目的 探讨护士分层培训与管理系统的开发方法及应用效果。方法 按照分析、设计、开发、应用、评价5个步骤，围绕“教、考、评、管”等教学重点环节，开发护士分层培训与管理系统。2021年3月起应用于3 600余名护士分层培训与管理，截至2022年8月，发布理论培训课程3 016门，组织操作培训3 202次，完成护理查房4 530次、操作考核 1 976场、理论考试389场。2022年8月采用自制调查表调查临床护士及教学管理人员对系统的满意度。结果 共调查了725名护士的满意度，满意度条目均分4.52±0.81，其中，设计与运行、内容设置、使用效果、使用意愿维度均分分别为4.47±0.78、4.59±0.86、4.57±0.95、4.48±1.08。结论 护理人员对护士分层培训与管理系统总体满意度高，此系统提高了培训的方便性与灵活性，加强了培训质量管理，可以为护士分层培训与管理的信息化建设提供参考。

Objective To explore the development method and application effect of nurse hierarchical training and management system. Methods The hierarchical training and management system for nurses was developed according to the ADDIE teaching design model and based on the key links of teaching，namely “teaching，examination，evaluation and management”. From March 2021，more than 3 600 nurses were trained with the hierarchical training and management system. By August 2022，3 016 theoretical training courses had been published，3 202 operational training courses had been organized，and 4 530 nursing ward rounds，1 976 operational examinations and 389 theoretical examinations had been completed. In August 2022，a self-made system satisfaction questionnaire was used to investigate the satisfaction of clinical nurses and teaching management personnel. Results A total of 725 nurses were investigated. The average score of satisfaction items was 4.52±0.81，and the average scores of design and operation，content setting，use effect，and use intention dimensions were 4.47±0.78，4.59±0.86，4.57±0.95，and 4.48±1.08 respectively. Conclusion The overall satisfaction of nursing staffs with the training and management system was high，which improves the convenience and flexibility of training，strengthens the quality management of training，and can provide reference for the information construction of stratified training and management of nurses.