目的 构建大型公立医院护士多院区执业管理体系，为多院区间护理人力资源的调配和管理提供依据。方法 基于人力资源管理4P模型，采用文献回顾、半结构访谈形成公立医院护士多院区执业管理体系初稿，并邀请15名专家进行Delphi法函询，构建公立医院护士多院区执业管理体系。 结果 共进行2轮专家函询，第2轮函询专家意见变异系数为0~0.19，一、二、三级指标的Kendall’s W值分别是0.200、0.142、0.143（P<0.05）。构建的公立医院护士多院区执业管理体系包括4个一级指标（素质管理Personality、岗位管理Position、绩效管理Performance和薪酬管理Payment），8个二级指标，46个三级指标。 结论 构建的公立医院护士多院区执业管理体系内容科学、可靠、全面、可操作性强，可为多院区医院护理人力资源的管理及卫生行政部门推行护士区域多点执业提供参考。

Objective To establish a nursing management system for nurses across multiple campuses in large public hospitals，providing a foundation for the allocation and management of nursing human resources among different campuses. Methods Based on the 4P model of human resource management（Personality，Position，Performance，and Payment），a preliminary draft of the multi-campus hospital’s float pool nursing management system was formed through literature review and semi-structured interviews. Fifteen experts were invited to conduct Delphi method inquiries to construct a float pool nursing management system for multi-campus hospitals in Zhejiang Province. Results Two rounds of expert consultations were conducted，and the CV in the second round ranged from 0 to 0.19. The Kendall’s W values for the first，second，and third level indicators were 0.200，0.142，and 0.143，respectively（P<0.05）. The indexes of the multi-campus hospital float pool nursing management system were constructed，including four first-level indexes（Personality，Position，Performance，and Payment），eight second-level indexes and 46 third-level indexes. Conclusion The constructed management system for nurses practicing across multi-campus hospital campuses is scientific，reliable，comprehensive，and highly operable. It can serve as a reference for managing nursing human resources in multi-campus hospitals and for health administrative departments in implementing multi-point nursing practices.