Abstract: Objective To establish a dynamic allocation scheme for nursing performance appraisal，so as to provide an innovative method for hospital nursing performance evaluation. Methods Based on the data extracted from the hospital information system，90 specific indexes in four dimensions (quantity，quality，efficiency and performance of nursing work) in all ward units were analyzed by chi-square automatic interactive detection method. The ward units were grouped into different performance grade clusters to complete the categorization for nursing performance appraisal of the ward units. Satisfaction among nurses and nursing managers were investigated from six aspects'applicability ，fairness，objectivity，acceptability，efficiency and overall satisfaction. Results After the application of this method，nursing managers’ satisfaction for performance appraisal was increased from(2.69±1.01) to (4.66±0.69) with statistically significant difference (t=-12.221，P<0.01). Nurses’ satisfaction for performance appraisal was increased from (3.39±0.89) to(4.60±0.52) with statistically significant difference(t=-23.836,P<0.01). Conclusion The dynamic allocation scheme for nursing performance appraisal can accurately and quickly complete the classified evaluation of ward unit nursing performance， which is an effective method to provide scientific decision-making basis for nursing performance evaluation in ward units.

Key words: Nursing Performance, Performance Allocation, Satisfaction, Dynamic Analysis

摘要： 目的 建立护理绩效动态分配方案，为医院护理绩效考核提供新方法。方法 从医院信息系统中提取数据，应用卡方自动交互检测法对全部病区护理工作量、质量、效率、业绩4个维度的90项指标进行分析，将不同病区归属到不同的绩效等级集群，实现对病区护理绩效的即时性分类。方案应用前后，从适用性、公平性、客观性、接受性、效率性、总体满意度6个方面对护士及护理管理人员的满意度进行比较。结果 该方法应用前后，护理管理人员对绩效管理的满意度得分由（2.69±1.01)分提升为（4.66±0.69)分，差异有统计学意义（t=-12.221，P<0.01);护士对绩效管理的满意度得分由（3.39±0.89)分提升到（4.60±0.52)分，差异有统计学意义（t=-23.836，P<0.01)。结论 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类，为病区护理绩效考评提供科学的决策依据。

关键词: 护理绩效, 绩效分配, 满意度, 动态分析