Abstract
In August 1999, a consortium of individuals joined to develop and evaluate a career ladder for certified nursing assistants in Boston. The consortium consisted of representatives from Benjamin Health Care Center, Massachusetts Extended Care Federation, and Boston Private Industry Council. Funded by a Department of Labor grant, the project was implemented to evaluate the effects on turnover and retention when opportunities for career development are provided. The population first studied was a group of men and women interested in ending their dependence on the welfare system and seeking full-time employment in long-term care. As part of the project, the curriculum was first piloted at Benjamin Health Care Center and tested in 10 long-term care centers across Massachusetts. A curriculum evaluation demonstrates positive outcomes.