• KANAD
  • Contact us
  • E-Submission

J Korean Acad Nurs Adm : Journal of Korean Academy of Nursing Administration

OPEN ACCESS
mobile search button mobile menu button
Search
Advanced Search
ABOUT
BROWSE ARTICLES
EDITORIAL POLICY
FOR CONTRIBUTORS

Articles

Page Path

Original Article

Development of a Clinical Ladder System for Operating Room Nurses

Heeyoung Kim1, Keum Seong Jang2
Journal of Korean Academy of Nursing Administration 2011;17(3):301-314.
Published online: September 30, 2011

1RN, PhD, Operation Room, Chonnam National University Hospital, Korea.

2Professor, College of Nursing, Chonnam National University; Chonnam Research Institute of Nursing Science, Korea.

Correspondence: Jang, Keum Seong. College of Nursing, Chonnam National University; Chonnam Research Institute of Nursing Science, 5 Hakdong Dongku, Gwangju 501-746, Korea. Tel: 82-62-530-4955, Fax: 82-62-225-3307, jangks@chonnam.ac.kr
• Received: May 6, 2011   • Revised: August 8, 2011   • Accepted: September 5, 2011

Copyright © 2011 Korean Academy of Nursing Administration

  • 19 Views
  • 0 Download
  • 6 Crossref
prev next

Full Article

Download PDF Download PDF
  • Purpose
    This study was a methodological research conducted to develop a clinical ladder system for operating nurses.
  • Methods
    Participants were 20 OR nurses, working in C Hospital, who had a mean tenure of 6 years and 10 months. Data collection consisted of 4 focus group interviews during May and June 2009. The content analysis method of Kim and Lee (1986) was used to analyze the data. Two clinical expert groups consisting of 16 nurses verified the content validity of the preliminary system from September 16 to 26, 2009 using Kim's tool (1999).
  • Results
    The final clinical ladder system consisted of goals, core values, and 4 domains of practice related to core values, which were defined as professional value, perioperative nursing practice, education/research, and collaboration/leadership. Eleven nursing competencies and 44 behavior indicators were included in accordance with the 4-step ladder. The 4 operation systems for the clinical ladder system were the promotion system, continuous learning system, reward system, and support system.
  • Conclusion
    The results indicate that nursing managers need to pay more attention to developing a clinical ladder system for nurses.
  • Key Words: Nurses; Career mobility; Focus groups
  • 1. Benner P. From novice to expert: Excellence and power in clinical nursing practice. 1984;California, Addision-Wesley Pub.
  • 2. Drenkard K, Swartwout E. Effectiveness of a clinical ladder program. J Nurs Adm. 2005;35(11):502-506.
  • 3. Fusilero J, Prohaska P, Szweda C, Carney K, Mion LC. The career advancement for registered nurse excellence program. J Nurs Adm. 2008;38(12):526-531.
  • 4. Goodloe LR, Sampson RC, Munjas B, Whitworth TR, Lantz CD, Tangley E, et al. Clinical ladder to professional advancement program: An evolutionary process. J Nurs Adm. 1996;26(6):58-64.
  • 5. Goodrich CA, Ward CW. Evaluation and revision of a clinical advancement program. Medsurg Nurs. 2004;13(6):391-398.
  • 6. Gustin TJ, Semler JE, Holcomb MW, Gmeiner JL, Brumberg AE, Martin PA, et al. A clinical advancement program: creating an environment for professional growth. J Nurs Adm. 1998;28(10):33-39.
  • 7. Jang KS. A study on establishment of clinical career development model of nurses. 2000;Seoul, Yonsei University of Korea. Unpublished doctoral dissertation.
  • 8. Jang KS, Choi JY. Reengineering and integrated strategy of management in nursing. Chonnam J Nurs Sci. 1997;2(1):185-206.
  • 9. Jung SW. A survey on the recognition of RNs about the adoption of the clinical ladder system. Korean Nurse. 2005;44(6):69-82.
