Construction and Application of a Comprehensive Evaluation and Assessment System for Clinical Nurses Based on the Support of an Information Technology Platform

Figures & data

Table 1 Clinical Nurse Comprehensive Assessment Evaluation Indexes and Scores

Appraisal and Evaluation Indicators		Nurse Level
		N0 Level	N1 Level	N2 Level	N3 Level	N4 Level
Primary Indicators	Secondary Indicators
Medical ethics	Receiving praise letters and pennants	10	10	10	10	10
	Medical ethics assessment
	Receiving/refusing red envelopes and gifts
Attendance	Sick leave (including late arrival and early departure)	20	10	10	10	20
	Number of night shifts	–	15	15	10	–
Performance of duties	Quality of nursing work	18	18	18	18	18
	Participate in training	5	5	5	2	2
	Nursing ward round	2	2	2	5	5
	Nursing Defects Errors	5	5	5	5	5
	Reviewing nursing medical record
	Solving difficult problems	–	–	–	5	5
Theoretical study	Theoretical assessment	20	17	17	17	12
Professional Skills	Basic and specialized techniques	20	17	17	17	12
	New technologies, new projects	–	–
Teaching	Teaching new nurses and nursing students (new nurses, nursing students)	–	1	1	1	1
	Teaching advanced students	–	–
	Participation in academic activities	–	–	–
	Guiding graduate thesis	–	–	–	–	10
Department Management	Participating in the management of the department	–
Staffing	Participating in internal and external staff deployment
Public emergencies	Emergency group members	–
	Participate in emergencies	–
Rewards	Awards by Level
Scientific Research	Projects, papers, patents
Instrument Management	Dress and grooming meet the requirements

Table 2 Clinical Nurse Comprehensive Evaluation Assessment Scoring Rules

Level 1 / Level 2 Indicators	Plus Points Score Standard	Minus Points Score Standard
I-① I-② I-③	Individuals received a letter of commendation +0.5 points/time, received a pennant +1 point/time Medical ethics year-end assessment of excellent + 2 points, pass +1 point Satisfaction nomination, refusal to accept red envelopes or gifts +0.5 points / time	Being complained or criticized −1 point/time Medical ethics year-end evaluation failed −1 point Receiving red envelopes and gifts −0.5 point / time
II-④	Sick leave and personal leave accumulate minus points, no maximum deduction
	No reduction in points for sick leave ≤ 3 days/year No reduction in points for leave of absence ≤ 3 days/year Overtime + 1 point/3h	>3 days for each additional 7 days off −1 point >3 days for each additional 1 days off −0.5 points Late arrival, early departure - 0.5 points/time Unexcused absences - 3 points/day
II-⑤	The night shift base was determined by the department, and the night shift base taken into account the nurse’s hierarchy and age, with an upper limit of 5 additional points
	+1 point for each additional 5 night shifts	−1 point for every 5 less night shifts
III-⑥	Discovering problems, defects, failures and other unsafe factors in the work, + 0.1 to 1 point / time depending on the specific situation	The quality of nursing work in the ward and department self-inspection was not up to standard −1 point/time
III-⑦	Organizing faculty training (lecture) + 1 point / time Organizing of section training (lecture) +1 point/5 times	Did not participate −1 point / time
III-⑧	Participating in departmental nursing rounds at least 10 times/year N2~N4 level nurses organized nursing rounds at least 1 time/year	Each time less −1 point Not organized −1 point
III-⑨		Occurrence of nursing defects - 1 point/time General errors - 5 points/time Serious errors - 20 points / time, and the year assessment does not meet the standard
III-⑩	N0~N2 level nurses completed at least 1 nursing medical history /year New nurses completed at least one nursing medical history for each rotation in a unit N3~N4 level nurses checked and revised nursing medical history as required	Incomplete - 1 point One less-1 point One less-1 point
III-⑪	Solving difficult problems in the hospital + 1 point/time Solving difficult out-of-hospital problems +2 points/time
IV . ⑫	The examination results of the nursing department were recorded once a month, and the average results of the departmental examination were recorded once a year. Theoretical examination for 80 points to meet the standard
	80~85 points + 1 point; 86~90 points + 2 points; 91~100 points + 3 points	<49 points - 5 points; 50 to 59 points - 3 points. 60~79 points-1 point; did not participate in the assessment-5 points/time
V-⑬	The nursing department assessment results were recorded once a month, and the average score of departmental assessment was recorded once a year. Skills assessment for 85 points to meet the standard
	85~89 points + 1 point; 90~95 points + 2 points; 96~100 points + 3 points	<60 points - 3 points; 60 to 84 points - 1 point. Did not participate in the assessment - 5 points / time
VI-⑭	Participating in new technology, new business learning training +1 point / time Carrying out new technologies, new business +2 points / item
VI - 15	Leading theoretical lectures and skills training for new nurses and internship students +0.5 points/5 times
VI - ⑯	Completing teaching advanced training staff (dedicated) + 1 point/time
VI-⑰		1 point for each less academic activity attended
VI-⑱	N4 nurses supervised 2 theses/year, +5 points for one more	One less −5 points
Attachment-①	All kinds of administrators on record at the hospital level + 1 point, additional points could be accumulated
Attachment-②	Upper limit 3 points
	Intra-departmental deployment +0.1 point/time In-hospital deployment +0.2 points/time
Attachment-③	Participating in emergencies in the hospital +2 points/time Participatiing in out-of-hospital emergencies +4 points/time acting bravely for a just cause +3 points / time “Emergency group members” assessment pass the year + 1 point
Attachment-④	Various honors and awards + 0.5~10 points according to different levels
Attachment-⑤	All levels and types of scientific research projects + 0.25~20 points according to different levels and rankings
Attachment-⑥		Irregular dress code, −1 point / time Wearing jewelry, dyed nails, abnormal hair color, −1 point/time Failure to wear a mask during nursing operations, −1 point/time

Figure 1 Management flow chart of the comprehensive assessment and evaluation system for clinical nurses.

Table 3 Results of Comprehensive Evaluation Assessment Results of Nurses in 2021

Appraisal Results	Number of People	Percentage (%)
Excellent (≥100 points)	392	39.24
Qualified (95–100 points)	496	49.65
Unqualified (<95 points)	111	11.11

Table 4 Distribution of Nurses Who Failed the Evaluation Assessment Hierarchy and Reasons for Failure in 2021 (Percentage and Person-Time)

Levels	Number of People	Examination Results Failed to Meet the Standard (Person-Time)	Sick Leave (Person-Time)	Personal Leave (Person-Time)	Work Errors (Person-Time)	Number of Night Shifts Failed to Meet the Standard (Person-time)	Nursing Quality Control Failure (Person-Time)
N4 level	2	0	2	0	0	0	0
N3 level	7	2	6	0	0	0	0
N2 level	21	3	13	1	1	3	1
N1 level	29	20	8	3	2	0	2
N0 level	52	50	3	1	1	0	1
Total (percentage %)	111	75 (61.98%)	32 (26.45%)	5 (4.13%)	4 (3.31%)	3 (2.48%)	4 (3.31)

Table 5 Tier and Number of Newly Promoted Nurses, 2022

Levels	N4 Level	N3 Level	N2 Level	N1 Level	N0 Level	Total
Number of promoted nurses	2	93	87	77	108	367
Excellent (percentage)	2 (0.77%)	55 (21.24%)	43 (16.60%)	18 (6.94%)	5	118 (45.56%)
Qualified (percentage)	0 (0)	38 (14.67%)	44 (16.99%)	59 (22.78%)	103	141 (54.44%)