Predicting tenure decisions of psychiatric nursing assistants: Individual and work-related factors

Authors

  • Frederick C. Depp,

    Corresponding author
    1. Hospital and Community Studies Branch, Hoffman Division of Research, St. Elizabeths Hospital, Washington, D.C. Ms. Elizabeth Arnold is assistant professor in the School of Nursing at the University of Maryland in Baltimore. Dr. Joan Dawkins is research psychologist (Social) and Ms. Nancy Selzer is social science research assistant of the Hospital and Community Studies Branch, Hoffman Division of Research, at St. Elizabeths Hospital in Washington, D.C.
    • The Hospital and Community Studies Branch, Hoffman Division of Research, St. Elizabeths Hospital, Washington, D.C. 20032.
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  • Elizabeth Arnold,

    1. Hospital and Community Studies Branch, Hoffman Division of Research, St. Elizabeths Hospital, Washington, D.C. Ms. Elizabeth Arnold is assistant professor in the School of Nursing at the University of Maryland in Baltimore. Dr. Joan Dawkins is research psychologist (Social) and Ms. Nancy Selzer is social science research assistant of the Hospital and Community Studies Branch, Hoffman Division of Research, at St. Elizabeths Hospital in Washington, D.C.
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  • Joan Dawkins,

    1. Hospital and Community Studies Branch, Hoffman Division of Research, St. Elizabeths Hospital, Washington, D.C. Ms. Elizabeth Arnold is assistant professor in the School of Nursing at the University of Maryland in Baltimore. Dr. Joan Dawkins is research psychologist (Social) and Ms. Nancy Selzer is social science research assistant of the Hospital and Community Studies Branch, Hoffman Division of Research, at St. Elizabeths Hospital in Washington, D.C.
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  • Nancy Selzer

    1. Hospital and Community Studies Branch, Hoffman Division of Research, St. Elizabeths Hospital, Washington, D.C. Ms. Elizabeth Arnold is assistant professor in the School of Nursing at the University of Maryland in Baltimore. Dr. Joan Dawkins is research psychologist (Social) and Ms. Nancy Selzer is social science research assistant of the Hospital and Community Studies Branch, Hoffman Division of Research, at St. Elizabeths Hospital in Washington, D.C.
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Abstract

Models were developed to predict the tenure status of 106 psychiatric nursing assistants at 3, 6, and 12 months after beginning employment at a large public psychiatric inpatient facility. The attrition rate of this sample was 40% which was consistent with trends reported in the literature. The predictive power of four groups of variables—personal, training, ward related, and organizational—was shown to change over time. Personal and training variables were significant early determinants of tenure, while ward and organizational factors gained more importance during the course of the year. Certain factors that appear important in reducing turnover of nursing assistants are discussed, with recommendations for program changes.

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