Author(s)

Jie Tian ¹, Xiuzhi Long ¹

Affiliation(s)

¹ Department of Neurology Nursing, The First People's Hospital of Neijiang, Neijiang, Sichuan, China

Corresponding Author

Jie Tian

ABSTRACT

Nursing shortages and increasing care complexity in neurological wards highlight the need for performance systems that can reliably translate nursing standards into patient-centered outcomes. To evaluate whether a KPI-360°-integrated multidimensional nursing performance management model improves patient-reported outcomes and functional independence in stroke inpatients. Single-center, parallel-group randomized controlled study. From January 2022 to June 2023, 201 non-critical stroke inpatients were randomly allocated to routine inpatient nursing (control, n=100) or to a KPI-360° performance management model embedded in daily nursing practice (intervention, n=101). Outcomes were assessed at baseline (day 1–2) and follow-up (day 5) using the Connor-Davidson Resilience Scale (CD-RISC), Fatigue Severity Scale (FSS), Self-Efficacy for Managing Chronic Disease 6-item Scale (SEMCD-6), and Modified Barthel Index (MBI). Length of stay was recorded. Independent-samples t-tests and chi-square tests were used (two-sided P<0.05). At follow-up, the intervention group showed higher CD-RISC (mean difference [MD] 26.89, 95% CI 23.95–29.83; P<0.001), higher SEMCD-6 (MD 11.11, 95% CI 8.58–13.64; P<0.001), higher MBI (MD 7.16, 95% CI 2.00–12.32; P=0.007), and lower FSS (MD −20.47, 95% CI −22.28 to −18.66; P<0.001) than the control group. Length of stay was shorter in the intervention group (MD −1.21 days, 95% CI −2.30 to −0.12; P=0.030). Embedding a KPI-360° multidimensional performance management model into neurology nursing practice was associated with improved patient-reported outcomes and shorter length of stay in stroke inpatients. Multicenter, cluster-randomized studies with nurse-level outcomes are warranted. Performance management can be framed as a nursing quality-improvement intervention when it is explicitly linked to care processes (education, safety, communication) and to patient-centered outcomes.

KEYWORDS

Nursing Performance Management; 360-Degree Feedback; Key Performance Indicators; Stroke Nursing; Patient-Reported Outcomes

CITE THIS PAPER

Jie Tian, Xiuzhi Long. Effect of a KPI-360° Multidimensional Nursing Performance Management Model on Patient-Reported Outcomes and Functional Independence Among Stroke Inpatients: A Randomized Controlled Study. MEDS Public Health and Preventive Medicine (2026). Vol. 6, No.1, 17-22. DOI: http://dx.doi.org/10.23977/phpm.2026.060103.

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