曾礼新

[摘要] 目的 研究基层医院绩效考核对护士分层培训的影响。方法 选择2014年7月～2016年6月期间在我院工作的护理人员200名，其中100名护士2014年7月～2015年6月期间实施分层培训作为对照组，另100名护士2015年7月～2016年6月期间在实施分层培训的同时给予各层级护士制定绩效考核方案作为研究组，观察两组护士护理水平情况。同期选取两个时间段住院患者各500例作为研究对象，分析两个时间段患者对护理的依从性和满意度情况。结果 绩效考核方案实施后护理人员理论考核、操作考核以及总分均明显高于实施前（P<0.05）。绩效考核方案实施后，患者护理依从性为97.4%，明显高于实施前的86.6%（P<0.05）。绩效考核方案实施后，患者对护理满意度为95.6%，明显高于实施前的83.8%（P<0.05）。结论 护士分层培训联合绩效考核对护理水平有显著提高，且提高患者护理依从性和满意度，值得临床应用及推广。

[关键词] 基层医院；护理水平；绩效考核；分层培训

[中图分类号] R192 [文献标识码] A [文章编号] 2095-0616（2017）09-157-03

Effect of performance appraisal of primary hospitals on nurses' multi-level training

ZENG Lixin

Department of Obstetrics and Gynecology， Lunjiao Hospital of Shunde District， Foshan 528308， China

[Abstract] Objective To study the effect of performance appraisal of primary hospitals on nurses' multi-level training. Methods 200 nurses who worked in our hospital from July 2014 to June 2016 were selected. 100 nurses who were given multi-level training from July 2014 to June 2015 were set as the control group and other 100 nurses who were given multi-level training combined with performance appraisal scheme from July 2015 to June 2016 were set as the research group. Nursing levels of nurses in two groups were compared. Nursing levels of nurses in two groups were observed. In addition， each 500 inpatient patients in the same period were respectively selected as research objects to analyze nursing compliance and satisfaction of patients in two periods. Results After the implementation of the performance appraisal scheme， theory examination， operation test and total scores of nurses were all significantly higher than those before the implementation（P<0.05）. After the implementation of performance appraisal scheme， nursing compliance of patients was 97.4%， which was significantly higher than that before implementation 86.6% （P<0.05）. After the implementation of performance appraisal scheme， nursing satisfaction of patients was 95.6%， significantly higher than that before implementation 83.8%（P<0.05）. Conclusion Nurses multi-level training combined with performance appraisal can significantly improve the nursing level， nursing compliance and nursing satisfaction， which is worthy of clinical application and promotion.

[Key words] Primary hospitals； Nursing Level； Performance appraisal； Multi-level Training

隨着医学的不断发展和进步，医学从纯技术领域过渡为服务于技术并存的科学，尤其是护理学的发展，成为医学服务理念的代表，而护理人力资源的合理配合也越来越受到医院的重视[1-2]。由于基层医院护士数量严重不足，部分护士学历低，导致基层医院护理质量低下，而继续再教育以及培训的针对性不足[3-4]。护士分层培训是近年来提出的培训方式，针对不同水平护士进行培训，针对性更强。

而绩效考核制度则有助于激发护士的工作激情，从而提高学习和培训效果[5-6]。本研究对我院护士进行分层培训和绩效考核，观察对护理水平的影响，现报道如下。

1 资料与方法

1.1 一般资料

本研究选取2014年7月～2016年6月期间我院工作的200名护理人员作为研究对象，均为我院正式工作的护理人员，排除实习、进修等护理人员。……