[ABSTRAK
Sistem jenjang karir keperawatan yang direncanakan dan diimplementasikan dapat memengaruhiproses kehidupan dan masa depan perawat. Penelitian ini bertujuan mengidentifikasi faktordominan yang memengaruhi efektifitas pelaksanaan program sistem jenjang karir denganimplementasi manajemen nyeri di rumah sakit. Disain penelitian menggunakan deskriptif korelasidengan pendekatan cross sectional. Data dikumpulkan melalui data primer sebanyak 121 perawatpelaksana serta data sekunder dokumen rekam medis pasien berisi catatan keperawatan terkaitmanajemen nyeri yang terdiri dari pengkajian, intervensi dan re-evaluasi. Tehnik pengambilansampel adalah simple random sampling. Analisis menggunakan regresi linier berganda. Hasilpenelitian didapatkan bahwa variabel implementasi sistem jenjang karir yang paling berpengaruhterhadap implementasi manajemen nyeri oleh perawat klinik adalah pengembangan profesionalberkelanjutan (PPB). Peneliti merekomendasikan perlunya perencanaan terstruktur melalui analisakebutuhan training bagi masing-masing perawat.

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ABSTRACT
Career ladder system which its planning and implementation affected nurse?s life and future. Thisstudy aimed to identify the dominant factors of career ladder system program to theimplementation of pain management in the hospital. The design research was descriptivecorrelative with cross sectional approach. Data were collected through primary data as much as121 nurses and also secondary data from patient medical records related to pain managementnursing documentation included assessment, intervention, and re-evaluation. The samplingtechnique was simple random sampling. Data were analyzed by multiple linear regression. Theresult showed that the variables of the career ladder system implementation that most affected onthe pain management implementation by clinical nurses is continuing professional development(CPD). It is recommended to make structured planning through training needs analysis for eachnurse., Career ladder system which its planning and implementation affected nurse’s life and future. Thisstudy aimed to identify the dominant factors of career ladder system program to theimplementation of pain management in the hospital. The design research was descriptivecorrelative with cross sectional approach. Data were collected through primary data as much as121 nurses and also secondary data from patient medical records related to pain managementnursing documentation included assessment, intervention, and re-evaluation. The samplingtechnique was simple random sampling. Data were analyzed by multiple linear regression. Theresult showed that the variables of the career ladder system implementation that most affected onthe pain management implementation by clinical nurses is continuing professional development(CPD). It is recommended to make structured planning through training needs analysis for eachnurse.]