Specific aims of this study were to: 1) Describe the experiences of psychiatric nurses within the first year of their employment, and 2) Develop strategies for nursing recruitment and retention.

Design and Methods: A qualitative design used telephone interviews to understand and explore the lived experience was used. Four different inpatient psychiatric facilities within the same organization were studied.

Population, Sample, Setting, Years: Nurses who worked at a psychiatric inpatient facility were divided into two groups; those who had chosen to leave the organization in the first year of employment between 2001-2003 and those who were employed with the organization. Telephone interviews were conducted over the time frame of a month. Sampling occurred until saturation was achieved.

Concept and Variables: The identity and role of the psychiatric nurse was correlated with the experience in the first year of employment. Questions related to experience included perception of their role, orientation, training, expectations, team, and leadership. Demographics included age, gender, ethnicity, marital status, children, nursing experience, other employment, and level of education.

Findings: The role of the nurse in this organization was task oriented and limited in scope. The nurses enjoyed the psychiatric care environment. Most nurses perceived a need for mentorship, continuing education, a career ladder, progression in compensation, and further leadership involvement. Also discussed was a need for respect and education related to the nurse’s role. Mixed findings occurred related to teamwork and satisfaction.

Conclusions: Specific retention strategies were suggested by this research that could reduce turnover and promote nursing recruitment.

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Sigma Theta Tau International
July 22-24, 2004