Where I work, we have a clinical ladder -- it's not really called that, but that's what it is. Nurses are paid and placed into categories based on their work performance, which gets evaluated once a year by the NM. There are 4 levels for staff nurses and then management/leadership positions and nurse execs are beyond the 4 levels.
Has anyone run into problems with nurses being pushed into roles too soon in order to move up the clinical ladder? Where I work, management tries hard to put nurses into positions so they can climb the ladder, which means they need to both precept, have some committee involvement and be in charge to get to the highest level. This is great because nurses get their raises and promotions sooner, BUT it often means that the least experienced nurses are in leadership roles. We routinely have nurses with 1-2 years of experience orienting new staff when there are expert clinicians (30+ years) on the shift. Charge responsibilities get rotated to everyone with about a year of experience under their belt even though it is unlikely that they are the best resource on the unit and may still be struggling to master some clinical scenarios themselves, not to mention they haven't developed much in the way of leadership skills. Committee work -- well, nobody likes committee work, new or old staff, it seems.