目的：按照江苏省三级综合医院评审标准实施细则(2019年版)建立科学合理的护理绩效动态考核分配方案。方法：在口腔科实施护理人员绩效动态考核分配方案，从医院信息系统中提取数据，从占用床日、收治病人、护理收支结余、护理病区得分四大板块不同权重系数计算绩效总额，其中1%绩效作为护理部科室基金奖励护士，其余部分由院考核办划拨到各病区进行二次考核发放，病区按照护理工作量、工作质量、医德医风及患者满意度4个维度再次考核分配。结果：该方法应用前后，护士对绩效管理的满意度得分由75%提升到95%，差异有统计学意义(X2 = 5.362, P < 0.05)，落实了护理人员同岗同薪同待遇的要求，体现公平性、科学性、合理性，稳定护理队伍，患者满意度由93.78%提升至96.11%，提高护理管理效能。结论：在信息化支持下，护理绩效动态分配方案能准确、快速地完成对病区护理绩效的动态分析与即时分配，优劳优得、多劳多得，充分调动护理人员积极性，有利于工作的改进和组织效率的提高。
Objective:
To establish a scientific and reasonable dynamic assessment and distribution
plan for nursing performance in accordance with the Regulations of the
Evaluation Standards of the Three-Level General Hospital in Jiangsu Province
(2019 edition). Methods: To implement the dynamic evaluation and
distribution scheme of nursing staff performance in the dental department,
extract data from the hospital information system, calculate the total
performance from the different weight coefficients of the four major sectors of
occupancy bed day, patient admission, nursing balance and nursing area score,
of which 1% performance is awarded to nurses as the nursing department fund,
the rest is allocated by the hospital assessment office to each disease area
for secondary assessment and distribution, and the patient’s satisfaction is
re-evaluated according to the four dimensions of nursing workload, work
quality, medical ethics and patient satisfaction. Results: Before and after the
application of this method, the satisfaction score of nurses with performance management was increased from 75% to 95%, the
difference was statistically significant (X2 = 5.362, P < 0.05), the requirement of the same salary and treatment of nursing staff was implemented, the fairness, scientificity and rationality were reflected, the nursing team was stabilized, and patient satisfaction was increased from 93.78 percent to 96.11 percent, improving the efficiency of nursing management. Conclusion: Under the support of informationization, the dynamic distribution scheme of nursing performance can accurately and quickly complete the dynamic analysis and immediate distribution of nursing performance in disease areas. Excellent labor, more labor and more gain, fully mobilize the enthusiasm of nursing staff, is conducive to the improvement of work and the improvement of organizational
