The Impact of Clinical Competence and Perception of Clinical Ladder System on Organizational Commitment among Nurses at a General Tertiary Hospital
10.11111/jkana.2025.31.1.120
- Author:
Yeon Hee SHIN
1
;
Mi Ra LEE
;
Sung Nam KIM
;
Min Jung KIM
;
Ae Jin KIM
;
Hyun Ja KIM
;
Ji Yoon KANG
Author Information
1. Chief Nursing Officer, Department of Nursing, Seoul National University Bundang Hospital
- Publication Type:ORIGINAL ARTICLE
- From:Journal of Korean Academy of Nursing Administration
2025;31(1):120-131
- CountryRepublic of Korea
- Language:English
-
Abstract:
Purpose:This study aimed to evaluate the performance of a clinical ladder system in a tertiary hospital by examining how nurses' clinical competence and perceptions of the system affect organizational commitment.
Methods:The study involved 394 nurses working at a tertiary hospital. Data were collected from May 3 to July 10, 2023, using a self-reported questionnaire. Statistical analyses, including descriptive statistics, independent t-tests, one-way ANOVA, Kruskal-Wallis test, Scheffé post-hoc test, Pearson correlation, and hierarchical regression analysis, were performed using SPSS 27.0.
Results:Nurses who applied for promotion to the CN III level and current CN III nurses reported higher clinical competence, perceptions of the clinical ladder system, and organizational commitment than those who did not and those at lower levels (p<.001). A positive correlation existed among all independent variables.Controlling for general characteristics, the effects of clinical competence and perceptions of the clinical ladder system explained 49% of organizational commitment variance (Adjusted R 2 =.49, F=33.43, p<.001).
Conclusion:Greater clinical competence and positive perceptions of the clinical ladder system are likely to enhance organizational commitment, emphasizing its effectiveness in fostering better organizational outcomes.
