In Pursuit of Perfection: CNS Leadership in Establishing Evidence for A Clinical Advancement Ladder

2.50
Hdl Handle:
http://hdl.handle.net/10755/164249
Category:
Abstract
Type:
Presentation
Title:
In Pursuit of Perfection: CNS Leadership in Establishing Evidence for A Clinical Advancement Ladder
Author(s):
Balkstra, Cindy R.; Howell, Susan
Author Details:
Cindy R. Balkstra, MS, APRN, BC, St. Joseph's Candler Hospital, Savannah, Georgia, USA, email: nacnsorg@nacns.org; Susan Howell, EdD, RN, AOCN
Abstract:
Purpose: The purpose of this study is to evaluate whether the process of pursuing and/or obtaining a clinical advancement level results in changes in the perception of the staff nurse practice role in the areas of clinical competence, autonomy and role perception within the organization. Significance: While clinical advancement programs are not new, there is a scarcity of empirical evidence regarding the value of clinical ladders in terms of staff nurse perception of their practice role. Staff who have been successful in climbing the clinical ladder often describe recognition as more important than identifiable changes in the perception of their role and practice. Design: This community hospital began accepting applications for the Nursing Bridge to Excellence, the organization's clinical advancement program, in January 2005. In March 2006, a nursing research study entitled "Changes in Staff Nurse Perception of Nursing Practice Role following Obtainment of Nursing Bridge to Excellence Clinical Advancement Level" was approved through the facility's Institutional Review Board. Methods: Nurses who have indicated interest in obtaining clinical advancement are entered into the study using a pre and post design. Those who submitted an application without prior notification of interest are evaluated using a post design. The research tool is comprised of both quantitative and qualitative items. The quantitative items were extracted from the NDNQI RN Satisfaction Survey. Two additional items concerning career goals and interest in clinical advancement have been included. Findings: An initial review of the qualitative data and anecdotal reporting from the staff nurses provides evidence that pursuing/obtaining clinical advancement does promote a positive change in the nurse's perception of his/her practice role. Conclusions: Competence, autonomy, and role perception are important to the continued growth and development of nurses caring for patients in the hospital setting. This research aims to describe the potential benefits of a clinical advancement program in terms of the nurse's self-actualization. Implications for Practice: Potentially, there are implications for clinical advancement ladders as a vehicle for improving staff nurse satisfaction. Other implications may be seen in the usage of clinical advancement ladders as a viable recruitment and retention strategy.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2008
Conference Name:
Clinical Nurse Specialists: Leaders in Clinical Excellence
Conference Host:
NACNS - National Association of Clinical Nurse Specialists
Conference Location:
Atlanta, Georgia, USA
Description:
Conference theme: Clinical Nurse Specialists: Leaders in Clinical Excellence, held March 5 - 8 at the Westin Peachtree Plaza in Atlanta, Georgia
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleIn Pursuit of Perfection: CNS Leadership in Establishing Evidence for A Clinical Advancement Ladderen_GB
dc.contributor.authorBalkstra, Cindy R.en_US
dc.contributor.authorHowell, Susanen_US
dc.author.detailsCindy R. Balkstra, MS, APRN, BC, St. Joseph's Candler Hospital, Savannah, Georgia, USA, email: nacnsorg@nacns.org; Susan Howell, EdD, RN, AOCNen_US
dc.identifier.urihttp://hdl.handle.net/10755/164249-
dc.description.abstractPurpose: The purpose of this study is to evaluate whether the process of pursuing and/or obtaining a clinical advancement level results in changes in the perception of the staff nurse practice role in the areas of clinical competence, autonomy and role perception within the organization. Significance: While clinical advancement programs are not new, there is a scarcity of empirical evidence regarding the value of clinical ladders in terms of staff nurse perception of their practice role. Staff who have been successful in climbing the clinical ladder often describe recognition as more important than identifiable changes in the perception of their role and practice. Design: This community hospital began accepting applications for the Nursing Bridge to Excellence, the organization's clinical advancement program, in January 2005. In March 2006, a nursing research study entitled "Changes in Staff Nurse Perception of Nursing Practice Role following Obtainment of Nursing Bridge to Excellence Clinical Advancement Level" was approved through the facility's Institutional Review Board. Methods: Nurses who have indicated interest in obtaining clinical advancement are entered into the study using a pre and post design. Those who submitted an application without prior notification of interest are evaluated using a post design. The research tool is comprised of both quantitative and qualitative items. The quantitative items were extracted from the NDNQI RN Satisfaction Survey. Two additional items concerning career goals and interest in clinical advancement have been included. Findings: An initial review of the qualitative data and anecdotal reporting from the staff nurses provides evidence that pursuing/obtaining clinical advancement does promote a positive change in the nurse's perception of his/her practice role. Conclusions: Competence, autonomy, and role perception are important to the continued growth and development of nurses caring for patients in the hospital setting. This research aims to describe the potential benefits of a clinical advancement program in terms of the nurse's self-actualization. Implications for Practice: Potentially, there are implications for clinical advancement ladders as a vehicle for improving staff nurse satisfaction. Other implications may be seen in the usage of clinical advancement ladders as a viable recruitment and retention strategy.en_GB
dc.date.available2011-10-27T11:44:48Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:44:48Z-
dc.conference.date2008en_US
dc.conference.nameClinical Nurse Specialists: Leaders in Clinical Excellenceen_US
dc.conference.hostNACNS - National Association of Clinical Nurse Specialistsen_US
dc.conference.locationAtlanta, Georgia, USAen_US
dc.descriptionConference theme: Clinical Nurse Specialists: Leaders in Clinical Excellence, held March 5 - 8 at the Westin Peachtree Plaza in Atlanta, Georgiaen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.en_US
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