【Abstract】Object To establish a suitable system for performance evaluation of the nursing staff working in hemodialysis units. Method Based on the idea of balanced score card, the Delphi and analytic hierarchy process were adopted to establish the indicator system and to determine the weight of corresponding indicators. Results Two cycles of consultation with experts were performed. The enthusiasm coefficient of the authoritative experts was 95.5%. The indicator system included 4 first level indicators (quality of nurses, satisfaction investigation, work achievement, and study-and-growth), 13 secondary level indicators and 49 tertiary indicators. Conclusion This indicator system is logical, reliable and operable. The evaluation results derived from this indicator system provide a scientific basis for the optimal management of nurses in hemodialysis units.