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Energy Capacity Model for Nurses: The Impact of Relaxation and Restoration

Hoolahan, Susan E. MSN, RN, NEA-BC; Greenhouse, Pamela K. MBA; Hoffmann, Rosemary L. PhD, MSN, RN; Lehman, Lisa A. MSN, RN

Journal of Nursing Administration: February 2012 - Volume 42 - Issue 2 - p 103–109
doi: 10.1097/NNA.0b013e31824337d3

Objective: This study assessed the effect of stress management techniques and a restoration room on energy renewal of nurses.

Background: Nursing stress is linked to increased turnover, decreased well-being, and decreased decision-making capabilities. Energy renewal may be an effective method of addressing stress-induced exhaustion and its negative effects.

Methods: Stress reduction techniques and a restoration room were provided on a pilot unit. Results were measured with the Nursing Stress Scale (NSS), payroll data, and room usage diaries.

Results: There was an overall reduction in NSS scores. The room was used less often than anticipated. The sample size was inadequate to measure reduction in unplanned time off. Anecdotally, nurses felt positive about the room and continue to use it. Results were limited by sample size and a positive baseline work environment but promising enough to explore further.

Conclusions: Results suggest that further study is warranted with a larger sample in Magnet® and non-Magnet settings.

Supplemental Digital Content is available in the text.

Author Affiliations: Chief Nursing Officer and Vice President for Patient Care Services (Ms Hoolahan), UPMC Passavant Hospital; President (Ms Greenhouse), Pamela Greenhouse Associates; Assistant Professor (Dr Hoffmann), University of Pittsburgh School of Nursing; Unit Director (Ms Lehman), UPMC St Margaret Hospital, Pittsburgh, Pennsylvania.

The authors declare no conflict of interest.

Funding: This research project was supported through a grant from the Robert Wood Johnson Executive Nurse fellows program.

Correspondence: Ms Greenhouse, Pamela Greenhouse Associates, 5622 Melvin Street, Pittsburgh, PA 15217 (

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© 2012 Lippincott Williams & Wilkins, Inc.