title: Knowledge translation: a Nurse Practitioner Clinical Ladder Advancement Program in a university-affiliated, integrated medical center.
abstract: OBJECTIVE
  A Nurse Practitioner Clinical Ladder (NPCL) Advancement Program was designed to recognize and reward advanced nursing practice and promote nurse practitioner (NP) retention at New York University Hospitals Center (NYUHC).
  
  
  METHODS
  Search of published and gray literature was conducted. Electronic databases included CINAHL, Medline, PubMed, Cochrane Library of Systematic Reviews, and the Joanna Briggs Institute.
  
  
  CONCLUSIONS
  The NYUHC NPCL Advancement Program incorporated its current Staff Nurse Clinical Ladder, previous NP promotional program literature, and NP role competencies to support the Advanced Practice Nursing Clinical Ladder Program. The NPCL is supportive of professional development, performance evaluation, clinical practice excellence, job satisfaction, and NP retention. Program outgrowths include a progressive model of NP clinical practice, a formal NP mentoring program, NP leadership, and research opportunities.
  
  
  CONCLUSIONS
  Organizational commitment to a structured NPCL Advancement Program is critical for NP professional development, evolving role responsibilities, and job satisfaction. The NPCL Advancement Program provides requisite structures and processes supportive of clinical excellence. The development of the NPCL has highlighted the need for structured NP orientation and mentorship, knowledge translation, and leadership programs to meet the professional needs of NPs in diverse clinical settings.
authors.affiliation: (Nurse Practitioner/Physician Assistant Coordinator and PA 1st Assists, Adjunct Associate Professor) (Anesthesiology Nurse Practitioner Coordinator) (Nurse Practitioner) NYU Langone Medical Center, New York, New York, Rutgers School of Nursing, Newark, New Jersey.
authors.forename: Lisa M
authors.initials: LM
authors.lastname: Paplanus
authors.forename: Patricia
authors.initials: P
authors.lastname: Bartley-Daniele
authors.forename: Kathryn S
authors.initials: KS
authors.lastname: Mitra
mesh_terms: D000046:Academic Medical Centers / Q000639:trends*; D002322:Career Mobility; D006801:Humans; D007588:Job Satisfaction; D007857:Leadership; D009518:New York; D009722:Nurse Practitioners / Q000193:education* / Q000458:organization & administration; D024802:Nurse's Role
keywords: Nurse practitioners; advanced practice nurse (APN); empowerment; nurse practitioner clinical ladder; professionalism; program development; promotion; role of advanced practice nurse