The purpose of this study was to understand the degree of workplace stress and the relationship between demographic characteristics and stress in operating room nurses. Purposive sampling was used to collect data from 111 operating room nurses at a southern medical center in Taiwan. Literature review and personal experiences were used to design the “Working Stress Questionnaire among Operating Room Nurses (WSQ)” to measure participants' responses. The WSQ is a structured instrument using a five-point Likert scale (5 is the highest score and 1 is the lowest score). The internal consistency reliability for the WSQ is 0.92 (Cronbach's alpha). Expert content validity was 92.7%. Data were analyzed using percentage, mean, standard derivation, one-way ANOVA, and t-test. The results were as follows. The average overall stress scores for operating room nurses was 3.4 which indicating the score represents an acceptable level for a fair testing. Operating room environmental factors were the highest stress sources reported by nurses employed there for 6 months or more. The source of least stress was the relationship among nurses. For the 42 sources of workplace stress, the top 3 were: (1) contact with patients' blood and body fluids during nursing care, such as administering an injection; (2) care of organ donors; and, (3) X-ray exposure. A statistically signigicant difference was found between stress and age, level of education, work experience, and occupational status. No statistically significant difference was found between stress and marital status or between stress and whether or not the nurse had children. Responses were compared based on the hospital's 3-step career ladder. Level 3 nurses (N3) felt more stress about administrative management and feedback than Level 1 nurses (N1). This study implies that nurse leaders and administrators need to develop strategies to help operating room nurses deal with workplace stress.