Exploration and practice of nursing performance reform plan in public hospitals under the background of high-quality development
ZHOU Qian
XUE Yaping
YI Yaping
Abstract：Objective:To explore the establishment of a compensation distribution system that integrates job responsibilities with nursing value by introducing key indicators of diagnosis related groups(DRGs)and the objectives and key results(OKR)framework in the context of high-quality development in hospitals,and to stimulate nursing vitality through comprehensive evaluation methods,improve management efficiency,and support the realization of hospital strategic goals.Methods:From January to December 2023,a nursing performance management plan based on work performance points using the resource-based relative value scale(RBRVS)method was implemented.From January to December 2024,a DRGs+RBRVS performance assessment method was adopted to calculate the direct and indirect nursing work efficiency and performance coefficients for different nursing units,forming a tiered monthly assessment mechanism.Based on OKR,with high-quality nursing development as the key objective,five assessment points,nursing safety,nursing service,nursing quality,nursing education and research,and nursing competence,were quantified and weighted.These were incorporated into the monthly assessment in the form of assessment scores,with the surplus used for annual target management comprehensive evaluation rewards.A comparative analysis of nursing work performance,nurse satisfaction,and patient satisfaction before and after the performance reform was conducted.Results:After the implementation of this nursing performance reform plan,the departmental target management responsibility score was 97.8 points,compared to 96.4 points before implementation,showing an improvement rate of 1.45%.The situation of various nursing work indicators had improved significantly.Nurse satisfaction with performance assessment and patient satisfaction significantly improved compared to before implementation(P<0.05).Conclusion:The nursing performance reform plan based on DRGs and OKR,through lean management methods,reinforces"high performance,high reward"based on"more work,more pay."It achieves an organic integration of nursing work and nursing performance,promoting the high-quality development of nursing.
Keywords：nursing performance reformdiagnosis related groupsresource-based relative value scaleobjectives and key resultshigh-quality development
Publication Date：2026-03-25
Online Publishing Date：2026-04-01(First online date of this platform, not the publication date of the document)
Pages：5( 1121-1125 )