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A streamlined clinical advancement program improves RN participation and retention
Susan R Allen1, Pamela Fiorini, Michelle Dickey
1Center for Professional Excellence, Cincinnati Children's Hospital Medical Center, 3333 Burnet Ave., Cincinnati, OH 45229-3039, USA. susan.allen@cchmc.org
Clinical advancement programs are key to retaining expert nurses, improving patient care. A revised program at Cincinnati Children's Hospital significantly boosted nurse promotions and retention rates.
Area of Science:
- Nursing
- Healthcare Administration
- Quality Improvement
Background:
- Retaining expert nurses in direct patient care is critical for achieving high-quality patient outcomes.
- Clinical advancement programs aim to support nurses in direct care roles through recruitment, retention, recognition, and rewards.
Purpose of the Study:
- To evaluate the impact of a revised clinical advancement program on nurse retention and promotions.
- To assess the effectiveness of strategies designed to recruit, retain, recognize, and reward direct care nurses.
Main Methods:
- Program revision implemented in 2002 at Cincinnati Children's Hospital Medical Center.
- Analysis of nursing promotion rates before and after program revision.
- Comparison of retention rates between program participants and non-participants.
Main Results:
- The revised clinical advancement program led to a significant increase in nursing promotions.
- Program participants demonstrated a higher retention rate compared to their peers, whose retention rate was 88%.
- Approximately 40% of the hospital's nursing staff now actively participate in the program.
Conclusions:
- Clinical advancement programs can be effective in enhancing nurse retention and career progression.
- Investing in direct care nurses through structured advancement programs contributes to improved healthcare quality.
- The success of the revised program suggests a scalable model for other healthcare institutions seeking to improve nurse retention.
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