간호사 경력개발제도에 관한 연구 = A Study on the Clinical Ladder System Model for Hospital Nurses

다국어 초록 (Multilingual Abstract)

Purpose: This study was aimed to develop a desirable clinical ladder system(CLS) model for hospital nurses in order to make recommendations for CLS application in Korea. Methods: This study was carried out through literature review and a survey of the state of CLS application in Korea. 134 hospital nurses who attended the seminar on CLS. participated in the survey. Results: 1. Most of hospital nurses have positive attitude toward the introduction of CLS and perceived the CLS would promote excellence in clinical nursing and improve nurses' job satisfaction. 2. To establish a good CLS model, a proper number of stages must be established and the level of excellence in each stage should be clearly delineated. The most preferred one was four-stage model. 3. For evaluation methods for promotion, test, performance evaluation, portfolios, and exemplars were suggested and would be used in combination. However, maintaining fairness and staff nurses' workload and psychological burden challenge the CLS application. 4. For compensation, financial reward was mostly preferred, and chances for personal development and professional compensation, compensation in working conditions and social recognition were proved to be useful. 5. To be successful, excessive stress, sense of incongruity, competitive atmosphere, concerns about unfairness, and despair or withdrawal after failure in promotion or reappointment should be considered and overcome. Conclusion: Some recommendations for introducing CLS were made. In order to suggest an ideal CLS model in Korea, more comprehensive survey and outcome analysis of the CLS are needed.

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