IDEAS home Printed from https://ideas.repec.org/a/apa/ijhmss/2017p43-49.html
   My bibliography  Save this article

Mapping a Career Ladder as an Initial Step in the Retention of Nurses

Author

Listed:
  • PRISCYLIA MARIA SANDEHANG

    (Faculty of Nursing, University of Indonesia, Depok, Indonesia)

  • RR TUTIK SRI HARIYATI

    (Faculty of Nursing, University of Indonesia, Depok, Indonesia)

Abstract

The career ladder is one of the powerful strategies for retaining nurses in hospitals. When nurses are clear about career development, it can be one of the factors of self-actualization. This study aims to evaluate the results of the change agent-internship studentsin the career ladder process. The research design included a pilot study involving the change agent and the followers who are the Head of the Nursing Department, Kosapel SDM, and the Chief of Nursing. This research used purposive sampling involving 21 nurses. The troubleshooting process used the PDCA cycle (Plan-Do-Check-Action). An innovation program was implemented by creating guidelines and Standard Operating Procedures (SOP) for career ladder mapping and designing a career ladder based on nurse competencies. The mapping used the instruments of self-assessment and assessment verification for professional competencies as well as levels of education and length of employment. The change agent was actively involved in the whole process. After the mapping process was socialized and written interviews were conducted, 99% of the participants at the hospital responded positively to the guidelines and SOP. The Director of Nursing has been greatly assisted by the career ladder mapping instruments based on the nurses competencies, as the results will have a positive impact on them in preparation for accreditation and the implementation of remuneration based on career ladder levels. The Head Nurse and nurses in the pilot project ward provided various responses to the instruments. On the one hand, they claimed that these instruments were very helpful in giving daily assignments because the description of competencies is very complete, but they need more time for completing the instrument. On the other hand, they complained that they were tired of the process of assessment because of the many items that had to be answered and a high workload. The hospital needs to consider using career ladder levels based on the expertise of the nurses.

Suggested Citation

  • Priscylia Maria Sandehang & Rr Tutik Sri Hariyati, 2017. "Mapping a Career Ladder as an Initial Step in the Retention of Nurses," International Journal of Health and Medical Sciences, Mohammad A. H. Khan, vol. 3(2), pages 43-49.
    • Handle: RePEc:apa:ijhmss:2017:p:43-49
    DOI: 10.20469/ijhms.3.30003-2
    as

