Methods Based on the nursing job management requires "Anlaoquchou, giving priority to efficiency, hard work and excellent labor excellent performance" nurse salary allocation principles, to establish the quality of care, nursing workload, department risk factors and patient satisfaction degree as the main performance evaluation based remuneration scheme nursing unit in the hospital 34 departments, a total of 45 nursing units in nursing clinical practice performance-based compensation allocated discussed, and were assigned to carry out the clinical practice of nursing pay for performance before and after the study, more nurses job satisfaction and patient satisfaction before and after hospitalization differences in nursing in order to evaluate the effectiveness of performance pay distribution reform.