Journal of Korean Clinical Nursing Research (임상간호연구)

Hospital Nurses Association (병원간호사회)
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Development of Clinical Ladder System Model for Nurses: For Tertiary Care Hospitals

간호사 임상경력관리체계 모형 개발 - 상급종합병원 중심 -

  • Cho, Myung Sook (Graduate School of Clinical Nursing Science, Sungkyunkwan University) ;
  • Cho, Yong Ae (Red Cross College of Nursing, Chung-Ang University) ;
  • Kim, Kyung Hee (Red Cross College of Nursing, Chung-Ang University) ;
  • Kwon, In Gak (Graduate School of Clinical Nursing Science, Sungkyunkwan University, Department of Nursing(Cancer Center), Samsung Medical Center) ;
  • Kim, Mee Soon (Department of Nursing, Samsung Medical Center) ;
  • Lee, Jung Lim (Department of Nursing, Sheikh Khalifa Speciality Hospital)
  • 조명숙 (성균관대학교 임상간호대학원) ;
  • 조용애 (중앙대학교 적십자간호대학) ;
  • 김경희 (중앙대학교 적십자간호대학) ;
  • 권인각 (성균관대학교 임상간호대학원, 삼성서울병원 암병원 간호부) ;
  • 김미순 (삼성서울병원 간호본부) ;
  • 이정림
  • Received : 2015.06.01
  • Accepted : 2015.06.26
  • Published : 2015.12.31
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Abstract

Purpose: The purpose of this study was to develop a Clinical Ladder System (CLS) model for staff nurses working in inpatient units of tertiary care hospitals in Korea. Methods: The study was carried out in 2 steps. First, a nursing competence evaluation scale was developed. Second, evaluation of the nursing competences, qualifications, and professional activities of 230 nurses from five tertiary care hospitals was done by 49 head nurses between Feb. and Dec., 2014. Nurses were selected by head nurses according to their clinical experience and expected behavioral characteristics at each level of the ladder. Results: A nursing competence scale was developed consisting of 5 subcategories (clinical practice, ethical practice, education, leadership, and professional development) and 11 elements, and 5 levels of behavioral indicators for each element. Cronbach's alphas for the entire tool and subcategories were over .853 and stability of the scale was confirmed. There were significant differences in nursing competence according to the 5 levels of the ladder. Conclusion: The findings indicate that the proposed CLS model with a standard score for nursing competence, recommended or obligatory criteria for qualifications and professional activities provides a good tool for developing nurses' competences and retaining excellent nurses in clinical practice.

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