title: Stress ratings and health promotion practices among RNs: a case for action.
abstract: 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.
  
  
  METHODS
  : An electronic survey with 2 standardized measures and demographic questions was completed by 2,247 staff nurses from a large Midwestern academic medical center.
  
  
  RESULTS
  : 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.
authors.affiliation: Department of Nursing Services and Patient Care, University of Iowa Hospitals and Clinics, Iowa City, Iowa 52242-1009, USA. Sharon-Sharontucker@uiowa.edu
authors.forename: Sharon J
authors.initials: SJ
authors.lastname: Tucker
authors.forename: Audrey J
authors.initials: AJ
authors.lastname: Weymiller
authors.forename: Susanne M
authors.initials: SM
authors.lastname: Cutshall
authors.forename: Lori M
authors.initials: LM
authors.lastname: Rhudy
authors.forename: Christine M
authors.initials: CM
authors.lastname: Lohse
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001291:Attitude of Health Personnel; D005260:Female; D006293:Health Promotion / Q000458:organization & administration*; D006801:Humans; D008297:Male; D008875:Middle Aged; D015404:Nursing Methodology Research; D009740:Nursing Staff / Q000523:psychology*; D015203:Reproducibility of Results; D013315:Stress, Psychological / Q000523:psychology*; D011795:Surveys and Questionnaires; D055815:Young Adult