title: Clinical ladder program evolution: journey from novice to expert to enhancing outcomes.
abstract: The clinical ladder program has evolved with the ever-changing environment of nursing at one academic medical center. The process has developed over time while adhering to the foundational tenets of recognizing and rewarding excellent bedside nursing practice. Nurses on the clinical ladder at this institution represent the ideal performance of mentoring and motivating other nurses and interdisciplinary team members. This article describes how the program has evolved over the last two decades, the challenges that have been met, and the successful outcomes that endure.
authors.affiliation: Department of Nursing, Penn State Milton S. Hershey Medical Center, Hershey, PA 17033-0855, USA. tburket@hmc.psu.edu
authors.forename: Tamara L
authors.initials: TL
authors.lastname: Burket
authors.forename: Margaret
authors.initials: M
authors.lastname: Felmlee
authors.forename: Penelope J
authors.initials: PJ
authors.lastname: Greider
authors.forename: Dawn M
authors.initials: DM
authors.lastname: Hippensteel
authors.forename: Elizabeth A
authors.initials: EA
authors.lastname: Rohrer
authors.forename: M Lynn
authors.initials: ML
authors.lastname: Shay
mesh_terms: D000046:Academic Medical Centers; D001291:Attitude of Health Personnel; D002322:Career Mobility; D057189:Checklist; D004282:Documentation; D004509:Education, Nursing, Continuing / Q000458:organization & administration*; D004645:Empathy; D004650:Employee Performance Appraisal; D006801:Humans; D007400:Interprofessional Relations; D008611:Mentors / Q000523:psychology; D009042:Motivation; D024802:Nurse's Role / Q000523:psychology; D009741:Nursing Staff, Hospital / Q000193:education* / Q000458:organization & administration / Q000523:psychology; D010414:Pennsylvania; D011231:Preceptorship / Q000458:organization & administration; D011361:Professional Competence; D016730:Program Development; D019984:Quality Indicators, Health Care; D012647:Self-Assessment; D013192:Staff Development / Q000458:organization & administration*