MacKay R, Grantham M, Ross S, Brown J, Beanlands H
Can J Nurs Adm. 1990 Sep-Oct;3(3):25-9.
Frequently, clinically competent nurses leave direct patient care for non-clinical positions or other careers to achieve greater professional advancement and recognition. The drain of clinical nursing expertise away from the patient prompted the development and evaluation of a clinical promotion program to appraise and recognize clinical nursing competence. At the beginning of the evaluation period, 205 nurses were appraised for clinical competence and categorized as: Level 1--a beginning practitioner or a nurse returning to service; Level 2--a skilled clinical practitioner; and Level 3--an advanced clinical practitioner. Nurses volunteered information related to demographic characteristics, education, clinical experience, and attitudes to their work and work environment. Reassessments were completed after one year. Evaluation of the program employed a longitudinal comparative design. The major finding shows significant shift in clinical nurses' competence over time with a greater percentage of nurses at higher levels of ability. Further evaluation of the program is in process.
临床上能力出众的护士常常离开直接护理患者的岗位，转而从事非临床工作或其他职业，以获得更大的职业发展和认可。临床护理专业知识从患者护理领域流失，促使人们开发并评估一项临床晋升计划，以评估和认可临床护理能力。在评估期开始时，对205名护士的临床能力进行了评估，并将其分为：1级——初入行的从业者或重返岗位的护士；2级——熟练的临床从业者；3级——高级临床从业者。护士们自愿提供了与人口统计学特征、教育程度、临床经验以及对工作和工作环境的态度相关的信息。一年后完成了重新评估。该计划的评估采用了纵向比较设计。主要研究结果表明，随着时间的推移，临床护士的能力发生了显著变化，能力水平较高的护士比例有所增加。该计划的进一步评估正在进行中。
