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Related Experiment Videos

Development, Implementation, and Satisfaction With a Nurse Practitioner Professional Ladder: A Children's Hospital

Anna Evans1, Kellie Loera2, Deborah Harris3

  • 1Anna Evans, Pediatric Nurse Practitioner, Children's Hospital Los Angeles, Los Angeles, CA..

Journal of Pediatric Health Care : Official Publication of National Association of Pediatric Nurse Associates & Practitioners
|September 20, 2018
PubMed
Summary

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A nurse practitioner professional ladder (NPPL) was developed to recognize expertise and foster growth. This initiative created an empowering environment for advanced practice registered nurses.

Area of Science:

  • Nursing
  • Healthcare Administration
  • Professional Development

Background:

  • Advanced practice registered nurses (APRNs) require structured career progression.
  • Pediatric hospitals face challenges in retaining and developing specialized nursing talent.
  • Lack of standardized criteria for recognizing clinical expertise among nurse practitioners.

Purpose of the Study:

  • To describe the development and implementation of a Nurse Practitioner Professional Ladder (NPPL).
  • To establish a tiered system (NP I, NP II, NP III) for recognizing expertise and contributions.
  • To evaluate the impact of the NPPL on nurse practitioner satisfaction and professional growth.

Main Methods:

  • Development of a three-tiered professional ladder framework.
Keywords:
Advanced practice registered nurseclinical laddernurse practitioner

Related Experiment Videos

  • Implementation within a large urban pediatric hospital setting.
  • Nurse practitioner satisfaction surveys conducted at 2 and 4 years post-implementation.

    • Main Results:

    • Successful establishment of a structured, tiered NPPL.
    • Positive trends in nurse practitioner satisfaction observed over time.
    • Evidence of an empowering environment supporting professional advancement.

    Conclusions:

    • The NPPL effectively recognizes and differentiates clinical expertise and professional contributions.
    • The implemented NPPL fosters an environment conducive to ongoing professional growth for nurse practitioners.
    • This model provides a framework for enhancing APRN roles and career trajectories in pediatric settings.