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Clinical nurses' experience of participating in a career ladder system: A qualitative study using focus group interviews
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임상간호사의 간호사 경력관리제도 참여 경험: 포커스 그룹 인터뷰를 활용한 질적 연구

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Type
Academic journal
Author
Kim, Myoung-sook (서울아산병원) Noh, Ae-ju (서울아산병원) Jung, Young-sun (아산사회복지재단) Lee, Hye-jin (서울아산병원) Lee, Kyoung-eun (선문대학교)
Journal
The Korean Academic Society Of Nursing Education The Journal of Korean Academic Society of Nursing Education Vol.31 No.1 KCI Excellent Accredited Journal SCOPUS
Published
2025.2
Pages
53 - 64 (12page)

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Clinical nurses' experience of participating in a career ladder system: A qualitative study using focus group interviews
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Purpose: The career ladder system is a pivotal strategy for securing excellent nurses. The aim of this study is to understand hospital nurses’ experiences of participating in the career ladder system and to explore the essence of this system. Methods: In February 22 to March 3, 2022, nurses employed at a general hospital in South Korea were selected for this study using snowball and purposive sampling. Data were collected from interviews with three focus groups, the compositions of which are as follows: group 1, 6 participants; group 2, 5 participants; and group 3, 6 participants. All interviews were recorded, transcribed verbatim, and subsequently analyzed using qualitative research methods. Results: The following six categories were derived under the overall theme of “the arduous journey to discovering a nurse’s true name”: (1) rites of passage to becoming the ideal nurse; (2) unexpected challenges in the promotion preparation process; (3) biased criteria for evaluating nursing competencies; (4) unclear changes in roles and perceptions after promotion; (5) self-discovered pride and fulfillment as a nurse; and (6) the unspoken struggles of evaluators. Conclusion: The findings suggest that the career ladder system fosters nurses’ professional growth and self-actualization. However, for effective implementation, nurses’ deep understanding and systematic management of the career ladder system are essential. This study offers valuable insights and benchmarks for healthcare institutions aiming to adopt the system.

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