Construction and Application of a Dual-Track Five-Level Nurse Position Hierarchy Evaluation System
ZHANG Liu
YU Youxia
SHI Yuanju
HUA Lu
WANG Xuelin
YANG Juan
LI Zhengliang
Abstract：Objective To construct a dual-track five-level nurse position hierarchy evaluation system and verify its application effect.Methods Based on Benner's competency advancement theory and the"Structure-Process-Outcome"three-dimensional quality management model as the theoretical framework,a five-level nurse position system integrating clinical nursing and nursing management was constructed through literature analysis,semi-structured interviews,and expert meetings.A dynamic evaluation mechanism covering grading,promotion,retention,and demotion was established,and management of the entire process was achieved through a"clinical-teaching-research-management"four-dimensional competency evaluation system.An empirical research method was used to evaluate the implementation effect of the system.Results After implementation,nurses'comprehensive clinical competence scores increased from 92.00 to 92.75,the incidence of nursing adverse events decreased from 19.85%to 11.65%,and nurses'job satisfaction scores improved from 75.00 to 78.00.All differences were statistically significant(P<0.05).Conclusion The dual-track five-level closed-loop nursing position hierarchy evaluation system effectively expands career development opportunities for nurses,enhances the safety of nursing services,and provides a practical basis for the scientific management of nursing positions through its dual-track development path design,dynamic evaluation mechanism,and management of the entire process.
Keywords：nurseposition hierarchy evaluationnursing managementcomprehensive clinical competencenursing adverse eventjob satisfaction
Publication Date：2026-01-10
Online Publishing Date：2026-02-04(First online date of this platform, not the publication date of the document)
Pages：6( 36-41 )