Evaluation of a clinical advancement system
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Updated: Aug 11, 2026

Hydra, a Computer-Based Platform for Aiding Clinicians in Cardiovascular Analysis and Diagnosis
Published on: September 26, 2018
1University of Rochester School of Nursing, NY.
Abstract:
Evaluation of a nursing clinical advancement system was conducted to determine if it had achieved its goals: higher staff nurse job satisfaction and improved patient care. Findings included a trend toward higher job satisfaction and markedly lower turnover rates among clinically advanced staff. The subjective opinions of respondents supported a positive impact on patient care. The cost-benefit ratio for this clinical advancement system, however, was negative. Recommendations for improving the credibility and effectiveness of such systems are presented.
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