Interactions between nursing work environments and nurses' health are of growing significance, given the aging work force, nursing shortage, and workplace health risks. This study examined relationships among nurses' ratings of health behaviors, health status, and professional work environments. Registered nurses (N = 3,132) from five multi-state settings completed an electronic survey. Participants' general health ratings were good, yet stress levels remained the one consistent predictor of poorer health ratings and work environment ratings in regression models. Additionally, more than half of the participants reported being overweight, only 50% met physical activity standards, more than two thirds reported a history of back or needlestick injuries, and 44% and 62% reported experiencing verbal abuse by colleagues and patients, respectively. Contrary to other studies, professional work environment as measured in this study did not predict nurses' health ratings. Further study of the impact of stress on long-term health outcomes and work force retention, as well as on worksite health strategies, is needed.
References
1.
AndresenE. M.CatlinT. K.WyrwichK. W.Jackson-ThompsonJ. (2003). Retest reliability of surveillance questions on health related quality of life. Journal of Epidemiology & Community Health, 57, 339–343.
2.
AustinP. C. (2008). Using the bootstrap to improve estimation and confidence intervals for regression coefficients selected using backwards variable elimination. Statistics in Medicine, 27, 3286–3300.
3.
BourbonnaisR.BrissonC.MalenfantR.VézinaM. (2005). Health care restructuring, work environment, and health of nurses. American Journal of Industrial Medicine, 47(1), 54–64.
4.
Canadian Institute for Health Information. (2007). The work and health of nurses … How do nurses' perceptions vary across Canada? Retrieved from http://secure.cihi.ca/cihiweb/en/zion_map_e.html
5.
ChengY.KawachiI.CoakleyE.SchwartzJ.ColditzG. (2000). Association between psychosocial work characteristics and health functioning in American women: Prospective study. British Medical Journal, 320, 1432–1436.
6.
ClarkeS. P.RockettJ. L.SloaneD. M.AikenL. H. (2002). Organizational climate, staffing and safety equipment as predictors of needle stick injuries and near-misses in hospital nurses. American Journal of Infection Control, 30, 207–216.
7.
CohenS.KamarckT.MermelsteinR. (1983). A global measure of perceived stress. Journal of Health and Social Behavior, 24, 385–396.
8.
CohenS.TyrrellD. A.SmithA. P. (1993). Negative life events, perceived stress, negative affect, and susceptibility to the common cold. Journal of Personality and Social Psychology, 64(1), 131–140.
9.
CohenS.WilliamsonG. (1988). Perceived stress in a probability sample of the United States. In SpacapamS.OskampS. (Eds.), The social psychology of health: Claremont symposium on applied social psychology. Newbury Park, CA: Sage
10.
ConnollyM. A.GulanickM.KeoughV.HolmK. (1997). Health practices of critical care nurses: Are these nurses good role models for patients?American Journal of Critical Care, 6(4), 261–266.
11.
CrosbyL.OfferP. (1988). Intervention with chemically dependent nurses: A paradigm for professional retention. Quality Review Bulletin, 14(4), 111–115.
12.
DamR.LiT.SpiegelmanD.FrancoO.HuF. (2008). Combined impact of lifestyle factors on mortality: Prospective cohort study in US women. British Medical Journal, 337, 1440–1447.
13.
DunnD. (2005). Home study program: Substance abuse among nurses. Defining the issue. Association of Perioperative Registered Nurses, 82(4), 573–596.
14.
Estryn-BeharM.KaminskiM.PeigneE.BonnetN.VaichereE.GozlanC. (1990). Stress at work and mental health status among female hospital workers. British Journal of Industrial Medicine, 47, 20–28.
15.
FarawayJ. J. (1992). The cost of data analysis. Journal of Computational and Graphical Statistics, 1, 213–229.
GiddingS. S.LichtensteinA. H.FaithM. S.KarpynA.MennellaJ. A.PopkinB. (2009). Implementing American Heart Association pediatric and adult nutrition guidelines: A scientific statement from the American Heart Association Nutrition Committee of the Council on Nutrition, Physical Activity, and Metabolism, Council on Cardiovascular Disease in Young, Council on Arteriosclerosis, Thrombosis and Vascular Biology, Council on Cardiovascular Nursing, Council on Epidemiology and Prevention, and Council for High Blood Pressure Research. Circulation, 119, 1161–1175.
18.
GlasgowR. E.OryM. G.KlesgesL. M.CifuentesM.FernaldD. H.GreenL. A. (2005). Practical and relevant self-report measures of patient health behaviors for primary care research. Annals of Family Medicine, 3(1), 73–81.
19.
HaugheyB. P.KuhnM. A.DittmarS. S.WuY. W. (1992). Health practices of critical care nurses. Heart and Lung, 21(3), 203–208.
20.
KillienM. G. (2004). Nurses' health: Work and family influences. Nursing Clinics of North America, 39(1), 19–35.
21.
KramerM.HafnerL. P. (1989). Shared values: Impact on staff nurse job satisfaction and perceived productivity. Nursing Research, 38(3), 172–177.
22.
LakeE. T. (2002). Development of the practice environment scale of the Nursing Work Index. Research in Nursing and Health, 25, 176–188.
23.
LetvakS.BuckR. (2008). Factors influencing work productivity and intent to stay in nursing. Nursing Economics, 26(3), 159–165.
24.
McNeelyE. (2005). The consequences of job stress for nurses' health: Time for a check-up. Nursing Outlook, 53(6), 291–299.
25.
MichieS.WilliamsS. (2003). Reducing work related psychological ill health and sickness absence: A systematic literature review. Occupational and Environmental Medicine, 60, 3–9.
26.
MoriartyG.ZackM. M.KobauR. (2003). The Centers for Disease Control and Prevention's Healthy Days Measures: Population tracking of perceived physical and mental health over time. Health and Quality of Life Outcome, 1(37). doi:10.1186/1477-7525-1-37
27.
PrattJ. P.OverfieldT.HiltonH. G. (1994). Health behaviors of nurses and general population women. Health Values, 18(5), 41–46.
28.
RogersA. E.HwangW.ScottL. D.AikenL. H.DingesD. F. (2004). The working hours of hospital staff nurses and patient safety. Health Affairs, 23(4), 202–212.
29.
RuggieroJ. (2005). Health, work variables, and job satisfaction among nurses. Journal of Nursing Administration, 35(5), 254–263.
30.
Schwartz-BarcottD.SchwartzT. P. (1990). Are nurses healthier and happier than the general public?Nursing Forum, 25(4), 19–24.
31.
TopolskiT. D.LoGerfoJ.PatrickD. L.WilliamsB.WalwickJ.PatrickM. B. (2006). The rapid assessment of physical activity (RAPA) among older adults. Prevention of Chronic Diseases, 3(4), A118.
32.
TrinkoffA.Geiger-BrownJ.BradyB.LipscombJ.MuntanerC. (2006). How long and how much are nurses now working?American Journal of Nursing, 106(4), 60–71.
33.
WinwoodP.LushingtonK. (2006). Disentangling the effects of psychological and physical work demands on sleep, recovery and maladaptive chronic stress outcomes within a large sample of Australian nurses. Journal of Advanced Nursing, 56(6), 679–689.
34.
ZahranH.KobauR.MoriartyD.ZackM.HoltJ.DonehooR. (2005). Health-related quality of life surveillance: United States, 1993–2002. Morbidity and Mortality Weekly Report, 54(SS04), 1–35.
