Practice and effect of nursing post management performance appraisal

Abstract

Objective To establish a post management performance appraisal method for orthopedic nurses, and explore its practical effects. Methods The balanced scorecard performance tool was used in combination with two rounds of expert consultation to establish the appraisal index system. It comprises assessment indexes of four dimensions, dimension weight and index score value. Monthly performance appraisal value was calculated based on the nurses′ post coefficient, and the health factor was used to reduce nurses′ dissatisfaction in performance appraisal. Four orthopedics departments were selected for a one-year trial, with the results evaluated in the end. Results A comparison made before and after this appraisal found an increase of the nurses′ job satisfaction (9 out of 13 survey items, P<0.05), higher inpatient satisfaction (P<0.05), and higher nursing quality (number of adverse nursing events Ⅳ, P<0.05). Other indicators include more nurses participate in learning and theoretical researches (number of papers published, number of lecture hosts and the number of participants in nursing competition (P<0.05). Conclusions The performance appraisal system of orthopedic nurses can improve nursing quality and patient satisfaction, effectively mobilize the initiative and creativity of nurses, and meet the characteristics of nurse post management, proving a success in use. Key words: Nurses; Balanced scorecard; Post management; Nursing performance appraisal; Orthopedic care