management mode for nursing management. Performance assessment can ensure the stability and continuity of quality improvement.