Hello,
My organization also has a system-wide RN clinical ladder program, with moderate ambulatory participation. Elizabeth, thank you for sharing your article.
We are working on a system-wide LPN clinical ladder and an ambulatory MA-C ladder.
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Dedria Sowder, MSN-Ed, RN, AMB-BC, NPD-BC, CPN
Leadership SIG Past Chair
Clinical Educator, Carilion Clinic
Roanoke Virginia
540-314-3028
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Original Message:
Sent: 06-03-2026 09:47
From: Elizabeth Fritz
Subject: RN Clinical Laddering Program w/in Ambulatory Care
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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