兰州大学第一医院护士绩效考核指标研究

发布时间：2018-03-09 06:02

本文选题：护理　切入点：绩效考核指标　出处：《兰州大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的:护士绩效考核指标体系显著影响护士的工作满意度及积极性,为了研究兰州大学第一医院现行护士绩效考核指标体系存在的问题,以期进一步完善护士绩效考核指标体系,提高护士工作的积极性和满意度,从而提高护理工作质量。方法:通过调查问卷及观察法研究了兰州大学第一医院现行护士绩效考核指标体系,从兰州大学第一医院医院层面,护理部层面,科室层面及科室护理部四个层面的绩效考核指标进行了分析研究,并对护理部层面八个维度的指标进行问卷调查,发放问卷160份,有效问卷160份,对问卷的信效度及护理部层面指标的可行性和重要性进行了分析。并对护士对现行的绩效考核满意度进行了调查。结论:大部分护士对现行的绩效考核指标体系满意,但仍存在医院及科室层面以职称为绩效考核的指标的体系过于单一不能体现绩效考核的多维性和全面性,护理部考核指标体系中的八个维度没有权重分配,对工作量统计不够精确,对工作质量的考核过于简单,并且没有落到实处。对策建议:基于医疗服务的目的性,医院层面对护士的绩效考核指标引入在院患者满意度,并且依照护理工作量将全院护士作为一个整体进行绩效考核;护理部层面基于医院对护士整体绩效的基础上,完善层级护士绩效考核指标体系,并且按工作量将全院临床科室划分为四类病房,制定护理质量评定标准,成立护理绩效考核委员会每月检查病区护理质量和护士层级晋级委员会每年进行考评;科室层面严格执行护理部制定以层级和班次及护理质量为多维指标的护士绩效考核指标体系,成立绩效考核小组和质量控制小组,每月进行检查评定护士工作质量,引入计算机系统精确统计护士工作量;基于满意度和绩效考核指标体系的重要性和操作性调查增加N4、N5、N6和N7层级护士护理质量考核,提高其考核项权重。调整N2级护士的班次系数,考核内容和标准操作性不强的作出相应修改,主要分为两类,针对重要性高、操作性不强的考核内容和标准,酌情修改和完善考核标准;针对重要性低、操作性不强的考核内容和标准,对考核内容作出修改或取消。
[Abstract]:Objective: the performance evaluation index system of nurses significantly affected the job satisfaction and enthusiasm of nurses. In order to study the problems existing in the current performance evaluation index system of nurses in the first Hospital of Lanzhou University, In order to further improve the performance evaluation index system of nurses, improve the enthusiasm and satisfaction of nurses, In order to improve the quality of nursing work. Methods: by means of questionnaire and observation, the current performance evaluation index system of nurses in the first Hospital of Lanzhou University was studied, from the hospital level of the first Hospital of Lanzhou University, the nursing department level. The performance evaluation indexes at the department level and the four levels of the department nursing department were analyzed and studied, and the indexes of the eight dimensions in the nursing department level were investigated, 160 questionnaires were distributed, 160 valid questionnaires were obtained. The reliability and validity of the questionnaire and the feasibility and importance of nursing department index were analyzed, and the nurses' satisfaction with the current performance appraisal was investigated. Conclusion: the majority of nurses are satisfied with the current performance appraisal index system. But there are still hospitals and departments with the title as the index system of performance appraisal is too single to reflect the multi-dimensional and comprehensive performance appraisal, the eight dimensions of the evaluation index system of the nursing department have no weight distribution. The statistics of workload is not accurate enough, the assessment of work quality is too simple, and it has not been put into practice. The countermeasures and suggestions are as follows: based on the purpose of medical service, the hospital level introduces the nurses' satisfaction degree to the performance evaluation of nurses in hospital. And according to the nursing workload of the whole hospital nurses as a whole performance evaluation; nursing department level based on the overall performance of the hospital nurses on the basis of the improvement of the hierarchical nurses performance evaluation index system, According to the workload, the clinical department of the whole hospital was divided into four kinds of wards, the nursing quality evaluation standard was established, and the nursing performance evaluation committee was set up to check the nursing quality of the ward and the nurse level promotion committee every year. The department strictly implements the nursing department to establish a multi-dimensional indicator system of nurses' performance evaluation, set up performance evaluation group and quality control group, and conduct monthly inspection and evaluation of nurses' work quality. According to the importance and maneuverability of the index system of satisfaction and performance evaluation, the nursing quality assessment of nurses in N4N _ 5N _ 6 and N _ 7 levels was increased. Improve the weight of examination items. Adjust the shift coefficient of N _ 2 nurses, and modify the examination contents and standards accordingly, which are mainly divided into two categories, aiming at the assessment contents and standards which are of high importance and not strong in operation. Modify and perfect the assessment standards as appropriate; modify or cancel the assessment contents and standards which are of low importance and low maneuverability.
【学位授予单位】：兰州大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R47

【参考文献】