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Staff Nurses Revitalize a Clinical Ladder Program Through Shared Governance

Winslow, Susan A. MSN, RN, NEA-BC; Fickley, Sharon BSN, RNC-OB, Clin IV; Knight, Diane BSN, RN, CPN, Clin IV; Richards, Kimberley BSN, RN, ONC, Clin V; Rosson, Joy RN, CPN, Clin IV; Rumbley, Nancy BSN, RN, HCS-D, Clin V

Journal for Nurses in Staff Development - JNSD: January/February 2011 - Volume 27 - Issue 1 - pp 13-17
doi: 10.1097/NND.0b013e3182061c97
Article

After 20 years of a static clinical ladder program at our institution, the clinical ladder program was completely redesigned using a staff nurse-led shared governance structure to re-envision the program as an innovative, staff leadership model to meet our organizational nursing mission and vision strategic plans around retention and professional development. The literature demonstrated a lack of outcome-driven findings on the sustainability of hospital-based clinical ladder programs. The authors cover the rationale for our clinical ladder model, the process used for revision, the implementation strategies, and the specific outcomes tracked regarding nurse satisfaction, affiliation, retention, and participation of staff nurses advancing to the optional upper levels of the ladder.

The authors present the planning, implementation, and outcomes of a revised career ladder program.

Susan A. Winslow, MSN, RN, NEA-BC, is Director of Nursing Education and Community Services, Martha Jefferson Hospital, Charlottesville, Virginia.

Sharon Fickley, BSN, RNC-OB, Clin IV, is Shift Coordinator, Martha Jefferson Hospital, Charlottesville, Virginia.

Diane Knight, BSN, RN, CPN, Clin IV, is Shift Coordinator, Martha Jefferson Hospital, Charlottesville, Virginia.

Kimberley Richards, BSN, RN, ONC, Clin V, is Shift Coordinator, Martha Jefferson Hospital, Charlottesville, Virginia.

Joy Rosson, RN, CPN, Clin IV, is Staff Nurse, Martha Jefferson Hospital, Charlottesville, Virginia.

Nancy Rumbley, BSN, RN, HCS-D, Clin V, is Clinical Manager, Sentara Home Care Services, Charlottesville, Virginia

ADDRESS FOR CORRESPONDENCE: Susan A. Winslow, MSN, RN, NEA-BC, Martha Jefferson Hospital 459 Locust Avenue, Charlottesville VA 22902. (e-mail: susan.winslow@mjh.com).

© 2011 Lippincott Williams & Wilkins, Inc.