Evaluation of Clinical Ladder Participation in Norway

Authors

  • Ida Torunn Bjørk,

    1. Ida Torunn Bjørk, RN, MNSc, DrPolit, Researcher, Centre for Shared Decision Making and Nursing Research, Rikshospitalet-Radiumhospitalet University Hospital, Oslo, Norway; Britt Sætre Hansen, RN, MNSc, Doctoral student, Advisor, Acute Clinic, ICU, Stavanger University Hospital, Stavanger, Norway; Gro Beate Samdal, RN, MNSc, Director, Learning and Self-help Centre, Haukeland University Hospital, Bergen, Norway; Solveig Tørstad, RN, Master's student, Advisor, Department of Research and Strategy, Asker and Bærum Hospital, Rud, Norway; Glenys A. Hamilton, RN, DNSc, Senior Researcher, Centre for Shared Decision Making and Nursing Research, Rikshospitalet-Radiumhospitalet University Hospital, Oslo, Norway. Financial support for this study was provided by the Norwegian Directorate for Health and Social Affairs. Correspondence to Ms. Bjørk, Institute of Nursing and Health Sciences, University of Oslo, Pb Blindern, 0318 Oslo, Norway. E-mail: i.t.bjork@medisin.uio.no
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  • Britt Sætre Hansen,

    1. Ida Torunn Bjørk, RN, MNSc, DrPolit, Researcher, Centre for Shared Decision Making and Nursing Research, Rikshospitalet-Radiumhospitalet University Hospital, Oslo, Norway; Britt Sætre Hansen, RN, MNSc, Doctoral student, Advisor, Acute Clinic, ICU, Stavanger University Hospital, Stavanger, Norway; Gro Beate Samdal, RN, MNSc, Director, Learning and Self-help Centre, Haukeland University Hospital, Bergen, Norway; Solveig Tørstad, RN, Master's student, Advisor, Department of Research and Strategy, Asker and Bærum Hospital, Rud, Norway; Glenys A. Hamilton, RN, DNSc, Senior Researcher, Centre for Shared Decision Making and Nursing Research, Rikshospitalet-Radiumhospitalet University Hospital, Oslo, Norway. Financial support for this study was provided by the Norwegian Directorate for Health and Social Affairs. Correspondence to Ms. Bjørk, Institute of Nursing and Health Sciences, University of Oslo, Pb Blindern, 0318 Oslo, Norway. E-mail: i.t.bjork@medisin.uio.no
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  • Gro Beate Samdal,

    1. Ida Torunn Bjørk, RN, MNSc, DrPolit, Researcher, Centre for Shared Decision Making and Nursing Research, Rikshospitalet-Radiumhospitalet University Hospital, Oslo, Norway; Britt Sætre Hansen, RN, MNSc, Doctoral student, Advisor, Acute Clinic, ICU, Stavanger University Hospital, Stavanger, Norway; Gro Beate Samdal, RN, MNSc, Director, Learning and Self-help Centre, Haukeland University Hospital, Bergen, Norway; Solveig Tørstad, RN, Master's student, Advisor, Department of Research and Strategy, Asker and Bærum Hospital, Rud, Norway; Glenys A. Hamilton, RN, DNSc, Senior Researcher, Centre for Shared Decision Making and Nursing Research, Rikshospitalet-Radiumhospitalet University Hospital, Oslo, Norway. Financial support for this study was provided by the Norwegian Directorate for Health and Social Affairs. Correspondence to Ms. Bjørk, Institute of Nursing and Health Sciences, University of Oslo, Pb Blindern, 0318 Oslo, Norway. E-mail: i.t.bjork@medisin.uio.no
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  • Solveig Tørstad,

    1. Ida Torunn Bjørk, RN, MNSc, DrPolit, Researcher, Centre for Shared Decision Making and Nursing Research, Rikshospitalet-Radiumhospitalet University Hospital, Oslo, Norway; Britt Sætre Hansen, RN, MNSc, Doctoral student, Advisor, Acute Clinic, ICU, Stavanger University Hospital, Stavanger, Norway; Gro Beate Samdal, RN, MNSc, Director, Learning and Self-help Centre, Haukeland University Hospital, Bergen, Norway; Solveig Tørstad, RN, Master's student, Advisor, Department of Research and Strategy, Asker and Bærum Hospital, Rud, Norway; Glenys A. Hamilton, RN, DNSc, Senior Researcher, Centre for Shared Decision Making and Nursing Research, Rikshospitalet-Radiumhospitalet University Hospital, Oslo, Norway. Financial support for this study was provided by the Norwegian Directorate for Health and Social Affairs. Correspondence to Ms. Bjørk, Institute of Nursing and Health Sciences, University of Oslo, Pb Blindern, 0318 Oslo, Norway. E-mail: i.t.bjork@medisin.uio.no
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  • Glenys A. Hamilton

    1. Ida Torunn Bjørk, RN, MNSc, DrPolit, Researcher, Centre for Shared Decision Making and Nursing Research, Rikshospitalet-Radiumhospitalet University Hospital, Oslo, Norway; Britt Sætre Hansen, RN, MNSc, Doctoral student, Advisor, Acute Clinic, ICU, Stavanger University Hospital, Stavanger, Norway; Gro Beate Samdal, RN, MNSc, Director, Learning and Self-help Centre, Haukeland University Hospital, Bergen, Norway; Solveig Tørstad, RN, Master's student, Advisor, Department of Research and Strategy, Asker and Bærum Hospital, Rud, Norway; Glenys A. Hamilton, RN, DNSc, Senior Researcher, Centre for Shared Decision Making and Nursing Research, Rikshospitalet-Radiumhospitalet University Hospital, Oslo, Norway. Financial support for this study was provided by the Norwegian Directorate for Health and Social Affairs. Correspondence to Ms. Bjørk, Institute of Nursing and Health Sciences, University of Oslo, Pb Blindern, 0318 Oslo, Norway. E-mail: i.t.bjork@medisin.uio.no
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Abstract

Purpose: To evaluate nurses' reasons for joining a clinical ladder program, their experiences during participation, and how they use their new competence in practice.

Design and Methods: Cross-sectional survey design. Sample was 541 nurses who participated in clinical ladder programs at four hospitals in Norway. Data were analysed with descriptive and inferential statistics.

Findings and Conclusions: Internal motivational factors were most important reasons for joining a clinical ladder. Nursing leaders were lacking in their engagement with the clinical ladder project and its participants. Perceived learning effect, use of competence, and intent to stay increased as nurses progressed in the ladder.

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