【摘要】 目的 构建基于系统论的外科护士绩点制绩效考核体系，并分析其在提升护理质量、护士满意度及患者体验方面的效果。方法 以系统论为指导，从整体性、层次性与动态性出发，设计涵盖基础条件、工作量、工作质量、科研教学四个维度的绩点考核体系，并于某三级甲等医院外科病房实施。比较实施前后护士绩效考核满意度、护理质量评分及患者满意度评分变化。结果 实施绩点制考核后，护士对考核的公平性、激励性、付出回报合理性等方面的满意度显著提升(p<0.05)，护理质量评分与患者满意度评分也明显提高(p<0.05)。结论 基于系统论的绩点制绩效考核体系具有科学性、多维性与可操作性，能有效激发护士工作积极性，提升护理服务整体效能。更多还原

【Abstract】 Objective To construct a performance appraisal system based on systems theory for surgical nurses using a point based assessment method, and to analyze its effects on nursing quality, nurse satisfaction, and patient experience. Methods Guided by systems theory, with consideration of wholeness, hierarchy, and dynamics, a point based performance appraisal system was designed covering four dimensions: basic conditions, workload, work quality, and research and teaching. The system was implemented in the surgical wards of a tertiary Grade A hospital. Changes in nurse satisfaction with performance appraisal, nursing quality scores, and patient satisfaction scores were compared before and after implementation. Results After implementing the point based appraisal system, nurses’ satisfaction with fairness, motivational effect, and reasonableness of reward relative to effort improved significantly(p<0.05). Nursing quality scores and patient satisfaction scores also increased markedly(p<0.05). Conclusion The point based performance appraisal system grounded in systems theory is scientific, multidimensional, and operable. It can effectively stimulate nurses’ work enthusiasm and enhance the overall efficiency of nursing services.更多还原