ERIC Number: ED413506
Record Type: Non-Journal
Publication Date: 1997
Reference Count: N/A
Recruiting, Retaining and Motivating Nursing Staff: The Use of Clinical Ladders.
Buchan, J.; Thompson, M.
The "clinical ladder" is a grading structure that facilitates career progression and associated differentiation of pay by defining different levels of clinical and professional practice in nursing. The clinical ladder approach, which is well established in the United States, differs from the approach used in the United Kingdom's National Health Service (NHS) clinical grading system in that it is individualized, places greater emphasis on continual development and appraisal, and focuses on the relevant skills and competencies of individual nurses rather than on the posts they are occupying. The feasibility of adopting the clinical ladder approach in the United Kingdom was evaluated through a comprehensive review of available published literature, interviews with managers in three Scottish NHS trusts considering approaches to clinical career structures, and case studies of three health care facilities in England and two in the United States. It was concluded that, in view of the NHS' change in emphasis from central to local pay determination and increasing focus on required skills and competencies, the clinical ladder approach may have direct relevance to health care facilities in the NHS. (Fifteen tables/exhibits are included. A clinical ladders checklist is appended. Contains 99 references.) (MN)
Descriptors: Adult Education, Career Development, Career Ladders, Case Studies, Check Lists, Competence, Employment Practices, Employment Qualifications, Foreign Countries, Labor Turnover, Literature Reviews, Motivation Techniques, Nurses, Personnel Management, Recruitment, Salary Wage Differentials
Grantham Book Services, Isaac Newton Way, Alma Park Industrial Estate, Grantham NG31 9SD, England, United Kingdom.
Publication Type: Reports - Research
Education Level: N/A
Sponsor: Scottish Office Health Dept., Edinburgh.
Authoring Institution: Sussex Univ., Brighton (England). Inst. for Employment Studies.
Identifiers - Location: United Kingdom