ORIGINAL ARTICLE: PDF OnlyHospital clinical career advancement programs Comparing perceptions of nurse participants and nonparticipantsA. Thornhill, S. Kay Ph.D., R.N.,C.Author Information Assistant Professor School of Nursing Southeastern Louisiana University Hammond, Louisiana President Thornhill & Associates System Solutions, Inc. Baton Rouge, Louisiana Health Care Supervisor: September 1994 - Volume 13 - Issue 1 - p 16-25 Buy Abstract The study reported in this article describes nurse participants and nonparticipants in hospital clinical career advancement programs (clinical ladders) and compares perceptions in relation to program intrinsic outcomes, needs, and criteria for level advancement. A stratified random sample consisted of 120 participants and 480 nonparticipants drawn from 1,769 clinical nurses employed full time at five regional general hospitals. The findings suggest that nurses' demographic characteristics do not influence program participation status and that clinical advancement programs have limited impact upon job enrichment designed to recruit and retain clinical nurses providing direct patient care. Program participants (106; 88.3 percent) differed significantly at the .05 level from nonparticipants (385; 80.2 percent) on each factor area measuring perceptions of clinical advancement programs. © Williams & Wilkins 1994. All Rights Reserved.