Establishing a Clinical Ladder System for Nurses in a Small and Medium-sized Hospital
10.11111/jkana.2018.24.5.466
- Author:
Heeyoung KIM
1
;
Younghee HAN
;
Okkyung KIM
Author Information
1. Department of Nursing, Dongshin University, Naju, Korea. kimhy@dsu.ac.kr
- Publication Type:Original Article
- Keywords:
Career mobility;
Nurses;
Hospitals
- MeSH:
Career Mobility;
Data Collection;
Education;
Focus Groups;
Gyeonggi-do;
Hospitals, General;
Korea;
Motivation;
Nursing;
Professionalism;
Work Performance
- From:Journal of Korean Academy of Nursing Administration
2018;24(5):466-478
- CountryRepublic of Korea
- Language:Korean
-
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.
