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PMC5536335
AORN J. Author manuscript; available in PMC 2018 Mar 1.
Alyson Ross , PhD, RN, Margaret Bevans , PhD, RN, AOCN, FAAN, Alyssa T. Brooks , PhD, Susanne Gibbons , PhD, AGPCNP-BC, and Gwenyth R. Wallen , PhD, RN
Alyson Ross, Nurse Investigator, National Institutes of Health (NIH) Clinical Center, Nursing Research and Translational Science, Nursing Department, 10 Center Drive, Room 2B07, Bethesda, MD 20892;
Corresponding Author Information: Contact telephone: (301) 451-8338, vog.hin@ssor.nosylA
The publisher's final edited version of this article is available at AORN J
Keywords: self-care, health-promoting behaviors, healthy workplace, burnout, stress
Post signs near elevators encouraging nurses to take the stairs if going down two floors or up one floor
Encourage healthy snacks in the workplace
Encourage a culture of civility and support where nurses feel safe coming to administrators for assistance with workplace and home stressors
Find alternatives to cake and doughnuts to celebrate special occasions
Choose a trigger that occurs frequently (eg, sending an e-mail, washing your hands) and use that as a reminder for staff members to breathe deeply and relax their shoulders
Hold inservice sessions on healthy behaviors such as “Simple Healthy Meals and Snacks to Pack for Work” or “Tips for a Healthy Night’s Sleep”
Advocate for healthy workplace initiatives such as healthy work hours and shifts, options for exercise, or healthy food options available at all hours
Organize healthy group activities before or after shift changes such as 5K walks, yoga classes, or fitness competitions using fitness tracking devices or pedometers
Have a quiet space on the unit where nurses can choose from a library of healthy break options, including video or audio files with instructions for guided meditations, breathing exercises, simple yoga stretches, aromatherapy, or self-massage
Model healthy behaviors by packing healthy lunches and snacks and demonstrating a healthy work-life balance
increased physical strength and flexibility training, and
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1. Jones DS, Podolsky SH, Greene JA. The burden of disease and the changing task of medicine. N Engl J Med. 2012; 366 (25):2333–2338. [ PubMed ] [ Google Scholar ] [ Ref list ]
2. Nurses rank as most honest, ethical profession for 14th straight year. American Nurses Association; [Accessed October 28, 2016]. http://www.nursingworld.org/2015-NursesRankedMostHonestEthicalProfession . Published December 21, 2015. [ PubMed ] [ Google Scholar ] [ Ref list ]
3. Women’s Health Study. [Accessed October 28, 2016]; Harvard Medical School, Brigham and Women’s Hospital. http://whs.bwh.harvard.edu/index.html . [ Ref list ]
4. Caruso CC. Negative impacts of shiftwork and long work hours. Rehabil Nurs. 2014; 39 (1):16–25. [ PMC free article ] [ PubMed ] [ Google Scholar ] [ Ref list ]
5. Committee on Health and Behavior: Research, Practice, and Policy; Board on Neuroscience and Behavioral Health; Institute of Medicine. Health and Behavior: The Interplay of Biological, Behavioral, and Societal Influences. Washington, DC: National Academy Press; 2001. [ Google Scholar ] [ Ref list ]
6. Chandrakumar S, Adams J. Attitudes to smoking and smoking cessation among nurses. Nurs Stand. 2015; 30 (9):36–40. [ PubMed ] [ Google Scholar ] [ Ref list ]
7. Monroe T, Kenaga H. Don’t ask don’t tell: substance abuse and addiction among nurses. J Clin Nurs. 2011; 20 (3–4):504–509. [ PMC free article ] [ PubMed ] [ Google Scholar ] [ Ref list ]
