Career Development Ladder

in Japan
FUJINAMI Yuma
Project Coordinator / Training Management
The Project for Enhancement of
Nursing Competency through In-Service Training

Workshop Aplikasi Pnyusunan Kewenangan

Klinis Perawat
10 11 Agustus 2015
Auditorium RS Universitas Hasanuddin

Career Development Ladder in Japan

In Japan, there is no national standard for the Ladder = It
depends on each hospital whether introduce the Ladder o
r not.
Japan Nursing Association published Standards for conti
nuing education Ver.2 and it says
a.Nursing career development is to design his/her career
according to his/her needs and life cycle and social need
s, and to make an effort to improve required developmen
t of competency to achieve the target by him/herself.
b.In addition, in case that he/she try to develop his/her c
areer in the organization, it is desirable that his/her care
er design would be in line with the organization objective
s and the organization supports his/her career developm
ent

Example of the Ladder in Japan 1

Example of the Ladder in Japa

n2

Procedure of development of the Ladder

Utilization of the Ladder 1

Indicate the path of career
Japan Red Cross Society Hospital
L
e
v
e
l

Area
Definition of Nurse

Nursing
Practice

Management Education and

Research

Red Cross
Society's
activity

Provide nursing practice under instruction and

supervision

17

28

Provide nursing practice independently

20

15

Provide leadership in providing nursing

practice and instruct staff. Particiapte
emergency practice.

15

13

12

Provide nursing practice which contribute to

improvement of quality of medicine having
effect on another nurses

20

12

Have effect on whole facility and facilitate red

corss society's activity which improve the
quality of medicine.

17

11

Utilization of the Ladder 2

Clarification of Duties and Authorities

PK

Defini onof PK

Competency

Indicator

PK1

PK1 is .

CompetencyA
CompetencyB

Indicator a
Indicator b

PK2

PK2 is .

CompetencyC
CompetencyD

Indicator c
Indicator d

PK3

PK3 is .

CompetencyE
CompetencyF

Indicator e
Indicator f

PK4

PK4 is .

CompetencyG
CompetencyH

Indicator g
Indicator h

PK5

PK5 is .

CompetencyI
CompetencyJ

Indicator i
Indicator j

Duties and authority should be granted to the nurse according to

competency which the nurse has

Utilization of the Ladder 3

Effective and Efficient Training

Utilization of the Ladder 3

Effective and Efficient Training (Continued)

Nama Pelatihan
Latar Belakang
Tempat &
Tanggal
Tujuan

Peserta
According to
the Ladder

..
Contoh Brosur
..
..
1.
2.
3. ...
Perawat PK 2
Peserta akan memperoleh kompetensi di bawah ini
dalam pelatihan ini;
Kompetensi D
Kompetensi E
Kompetensi F
Sehingga peserta yang bisa mengikuti pelatihan ini
adalah perawat yang sudah memiliki kompetensi di
bawah ini;
Kompetensi A
Kompetensi B
Kompetensi C

Utilization of the Ladder 3

Effective and Efficient Training (Continued)

Competencieswhichare
includedinPK3

Numberof PK2nurseswho Numberof PK2nurseswho

alreadyacquirethe
hasnotacquiredthe
competency
competency, yet

CompetencyA

10

CompetencyB

10

All PK 2 nurses has already acquired competency A and B

CompetencyC

All, or almost all PK 2 nurses has not acquired competency D and E

CompetencyD

CompetencyE

10

Allocate more time to the contents related to competency D and E than

contents related to competency A, B, and C

Utilization of the Ladder 3

Effective and Efficient Training (Continued)

PK 1 is more than needs, on the other hand, PK 2 is lacking

PK(level)

Presentnumberof nurse

Requirednumberof nurse

PK1

50

35

PK2

25

40

PK3

20

30

PK4

PK5

Need to facilitate the promotion from PK 1 to PK 2

Allocate the budget to trainings which is needed to promote
to PK 2

Utilization of the Ladder 4

Objective, Fair and Equal Evaluation

PK

Defini onof PK

Competency

Indicator

PK1

PK 1is .

CompetencyA
CompetencyB

Indicator a
Indicator b

PK2

PK 2is .

CompetencyC
CompetencyD

Indicator c
Indicator d

PK3

PK 3is .

CompetencyE
CompetencyF

Indicator e
Indicator f

PK4

PK 4is .

CompetencyG
CompetencyH

Indicator g
Indicator h

PK5

PK 5is .

CompetencyI
CompetencyJ

Indicator i
Indicator j

Definition of PK, competency and indicators provide the basis of evaluation.

Evaluation should be conducted based on the Ladder so that the evaluation would be
objective, fair and equal.

Utilization of the Ladder 5

Human Resource Management
PK2 and PK3 are s ll not fulfill the needs, on the
other hand, PK1, PK4 and PK5 are enough
PK

Present numberof nurse

Requirednumberof nurse

PK1

50

35

PK2

25

40

PK3

20

30

PK4

PK5

- Facilitate to promote 15 PK 1 nurses to PK 2 and facilitate to promote

several PK 2 nurses to PK 3 nurses (the number depends on the
situation), or
- Recruit PK 2 and PK 3 nurses depends on the budget

Utilization of the Ladder 6

Communication with internal- external parties