Hong Yoonmi, Hwang Kyung Ja, Kim Mi Ja, Park Chang Gi
Department of Nursing, Kwandong Universty, Gangneung, Korea.
Taehan Kanho Hakhoe Chi. 2008 Feb;38(1):45-54. doi: 10.4040/jkan.2008.38.1.45.
The purpose of this study was to develop a balanced scorecard (BSC) for performance measurement of a Korean hospital nursing organization and to evaluate the validity and reliability of performance measurement indicators.
Two hundred fifty-nine nurses in a Korean hospital participated in a survey questionnaire that included 29-item performance evaluation indicators developed by investigators of this study based on the Kaplan and Norton's BSC (1992). Cronbach's alpha was used to test the reliability of the BSC. Exploratory and confirmatory factor analysis with a structure equation model (SEM) was applied to assess the construct validity of the BSC.
Cronbach's alpha of 29 items was .948. Factor analysis of the BSC showed 5 principal components (eigen value >1.0) which explained 62.7% of the total variance, and it included a new one, community service. The SEM analysis results showed that 5 components were significant for the hospital BSC tool.
High degree of reliability and validity of this BSC suggests that it may be used for performance measurements of a Korean hospital nursing organization. Future studies may consider including a balanced number of nurse managers and staff nurses in the study. Further data analysis on the relationships among factors is recommended.
本研究旨在开发一种用于韩国医院护理组织绩效评估的平衡计分卡（BSC），并评估绩效评估指标的有效性和可靠性。
韩国一家医院的259名护士参与了一项调查问卷，该问卷包含由本研究的调查人员基于卡普兰和诺顿的平衡计分卡（1992年）制定的29项绩效评估指标。使用克朗巴哈系数来检验平衡计分卡的可靠性。应用探索性和验证性因子分析以及结构方程模型（SEM）来评估平衡计分卡的结构效度。
29项指标的克朗巴哈系数为0.948。平衡计分卡的因子分析显示有5个主要成分（特征值>1.0），解释了总方差的62.7%，其中包括一个新的成分，即社区服务。结构方程模型分析结果表明，这5个成分对于医院平衡计分卡工具具有显著性。
该平衡计分卡具有高度的可靠性和有效性，表明它可用于韩国医院护理组织的绩效评估。未来的研究可以考虑在研究中纳入数量均衡的护士长和普通护士。建议对各因素之间的关系进行进一步的数据分析。
