title: Climbing higher.
abstract: A New York hospital builds a more equitable clinical ladder system to include nurse managers, clinical nurse specialists, nurse practitioners, and nurse-midwives. The system defines the nurses' roles and specific performance criteria.
authors.affiliation: University of Rochester School of Nursing, Strong Memorial Hospital, N.Y., USA.
authors.forename: J
authors.initials: J
authors.lastname: Clements
authors.forename: K
authors.initials: K
authors.lastname: Parrinello
mesh_terms: D002322:Career Mobility; D006801:Humans; D007587:Job Description; D009720:Nurse Clinicians / Q000193:education / Q000458:organization & administration*; D009721:Nurse Midwives / Q000193:education / Q000458:organization & administration*; D009722:Nurse Practitioners / Q000193:education / Q000458:organization & administration*; D009745:Nursing, Supervisory / Q000458:organization & administration*