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Weekly Q&A: Incorporating peer review into clinical ladder advancement

HCPro's Weekly Update on the ANCC Magnet Recognition Program®*, October 24, 2006

This week, a reader asks for examples on incorporating the peer review process into the clinical ladder advancement process. Read the response below from our advisor, Dorothy Anne Garman, RN, MSN, ANCC Magnet Recognition Program® coordinator and coordinator of professional development and patient education at Newport (RI) Hospital.

Q: Can you provide examples as to how you can incorporate the peer review process into the clinical ladder advancement process?

A: There are several approaches to ensure peer review with regard to the clinical ladder advancement process. One is to incorporate a peer review committee into the process. The purpose of the peer review committee is to review and evaluate an applicant's request for advancement to the ladder. This request might include the submission of a portfolio, which addresses and provides evidence on specific criteria and expectations. The peer review committee's responsibility would be to evaluate the portfolio and make recommendations.

One way peer review may be provided is by having clinical ladder mentors assist applicants in the clinical ladder process, such as in the development of a portfolio. Another approach to consider is to require all clinical ladder applicants to submit a letter of support from a peer, describing the applicant as a role model and describing ways the applicant demonstrates behaviors identified in the clinical ladder.

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