Journal of Korean Clinical Nursing Research (임상간호연구)

Hospital Nurses Association (병원간호사회)
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Revised Clinical Ladder System Model Based on Nurses' Clinical Competence and Professional Activities for Nurses in General Hospitals

종합병원 간호사의 간호역량, 전문성 활동에 따른 임상경력관리체계 수정모형

  • Cho, Myung Sook (Graduate School of Clinical Nursing Science, Sungkyunkwan University) ;
  • Kwon, In Gak (Graduate School of Clinical Nursing Science, Sungkyunkwan University) ;
  • Kim, Kyung Hee (Red Cross College of Nursing, Chung-Ang University) ;
  • Cho, Yong Ae (Red Cross College of Nursing, Chung-Ang University)
  • 조명숙 (성균관대학교 임상간호대학원) ;
  • 권인각 (성균관대학교 임상간호대학원) ;
  • 김경희 (중앙대학교 적십자간호대학) ;
  • 조용애 (중앙대학교 적십자간호대학)
  • Received : 2018.09.03
  • Accepted : 2018.10.18
  • Published : 2018.12.31
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Abstract

Purpose: The purpose of this study was to propose a revised Clinical Ladder System(CLS) Model for nurses based on the evaluation of clinical competence and professional activities of nurses working in general hospitals. Methods: Data were collected between September 10 and October 30, 2017. Participants were 50 head nurses from 10 general hospitals with over 400 beds located in Seoul City and Gyeonggi Province. Each head nurse evaluated clinical competence, qualifications, and professional activities of 5 staff nurses at each of the 5 levels of CLS in her unit. The total number of the nurses evaluated was 245. Data were analyzed with descriptive statistics and t-test, one-way ANOVA, and $Scheff{\acute{e}}$. Results: Over 80% of the nurses were university graduates. As the CLS levels increased, clinical competence, qualifications, and professional activities also increased significantly. Education material development and quality improvement activities were carried out by nurses from level 2, research and evidence based practice activities were carried out from level 3, and nurses at level 4 or 5 participated in most of the professional activities as leaders. Conclusion: In order to retain excellent nurses in general hospitals, recognizing and rewarding nurses according to the revised model of the CLS are recommended.

Keywords

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Figure 1. Revised model of clinical ladder system for general hospital.

Table 1. Nurses' Clinical Competence according to 5 Levels of the Clinical Ladder

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Table 2. Nurses' Clinical Competence according to General Characteristics

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Table 3. Nurses' Qualification for the 5 Levels of the Clinical Ladder according to General Characteristics

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Table 4. Professional Education Courses Complete by Nurses according to the 5 Levels of the Clinical Ladder

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Table 5. Nurses' Participation in Professional Activities according to 5 Levels of the Clinical Ladder

