林慧萍　温宇凤　刘田宇

[摘要] 目的 依托PDA为平台对护士工作量进行科学、公平、公正统计，根据绩效分将科室奖金进行二次分配。 方法 2015年9月起，桂林医学院附属医院输液室（以下简称“我科”）在全院率先使用PDA信息技术，护士给静脉输液患者执行的每一项操作都进行PDA扫描，能及时反映护理工作有效的量化指标。绩效分配根据不同岗位、不同年龄、护士层级确定分值；重点向大夜班、风险高、难度大的岗位倾斜；实行护士同工同酬，按照考核结果分配绩效奖金。 结果 我科护理人员实行以PDA为平台的绩效考核后，工作的积极性、主动性以及护士满意度和患者满意率均提高，差异有统计学意义（P < 0.05）。 结论 实行PDA为平台的护理绩效改革后，推进了输液室的工作效率，真正体现了护理绩效按劳分配、多劳多得、公平、公正、透明及奖勤罚懒的分配原则，调动了护士的工作热情，提高了护理质量，提升了护理管理水平。

[关键词] 绩效考核；PDA信息技术；输液室

[中图分类号] R47 [文献标识码] A [文章编号] 1673-7210（2017）07（a）-0161-04

[Abstract] Objective To count nurses' workload in scientific， fair and just way based on PDA platform， and re-allocate department bonus according to the performance. Methods Since September 2015， PDA information technology was first adopted in Transfusion Room， Affiliated Hospital of Guilin Medical University （below "our department" for short）， each operation conducted by the nurse for the IV fluids patients was scanned by PDA， which can timely reflect the index of nursing workload. Performance was ranking according to the different positions， ages， nurse levels. Good performance was inclined to the positions with night shift， high risk， and great difficulty； advocating same pay for the same position， and division the bonus according to the assessment results. Results The nursing personnel of our department were more positively and proactively， and the nursing service satisfaction and the patient satisfaction were both improved after the performance assessment was implemented based on the PDA platform. The difference had statistical implication （P < 0.05）. Conclusion After executing the nursing performance revolution based on the PDA platform， the infusion room's working efficiency is increased， and it realizes the nursing performance is divided according to the workload， more labor got more payment， the diligent is rewarded and the lazy is punished， the principle of fair， justice and transparent， which arouse the enthusiasm of the nurses， improve the nursing quality and nursing management.

[Key words] Performance evaluation； PDA information technology； Transfusion room

PDA是應用于临床的手持电子产品，具有体积小巧、方便携带的特点，同时具有强大的存储和处理及跟踪医嘱全程、护理工作量统计、条码扫描等功能，是以医院信息管理系统（hospital information system，HIS）为支撑平台，以无线局域网为网络平台，充分利用HIS的数据资源，实现HIS向患者身边服务的扩展和延伸[1-2]。绩效考核对调动员工的工作积极性具有可执行性，实行绩效考核可以激发护理人员工作的主动性，提高工作效率及工作质量[3]。护理绩效考核是医院信息管理系统的一个组成部分，它充分利用了信息化技术收集、分析、反馈护士的工作行为和工作结果[4]。在实行绩效考核前科室奖金二次分配上缺乏有效的量化指标，存在一定的主观性，为有效地体现按劳分配，多劳多得、奖勤罚懒的分配原则[5]。……