  • 10. Kim GD, Lee OJ. Method of social survey research - Logic and technique of social study -. 1986;Seoul, Paryoungsa.
  • 11. Kim HG. Developing evaluation systems for career development programs. Korean J Hum Res Dev. 1999;1(2):183-214.
  • 12. Kim HG. Theory and practice of career development. 2000;Seoul, Dasan.
  • 13. Knowles BW. The development of a career ladder for acute care case managers. Prof Case Manag. 2008;13(6):331-337.
  • 14. Korean Hospital Nurses Association. Hospital nurses staffing state survey. 2007;Retrieved September, 2009. from http://www.khna.or.kr/bbs/linkfile/2007/khna_070216.pdf
  • 15. Korean Hospital Nurses Association. Hospital nurses staffing state survey. 2009;Retrieved September, 2009. from http://www.khna.or.kr/bbs/linkfile/2009/khna_090223.pdf
  • 16. Kravutske ME, Fox DH. Creating a registered nurse advancement program that works. J Nurs Adm. 1996;26(11):17-22.
  • 17. Krugman M, Smith K, Goode CJ. A clinical advancement program: Evaluating 10 years of progressive change. J Nurs Adm. 2000;30(5):215-225.
  • 18. Kwon IG, Sung YH, Park KO, Yu OS, Kim MA. A study on the clinical ladder system model for hospital nurses. Clin Nurs Res. 2007;13(1):7-23.
  • 19. Lacey SR, Teasley SL, Henion JS, Cox KS, Bonura A, Brown J. Enhancing the work environment of staff nurses using targeted interventions of support. J Nurs Adm. 2008;38(7-8):336-340.
  • 20. Lewis CK. The clinical nurse specialist's role as coach in a clinical practice development model. J Vasc Nurs. 1996;14(2):48-52.
  • 21. Loyola University Health System. Nursing Clinical Ladder, Chicago. Retrieved 10 August 2009. from http://loyolamedicine.org/Nursing/Career/upload/Nursing-Clinical-Ladder-05.ppt
  • 22. Nelson JM, Cook Pf. Evaluation of a career ladder program in an ambulatory care environment. Nurs Econ. 2008;26(6):353-360.
  • 23. Nelson J, Sassaman B, Philips A. Career ladder program for registered nurses in ambulatory care. Nurs Econ. 2008;26(6):393-398.
  • 24. Park SH, Park KO, Park SA. A development of career ladder program for nurse in a hospital. J Korean Acad Nurs Adm. 2006;12(4):624-632.
  • 25. Riley JK, Rolband DH, James D, Norton HJ. Clinical ladder: Nurses' perceptions and satisfiers. J Nurs Adm. 2009;39(4):182-188.
  • 26. Schmidt LA, Nelson D, Godfrey L. A clinical ladder program based on Carper's fundamental patterns of knowing in nursing. J Nurs Adm. 2003;33(3):146-152.
  • 27. Shirey MR. Competencies and tips for effective leadership: From novice to expert. J Nurs Adm. 2007;37(4):167-170.
  • 28. Trinity Hospitals. Clinical Ladder program. Retrieved 10 August 2009. from http://www.trinityhealth.org/ladders/pdf/Introduction.pdf
  • 29. University of Michigan Health System. UMPNC/UM Management Joint Contract Implementation Team Clinical Ladder Standards and Measurements. Retrieved 10 August 2009. from http://www.med.umich.edu/nursing/jit/docs/forms/clinladder.pdf
  • 30. Winslow SA, Blankenship J. Mentoring clinical ladder advancement with a facilitated prep class. J Nurses Staff Dev. 2007;23(4):180-182.
Figure 1
Clinical ladder system structure
jkana-17-301-g001.jpg
Figure 2
Final clinical ladder system for operating room nurses
*PN : Perioperative Nurse
jkana-17-301-g002.jpg
Table 1
List of literature on structure for clinical ladder system
jkana-17-301-i001.jpg
Table 2
Nurses' perception of clinical ladder system
jkana-17-301-i002.jpg
Table 3
Structure and goals of clinical ladder system
jkana-17-301-i003.jpg
Table 4
Promotion content of clinical ladder system
jkana-17-301-i004.jpg
Table 5
Continuous learning and reward content of clinical ladder system
jkana-17-301-i005.jpg

