血液净化中心进行护理奖金绩效分配的实践与成效

摘要

目的 探讨以绩效评价为基础的奖金分配方案在血液净化中心护理奖金分配中的应用成效.方法 实施奖金绩效分配,绩效奖金根据护理质量、工作量、护士能级和附加考核发放.结果 18名护士对现行奖金分配制度的评价中“分配制度公平公正”得分最高为(6.7±1.7)分;实施后科室管理、消毒隔离、急救药品物品、专科护理的得分分别为(97.7±0.96),(95.5±1.91),(95.4±1.14),(97.0±1.58)分,均高于实施前得分(90.5±2.38),(87.7±2.50),(88.6±3.05),(90.2±1.30)分,差异均有统计学意义(t分别为9.768,8.533,7.234,11.513;均P＜0.01);实施前后护士不良行为发生情况的比较差异均有统计学意义(x2分别为4.018,5.000,5.333;P＜0.05),实施后低于实施前.结论 奖金绩效分配激发了护士的工作热情,工作积极性、自身素质、护理质量均得到提高,奖金绩效分配充分体现了多劳多得,优劳优得的原则,能进一步改善服务,提高工作质量.%Objective To study the effect of bonus distribution based on the performance evaluation implementing in blood purification center.Methods Nursing performance bonus distribution based on the the quality of nursing,workload,nurses level and additional assessment issued.Results The highest assessment of nurses on the bonus distribution system was its fair and balanced,which score was (6.7 ± 1.7).After implemented the distribution system,the score of department management,disinfection isolation,emergency medical supplies and special nursing was(97.7 ± 0.96),(95.5 ± 1.91),(95.4 ±1.14),(97.0± 1.58)respectively,higher than that of before implemented this distribution system (90.5 ± 2.38 ),( 87.75 ± 2.50 ),( 88.6 ± 3.05 ),(90.2 ±1.30),and the difference was statistically significant (t=9.768,8.533,7.234,11.513,respectively;P ＜0.01 ).The times of nurses in broken medical ethics,regulations,nursing quality defective happend was significantly reduced after implemented the bonus distribution system ( x2=4.018,5.000,5.333,respectively; P ＜ 0.05 ).Conclusions Performance bonus distribution implementing fully embody the principles of “More pay for more work” and “Best pay for best work”,and improve the service and work quality.