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  1. Allen, Susan R. MSN, RN-BC
  2. Fiorini, Pamela MSN, RN, NEA-BC
  3. Dickey, Michelle MS, PNP-BC, FNP-BC, CCRC


Retaining expert nurses in direct care is essential to quality patient outcomes. The goal of the clinical advancement program at Cincinnati Children's Hospital Medical Center has always been to recruit, retain, recognize, and reward nurses in direct care. A program revision in 2002 markedly increased nursing promotions and a higher retention rate for program participants versus their peers' retention rate of 88%. Nearly 40% of the hospital's nurses now participate in the program.