Figure & Data

References

    Citations

    Citations to this article as recorded by  
    • Experience of Nurses Promoted to Clinical Nurse III through the Career Ladder System
      Bo Kyung Kim, Yeon Hee Kim, Jeong Hye Kim
      Journal of Korean Association for Qualitative Research.2024; 9(3): 227.     CrossRef
    • Factors Affecting Radiation Protective Behaviors in Perioperative Nurses Applying the Theory of Planned Behavior: Path Analysis
      Se Young Jang, Hee Sun Kim, Seok Hee Jeong, Young Man Kim
      Journal of Korean Academy of Nursing.2023; 53(2): 222.     CrossRef
    • Establishing a Clinical Ladder System for Nurses in a Small and Medium-sized Hospital
      Heeyoung Kim, Younghee Han, Okkyung Kim
      Journal of Korean Academy of Nursing Administration.2018; 24(5): 466.     CrossRef
    • Development and validation of a nursing professionalism evaluation model in a career ladder system
      Yeon Hee Kim, Young Sun Jung, Ja Min, Eun Young Song, Jung Hui Ok, Changwon Lim, Kyunghee Kim, Ji-Su Kim, Etsuro Ito
      PLOS ONE.2017; 12(10): e0186310.     CrossRef
    • Effect of Career Development and Career Plateau on Career Satisfaction of Nurses
      Yo Na Kim
      Journal of Korean Public Health Nursing.2016; 30(1): 83.     CrossRef
    • Organizational Socialization and Intention to Leave in Operating Room Nurses Working at Secondary General University Hospitals
      Su Jung Yoon, Hye-Ja Park
      Journal of Korean Academy of Nursing Administration.2015; 21(1): 88.     CrossRef

    Download Citation

    Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

    Format:

    Include:

    Development of a Clinical Ladder System for Operating Room Nurses
    J Korean Acad Nurs Adm. 2011;17(3):301-314.   Published online September 30, 2011
    DOI: https://doi.org/10.11111/jkana.2011.17.3.301
    Download Citation
    Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.
    Format:
    • RIS — For EndNote, ProCite, RefWorks, and most other reference management software
    • BibTeX — For JabRef, BibDesk, and other BibTeX-specific software
    Include:
    • Citation for the content below
    Development of a Clinical Ladder System for Operating Room Nurses
    J Korean Acad Nurs Adm. 2011;17(3):301-314.   Published online September 30, 2011
    DOI: https://doi.org/10.11111/jkana.2011.17.3.301
    Close

    Figure

    • 0
    • 1

    Related articles

    Development of a Clinical Ladder System for Operating Room Nurses
    Image Image
    Figure 1 Clinical ladder system structure
    Figure 2 Final clinical ladder system for operating room nurses *PN : Perioperative Nurse

    Figure 1

    Figure 2

    Development of a Clinical Ladder System for Operating Room Nurses

    List of literature on structure for clinical ladder system

    Nurses' perception of clinical ladder system

    Structure and goals of clinical ladder system

    Promotion content of clinical ladder system

    Continuous learning and reward content of clinical ladder system
    Table 1 List of literature on structure for clinical ladder system

    Table 2 Nurses' perception of clinical ladder system

    Table 3 Structure and goals of clinical ladder system

    Table 4 Promotion content of clinical ladder system

    Table 5 Continuous learning and reward content of clinical ladder system

    Table 1

    Table 2

    Table 3

    Table 4

    Table 5

    J Korean Acad Nurs Adm : Journal of Korean Academy of Nursing Administration

    ABOUT

    BROWSE ARTICLES 

    EDITORIAL POLICY

    FOR CONTRIBUTORS  

    © Korean Academy of Nursing Administration.
    TOP