Nurses' Perception and Willingness to Pay for Nursing Career Ladder System in General Hospital

상급종합병원 간호사의 임상경력개발시스템에 대한 인식과 지불의사

  • Lee, Mi-Joon (Department of Healthcare Innovation, Kangbuk Samsung Hospital of Korea, The Nursing School of Hanyang University)
  • 이미준 (강북삼성병원 헬스케어팀 : 한양대학교 간호학부)
  • Received : 2019.08.16
  • Accepted : 2019.09.21
  • Published : 2019.09.30

Abstract

Purposes: The purpose of this study is to analyze nurses' perception on the clinical career ladder system which was introduced to enhance the nursing capabilities in general hospital. Methods: Research data has been collected for approximately 30 days since March 28, 2017 from 171 nurses who had been involved in the clinical career ladder system, 177 nurses who had not participated, and a total of 348. Finding: The study results showed that nurses' perception on the cost effectiveness of clinical career ladder system is significantly different depending on the sex, age, program experience, personal stage in the clinical career ladder system and the individual's health condition. In addition, the nurses' willingness to pay for the clinical career ladder system was significantly associated with their department and the needs for the system. With adjusted age, gender, position, education and marital status, nursing competency was 8.71(95% Confidence Interval; 4.79 to 12.63) in the presence of system experience, but the perception on clinical career ladder system was 4.34(95% Confidence Interval; -6.84 to -1.84). Practical Implications: Based on the study results, we expect that more hospitals introduce the clinical career ladder system and also use these study results as basic data for securing excellent nurses.

