	Evaluation method	Before implementation	After implementation	Z/T	P
Specialized disease knowledge	Nurse self-assessment	3.26 ± 0.76	4.05 ± 0.67	19.53	0.001
Specialized disease knowledge	Doctors’ evaluation	3.94 ± 0.66	4.36 ± 0.61	−5.38	0.001
Observation and reporting	Nurse self-assessment	3.29 ± 0.79	4.06 ± 0.68	18.66	0.001
Observation and reporting	Doctors’ evaluation	3.80 ± 0.73	4.19 ± 0.73	−4.55	0.001
Emergency and severe disease care	Nurse self-assessment	3.27 ± 0.78	4.02 ± 0.67	18.68	0.001
Emergency and severe disease care	Doctors’ evaluation	3.94 ± 0.70	4.43 ± 0.69	−5.05	0.001
Accelerated rehabilitation during perioperative period	Nurse self-assessment	2.07 ± 1.81	2.42 ± 2.07	6.01	0.001
Accelerated rehabilitation during perioperative period	Doctors’ evaluation	3.98 ± 0.74	4.43 ± 0.66	−4.14	0.001
Overall evaluation	Nurse self-assessment	2.96 ± 0.79	3.64 ± 0.78	−15.07	0.001
Overall evaluation	Doctors’ evaluation	3.94 ± 0.74	4.26 ± 0.72	−3.57*	0.001