护士绩效考核指标体系的构建  

Construction of nurse performance appraisal index system

作　　者：郭玲[1] 程秀菊[2] 郝凯军 王克芳[4] 

机构地区：[1]山东省潍坊市益都中心医院护理部,262500 [2]山东省潍坊市益都中心医院质量管理科,262500 [3]山东省青州荣军医院检验科 [4]山东大学护理学院护理学基础教研室,济南250012

出　　处：《中国实用护理杂志》2015年第10期720-725,共6页Chinese Journal of Practical Nursing

基　　金：潍坊市卫生局科研项目（2014年第019号）

摘　　要：目的以量、质、效、技为基础，构建责任制整体护理模式下护士绩效考核指标体系。方法通过专家访谈和Delphi专家函询完成指标体系构建；采用SPSS17．0进行数据统计及可靠性分析。结果构建了包含层次系数、工作量分数、护理质量得分率和奖励金额4个Ⅰ级指标和12个Ⅱ级指标的护士绩效考核指标体系；确立了各部分计算方法；2轮函询专家积极系数为94．3％和100．0％，权威系数为0．83和0．84；各指标重要性和可操作性评分均数为4．27—5．00和4．26-4．94，变异系数为0．00-0．26和0．05-0．26；Ⅰ、Ⅱ级指标重要性和可操作性协调系数为0．13～0．43，协调系数显著性检验P〈0．05。结论该指标体系各维度的设计与现行的责任制整体护理模式相匹配，充分考虑了护士岗位管理、分层使用、责任护士包干患者、分级护理等诸多因素，关键指标代表性强，能充分体现多劳多得、优劳优酬、奖优罚劣的分配理念。Objective This study aimed to construct an index system for nurse performance appraisal based on the quantity, quality, efficiency and technology in holistie nursing mode. Methods Expert interviews and Delphi expert enquiry were used to complete the construction of index system, and SPSS17.0 was used to do data statistics and reliability analysis. Results The nurse performance appraisal index system was constructed which contained 4 level- Ⅰ indicators such as level coefficient, nursing workload scores, nursing quality scoring rate and reward amount and 12 level- Ⅱ indicators. The calculation method of each part was also established. The expert positive coeffiicients were 94.3% and 100.0% respectively, the authority coefficients were 0.83 and 0.84, the importance and feasibility mean scores of every index were 4.27-5.00 and 4.26-4.94, and coefficients of variation were 0.00-0.26 and 0.05-0.26 in 2 rounds of enquiry. The importance of level- Ⅰ or level- Ⅱ indicators and operability coordination coefficients were 0.13 -0.43, the significance test showed P 〈 0.05. Conclusions The design of each dimension of the index system gives full consideration to nurse post management,hierarchical using,the nurse in charge of the patient,grading nursing care and many other factors. Representative of key indicators is strong, and it can reflect the distribution concept that more payment for more contributions, best＇s best reward and rewarding the good and punishing the bad.

关 键 词：护士 绩效考核 指标体系 

分 类 号：R47[医药卫生—护理学]