title: Evaluation of a clinical advancement system.
abstract: Evaluation of a nursing clinical advancement system was conducted to determine if it had achieved its goals: higher staff nurse job satisfaction and improved patient care. Findings included a trend toward higher job satisfaction and markedly lower turnover rates among clinically advanced staff. The subjective opinions of respondents supported a positive impact on patient care. The cost-benefit ratio for this clinical advancement system, however, was negative. Recommendations for improving the credibility and effectiveness of such systems are presented.
authors.affiliation: University of Rochester School of Nursing, NY.
authors.forename: A W
authors.initials: AW
authors.lastname: Schultz
mesh_terms: D002322:Career Mobility; D003362:Cost-Benefit Analysis; D005069:Evaluation Studies as Topic; D006785:Hospitals, University; D006801:Humans; D007588:Job Satisfaction; D009741:Nursing Staff, Hospital / Q000191:economics; D010563:Personnel Turnover