护士绩效考核及激励机制在基层医院的构建和评价体会  

Construction and Evaluation Experience of Nurse Performance Examination and Motivation Mechanism in the Primary Hospitals

作　　者：徐艳清 XU Yan-qing(Honghe Fourth People＇s Hospital, Honghe, Yunnan Province, 661699 China)

机构地区：[1]云南省红河州第四人民医院,云南红河661699

出　　处：《中国卫生产业》2018年第10期16-18,共3页China Health Industry

摘　　要：目的研究并探讨护士绩效考核及激励机制在基层医院的构建和应用效果。方法该院自2017年1月开始针对护士实行绩效考核,按照"切蛋糕法"进行护理群体绩效分配,并设立激励机制,采取整群抽样法,选取2017年1—6月期间共500例住院治疗患者和100名在岗护士作为研究对象,设置为观察组。另于2016年7—12月期间随机抽取500例住院治疗患者和100名在岗护士作为对照组,该段时间内该院未实行绩效考核和激励机制。采用调查问卷对这两个阶段内患者、护士的满意度进行调查,并比较两组患者的护理不良事件发生率、护理质量评分。结果观察组阶段的患者、护士的满意度分别为96.20%、94.00%,明显高于对照组阶段的75.80%、76.00%差异有统计学意义(P<0.05);观察组患者的护理不良事件发生率明显低于对照组(P<0.05),且观察组的护理质量评分明显高于对照组(P<0.05)。结论在基层医院护士管理中实行绩效考核,并设立激励机制,可有效提高护士的服务意识,改善其护理服务态度,还可有效减少护理不良事件的发生,保证护理服务质量,有利于提高患者对医院服务的满意度。Objective To research and study the construction and application effect of nurse performance examination and motivation mechanism in the primary hospitals. Methods The performance examination was implemented for nurses in our hospital since January 2017, and the nurse group performance allocation was conducted according to the ＂cake cutting method＂, and the motivation mechanism was established, and 500 cases of inpatients and 100 cases of on-post nurses from January to June 2017 were randomly selected as the observation group, while 500 cases of inpatients and 100 cases of onpost nurses in our hospital from July to December 2016 were selected as the control group, and the performance examination and motivation mechanism were not conducted during the period, and the satisfactory degrees of patients and nurses at the two periods were surveyed by the questionnaires, and the incidence rate of nursing adverse events and nursing quality scores were compared between the two groups. Results The satisfactory degrees of patients and nurses in the observation group were obviously higher than those in the control group（96.20%, 94.00% vs 75.80%, 76.00%）the difference was statistically significan（P〈0.05）, and the incidence rate of nursing adverse events in the observation group was obviously lower than that in the control group（P〈0.05）, and the nursing quality scores in the observation group were obviously higher than those in the control group（P〈0.05）. Conclusion The implementation of performance examination and motivation mechanism in the management of nurses in the primary hospitals can effectively improve the service awareness of nurses, improve the nursing service attitude, and also effectively reduce the occurrence of nursing adverse events, ensure the nursing service quality, and it is conducive to improving the satisfactory degree of patients to the hospital services.

关 键 词：护理管理 绩效考核 激励机制 基层医院 

分 类 号：R47[医药卫生—护理学]