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KMID : 1004620150210030277
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Clinical Nursing Research
2015 Volume.21 No. 3 p.277 ~ p.292
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Development of Clinical Ladder System Model for Nurses: For Tertiary Care Hospitals
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조명숙:Cho Myoung-Sook
조용애:Cho Yong-Ae/김경희:Kim Kyung-Hee/권인각:Kwon In-Gak/김미순:Kim Mi-Soon
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Abstract
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Purpose: The purpose of this study was to develop a Clinical Ladder System (CLS) model for staff nurses working in inpatient units of tertiary care hospitals in Korea.
Methods: The study was carried out in 2 steps. First, a nursing competence evaluation scale was developed. Second, evaluation of the nursing competences, qualifications, and professional activities of 230 nurses from five tertiary care hospitals was done by 49 head nurses between Feb. and Dec., 2014. Nurses were selected by head nurses according to their clinical experience and expected behavioral characteristics at each level of the ladder.
Results: A nursing competence scale was developed consisting of 5 subcategories (clinical practice, ethical practice, education, leadership, and professional development) and 11 elements, and 5 levels of behavioral indicators for each element. Cronbach’s alphas for the entire tool and subcategories were over .853 and stability of the scale was confirmed. There were significant differences in nursing competence according to the 5 levels of the ladder.
Conclusion: The findings indicate that the proposed CLS model with a standard score for nursing competence, recommended or obligatory criteria for qualifications and professional activities provides a good tool for developing nurses’
competences and retaining excellent nurses in clinical practice.
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KEYWORD
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Clinical Ladder System (CLS), Nursing Competence’ Clinical Ladder
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