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  1. Riley, Joann K. MSN, RN
  2. Rolband, Debbie H. MSN, RN
  3. James, Diana BSN, RN, NE-BC
  4. Norton, H. James PhD


Objective: The purpose of this study was to measure how nurses perceive the present clinical ladder program and to identify satisfiers for increasing participation.


Background: The hospital clinical ladder program was developed in the 1970s to recognize registered nurses who chose to remain at the bedside and concentrate on expertise in clinical practice.


Methods: A descriptive, nonexperimental design was used for this study. A modified Strzelecki clinical ladder assessment questionnaire was distributed.


Results: This study identified what motivates nurses to participate in the clinical ladder program and provides information used to evaluate the present program.


Conclusion: Nurses' perceptions of satisfiers for the clinical ladder included recognition on all levels which were with peers, personal satisfaction, professional growth, financial incentives, and administration.