J Korean Clin Nurs Res.  2018 Dec;24(3):324-335. 10.22650/JKCNR.2018.24.3.324.

Revised Clinical Ladder System Model Based on Nurses' Clinical Competence and Professional Activities for Nurses in General Hospitals

• Cho MS
• Kwon IG
• Kim KH
• Cho YA

• KMID: 2437832
• DOI: http://doi.org/10.22650/JKCNR.2018.24.3.324

Abstract

PURPOSE
The purpose of this study was to propose a revised Clinical Ladder System(CLS) Model for nurses based on the evaluation of clinical competence and professional activities of nurses working in general hospitals.
METHODS
Data were collected between September 10 and October 30, 2017. Participants were 50 head nurses from 10 general hospitals with over 400 beds located in Seoul City and Gyeonggi Province. Each head nurse evaluated clinical competence, qualifications, and professional activities of 5 staff nurses at each of the 5 levels of CLS in her unit. The total number of the nurses evaluated was 245. Data were analyzed with descriptive statistics and t-test, one-way ANOVA, and Scheffé.
RESULTS
Over 80% of the nurses were university graduates. As the CLS levels increased, clinical competence, qualifications, and professional activities also increased significantly. Education material development and quality improvement activities were carried out by nurses from level 2, research and evidence based practice activities were carried out from level 3, and nurses at level 4 or 5 participated in most of the professional activities as leaders.
CONCLUSION
In order to retain excellent nurses in general hospitals, recognizing and rewarding nurses according to the revised model of the CLS are recommended.

Keyword

Nurse; Clinical Ladder; Clinical Competence; General Hospital

MeSH Terms

Career Mobility*
Clinical Competence*
Education
Evidence-Based Practice
Gyeonggi-do
Hospitals, General*
Nursing, Supervisory
Quality Improvement
Reward
Seoul