Clinical Ladder Program

The James Cancer Hospital Clinical Ladder Program promotes professional nursing practice by recognizing and rewarding those experienced registered nurses who excel in clinical practice, education research and leadership.
The James Clinical Ladder program offers professional nurses the opportunity for career development and advancement while maintaining a clinical focus on patient care at the bedside. The program is a voluntary, peer-reviewed program that is designed to:
  • Promote excellence in clinical practice, education, research and leadership.
  • Enhance job satisfaction and promote retention and recruitment of professional nurses.
  • Provide a role development tool and mentorship process for professional practice.
  • Promote an oncology nursing, evidence-based practice environment.
The James Clinical Ladder program is based on the Dreyfus Model of Skill Acquisition. Benner (1984) adapted the Dreyfus Model to describe the development of nursing expertise over time. This model takes into account increments in skilled performance and clinical decision making based upon experience as well as education. It also provides a basis for clinical knowledge development and career progression in clinical nursing.

The Ohio State University Comprehensive Cancer Center – Arthur G. James Cancer Hospital and Richard J. Solove Research Institute (OSUCCC – James) 460 W. 10th Avenue, Columbus, OH 43210 Phone: 1-800-293-5066 | Email: