Creating a career ladder for nursing assistants in long-term care

Geriatr Nurs. 2001 Nov-Dec;22(6):318-25. doi: 10.1067/mgn.2001.121000.


This article describes the development, implementation, and evaluation of a career ladder for certified nursing assistants in long-term care. A career ladder is an effective way to maximize the use of unlicensed workers without changing the skill mix (eg, no loss of licensed nursing positions) and allow the licensed nurse more time to perform higher-level clinical tasks, such as assessments, patient education, and documentation. Implementation of an unlicensed worker career ladder also can improve nursing assistant retention.

MeSH terms

  • Career Mobility*
  • Humans
  • Licensure
  • Long-Term Care
  • Nursing Assistants / legislation & jurisprudence
  • Nursing Assistants / organization & administration*
  • Program Development