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References

  1. Lee T, Kang KH, Ko YK, Cho SH, Kim EY. Issues and challenges of nurse workforce policy: A critical review and implication. Journal of Korean Academy of Nursing Administration. 2014;20(1);106-116. https://doi.org/10.11111/jkana.2014.20.1.106
  2. Cho MS, Cho YA, Kim KH, Kwon IG, Kim MS, Lee JL. Development of clinical ladder system model for nurses: For tertiary care hospitals. Journal of Korean Clinical Nursing Research. 2015;21(3):277-292. https://doi.org/10.22650/JKCNR.2015.21.3.277
  3. Cho MS, Kwon IG, Kim KH, Kim MS, Cho YA. Validity and applicability of clinical ladder system model for nurses. Journal of Korean Clinical Nursing Research. 2017;23(3):281-292. https://doi.org/10.22650/JKCNR.2017.23.3.281
  4. Kwon IG, Sung YH, Park KO, Yu OS, Kim MA. A study on the clinical ladder system model for hospital nurses. Journal of Korean Clinical Nursing Research. 2007;13(1):7-23.
  5. Park KO, Lee YY. Career ladder system perceived by nurses. Journal of Korean Academy of Nursing Administration. 2010;16(3):314-325. https://doi.org/10.11111/jkana.2010.16.3.314
  6. Min A, Kim IS. Relationship of perception of clinical ladder system with professional self-concept and empowerment based on nurses' clinical career stage. Journal of Korean Academy of Nursing Administration. 2013;19(2):254-264. https://doi.org/10.11111/jkana.2013.19.2.254
  7. Jung SW. A survey on the recognition of RNs about the adoption of the clinical ladder system. The Korean Nurse. 2005;44(6):69-82.
  8. Park KO, Yi M. Nurses' experience of career ladder programs in a general hospital. Journal of Korean Academy of Nursing, 2011;41(5):581-592. https://doi.org/10.4040/jkan.2011.41.5.581
  9. Park MR, Kim NC. Development of a nursing competence measurement scale according to nurse's clinical ladder in general wards. Journal of Korean Academy of Nursing Administration. 2014;20(3):257-271. https://doi.org/10.11111/jkana.2014.20.3.257
  10. Park JE, Kim SS. Development of a nursing competency scale according to a clinical ladder system for intensive care nurses. Journal of Korean Academy of Nursing Administration. 2013;19(4):501-512. https://doi.org/10.11111/jkana.2013.19.4.501
  11. Jang KS. Study on establishment of clinical career development model of nurses [dissertation]. Seoul: Yonsei University; 2000. p. 1-201.
  12. Youk SY. Nursing competency and indicator development by emergency nurse's clinical ladder. Journal of Korean Academy of Nursing Administration. 2003;9(3):481-494.
  13. Kim HY, Jang KS. Development of a clinical ladder system for operating room nurses. Journal of Korean Academy of Nursing Administration. 2010;17(3):301-314. https://doi.org/10.11111/jkana.2011.17.3.301
  14. Hospital nurses distribution status 2015-2017 [Internet]. Seoul: Korean Hospital Nurses Association; 2017 [cited 2018.10.01]. Available from: http://www.khna.or.kr/web/information/resource.php.
  15. Kim MA, Park KO, You SJ, Kim MJ, Kim ES. A survey of nursing activities in small and medium-size hospitals: Reasons for turnover. Journal of Korean Clinical Nursing Research. 2009;15(1):149-165.
  16. Kwon JO, Kim EY. Impact of unit-level nurse practice environment on nurse turnover intention in the small and medium sized hospitals. Journal of Korean Academy of Nursing Administration. 2012;18(4):414-423. https://doi.org/10.11111/jkana.2012.18.4.414
  17. Ahn MS, Lee YJ. The predictive factors on leave planning of nurses working at medium-sized hospital in the metropolitan area. Journal of the Korean Data Analysis Society. 2013;15(1):323-334.
  18. Han YH. Development of clinical ladder system of nurses for small and medium sized hospital [dissertation]. Suwon: Ajou University; 2015. p. 1-143.
  19. Kim M. The influence of career ladder system on nursing performance, job satisfaction, organizational commitment, turnover intention [dissertation]. Seoul: Seoul University; 2013. p. 1-115.
  20. Buchan J. Evaluating the benefits of a clinical ladder for nursing staff: An international review. International Journal of Nursing Studies. 1999;36(2):137-144. https://doi.org/10.1016/S0020-7489(99)00005-X
  21. Benner P. From novice to expert. American Journal of Nursing. 1982;82(3):402-407. https://doi.org/10.2307/3462928
  22. International Council of Nursing. Regulation terminology (version 1) [Internet]. Geneva: ICN; 2005 [cited 2014 August 24]. Available from: http://www.icn.ch/images/stories/documents/pillars/regulation/Regulation_Terminology.pdf.
  23. Cohen J. A power primer. Psychological Bulletin. 1992;112(1):155-159. https://doi.org/10.1037/0033-2909.112.1.155
  24. Krugman M, Smith K, Goode CJ. A clinical advancement program: Evaluating 10 years of progressive change. The Journal of Nursing Administration. 2000;30(5):215-225. https://doi.org/10.1097/00005110-200005000-00002
  25. Pierson MA, Liggett C, Moore KS. Twenty years of experience with a clinical ladder: A tool for professional growth, evidence-based practice, recruitment and retention. The Journal of Continuing Education in Nursing. 2010;41(1):33-40. https://doi.org/10.3928/00220124-20091222-06