决策树在临床护理单元护理绩效管理中的应用与效果
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摘要
目的探索护理绩效决策树分析流程的建立和实践,为护理绩效管理构建科学、便捷、公平、公正的评价方法。方法将护理单元护理工作数量、质量、效率、业绩4个维度共90项指标数据作为护理绩效综合分析对象,应用决策树分析方法从全院各护理单元90项数据变量中通过分类分析辨别出其中的首优差异变量,并按其将全部护理单元划分到不同集群,以此为依据完成全院护理单元绩效分类,为医院护理单元护理绩效评价与绩效奖金分配提供科学的分类依据与评价方法。结果从护理绩效决策树分析的客观性、适用性、公平性、接受性、效率性、总满意度6个方面对其应用的满意度进行调查分析,满意度均逐步提高,总满意度由72.41%提升到98.28%。结论护理绩效的决策树分析方法能有效提高护士对护理绩效评价的满意度,是护理单元护理绩效管理与绩效奖金分配科学的评价方法。
Objective Explore the establishment and practice of decision tree analysis for nursing performance,and build a scientific,convenient,and fair method for nursing performance evaluation. Methods A total of 90 index data representing quantity,quality,efficiency,and performance were taken as the comprehensive analysis objects of nursing performance,and found the difference variable in first optimal choice among those 90 index variables with the help of decision tree analysis.Based on it,divided all the nursing units into different clusters,and then completed the entire hospital's care unit classification accordingly,providing scientific classification and evaluation methods for performance evaluation and bonus distribution.Results After analyzing the satisfaction of the application of decision tree analysis from the aspects of objectivity,applicability,fairness,acceptability,efficiency,and total satisfaction,it found that satisfaction rate was gradually on the rise,with the total satisfaction rate increasing from 72.41% to 98.28%. Conclusion Applying decision tree analysis in nursing performance can effectively improve nurses' satisfaction rate with nursing performance evaluation,which is an effective scientific evaluation method for performance management and bonus distribution.
Objective Explore the establishment and practice of decision tree analysis for nursing performance,and build a scientific,convenient,and fair method for nursing performance evaluation. Methods A total of 90 index data representing quantity,quality,efficiency,and performance were taken as the comprehensive analysis objects of nursing performance,and found the difference variable in first optimal choice among those 90 index variables with the help of decision tree analysis.Based on it,divided all the nursing units into different clusters,and then completed the entire hospital's care unit classification accordingly,providing scientific classification and evaluation methods for performance evaluation and bonus distribution.Results After analyzing the satisfaction of the application of decision tree analysis from the aspects of objectivity,applicability,fairness,acceptability,efficiency,and total satisfaction,it found that satisfaction rate was gradually on the rise,with the total satisfaction rate increasing from 72.41% to 98.28%. Conclusion Applying decision tree analysis in nursing performance can effectively improve nurses' satisfaction rate with nursing performance evaluation,which is an effective scientific evaluation method for performance management and bonus distribution.
引文
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[21]陈燕,徐军,王春英,等.绩效管理委员会在护理绩效考核改革中的作用[J].中华护理杂志,2015,50(2):205-208.DOI:10.3761/j.issn.0254-1769.2015.02.018.
[22]鲍凤香,马靓,瞿怀荣,等.护理绩效考核信息系统的研发与应用[J].中华护理杂志,2013,48(6):518-521.DOI:10.3761/j.issn.0254-1769.2013.06.012.
[23]李虹彦,殷欣,安力彬.医院护理绩效评估的研究现状及展望[J].中华护理杂志,2011,46(11):1148-1149.DOI:10.3761/j.issn.0254-1769.2011.11.048.
[24]中华人民共和国卫生部.2012年推广优质护理服务工作方案[Z].2012-10-12.
[25]黄荔红,宋斌,黄春霞,等.运用信息化平台构建护理绩效考核体系[J].护理管理杂志,2012,12(2):151-152.
[2]李静.护理学学科体系构建的探索性研究[D].上海:第二军医大学,2010.
