Related Experiment Video
Updated: Aug 18, 2026

The Ladder Rung Walking Task: A Scoring System and its Practical Application.
Published on: June 12, 2009
Creating a career ladder for nursing assistants in long-term care
R E Remsburg1, M Richards, S Myers
1School of Nursing, Johns Hopkins University, Baltimore, MD, USA.
Abstract:
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.
Related Concept Videos
National Nursing Organizations II
The AACN emphasizes a healthy work environment through six standards to achieve an optimal patient outcome. The standards are appropriate staffing, meaningful recognition, collaboration, authentic leadership, effective communication, and decision-making. In addition, AACN provides certification programs, webinars, journals, and...
Current Trends in Nursing I
Interdisciplinary Care: The Health Care Team-I
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution itself.
Planning Nursing Care I
Planning Nursing Care II
Documentation in Long-Term and Home Healthcare Setting
Long-Term Care Facilities
