背景:护士病房管理者在医院病房的有效运作和护理团队的组织工作中起着至关重要的作用。平衡计分卡模型是一个管理框架,通过设定可导致可衡量结果的目标,使战略能够转化为行动。很少有研究使用平衡计分卡模型来绘制医疗保健专业人员的能力。
目的:使用平衡计分卡模型来绘制护士病房经理的核心能力,并确定相关的关键绩效领域(KPA)和关键绩效指标(KPI)。
方法:这项混合方法研究是在意大利一家医院的外科部门使用定性和定量探索性序贯方法进行的。对于定量部分,作者询问了不同临床工作人员的便利样本,根据其对护士病房经理工作的重要性,对9项能力的列表进行了评分。对于定性部分,与护士病房经理举行了两次焦点小组讨论。
结果:对问卷的答复表明,所有九项能力对受访者都很重要,角色之间没有统计学上的显著差异。焦点小组讨论的结果广泛证实了这九项能力的相关性和重要性。基于这些发现,作者制定了护士病房经理角色的战略地图,将核心能力和相关目标映射到平衡计分卡模型的四个维度。
结论:由平衡计分卡模型提供的护士病房经理角色的战略地图可以帮助衡量护士病房经理的绩效,并为他们提高能力提供基准。
Nurse ward managers have a crucial role in the effective functioning of hospital wards and in organising the work of the nursing team. The Balanced Scorecard model is a management framework that enables strategy to be translated into action by setting goals that lead to measurable outcomes. Few studies have used the Balanced Scorecard model to map the competencies of healthcare professionals.
To use the Balanced Scorecard model to map the core competencies of nurse ward managers and determine relevant key performance areas (KPAs) and key performance indicators (KPIs).
This mixed-methods study was conducted in the surgical department of an Italian hospital using a qualitative and quantitative exploratory sequential approach. For the quantitative part, the authors asked a convenience sample of various clinical staff to rate a list of nine competencies in terms of their importance for the work of nurse ward managers. For the qualitative part, two focus group discussions were held with nurse ward managers.
Responses to the questionnaires showed that all nine competencies were important to respondents, with no statistically significant differences between roles. Findings from the focus group discussions broadly confirmed the relevance and importance of the nine competencies. Based on these findings, the authors formulated a strategic map of the nurse ward manager role, with core competencies and associated objectives mapped against the four dimensions of the Balanced Scorecard model.
A strategic map of the nurse ward manager role informed by the Balanced Scorecard model can help measure nurse ward managers\' performance and provide a benchmark for them to improve their competencies.