[3]刘莉,冯桂荣,覃惠英.肿瘤医院垂直管理模式下护理绩效奖金分配方案的实施[J].护理学报,2016,23(1):25-26.DOI:10.16460/j.issn1008-9969.2016.01.025.
[4]蔡德芳,段红静,李长琼.护理部全垂直考核分配护理绩效的做法与成效[J].护理学报,2013,20(6A):14-16.DOI:10.16460/j.issn1008-9969.2013.11.005.
[5]陈伟红,高泉根,刘永琴,等.护理垂直管理体系下绩效考评的做法与效果[J].护理管理杂志,2013,13(6):425-426.
[6]南锐伶,白庆琳,陈桂兰,等.国内护理绩效管理的研究进展[J].护理管理杂志,2015,15(1):41-43.
[7]宋敏,侯淑肖.国内外护理绩效管理现状及其启示[J].中国护理管理,2013,13(7):4-7.DOI:10.3969/j.issn.1672-1756.2013.07.002.
[8]GREGOR S,SIMON K,IGOR P,et al.Comprehensive decision tree models in bioinformatics[J].PLo S One,2012,7(3):1-13.
[9]孙振球.医学统计学[M].北京:人民卫生出版社,2005:522-527.
[10]李小寒,尚少梅.基础护理学[M].北京:人民卫生出版社,2006:1-10.
[11]吴疆,李静媛,肖红著,等.决策树分类分析法在资源护士调配中的应用[J].护理学杂志,2014,29(11):50-53.DOI:10.3870/hlxzz.2014.11.050.
[12]吴疆,肖红著,夏丽娅.基于三期决策树分析平台建立护理质量综合评价体系[J].护理研究,2016,30(3A):798-802.DOI:10.3969/j.issn.1009-6493.2016.07.009.
[13]陈郁韩.数据挖掘技术在医院管理中的应用[J].中国医学装备,2014,11(1):62-64.DOI:1672-8270(2014)01-0062-04.
[14]苏新宁.数据仓库和数据挖掘[M].北京:清华大学出版社,2006:163-179.
[15]加里肯尼斯.绩效考核[M].第2版.北京:中国人民大学出版社,2002:27-33.
[16]宋瑰琦,李雪娇,秦玉霞,等.护理岗位管理绩效考评与分配的做法与成效[J].中华护理杂志,2014,49(8):957-961.DOI:10.3761/j.issn.0254-1769.2014.08.016.
[17]孙晓燕,温贤秀,敬洁,等.护理人员绩效工资改革的实践与成效[J].中华护理杂志,2014,49(7):828-831.DOI:10.3761/j.issn.0254-1769.2014.07.016.
[18]孙爱红,姚雅红.我院护理人员绩效薪酬改革的做法与成效[J].中华护理杂志,2011,46(2):114-143.DOI:10.3761/j.issn.0254-1769.2011.02.011.
[19]段红伟,高玉芳,魏丽丽,等.基于平衡计分卡的主管护师绩效考核体系的研究[J].护理管理杂志,2010,10(11):768-770.
[20]文锋华,毛金娥,艾华.医院护理绩效评价方法研究与应用[J].齐鲁护理杂志,2015,21(12):37-39.DOI:10.3969/j.issn.1006-7256.2015.12.057.
[21]陈燕,徐军,王春英,等.绩效管理委员会在护理绩效考核改革中的作用[J].中华护理杂志,2015,50(2):205-208.DOI:10.3761/j.issn.0254-1769.2015.02.018.
[22]鲍凤香,马靓,瞿怀荣,等.护理绩效考核信息系统的研发与应用[J].中华护理杂志,2013,48(6):518-521.DOI:10.3761/j.issn.0254-1769.2013.06.012.
[23]李虹彦,殷欣,安力彬.医院护理绩效评估的研究现状及展望[J].中华护理杂志,2011,46(11):1148-1149.DOI:10.3761/j.issn.0254-1769.2011.11.048.
[24]中华人民共和国卫生部.2012年推广优质护理服务工作方案[Z].2012-10-12.
[25]黄荔红,宋斌,黄春霞,等.运用信息化平台构建护理绩效考核体系[J].护理管理杂志,2012,12(2):151-152.
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