Keywords

References

  1. George VM. The role of the system chief nurse executive. Nurse Leader 2005;3(4):45-49. Available from http://dx.doi.org/10.1016/j.mnl. 2005.07.011.
  2. Park KO. The system and policy related to nursing personnel. Korean Journal of Nursing Query 2006;15(2):5-17.
  3. Park KO, Yi M. Nurses' experience of career ladder programs in a general hospital. Journal of Korean Academy of Nursing 2011;41(5):581-592. Available from http://dx.doi.org/10.4040/jkan.2011.41.5.581.
  4. Park KO, Lee YY. Career ladder system perceived by nurses. Journal of Korean Nursing Administration Academic Society 2010;16(3): 314-325. https://doi.org/10.11111/jkana.2010.16.3.314
  5. Hall DT, Morgan MA. Career management Illinois: St. Clair Press;1997.
  6. Greenhaus JH, Callanan GA, Godshalk VM. Career management Thousand Oaks: Sage Publications;2010.
  7. Fusilero J, Lini L, Prohaska P, Szweda C, Carney K, Mion LC. The Career Advancement for Registered Nurse Excellence Program. Journal of Nursing Administration 2008;38(12):526-531. Available from http://dx.doi.org/10.1097/NNA.0b013e31818ebf06.
  8. Nelson JM, Cook PF. Evaluation of a career ladder program in an ambulatory care environment. Nursing Economics 2008;26(6):353-360.
  9. Schultz AW. Evaluation of a clinical advancement system. Journal of Nursing Administration 1993;23(2):13-19.
  10. T. W. Recognizing the clinical nurse: The meridian health clinical advancement and recognition of excellence program. Teaching and Learning in Nursing 2006;1(1):22-26. Available from http://dx.doi.org/10.1016/j.teln.2006.02.003.
  11. Park MR, Kim NC. Development of a nursing competence measurement scale according to nurse's clinical ladder in general wards. Journal of Korean Academy of Nursing Administration 2014;20(3):257-271. Available from http://dx.doi.org/10.11111/jkana.2014.20.3.257.
  12. Park MR, Lee MJ. Effects of mentioning program's development about new nurses. Journal of Convergence for Information Technology 2018;8(1):43-51. Available from http://dx.doi.org/10.22156/CS4SMB.2018.8.1.043.
  13. Lee MJ, Youn BS, Park MR, Chung SY. Nurses' percentions on clinical career ladder system and effects on nursing competency. Asia-pacific Jurnal of Multimedia Service Convergent with Art, Humanities, and Sociology 2019;9(3):1-8.
  14. Kim YH, Jung YS, Min J, Song EY, Ok JH, Lim C, et al. Development and validation of a nursing professionalism evaluation model in a career ladder system. PloS One 2017;12(10):e0186310. Available from http://dx.doi.org/10.1371/journal.pone.0186310.
  15. Spencer LM, Spencer SM. Competence at work: Models for superior performance New York: John Wiley & Sons;1993.
  16. Campbell B, Mackay G. Continuing competence: an Ontario nursing regulatory program that supports nurses and employers. Nursing Admini- stration Quarterly 2001;25(2):22-30. https://doi.org/10.1097/00006216-200101000-00006
  17. Jang KS. A study on the perspectives of clinical career development system for nurses. Chonnam Journal of Nursing Sciences 1998;3(1):1-13.
  18. Hoehn JP, Randall A. A satisfactory benefit cost indicator from contingent valuation. Journal of Environmental Economics and Management 1987; 14(3):226-247. https://doi.org/10.1016/0095-0696(87)90018-0
  19. Brown TC, Gregory R. Why the WTA-WTP disparity matters. Ecological Economics 1999;28(3):323-335. https://doi.org/10.1016/S0921-8009(98)00050-0
  20. Hanemann WM. Welfare evaluations in contingent valuation experiments with discrete responses. American Journal of Agricultural Economics 1984;66(3):332-341. https://doi.org/10.2307/1240800
  21. Byun S. Estimating the welfare effects of the digital radio broadcasting using the contingent valuation method. Journal of Broadcasting Research 2011;76(1):36-60.
  22. Han Y, Kim H, Ko J, Kim EJ. Relationship between expectations of clinical ladder system, career commitment and turnover intention of nurses in small and medium sized hospitals Journal of Korean Clinical Nursing Research. 2018;24(1):67-73. Available from http://dx.doi.org/10.22650/JKCNR.2018.24.1.67.
  23. Jung SW. A survey on the recognition of RNs about the adoption of the clinical ladder system. Korean Nurse 2005;44(6):69-82.
  24. Kwon IG, Sung YH, Park KO, Yu OS, Kim MA. A study on the clinical ladder system model for hospital nurses. Clinical Nursing Research. 2007;13(1):7-23.
  25. Burket TL, Felmlee M, Greider PJ, Hippensteel DM, Rohrer EA, Shay ML. Clinical ladder program evolution: Journey from novice to expert to enhancing outcomes. The Journal of Continental Education in Nursing. 2010;41(8): 369-374. http://dx.doi.org/10.3928/00220124-20100503-07
  26. Krugman M, Smith K, Goode CJ. A clinical advancement program: Evaluating 10 years of progressive change Journal of Nursing Administration. 2000;30(5):215-225. https://doi.org/10.1097/00005110-200005000-00002
  27. Hall LM, Waddell J, Donner G, Wheeler MM. Outcomes of a career planning and development program for registered nurses. Nursing Economic 2004;22(5):231-238.
  28. Bjork IT, Hansen BS, Samdal GB, Torstad S, Hamilton GA. Evaluation of clinical ladder participation in Norway. Journal of Nursing Scholarship 2007;39(1):88-94. http://dx.doi.org/10.1111/j.1547-5069.2007.00149.x
  29. KIm HY, Han YH, Kim OK. Establishing a clinical ladder system for nurses in a small and medium-sized hospital. Journal of Korean Academy of Nursing Administration 2018;24(5):466-478. https://doi.org/10.11111/jkana.2018.24.5.466
  30. Lee MJ, Yoo EK. Analysis of Nurses'perception on total care service to develop of healthcare training simulation tools in Korea. Journal of Medical Imaging and Health Informatics 2017;7(6):1287-1293. https://doi.org/10.1166/jmihi.2017.2158
  31. Cho MS, Kwon IG, Kim KH, Kim MS, Cho YA. Validity and applicability of clinical ladder system model for nurse. Clinical Nursing Research 2017;23(3):281-292. https://doi.org/10.1177/1054773813483138