Institutional members access full text with Ovid®

Share this article on:

Stress Ratings and Health Promotion Practices Among RNs: A Case for Action

Tucker, Sharon J. PhD, RN, PMHCNS-BC; Weymiller, Audrey J. PhD, RN, CNP; Cutshall, Susanne M. MS, RN, ACNS-BC, AHN-BC; Rhudy, Lori M. PhD, RN, ACNS, CNRN; Lohse, Christine M. MS

Journal of Nursing Administration: May 2012 - Volume 42 - Issue 5 - p 282–292
doi: 10.1097/NNA.0b013e318253585f

Objective: The objective of this study was to investigate associations between RN perceptions of their stress levels, health-promoting behaviors, and associated demographic variables.

Background: Stress and burnout are occupational hazards resulting in absenteeism, illness, and staff turnover, factors important to nurse administrators. Personal health behaviors among nurses have been linked to less stress and the delivery of health-promotion teaching.

Method: An electronic survey with 2 standardized measures and demographic questions was completed by 2,247 staff nurses from a large Midwestern academic medical center.

Findings: Stress levels were inversely correlated with overall health-promoting behavior scores. Outside caregiver responsibilities were associated with higher stress and lower health-promoting behaviors scores.

Conclusions: Findings support work-site interventions that promote nurses’ health and wellness, reduce work and home stress, and influence positive patient care and outcomes.

Author Affiliations: Director, Nursing Research and Evidence-Based Practice, Department of Nursing Services and Patient Care, University of Iowa Hospitals and Clinics, Iowa City (Dr Tucker); and Clinical Nurse Researcher, Department of Nursing, Division of Nursing Research (Dr Weymiller), Integrative Health Specialist, Department of Surgery (Ms Cutshall), Clinical Nurse Researcher (Dr Rhudy), and Statistician II–Biostat (Ms Lohse), Mayo Clinic, and Clinical Assistant Professor, School of Nursing, University of Minnesota (Dr Rhudy), Rochester, Minnesota.

The Mayo Nursing Research Committee awarded funds for this study.

The authors declare no conflict of interest.

Correspondence: Dr Tucker, Department of Nursing Services and Patient Care, University of Iowa Hospitals and Clinics, 200 Hawkins Dr RM T100 GH, Iowa City, IA 52242-1009 (

© 2012 Lippincott Williams & Wilkins, Inc.