CAJ | 학술논문

目的：探讨关键业绩指标( KPI)在临床护理绩效管理中的应用及效果。方法依据各层级护理人员岗位管理办法及护理人员绩效考评指导原则,以及临床科室护理考核指标和考核分值分配比例,充分征求科室全体护士意见确定护理质量、护理工作量、岗位系数、满意度调查、继续教育考核5个关键指标,赋予不同的权重,结合临床护理工作进行评分,按照分值进行绩效管理。结果实施后,护士对护理工作满意度、患者满意度度、医生对护理工作满意度均较实施前提高,差异均有统计学意义(χ2值分别为5.86,13.25,4.89；P<0.05)；护理质量考核指标,如基础护理、特一级护理、护理文件、急救管理、病区管理评分也较实施前提高,差异有统计学意义( t 值分别为-10.44,-17.86,-14.21,-5.42,-14.72；P<0.05)；实施前后,护士离职率差异无统计学意义(χ2=3.29；P>0.05)。结论使用KPI进行护理绩效管理,客观、公正,操作较方便,有利于推动临床科室护理工作的良性发展。
목적：탐토관건업적지표( KPI)재림상호리적효관리중적응용급효과。방법의거각층급호리인원강위관리판법급호리인원적효고평지도원칙,이급림상과실호리고핵지표화고핵분치분배비례,충분정구과실전체호사의견학정호리질량、호리공작량、강위계수、만의도조사、계속교육고핵5개관건지표,부여불동적권중,결합림상호리공작진행평분,안조분치진행적효관리。결과실시후,호사대호리공작만의도、환자만의도도、의생대호리공작만의도균교실시전제고,차이균유통계학의의(χ2치분별위5.86,13.25,4.89；P<0.05)；호리질량고핵지표,여기출호리、특일급호리、호리문건、급구관리、병구관리평분야교실시전제고,차이유통계학의의( t 치분별위-10.44,-17.86,-14.21,-5.42,-14.72；P<0.05)；실시전후,호사리직솔차이무통계학의의(χ2=3.29；P>0.05)。결론사용KPI진행호리적효관리,객관、공정,조작교방편,유리우추동림상과실호리공작적량성발전。
Objective To discuss application and effect of key performance indicator ( KPI) in clinical nursing performance management. Methods According to our hospital nursing staff posts measures for the management and nursing personnel at the level of performance evaluation guidelines, as well as the clinical nursing assessment indicators and assessment score distribution proportion, we fully solicited opinions from all nurses to determine the quality of care, nursing workload, post coefficient, satisfaction survey, and continuing education examination five key indicators and gave different weights, graded by clinical nursing work, and managed nurse according to the score of performance. Results After KPI implementation, the nurse′s, doctor′s and patient′s satisfaction for nursing work had all improved the difference had statistical significance (χ2 =5. 86,13. 25,4. 89, respectively; P<0. 05); similarly, the scores of KPI, such as routine nursing, special grade one nursing, nursing document, management of first aid, ward management improved as well, and the differences were statistical significance (t= -10. 44,-17. 86,-14. 21,-5. 42,-14. 72, respectiuely;P<0. 05);however, the turnover of nurse had no significant difference compared before KPI implementation (χ2 =3. 29,P>0. 05). Conclusions The KPI provides an objective, just and convenient method to manage nursing performance, and is benefits to promote the development of clinical nursing work.