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Advancing on the clinical ladder


Nursing clinical ladder programs are a way to recognize and reward staff nurses as they develop in their professional nursing practice. While some healthcare organizations advance nurses by their degrees, Presbyterian Hospital of Dallas in Texas, chose not to.

“We chose not to differentiate by degrees as 46% of our RNs have an associate degree or a diploma,” says Rosa Belgard, MS, RN, manager of nursing and patient education at Presbyterian. “It was counterintuitive to exclude 46% of our workforce with a program that is designed to be a nurse satisfier.”

If nurses at Presbyterian have a BSN or an MSN, they receive a high value of clinical ladder points every year. Nurses who do not have these degrees have to work harder to obtain the necessary points, but they are not excluded from reaching the highest level on the clinical ladder program, says Belgard.

Source: Rosa Belgard, MS, RN, a member of HCPro’s talk group: Journey Talk. Become a member today!





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