CAJ | 학술논문

目的探讨全面、科学、有效的护士长管理考评方法.方法建立护士长绩效考核机制,并应用于护士长管理考评中,对实施前后护理质量评分及医护人员对护士长工作满意度及护士长对护理部管理方法的认可度进行比较.结果实施护士长绩效考核后护理质量得分:护士长管理(97.43±2.41)分,各班工作质量(96.39 ±4.51)分,护理文件书写(97.75 ±4.25)分,基础护理(96.11±1.96)分,三基考核(95.12 ±4.29)分,明显高于实施前(90.03±1.23)分,(89.26±2.19)分,(90.10 ±3.37)分,(90.94±2.54)分,(89.25 ±5.48)分,两者比较,差异具有统计学意义(t分别为12.63,10.12,12.72,12.23,10.06;P＜0.05)；实施前后住院患者满意度分别为91.19％和98.04％,两者比较,差异有统计学意义(x2=6.02,P＜0.05)；实施后医护人员对护士长工作满意度及护士长对护理部管理方法的认可度也分别提升(x2分别为6.78,6.46,P均＜0.05).结论科学的护士长绩效考核方案有利于提升护士长的综合管理能力,确保护理质量与安全,增强医院的组织核心竞争力.
목적 탐토전면、과학、유효적호사장관리고평방법.방법 건립호사장적효고핵궤제,병응용우호사장관리고평중,대실시전후호리질량평분급의호인원대호사장공작만의도급호사장대호리부관리방법적인가도진행비교.결과 실시호사장적효고핵후호리질량득분:호사장관리(97.43±2.41)분,각반공작질량(96.39 ±4.51)분,호리문건서사(97.75 ±4.25)분,기출호리(96.11±1.96)분,삼기고핵(95.12 ±4.29)분,명현고우실시전(90.03±1.23)분,(89.26±2.19)분,(90.10 ±3.37)분,(90.94±2.54)분,(89.25 ±5.48)분,량자비교,차이구유통계학의의(t분별위12.63,10.12,12.72,12.23,10.06;P＜0.05)；실시전후주원환자만의도분별위91.19％화98.04％,량자비교,차이유통계학의의(x2=6.02,P＜0.05)；실시후의호인원대호사장공작만의도급호사장대호리부관리방법적인가도야분별제승(x2분별위6.78,6.46,P균＜0.05).결론 과학적호사장적효고핵방안유리우제승호사장적종합관리능력,학보호리질량여안전,증강의원적조직핵심경쟁력.
Objective To explore a comprehensive,scientific and effective approach in head nurse management.Methods Performance appraisal for head nurses was established and applied in the management.Grading of the nursing quality,medical personnel' s satisfaction with head nurses and head nurses' recognition of management were compared before and after performance appraisal.Results The scores of nursing quality after performance appraisal were (97.43 ± 2.41) in head nurse management,(96.39 ± 4.51) in performance quality,(97.75 ±4.25) in nursing document writing,(96.11 ± 1.96) in basic care and (95.12 ±4.29) in basic knowledge,all of which were higher than those before performance appraisal [ (90.03 ± 1.23),(89.26 ±2.19),(90.10 ± 3.37),(90.94 ± 2.54),(89.25 ± 5.48),respectively ].The differences were statistically significant (t =12.63,10.12,12.72,12.23,10.06,respectively; P ＜ 0.05).Inpatients' satisfaction before and after performance appraisal were 91.19％ and 98.04％,and the differences were statistically significant (x2 =6.02 ;P ＜ 0.05).Medical personnel's satisfaction with head nurses and head nurses' recognition of the management had also been improved (x2 =6.78,6.46,respectively;P ＜0.05).Conclusions The application of performance appraisal can improve head nurses' comprehensive management ability,ensure nursing quality and safety,and enhance core competitiveness of hospitals' organization.