基于平衡计分卡的护理单元绩效考评指标体系的构建

Establishment of nursing unit performance indicator system based on balanced score card

目的：通过平衡计分卡理论基础，建立一套科学的、可量化的护理单元绩效考评指标体系，为护理管理者提供有效的绩效管理依据。方法采用德尔菲法筛选各层次护理绩效考评指标，确定各指标的权重；同时，依据劳动强度、风险程度及技术复杂性等因素，确定护理单元类别和护理工作量计分；初步构建护理单元绩效考评体系。结果以平衡计分卡理论为依据，从内部流程、财务、客户、学习与成长4个维度构建了护理单元绩效考核评价体系，衍生出10个二级指标，32个三级指标，一级指标的权重赋值分别为内部流程占29.44%，财务指标占37.56%，顾客指标占20.32%，护理人员学习与成长占12.68%。结论该指标体系全面涵盖了三级综合医院护理管理的目标要求，具有较强的客观性、科学性和可操作性，可以多角度评价护理业绩、动态实施护理人员管理和实现护理战略目标。

Objective To establish a set of scientific and quantifiable performance management standard system by using Balance score card rationale so as to supply effective results management base for nursing regulator. Methods Delphi method was used to screen each level of nursing evaluation of performance standard and confirmed its weight;meanwhile, the sort of nursing care unite and nursing load were counted accordance with work intensity, risk degree and technological complexity etc and initially built performance management standard system. Results Accordance with the balance score card rationale and internal process, finance, customer, learning and growth four dimensions, a set of performance management standard and was established, including 4 first class indicator, 10 second class indicator and 32 third class indicator were derivative. The internal process, finance, customer, learning and growth factors were 29.44%, 37.56%, 20.32%, and 12.68%respectively. Conclusions Performance management standard system covers objectives of nursing management of Grade three General Hospital, and which is full of an objective, scientific, operational system possibilities, and can be used to multi-angle evaluate nursing performance, dynamic implement nurses management and achieve strategic goals.