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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.
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.