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A Streamlined Clinical Advancement Program Improves RN Participation and Retention

Allen, Susan R. MSN, RN-BC; Fiorini, Pamela MSN, RN, NEA-BC; Dickey, Michelle MS, PNP-BC, FNP-BC, CCRC

Journal of Nursing Administration: July-August 2010 - Volume 40 - Issue 7/8 - p 316-322
doi: 10.1097/NNA.0b013e3181e93978

Retaining expert nurses in direct care is essential to quality patient outcomes. The goal of the clinical advancement program at Cincinnati Children's Hospital Medical Center has always been to recruit, retain, recognize, and reward nurses in direct care. A program revision in 2002 markedly increased nursing promotions and a higher retention rate for program participants versus their peers' retention rate of 88%. Nearly 40% of the hospital's nurses now participate in the program.

Authors' Affiliations: Assistant Vice President (Ms Allen),Center for Professional Excellence; Senior Clinical Director (Ms Fiorini), Outpatient Department; Nurse Practitioner (Ms Dickey), Division of Infectious Diseases, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.

Corresponding author: Ms Allen, Cincinnati Children's Hospital Medical Center, 3333 Burnet Ave ML 8006, Cincinnati, OH 45229-3039 (

© 2010 Lippincott Williams & Wilkins, Inc.