Evaluation of a career ladder program in an ambulatory care environment

Nurs Econ. 2008 Nov-Dec;26(6):353-60.

Abstract

Clinical ladders, or career advancement systems, were designed to enhance professional development, provide a reward system for quality clinical performance, promote quality nursing practice, and improve job satisfaction among nurses. Most of the literature on RN clinical ladder programs is related to the acute care setting, where these programs originated; not much is known about their effectiveness in the ambulatory care environment. The RN Career Ladder at Kaiser Permanente of Colorado was begun by a Labor Management Partnership Committee in 2003, and awards financial incentives to RNs who demonstrate a commitment to continuing education, leadership activities, and program development on a local and regional level. In this study significantly more involvement in leadership, interdisciplinary, and quality improvement activities were found among career ladder nurses than non-career ladder nurses, regardless of their job role. It is not clear whether nursing leaders gravitate toward a career ladder or whether career ladder participation encourages increased participation in leadership activities.

Publication types

  • Evaluation Study

MeSH terms

  • Ambulatory Care / organization & administration*
  • Analysis of Variance
  • Attitude of Health Personnel*
  • Career Mobility*
  • Colorado
  • Education, Nursing, Continuing
  • Health Facility Environment / organization & administration*
  • Health Maintenance Organizations
  • Humans
  • Job Satisfaction*
  • Leadership
  • Middle Aged
  • Motivation
  • Nurse's Role / psychology
  • Nursing Evaluation Research
  • Nursing Methodology Research
  • Nursing Staff / education
  • Nursing Staff / organization & administration
  • Nursing Staff / psychology*
  • Professional Competence
  • Program Evaluation
  • Salaries and Fringe Benefits
  • Surveys and Questionnaires
  • Total Quality Management / organization & administration