J Korean Acad Nurs Adm.  2018 Dec;24(5):466-478. 10.11111/jkana.2018.24.5.466.

Establishing a Clinical Ladder System for Nurses in a Small and Medium-sized Hospital

• Kim H
• Han Y
• Kim O

• KMID: 2431207
• DOI: http://doi.org/10.11111/jkana.2018.24.5.466

Abstract

PURPOSE
This study was done to establish a clinical ladder system for nurses in a small and medium-sized hospital in Korea.
METHODS
The study was carried from July, 2016 to May, 2018. Data collection was done in a general hospital with 250 beds located in Gyeonggi Province. The clinical ladder system was developed and operated according to the value system of small and medium-sized hospital. Focus group interviews and a satisfaction survey were conducted for evaluation. Collected quantitative data were analyzed using the SPSS/WIN 22.0 program and qualitative data underwent content analysis.
RESULTS
The clinical ladder system is a 5-step ladder that includes 3 domains, 5 nursing competencies and 25 nursing behavioral indicators related to core values of the hospital. The operating system were promotion review system, education system and support/reward system. After conducting a pilot clinical ladder system, satisfaction of nurses was 2.86, out of a possible 4. Nurses who participated in the clinical ladder system experienced improvement in motivation, job performance, self-esteem, professionalism, recognition and were able to develop a goal in their minds.
CONCLUSION
The results indicate that the clinical ladder system can be used as a strategy for professional development for nurses in small and medium-sized hospitals.

Keyword

Career mobility; Nurses; Hospitals

MeSH Terms

Career Mobility*
Data Collection
Education
Focus Groups
Gyeonggi-do
Hospitals, General
Korea
Motivation
Nursing
Professionalism
Work Performance

Figure

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  Figure 1 Clinical ladder system model.

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