Evaluation of clinical ladder participation in Norway.
OBJECTIVE
To evaluate nurses' reasons for joining a clinical ladder program, their experiences during participation, and how they use their new competence in practice.


METHODS
Cross-sectional survey design. Sample was 541 nurses who participated in clinical ladder programs at four hospitals in Norway. Data were analysed with descriptive and inferential statistics.


CONCLUSIONS
Internal motivational factors were most important reasons for joining a clinical ladder. Nursing leaders were lacking in their engagement with the clinical ladder project and its participants. Perceived learning effect, use of competence, and intent to stay increased as nurses progressed in the ladder.
Bjørk
Ida Torunn
IT
Centre for Shared Decision Making and Nursing Research, Rikshospitalet-Radiumhospitalet University Hospital, Oslo, Norway. i.t.bjork@medisin.uio.no
Hansen
Britt Saetre
BS
Samdal
Gro Beate
GB
Tørstad
Solveig
S
Hamilton
Glenys A
GA
D000328:Adult; D001291:Attitude of Health Personnel; D002322:Career Mobility; D002983:Clinical Competence; D003430:Cross-Sectional Studies; D003657:Decision Making; D004509:Education, Nursing, Continuing / Q000458:organization & administration*; D005260:Female; D006301:Health Services Needs and Demand; D006801:Humans; D008297:Male; D009042:Motivation; D009664:Norway; D015402:Nursing Education Research; D015404:Nursing Methodology Research; D009741:Nursing Staff, Hospital / Q000193:education / Q000523:psychology*; D015279:Organizational Culture; D010563:Personnel Turnover; D015397:Program Evaluation; D013192:Staff Development / Q000458:organization & administration*; D011795:Surveys and Questionnaires