How to Understand the Clinical Ladder

Nurses and technicians who are just beginning a clinical career may look forward to the day when they are experts in their fields. Advancement in a clinical profession demands an understanding of the clinical ladder.

Purpose

• The clinical ladder was designed to encourage excellence, improve patient care, reward company loyalty, and increase professionalism in the clinical setting. Additionally, it gives employees clear guidelines for advancement by establishing fixed expectations for each level.

History

• The Dreyfus Model of Skill Acquisition is the basis of the modern day clinical ladder. Patricia Benner, R.N., Ph.D., FAAN, applied this model to nursing. The five stages of the clinical ladder climb from novice to expert.

Benefits

• Medical personnel participating in a clinical ladder program receive recognition of achievement and promotion to higher positions. Patients benefit by receiving an increased level of care administered with professionalism. Companies benefit by having proficient and satisfied employees.

Advancement

• Opportunity, mentors, and further education all contribute to successfully climbing the clinical ladder. Advancement is also dependent on learning from experience and being able to apply that experience to discern the overall picture.