Journal of Korean Academy of Nursing Administration (간호행정학회지)

Korean Academy of Nursing Administration (한국간호행정학회)
권호 표지

Development of a Clinical Ladder System for Operating Room Nurses

수술실 간호사의 경력개발시스템 개발

  • Kim, Hee-Young (Operation Room, Chonnam National University Hospital) ;
  • Jang, Keum-Seong (College of Nursing, Chonnam National University, Chonnam Research Institute of Nursing Science)
  • 김희영 (전남대학교병원 수술실) ;
  • 장금성 (전남대학교 간호대학, 전남대학교 간호과학 연구소)
  • Received : 2011.05.06
  • Accepted : 2011.09.05
  • Published : 2011.09.30
Download PDF
⟨ Previous Next ⟩

Abstract

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.

Keywords

References

  1. Benner, P. (1984). From novice to expert: Excellence and power in clinical nursing practice. California: Addision-Wesley Pub.
  2. Drenkard, K., & Swartwout, E. (2005). Effectiveness of a clinical ladder program. Journal of Nursing Adminstration, 35(11), 502-506. https://doi.org/10.1097/00005110-200511000-00007
  3. Fusilero, J., Prohaska, P., Szweda, C., Carney, K., & Mion, L. C. (2008). The career advancement for registered nurse excellence program. Journal of Nursing Adminstration, 38(12), 526-531. https://doi.org/10.1097/NNA.0b013e31818ebf06
  4. Goodloe, L. R., Sampson, R. C., Munjas, B., Whitworth, T. R., Lantz, C, D., Tangley, E., et al. (1996). Clinical ladder to professional advancement program: An evolutionary process. Journal of Nursing Adminstration, 26(6), 58-64. https://doi.org/10.1097/00005110-199606000-00016
  5. Goodrich, C. A., & Ward, C. W. (2004). Evaluation and revision of a clinical advancement program. Medsurg Nursing, 13(6), 391-398.
  6. Gustin, T. J., Semler, J. E., Holcomb, M. W., Gmeiner, J. L., Brumberg, A. E., Martin, P. A., et al. (1998). A clinical advancement program: creating an environment for professional growth. Journal of Nursing Adminstration, 28(10), 33-39. https://doi.org/10.1097/00005110-199810000-00008
  7. Jang, K. S. (2000). A study on establishment of clinical career development model of nurses. Unpublished doctoral dissertation, Yonsei University of Korea, Seoul.
  8. Jang, K. S., & Choi, J. Y. (1997). Reengineering and integrated strategy of management in nursing. Chonnam Journal of Nursing Sciences, 2(1), 185-206.
  9. Jung, S. W. (2005). A survey on the recognition of RNs about the adoption of the clinical ladder system. The Korean Nurse, 44(6), 69-82.
  10. Kim, G. D., & Lee, O. J. (1986). Method of social survey research - Logic and technique of social study -. Seoul: Paryoungsa.
  11. Kim, H. G. (1999). Developing evaluation systems for career development programs. Korean Journal of Human Resource Development, 1(2), 183-258.
  12. Kim, H. G. (2000). Theory and practice of career development. Seoul: Dasan.
  13. Knowles, B. W. (2008). The development of a career ladder for acute care case managers. Professional Case Management, 13(6), 331-337. https://doi.org/10.1097/01.PCAMA.0000341642.81643.ae
  14. Korean Hospital Nurses Association. (2007). Hospital nurses staffing state survey. Retrieved September, 2009, from http://www.khna.or.kr/bbs/linkfile/2007/khna_070216.pdf
  15. Korean Hospital Nurses Association. (2009). Hospital nurses staffing state survey. Retrieved September, 2009, from http://www.khna.or.kr/bbs/linkfile/2009/khna_090223.pdf
  16. Kravutske, M. E., & Fox, D. H (1996). Creating a registered nurse advancement program that works. Journal of Nursing Adminstration, 26(11), 17-22. https://doi.org/10.1097/00005110-199611000-00004
  17. Krugman, M., Smith, K., & Goode, C. J. (2000). A clinical advancement program: Evaluating 10 years of progressive change. Journal of Nursing Adminstration, 30(5), 215-225. https://doi.org/10.1097/00005110-200005000-00002
  18. Kwon, I. G., Sung, Y. H., Park, K. O., Yu, O. S., & Kim, M. A. (2007). A study on the clinical ladder system model for hospital nurses. Clinical Nursing Research, 13(1), 7-23.
  19. Lacey, P. R., Teasley, S. L., Henion, J. S., Cox, K. S., Bonura, A., & Brown, J. (2008). Enhancing the work environment of staff nurses using targeted interventions of support. Journal of Nursing Adminstration, 38(7/8), 336-340. https://doi.org/10.1097/01.NNA.0000323942.04888.36
  20. Lewis, C. K. (1996). The clinical nurse specialist's role as coach in a clinical practice development model. Journal of Vascular Nursing, 14(2), 48-52. https://doi.org/10.1016/S1062-0303(96)80016-1
  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, J. M., & Cook, P. f. (2008). Evaluation of a career ladder program in an ambulatory care environment. Nursing Economics, 26(6), 353-360.
  23. Nelson, J., Sassaman, B., & Philips, A. (2008). Career ladder program for registered nurses in ambulatory care. Nursing Economics, 26(6), 393-398.
  24. Park, S. H., Park, K. O., & Park, S. A. (2006). A development of career ladder program for nurse in a hospital. Journal of Korean Academy Nursing Administration, 12(4), 624-632.
  25. Riley, J. K., Rolband, D. H., James, D., & Norton, H. J. (2009). Clinical ladder: Nurses' perceptions and satisfiers. Journal of Nursing Adminstration, 39(4), 182-188. https://doi.org/10.1097/NNA.0b013e31819c9cc0
  26. Schmidt, L. A., Nelson, D., & Godfrey, L. (2003). A clinical ladder program based on Carper's fundamental patterns of knowing in nursing. Journal of Nursing Adminstration, 33(3), 146-152. https://doi.org/10.1097/00005110-200303000-00005
  27. Shirey, M. R. (2007). Competencies and tips for effective leadership: From novice to expert. Journal of Nursing Adminstration, 37(4), 167-170. https://doi.org/10.1097/01.NNA.0000266842.54308.38
  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, S. A., & Blankenship, J. (2007). Mentoring clinical ladder advancement with a facilitated prep class. Journal for Nurses in Staff Development, 23(4), 180-192. https://doi.org/10.1097/01.NND.0000281417.42849.c8