title: Implementing a clinically focused advancement system. One institution's experience.
abstract: Clinical ladders were designed to recognize, reward, and retain professional nurses who chose to remain in direct clinical practice. One institution implemented a clinically focused advancement system that addresses many of the pitfalls that have historically caused clinical ladders to fail. The authors describe unique features of the advancement system, along with the process for advancement, budgetary considerations, and transition to the new advancement system.
authors.affiliation: Medical College of Virginia, Richmond.
authors.forename: A B
authors.initials: AB
authors.lastname: Hamric
authors.forename: T R
authors.initials: TR
authors.lastname: Whitworth
authors.forename: A S
authors.initials: AS
authors.lastname: Greenfield
mesh_terms: D002017:Budgets; D002322:Career Mobility; D002983:Clinical Competence; D006801:Humans; D007587:Job Description; D008611:Mentors; D016294:Models, Nursing; D009741:Nursing Staff, Hospital / Q000191:economics; D018024:Peer Review, Health Care