title: Remodeling a clinical ladder: an action research design.
abstract: The purpose of this study was to evaluate descriptors of practice designed to help nurses and managers assist the nurse along the advanced beginner to expert continuum. This study was part of a larger action research program integrating a registered nurse (RN) performance appraisal and clinical ladder. Informants selected descriptors corresponding to their routine practice from randomized lists in each nursing domain. Analysis demonstrated distinctive selection patterns in proficient and expert nurses in all but one domain. Findings supported the use of descriptors in locating an individual on the developmental continuum.
authors.affiliation: Providence Portland Medical Center, Portland, OR 97213, USA. mary.schoessler@providence.org
authors.forename: Mary
authors.initials: M
authors.lastname: Schoessler
authors.forename: Rita
authors.initials: R
authors.lastname: Akin
authors.forename: Ruth
authors.initials: R
authors.lastname: Boyd
authors.forename: Kim
authors.initials: K
authors.lastname: Falconer
authors.forename: Colleen
authors.initials: C
authors.lastname: Kaiel
authors.forename: Donna-Lee
authors.initials: DL
authors.lastname: Moore-Stout
authors.forename: Raushanah
authors.initials: R
authors.lastname: Payne
authors.forename: Collette
authors.initials: C
authors.lastname: Sajko
authors.forename: Leslie
authors.initials: L
authors.lastname: Sawyer
mesh_terms: D002322:Career Mobility; D004650:Employee Performance Appraisal; D006801:Humans; D015401:Nursing Administration Research / Q000379:methods*; D009741:Nursing Staff, Hospital / Q000458:organization & administration*; D009922:Oregon; D009936:Organizational Innovation; D012107:Research Design; D013647:Task Performance and Analysis