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KMID : 0614820180240050466
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Journal of Korean Academy of Nursing Administration
2018 Volume.24 No. 5 p.466 ~ p.478
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Establishing a Clinical Ladder System for Nurses in a Small and Medium-sized Hospital
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Kim Hee-Young
Han Young-Hee
Kim Ok-Kyung
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Abstract
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Purpose: This study was done to establish a clinical ladder system for nurses in a small and medium-sized hospitalin Korea.
Methods: The study was carried from July, 2016 to May, 2018. Data collection was done in a general hospitalwith 250 beds located in Gyeonggi Province. The clinical ladder system was developed and operated according tothe value system of small and medium-sized hospital. Focus group interviews and a satisfaction survey were conductedfor evaluation. Collected quantitative data were analyzed using the SPSS/WIN 22.0 program and qualitativedata underwent content analysis.
Results: The clinical ladder system is a 5-step ladder that includes 3 domains, 5nursing competencies and 25 nursing behavioral indicators related to core values of the hospital. The operating systemwere promotion review system, education system and support/reward system. After conducting a pilot clinicalladder system, satisfaction of nurses was 2.86, out of a possible 4. Nurses who participated in the clinical laddersystem experienced improvement in motivation, job performance, self-esteem, professionalism, recognition andwere able to develop a goal in their minds.
Conclusion: The results indicate that the clinical ladder system can beused as a strategy for professional development for nurses in small and medium-sized hospitals.
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KEYWORD
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Career mobility, Nurses, Hospitals
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