孙雅博　王金玲　宋春梅

[摘要] 目的 建立完善科学高效的三级甲等综合医院临床护理单元绩效评价指标体系。 方法 采用访谈和查阅相关文献的方法，以关键业绩指标法（KPI）理论为指导，遵循SMART原则延伸为护理管理绩效考核的原则，确定各临床护理单元的关键绩效指标，采用Delphi法进行3轮专家咨询，建立护理单元绩效评价指标体系。 结果 确立了护理单元岗位类别、护理工作质量、护理工作效益、护理工作效率、危重病人风险系数、负性事件等6个一级指标，30个二级指标。通过运行，护理质量控制、护理培训、住院患者满意度、主动上报不良事件、投诉事件等得到明显改善（P<0.05）；护士对报酬满意度、对同事满意度、对晋升和发展满意度，实施绩效评价前后存在明显差异（P<0.05）。 结论 三级甲等综合医院临床护理单元绩效评价指标体系具有可靠性高的特点，评价指标具有科学性、操作性、实用性，适合用于对临床护理单元进行绩效评价。

[关键词] 三级甲等综合医院；临床护理单元；绩效评价；评价指标

[中图分类号] R197.3 [文献标识码] C [文章编号] 1673-9701（2016）15-0138-05

[Abstract] Objective To establish and perfect a scientific and effective performance evaluation index system for clinical nursing unit in class 3 grade 1 general hospitals. Methods By methods of interview and literature review， based on key performance indicator theory， and in accordance with SMART-extended principles for nursing management performance evaluation， the key performance indexes for each clinical nursing unit were determined， and with 3 rounds of expert consultation based on Delphi method， the nursing unit performance evaluation system was established. Results Six primary indexes were established， including position of nursing unit， quality of nursing， benefit of nursing， work efficiency of nursing， risk factor of critical patients， and negative events， as well as 30 secondary indexes. In practice， indexes of nursing quality control， nursing training， satisfaction of patients， active report of AE， and complaints were significantly improved（P<0.05）. There were significant differences in satisfaction of nurses towards remuneration and colleagues， as well as promotion and development between before and after conduction of performance evaluation （P<0.05）. Conclusion Performance evaluation index system for clinical nursing unit in class 3 grade 1 general hospitals is of high reliability， and its indexes are scientific， operable， and practical， which is applicable for performance evaluation on clinical nursing unit.

[Key words] Class 3 grade 1 general hospital； Clinical nursing unit； Performance evaluation； Evaluation index

护理工作绩效评价是绩效管理的重要环节。临床护理单元绩效评价是采用特定的护理绩效评价指标，按照统一的评价标准及规定的工作程序，对临床护理单元某一时段的工作业绩通过定量、定性的对比考核，做出客观、准确、公正的科学评价。在国内，已有许多护理管理者进行大量的研究和探索，研究方法有很大的差异，研究的理论框架缺少科学性，对不同的护理岗位、能级多维度的绩效考评研究还处于起步阶段[1]。我院自2010年5月～2015年5月期间实施护理绩效管理，经过5年的探索研究，建立完善科学高效的三级甲等综合医院临床护理单元绩效评价指标体系，用于护理单元的绩效考核，对保障患者安全、护理质量持续改进、患者满意度的提高、护理队伍的激励管理具有重要意义。……