8. Steptoe A, Wardle J. Health-related behaviour: prevalence and links with disease. In: Kaptein A, Weinman J, editors. Health Pscyhology. Oxford, UK: Blackwell Publishing; 2004. pp. 21–51. [ Google Scholar ] [ Ref list ]
9. Su SY, Chiou ST, Huang N, Huang CM, Chiang JH, Chien LY. Association between Pap smear screening and job stress in Taiwanese nurses. Eur J Oncol Nurs. 2016 Feb; 20 :119–124. [ PubMed ] [ Google Scholar ] [ Ref list ]
10. Silva IT, Griep RH, Rotenberg L. Social support and cervical and breast cancer screening practices among nurses. Rev Lat Am Enfermagem. 2009; 17 (4):514–521. [ PubMed ] [ Google Scholar ] [ Ref list ]
11. Pender N, Murdaugh C, Parsons MA. Health Promotion in Nursing Practice. 6. Upper Saddle River, NJ: Pearson Education, Inc; 2011. [ Google Scholar ] [ Ref list ]
13. Rezende LF, Sá TH, Mielke GI, Viscondi JY, Rey-López JP, Garcia LM. All-cause mortality attributable to sitting time: analysis of 54 countries worldwide. Am J Prev Med. 2016; 51 (2):253–263. [ PubMed ] [ Google Scholar ] [ Ref list ]
14. Matthews CE, George SM, Moore SC, et al. Amount of time spent in sedentary behaviors and cause-specific mortality in US adults. Am J Clin Nutr. 2012; 95 (2):437–445. [ PMC free article ] [ PubMed ] [ Google Scholar ] [ Ref list ]
15. Tucker SJ, Harris MR, Pipe TB, Stevens SR. Nurses’ ratings of their health and professional work environments. AAOHN J. 2010; 58 (6):253–267. [ PubMed ] [ Google Scholar ] [ Ref list ]
16. Blake H, Malik S, Mo PK, Pisano C. ‘Do as I say, but not as I do’: are next generation nurses role models for health? Perspect Public Health. 2011; 131 (5):231–239. [ PubMed ] [ Google Scholar ] [ Ref list ]
17. Buss J. Associations between obesity and stress and shift work among nurses. Workplace Health Saf. 2012; 60 (10):453–458. 459. [ PubMed ] [ Google Scholar ] [ Ref list ]
18. US Department of Health and Human Services. The Surgeon General’s Vision for a Healthy and Fit Nation. Rockville, MD: Office of the Surgeon General; 2010. [Accessed October 28, 2016]. http://www.surgeongeneral.gov/priorities/healthy-fit-nation/obesityvision2010.pdf . [ Google Scholar ] [ Ref list ]
19. Sinha R, Jastreboff AM. Stress as a common risk factor for obesity and addiction. Biol Psychiatry. 2013; 73 (9):827–835. [ PMC free article ] [ PubMed ] [ Google Scholar ] [ Ref list ]
20. Khamisa N, Peltzer K, Oldenburg B. Burnout in relation to specific contributing factors and health outcomes among nurses: a systematic review. Int J Environ Res Public Health. 2013; 10 (6):2214–2240. [ PMC free article ] [ PubMed ] [ Google Scholar ] [ Ref list ]
21. Almajwal AM. Stress, shift duty, and eating behavior among nurses in Central Saudi Arabia. Saudi Med J. 2016; 37 (2):191–198. [ PMC free article ] [ PubMed ] [ Google Scholar ] [ Ref list ]
22. Han K, Trinkoff AM, Storr CL, Geiger-Brown J, Johnson KL, Park S. Comparison of job stress and obesity in nurses with favorable and unfavorable work schedules. J Occup Environ Med. 2012; 54 (8):928–932. [ PubMed ] [ Google Scholar ] [ Ref list ]
23. Beccuti G, Pannain S. Sleep and obesity. Curr Opin Clin Nutr Metab Care. 2011; 14 (4):402–412. [ PMC free article ] [ PubMed ] [ Google Scholar ] [ Ref list ]
24. Gallicchio L, Kalesan B. Sleep duration and mortality: a systematic review and meta-analysis. J Sleep Res. 2009; 18 (2):148–158. [ PubMed ] [ Google Scholar ] [ Ref list ]
25. Geiger-Brown J, Rogers VE, Trinkoff AM, Kane RL, Bausell RB, Scharf SM. Sleep, sleepiness, fatigue, and performance of 12-hour-shift nurses. Chronobiol Int. 2012; 29
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