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Updated: Aug 8, 2026

The Ladder Rung Walking Task: A Scoring System and its Practical Application.
Published on: June 12, 2009
Clinical ladder to professional advancement program. An evolutionary process
L R Goodloe1, R C Sampson, B Munjas
1Department of Education and Professional Development, Medical College of Virginia Hospitals, Richmond, USA.
Abstract:
Since the early 1970s, clinical ladder programs have been a method of defining, recognizing, and rewarding nursing practice. As clinical practice in an institution grows and evolves, so must the program that supports the development of the practitioner. An in-depth evaluation of one clinical ladder program was conducted to determine if it was reflective of current practice. The authors discuss the method of evaluation, findings, and the revised program.
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