Abstract
The professional nursing competence ladder system can effectively inspire nurses’ work morale, improve quality of life, and avoid the issue of senior staff leaving the clinical setting. The aim of this study was to explore the willingness to participate in the professional nursing competence ladder system and its related factors among nurses. A cross-sectional study design with a structured questionnaire was used. Purposive sampling was employed, and 696 nurses who qualified to be promoted as N2 were recruited from a medical center in southern Taiwan. The results showed most nurses were willing to participate in the nursing ladder system. There were significant differences between willingness to participate in the ladder system and age, education level, as well as promotion experience. This study emphasizes the importance of intensifying internal encouraging factors and strengthening external encouraging factors to improve participation rates. Healthcare institutions could provide instruction on case report writing to increase nurses’ willingness to participate in the clinical ladder program.
Highlights
Academic Editor: Robbert GobbensThe clinical ladder program, which was developed in 1970 [1], is a grading structure that defines different levels of clinical practice for nurses
31.3% (n = 218) of the study participants were unwilling to participate in the clinical ladder program, and their mean age, seniority, and seniority of their current position was 29.50 ± 3.56, 7.05 ± 3.60, and 5.42 ± 3.59 years, respectively (Table 1)
According to the results from nurses who were willing to participate in the program, “days off offered by superiors” ranked at the top of the motivation section
Summary
The clinical ladder program, which was developed in 1970 [1], is a grading structure that defines different levels of clinical practice for nurses. The clinical ladder program recognizes and rewards nurses’ contributions to quality care and highlights evidence- based practices that positively influence patient outcomes [2,3]. Some studies pointed out that such programs lead to positive outcomes for nurses through increased nurse satisfaction and better retention and recruitment [10,11]. These findings indicate that participation in the clinical ladder program improves professional competence and further enhances the quality and safety of nursing services. Nurses wishing to be promoted from level N2 to N3 should demonstrate
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