title: Creating a career ladder for nursing assistants in long-term care.
abstract: This article describes the development, implementation, and evaluation of a career ladder for certified nursing assistants in long-term care. A career ladder is an effective way to maximize the use of unlicensed workers without changing the skill mix (eg, no loss of licensed nursing positions) and allow the licensed nurse more time to perform higher-level clinical tasks, such as assessments, patient education, and documentation. Implementation of an unlicensed worker career ladder also can improve nursing assistant retention.
authors.affiliation: School of Nursing, Johns Hopkins University, Baltimore, MD, USA.
authors.forename: R E
authors.initials: RE
authors.lastname: Remsburg
authors.forename: M
authors.initials: M
authors.lastname: Richards
authors.forename: S
authors.initials: S
authors.lastname: Myers
authors.forename: D
authors.initials: D
authors.lastname: Shoemaker
authors.forename: C
authors.initials: C
authors.lastname: Radu
authors.forename: L
authors.initials: L
authors.lastname: Doane
authors.forename: K
authors.initials: K
authors.lastname: Green
mesh_terms: D002322:Career Mobility; D006801:Humans; D008004:Licensure; D008134:Long-Term Care; D009728:Nursing Assistants / Q000331:legislation & jurisprudence / Q000458:organization & administration*; D016730:Program Development