CAJ | 학술논문

目的：探索建立护理部垂直管理下合理、科学、可行的护理人员绩效薪酬分配体制。方法2009年我院展开了护理垂直管理改革，通过护理工作量标准化计算，细化护理质量考核，护士能级评定及患者满意度考核护理人员绩效薪酬。比较改革前后护理人员绩效成果。结果护理绩效改革使绩效分配切实反映护理工作量，改革后绩效工资分配方案和改革前按科室效益分配绩效比较，31个科室中16个科室提高、6个科室持平、9个科室减少。并且提升患者及护士满意度，改革前为90．12％，改革后为95．37％，保证护理质量，稳定护理队伍。结论护理部垂直管理下的绩效改革实现了护理部对全院护士人、财、物的统一管理及调配，加强了医院管理。
목적：탐색건립호리부수직관리하합리、과학、가행적호리인원적효신수분배체제。방법2009년아원전개료호리수직관리개혁，통과호리공작량표준화계산，세화호리질량고핵，호사능급평정급환자만의도고핵호리인원적효신수。비교개혁전후호리인원적효성과。결과호리적효개혁사적효분배절실반영호리공작량，개혁후적효공자분배방안화개혁전안과실효익분배적효비교，31개과실중16개과실제고、6개과실지평、9개과실감소。병차제승환자급호사만의도，개혁전위90．12％，개혁후위95．37％，보증호리질량，은정호리대오。결론호리부수직관리하적적효개혁실현료호리부대전원호사인、재、물적통일관리급조배，가강료의원관리。
Objective To establish a scientific and feasible nursing staff vertical performance management system with the management of nursing department .Methods Through standardized nursing workload calculation , detailed nursing quality assessment , the ability level combined with patient ’ s satisfaction were evaluated to determine the performance and bonus of nursing staff .Results The reform of bonus distribution reflected the nursing workload .There was a statistical significance between the nurses ’ performance before and after the reform .Within the 31 departments , 16 departments had improved;6 departments remained the same as before;9 departments had decreased.The patients’ and nurses’ satisfaction was 90.12% before the reform, and 95.37%after the reform.The vertical performance management ensured the quality of nursing care and stabilized the nursing team .Conclusions After the reform of performance management , the nursing department accomplished to unify the management of nursing staff , finance and materials , so as to enhance the hospital management .