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Transformation of Nursing Career Paths to Professional Services in Hospitals

Nursing career path is a planning and implementation of a career plan that can be used to place nurses at a level appropriate to their expertise, and provides nurses the opportunity to explore and make changes better in accordance with their abilities

The success of health services in hospitals depends on the participation of nurses in providing nursing care. This is because nurses as the majority of staff in hospitals have the opportunity to interact for 24 hours (Potter & Perry, 2009) longer and more than other health workers in providing care for patients.

AMN Healthcare survey results in 2013 showed nurses as the largest health profession has reached 3.1 million people, this figure is predicted to continue to increase by 26% every year until 2020 throughout the world.

Nursing as a professional health profession is responsible for providing nursing services according to competence and authority both independently and in collaboration with other health team members. The American Nurse Association explains that professional nurses should work in accordance with the scope of practice standards and professional nursing performance based on their competency and clinical area (ANA, 2010). This causes the need for a system that regulates the scope of the nurse’s clinic area.

One program that is carefully arranged according to the clinic area is known as a career path that makes it easy for nurses to carry out nursing care to develop their competencies. Nurse career www.giftedhealthcare.com path also provides assurance and certainty in the career development of a nurse as a profession that works in a system (Wise & Yoder, 2011 in Hariyati, 2014).

The purpose of developing a career path according to nurses Hariyati (2014) are;

1) develop nurse achievement competencies;

2) improve the quality of nursing services;

3) improve patient safety;

4) prevent burn out and turn out;

5) reduce subjectivity in promotion based on established requirements and criteria;

6) provide certainty for the future and

7) increase nurse satisfaction.

In general, nurses’ professional career path systems consist of 4 (four) fields, including:

1) Clinical Nurses, namely nurses who provide direct nursing care to patients / clients;

2) Nurse Manager is a nurse who manages nursing services in health facilities, both as a bottom line manager (front line manager), middle level (middle management) and top level (top manager);

3) Nurse Educators are nurses who provide education to students in nursing education institutions and

4) Research Nurses / Research ie nurses who work in the field of nursing / health research (Ministry of Health, 2013)

Long-term implications in the development of career paths have a positive impact, namely;

(1) Reducing nurse turnover and professional development opportunities;

(2) Increased quality and productivity as well as nurse performance in carrying out tasks.