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A Study on the Clinical Ladder System Model for Hospital Nurses

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KMID : 1004620070130010007
±ÇÀΰ¢ ( Kwon In-Gak ) - ¼º±Õ°ü´ëÇб³ ÀÇ°ú´ëÇÐ »ï¼º¼­¿ïº´¿ø °¡Á¤°£È£°ú

¼º¿µÈñ ( Sung Young-Hee ) - »ï¼º¼­¿ïº´¿ø °£È£ºÎ
¹Ú±¤¿Á ( Park Kwang-Ok ) - ¼­¿ï¾Æ»êº´¿ø
±è¸í¾Ö ( Kim Myung-Ae ) - ¼­¿ï´ëÇб³º´¿ø
À¯¿Á¼ö ( Yu Ok-Soo ) - ¼­¿ï´ëÇб³º´¿ø

Abstract

Purpose: This study was aimed to develop a desirable clinical ladder system(CLS) model for hospital nurses in order to make recommendations for CLS application in Korea.

Method:This study was carried out through literature review and a survey of the state of CLS application in Korea. 134 hospital nurses who attended the seminar on CLS. participated in the survey.

Results:1. Most of hospital nurses have positive attitude toward the introduction of CLS and perceived
the CLS would promote excellence in clinical nursing and improve nurses¡¯ job satisfaction. 2. To establish a good CLS
model, a proper number of stages must be established and the level of excellence in each stage should be clearly
delineated. The most preferred one was four stage model. 3. For evaluation methods for promotion, test, performance
evaluation, portfolios, and exemplars were suggested and would be used in combination. However, maintaining fairness
and staff nurses¡¯ workload and psychological burden challenge the CLS application. 4. For compensation, financial
reward was mostly preferred, and chances for personal development and professional compensation, compensation in
working conditions and social recognition were proved to be useful. 5. To be successful, excessive stress, sense of
incongruity, competitive atmosphere, concerns about unfairness, and despair or withdrawal after failure in promotion or
reappointment should be considered and overcome.

Conclusion: Some recommendations for introducing CLS were made.In order to suggest an ideal CLS model in Korea, more comprehensive survey and outcome analysis of the CLS are needed.
KeyWords
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Nurse, Clinical ladder system
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