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Kim and Jang: Development of a Clinical Ladder System for Operating Room Nurses
Original Article
Journal of Korean Academy of Nursing Administration

Journal of Korean Academy of Nursing Administration 2011; 17(3): 301-314.

Published online: 30 September 2011

DOI: https://doi.org/10.11111/jkana.2011.17.3.301

Development of a Clinical Ladder System for Operating Room Nurses

Heeyoung Kim1, Keum Seong Jang2

1RN, PhD, Operation Room, Chonnam National University Hospital, Korea.

2Professor, College of Nursing, Chonnam National University; Chonnam Research Institute of Nursing Science, Korea.

Correspondence: Jang, Keum Seong. College of Nursing, Chonnam National University; Chonnam Research Institute of Nursing Science, 5 Hakdong Dongku, Gwangju 501-746, Korea. Tel: 82-62-530-4955, Fax: 82-62-225-3307, jangks@chonnam.ac.kr

Received 6 May 2011       Revised 8 August 2011       Accepted 5 September 2011

Copyright © 2011 Korean Academy of Nursing Administration

Abstract

Purpose

This study was a methodological research conducted to develop a clinical ladder system for operating nurses.

Methods

Participants were 20 OR nurses, working in C Hospital, who had a mean tenure of 6 years and 10 months. Data collection consisted of 4 focus group interviews during May and June 2009. The content analysis method of Kim and Lee (1986) was used to analyze the data. Two clinical expert groups consisting of 16 nurses verified the content validity of the preliminary system from September 16 to 26, 2009 using Kim's tool (1999).

Results

The final clinical ladder system consisted of goals, core values, and 4 domains of practice related to core values, which were defined as professional value, perioperative nursing practice, education/research, and collaboration/leadership. Eleven nursing competencies and 44 behavior indicators were included in accordance with the 4-step ladder. The 4 operation systems for the clinical ladder system were the promotion system, continuous learning system, reward system, and support system.

Conclusion

The results indicate that nursing managers need to pay more attention to developing a clinical ladder system for nurses.

Keywords: Nurses, Career mobility, Focus groups

Figures and Tables

Figure 1
Clinical ladder system structure
jkana-17-301-g001
Figure 2
Final clinical ladder system for operating room nurses
*PN : Perioperative Nurse
jkana-17-301-g002
Table 1
List of literature on structure for clinical ladder system
jkana-17-301-i001
Table 2
Nurses' perception of clinical ladder system
jkana-17-301-i002
Table 3
Structure and goals of clinical ladder system
jkana-17-301-i003
Table 4
Promotion content of clinical ladder system
jkana-17-301-i004
Table 5
Continuous learning and reward content of clinical ladder system
jkana-17-301-i005

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