All staff had the opportunity to discuss their place- ment (i.e., Level 1, Level 2) in the developed clinical lad- der, although not every nurse was placed in the same cat- egory. Depending on the division within the occupational health department, implementation was completed either in phrases or all at once. Workers’ characteristics (i.e., per- sonalities, life experiences) resulted in different degrees of acceptance. Over time, nurses either accepted the new sys- tem or transferred to other areas in the workplace.