title: A school-based health promotion program for stressed nursing students in Taiwan.
abstract: BACKGROUND
  : Nursing students face both clinical and academic stress. Extensive theoretical and research literature suggests that peer support and regular exercise are critically important and can efficiently manage stress for nursing students.
  
  
  OBJECTIVE
  : The purpose of this study was to investigate the effect of a school-based health promotion program in a group physical activity intervention and peer support program for stressed nursing students.
  
  
  METHODS
  : This study used a quasi-experimental design to collect information and collected data from a stress questionnaire, semistructured questionnaire, and group discussion. Participants included 77 nursing students at an institute of technology in northern Taiwan. Participants were randomly assigned into experimental (n = 37) and control (n = 40) groups. Program duration was 16 weeks. Participants were selected based on their assessment results as having moderate or severe levels of stress. All participants in the experimental group took part in a group physical activity for 30 minutes three times a week. Eight weeks later, the researcher invited each group to discuss their feelings and stress coping strategies. Both groups completed pretest and posttest stress questionnaires. Quantitative data were analyzed using SPSS 14.0 Statistical Package for Windows, and qualitative data from each group discussion were analyzed using content analysis.
  
  
  RESULTS
  : Results revealed that level of stress was statistically decreased in the experimental group. Posttest stress levels were significantly different in experimental and control groups. The results suggested that students who participated in the intervention had less stress than did those in the control group after the intervention. Those in the experimental group held positive views of peer support and physical activity.
  
  
  CONCLUSIONS
  : The results of this study confirmed the efficacy of school-based health promotion programs in reducing stress in nursing students. Findings may provide educators with information to assist their developing effective health promotion programs to manage stress for their students. This study can also help students develop personal coping strategies through physical activity and peer support.
authors.affiliation: School of Nursing, Chang Gung University of Science and Technology. plhsieh@gw.cgit.edu.tw
authors.forename: Pei-Lin
authors.initials: PL
authors.lastname: Hsieh
mesh_terms: D016022:Case-Control Studies; D006293:Health Promotion / Q000458:organization & administration*; D006801:Humans; D012579:Schools, Nursing; D013315:Stress, Psychological; D013338:Students, Nursing / Q000523:psychology*; D011795:Surveys and Questionnaires; D013624:Taiwan