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Reach for Excellence--a clinical ladder promotion system.

B Deckert

    ANNA Journal
    |August 1, 1990
    PubMed
    Summary

    Lutheran Hospital implemented a four-tiered clinical ladder. This system rewards nurses for using expertise to improve nursing practice through roles like mentors and change agents, with salary increases upon promotion.

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    Area of Science:

    • Nursing Management
    • Professional Development

    Background:

    • Decentralized management is exemplified by the clinical ladder at Lutheran Hospital-La Crosse.
    • Nursing professional growth is fostered through structured advancement.

    Purpose of the Study:

    • To describe the four-tiered clinical ladder system at Lutheran Hospital-La Crosse.
    • To outline the criteria and promotion process within the nursing department.

    Main Methods:

    • The clinical ladder utilizes a four-tiered promotion system.
    • Specific criteria are detailed in the Performance Description/Appraisal.
    • Peer review committees evaluate submitted portfolios.

    Main Results:

    • Nurses are rewarded for clinical expertise and roles as role models, resources, teachers, and change agents.
    • Promotion through the ladder is based on meeting defined performance criteria.
    • Successful applicants receive salary increases.

    Conclusions:

    • The clinical ladder effectively promotes high-quality nursing practice.
    • The system supports nurse professional development and recognizes expertise.
    • Decentralized management is supported through this structured approach.

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