ArticleBMC public health2022
Chronic stress, behavioral tendencies, and determinants of health behaviors in nurses: a mixed-methods approach.
Article in BMC public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.
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Who cites it
13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 19 citations in OpenAlex.
- A narrative review of nursing in Saudi Arabia: prospects for improving social determinants of health for the female workforce.Frontiers in public health · 2025Pooled it
- Art therapy-based interventions to address burnout and psychosocial distress in healthcare workers-a systematic review.BMC health services research · 2023Pooled it
- Article
- Health status, health behavior and perceived stress of nursing staff in Germany: a scoping review.BMC nursing · 2026Article
- Art therapy to reduce burnout and mental distress in healthcare professionals in acute hospitals: a randomised controlled trial.BMJ public health · 2025Article
- Personal resources as predictors of health-related behaviors in nurses.Health psychology report · 2025Article
- Procrastination and Health in Nurses: Investigating the Roles of Stress, Health Behaviours and Social Support.International journal of environmental research and public health · 2024Article
- Compensation Method for Missing and Misidentified Skeletons in Nursing Care Action Assessment by Improving Spatial Temporal Graph Convolutional Networks.Bioengineering (Basel, Switzerland) · 2024Article
- The Predominance of the Health-Promoting Patterns of Work Behavior and Experience in General Practice Teams-Results of the IMPROVEHealthcare (Basel, Switzerland) · 2024Article
- Chronic stress and coping mechanisms among nurses in Lango sub-region, northern Uganda.Nursing open · 2023Article
- Facilitators Associated with Nursing Burnout in the Ambulatory Care Setting as COVID-19 Subsides: A Rapid Review.Healthcare (Basel, Switzerland) · 2023Review
- Article
- Linking Exercise Intention to Exercise Action: The Moderating Role of Self-Efficacy.Frontiers in psychology · 2022Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundNurses experience high, and often chronic, levels of occupational stress. As high-quality care requires a healthy workforce, individualized stress-alleviating interventions for nurses are needed. This study explored barriers and resources associated with health behaviors in nurses with different stress levels and work-related behavioral tendencies and identified health behavior determinants based on the Health Action Process Approach (HAPA) model.
methodsApplying a mixed methods transformative triangulation design, n = 43 nurses filled out chronic stress (SSCS) and work-related behavior and experience patterns (German acronym AVEM) questionnaires, and participated in semi-structured interviews. With content analysis, categories of health behavior-related barriers and resources emerged. Behavior determinants (self-efficacy, outcome expectancies), health behavior, and barriers and resources were quantified via frequency and magnitude coding and interrelated with SSCS and AVEM scores to link level of health behavior with potential influencing factors. Nonparametric tests explored differences in quantified variables for SSCS and AVEM scores and 4-step-hierarchical regression analysis identified predictors for health behavior.
resultsEighty-four percent of the nurses were chronically stressed while 49% exhibited unhealthy behavioral tendencies at the workplace. 16 personal and organizational themes (six resources, ten barriers) influenced health behaviors. Stress was associated with resource frequency (p = .027) and current health behaviors (p = .07). Self-efficacy significantly explained variance in health behaviors (p = .003).
conclusionHealth promotion related barriers and resources should be considered in designing nurse health promotion campaigns. Practitioners need to individualize and tailor interventions toward stress and behavioral experiences for sustainable effects on adherence and health.
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