Staff promotion is the advancement of an employees’ rank or position in an organizational hierarchical system. A Study explains that promotion when and wherever it happens, comes with two impressions: the monetary aspect and the change of position from lower to higher in the organizational hierarchy. This study aims at presenting a proposal for re-structuring of Nurses and Midwives’ promotions and ranks toward an advance professional practice in Ghana. A descriptive, phenomenological qualitative study was used. The study established that ranking and promotions in nursing and midwifery should be based on qualification and experience and not just number of years served in the health sector. The respondents largely added that for nurses and midwives to be academically active with apt skills in their respective fields, promotions should also be based on some number of scholarly papers published in reputed journals. Accordingly, the Nursing and Midwifery Council must ensure that nurses and midwives adhere to these protocols towards ranking and remuneration. In conclusion, ranking is beneficial for the advancement of the nursing and midwifery professions in Ghana. Keywords: Ghana, Nurses and midwives, Promotions, Professional practice, Ranks, Re-structuring.
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