Open Forum

Greetings,

We are in the process of creating a clinical laddering program for registered nurses within our ambulatory clinics.  Looking for examples and ideas for what may be required at the various levels and program structure.  Thank you.

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Patricia Dumonceaux, MSN, RN, CIC, PHN
Ambulatory Nursing Practice and Innovation, Director of
CentraCare
St. Cloud, MN
320-251-2700 x 55582
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Hi Patricia,

We recently published about our clinical ladder program. It is a system-wide program, with excellent participation from our ambulatory care nurses. The article includes a link to our program guide, which contains details about points, levels, and overall program structure.

Fritz, E., Weiler, S., Wood, A., Miller, K., & Kenkel, J. (2026). Promoting professional growth and retention through a system-wide interprofessional clinical ladder program. Journal of Nursing Administration, 56(4), 181-185. https://doi.org/10.1097/NNA.0000000000001708

Best,

Elizabeth 

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Elizabeth Fritz PhD RN NPDA-BC EBP-C
Editor, AAACN ViewPoint

RN Program Manager, Clinical Education
SSM Health
Watertown WI
(608)260-6467
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