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Aim Reduction of blood pressure and improvement of stress and sleep disorders in patients with essential hypertension were important factors. Auricular acupressure was an appropriate complementary therapy for the elderly with essential hypertension for whom pharmacological therapy was not available. Methods and results This study was a single-blind, randomized, placebo-controlled study. The experimental group (n = 23) received 8 weeks of auricular acupressure intervention on specific acupoints (superior triangular fossa, Shenmen, kidney, heart, occiput) related to blood pressure, pulse rate, stress, and sleep, whereas the control group (n = 23) received auricular acupressure on nonspecific acupoints. The primary outcomes were the systolic and diastolic blood pressure measured weekly. The secondary outcomes were the pulse rate, heart rate variability, actigraphy measured through Fitbit, and the PSQI were measured before and after the experiment. There were statistically significant differences in systolic blood pressure (F = 5.67, p = .022), diastolic blood pressure (17.53, p < .001), and pulse rate (F = 6.78, p = .013) over time. Stress index (χ2 = 2.12, p = .040) and sleep efficiency (χ2 = 3.57, p = .001) were also significantly different before and after the experiment. However, there was no significant difference in the Pittsburgh Sleep Quality Index. Conclusion The findings showed that auricular acupressure leads to improvements in blood pressure, stress, and sleep in elderly people with essential hypertension. Therefore, auricular acupressure can be used as an alternative nursing intervention for hypertension prevention, stress, and sleep management. Registration WHO ICTRP KCT0007364

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Purpose: This study sought to translate the Stressors in Nursing Students Scale (SINS) into Korean (SINS-K) and verify its validity and reliability for identifying stressors of Korean nursing students.Methods: A methodological design was used. The SINS scale was translated into Korean and administered to 428 nursing students. The results of 213 students were used for exploratory factor analysis, and 215 responses were used for confirmatory factor analysis.Results: The SINS-K showed good internal consistency. The measurement items were consistent, and the independence between factors was maintained. After confirming convergent validity and discriminant validity, the final scale was completed with 33 items. The four factors extracted from the SINS-K were named “clinical practice”, “finance”, “education”, and “conflict”.Conclusion: Despite differences in culture and language between countries, the results of this study are similar to those of the original tool. The findings provide information for developing strategies to reduce stressors among nursing students in a global context.