在优质护理服务全覆盖和公立医院高质量发展的背景下，湖南省卫生健康委针对优质护理服务开展不深入、成效不均衡问题，通过更新标准、开展自评、解读标准、树立标杆、示范引领、同质培训、跟班观摩、交叉互评的方式，实施由广大护理管理者参与的开放式评价模式，创新应用评价者角色交互、转换的形式对全省优质护理服务开展情况进行动态评价。此次优质护理服务评价参与度高、覆盖面广，实现了全省联动。开放式动态评价模式在全省开展的优质护理督查中具有可行性，有利于发现不同医疗机构存在的问题，促进护理管理者在角色互换的动态评价中进行有效实践。

Under the background of full coverage of high-quality nursing services and high-quality development of public hospitals，and aimed at the problem of insufficient development and uneven effectiveness of high-quality nursing services，Hunan Provincial Health Commission implemented an open evaluation model involving the majority of nursing managers by updating standards，carrying out self-evaluation，interpreting standards，setting up benchmarks，demonstrating and leading，homogenous training，following-up observation and cross-evaluation. In addition，the dynamic evaluation of quality nursing services in the whole province was carried out through the innovative application of role interaction and transformation of evaluators. This high-quality nursing service evaluation has high participation and wide coverage，and the linkage of the whole province was realized. The open dynamic evaluation model is feasible in the quality nursing supervision of the whole province，which is conducive to finding out the problems existing in different medical institutions and promoting the effective practice of nursing managers in the dynamic evaluation of role exchange.