    Download full text from publisher

    File URL: https://kkgpublications.com/medical-sciences-vol3issue2-article-3/
    Download Restriction: no
    File URL: https://kkgpublications.com/wp-content/uploads/2018/10/ijhms.3.30003-2.pdf
    Download Restriction: no
    File URL: https://libkey.io/10.20469/ijhms.3.30003-2?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Luis Huicho & J Jaime Miranda & Francisco Diez-Canseco & Claudia Lema & Andrés G Lescano & Mylene Lagarde & Duane Blaauw, 2012. "Job Preferences of Nurses and Midwives for Taking Up a Rural Job in Peru: A Discrete Choice Experiment," PLOS ONE, Public Library of Science, vol. 7(12), pages 1-9, December.
    2. Till Bärnighausen & David E. Bloom, 2008. "Financial incentives for return of service in underserved areas: a systematic review," PGDA Working Papers 3608, Program on the Global Demography of Aging.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Burcay Erus & Ayca Bilir, 2015. "Obligatory service requirement and physician specialist distribution in Turke," Economics Bulletin, AccessEcon, vol. 35(1), pages 441-451.
    2. Till Bärnighausen & David E. Bloom, 2008. "Designing financial-incentive programmes for return of medical service in underserved areas of sub-Saharan Africa," PGDA Working Papers 3708, Program on the Global Demography of Aging.
    3. Dunsch, Felipe Alexander & Velenyi, Edit, 2019. "Job Preferences of Frontline Health Workers in Ghana - A Discrete Choice Experiment," SocArXiv bqx5k, Center for Open Science.
    4. Michel Grignon & Yaw Owusu & Arthur Sweetman, 2013. "The international migration of health professionals," Chapters, in: Amelie F. Constant & Klaus F. Zimmermann (ed.), International Handbook on the Economics of Migration, chapter 4, pages 75-97, Edward Elgar Publishing.
    5. Halah Ibrahim & Fatema Zain Al Sharif & Karthyayani Priya Satish & Lina Hassen & Satish Chandrasekhar Nair, 2019. "Should I stay or should I go now? The impact of “pull” factors on physician decisions to remain in a destination country," International Journal of Health Planning and Management, Wiley Blackwell, vol. 34(4), pages 1909-1920, October.
    6. Holte, Jon Helgheim & Kjaer, Trine & Abelsen, Birgit & Olsen, Jan Abel, 2015. "The impact of pecuniary and non-pecuniary incentives for attracting young doctors to rural general practice," Social Science & Medicine, Elsevier, vol. 128(C), pages 1-9.
    7. Till Bärnighausen & David E. Bloom & Salal Humair, 2009. "A Mathematical Model for Estimating the Number of Health Workers Required for Universal Antiretroviral Treatment," PGDA Working Papers 5209, Program on the Global Demography of Aging.
    8. Johns, Benjamin & Steinhardt, Laura & Walker, Damian G. & Peters, David H. & Bishai, David, 2013. "Horizontal equity and efficiency at primary health care facilities in rural Afghanistan: A seemingly unrelated regression approach," Social Science & Medicine, Elsevier, vol. 89(C), pages 25-31.
    9. Till Bärnighausen & David E. Bloom, 2009. "Changing Research Perspectives on the Global Health Workforce," NBER Working Papers 15168, National Bureau of Economic Research, Inc.
    10. Denise Doiron & Hong Il Yoo, 2020. "Stated preferences over job characteristics: A panel study," Canadian Journal of Economics/Revue canadienne d'économique, John Wiley & Sons, vol. 53(1), pages 43-82, February.
    11. McGrail, Matthew R. & Humphreys, John S. & Joyce, Catherine M. & Scott, Anthony, 2012. "International medical graduates mandated to practise in rural Australia are highly unsatisfied: Results from a national survey of doctors," Health Policy, Elsevier, vol. 108(2), pages 133-139.
    12. Jonas Minet Kinge & Jostein Grytten, 2021. "The impact of primary care physician density on perinatal health: Evidence from a natural experiment," Health Economics, John Wiley & Sons, Ltd., vol. 30(12), pages 2974-2994, December.
    13. Luiz Felipe Campos Fontes & Otavio Canozzi Conceição & Paulo de Andrade Jacinto, 2018. "Evaluating the impact of physicians' provision on primary healthcare: Evidence from Brazil's More Doctors Program," Health Economics, John Wiley & Sons, Ltd., vol. 27(8), pages 1284-1299, August.
    14. Anell, Anders & Dackehag, Margareta & Dietrichson, Jens & Ellegård, Lina Maria & Kjellsson, Gustav, 2022. "Better Off by Risk Adjustment? Socioeconomic Disparities in Care Utilization in Sweden Following a Payment Reform," Working Papers 2022:15, Lund University, Department of Economics, revised 12 Mar 2024.
    15. Till Bärnighausen & David E. Bloom & Salal Humair, 2008. "Estimating health worker need to provide antiretroviral treatment in the developing world," PGDA Working Papers 3808, Program on the Global Demography of Aging.
    16. Yang, Jui-Chen & Johnson, F. Reed & Kilambi, Vikram & Mohamed, Ateesha F., 2015. "Sample size and utility-difference precision in discrete-choice experiments: A meta-simulation approach," Journal of choice modelling, Elsevier, vol. 16(C), pages 50-57.
    17. Scott, Anthony & Witt, Julia & Humphreys, John & Joyce, Catherine & Kalb, Guyonne & Jeon, Sung-Hee & McGrail, Matthew, 2013. "Getting doctors into the bush: General Practitioners' preferences for rural location," Social Science & Medicine, Elsevier, vol. 96(C), pages 33-44.
    18. Martin Kroczek & Jochen Späth, 2022. "The attractiveness of jobs in the German care sector: results of a factorial survey," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 23(9), pages 1547-1562, December.
    19. Qian Zhao & Miles M Yang & Yu-Ying Huang & Wenlin Chen, 2018. "How to make hand hygiene interventions more attractive to nurses: A discrete choice experiment," PLOS ONE, Public Library of Science, vol. 13(8), pages 1-11, August.
    20. Alex Filby & Fran McConville & Anayda Portela, 2016. "What Prevents Quality Midwifery Care? A Systematic Mapping of Barriers in Low and Middle Income Countries from the Provider Perspective," PLOS ONE, Public Library of Science, vol. 11(5), pages 1-20, May.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:apa:ijhmss:2017:p:43-49. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Mohammad A. H. Khan (email available below). General contact details of provider: http://kkgpublications.com/medical-sciences/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.