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Clinical ladders: do they serve their purpose?
The Journal of Nursing Administration
|May 1, 1987
Summary
Clinical ladders may not fully recognize nursing excellence. A review suggests a new promotional model better meets nurses
Area of Science:
- Nursing
- Healthcare Administration
- Professional Development
Background:
- Clinical ladder programs are common in healthcare settings.
- These programs aim to recognize and reward nursing expertise.
- Existing frameworks may not fully address the professional needs of nurses.
Purpose of the Study:
- To analyze the effectiveness of current clinical ladder programs in recognizing nursing clinical excellence.
- To identify limitations in existing conceptual and structural frameworks.
- To propose an alternative model better suited to nurses' professional needs.
Main Methods:
- Literature review of pertinent studies and existing clinical ladder program frameworks.
- Analysis of the impact of clinical ladders on nursing practice and professional recognition.
- Development of a conceptual model for a promotional nursing ladder.
Main Results:
- Clinical ladders offer benefits to hospitals and some nurses.
- Current models may not adequately recognize or foster clinical excellence.
- A gap exists between the intended purpose of clinical ladders and their actual impact on professional recognition.
Conclusions:
- Clinical ladders, while beneficial, may not fully meet the professional need to recognize clinical excellence in nursing.
- A revised promotional model is proposed to better align with nurses' professional development and recognition needs.
- Further research and implementation of alternative frameworks are warranted to enhance nursing professional recognition.