Introduction Emergency Department staff are subject to significant stressors during their work. Recent studies have provided links between high levels of stress and level of sick leave. Nurses who work in emergency and intensive care units and new graduates as groups that suffer from high levels of stress. This research evaluated the use of aromatherapy massage and music as an intervention to decrease the occupational stress and anxiety levels of emergency nurses. Methods The study used a one group pre-test post-test quasi-experimental design with random assignment. The degree of perceived occupational stress was assessed pre and post 12 weeks of aromatherapy massage and music. Anxiety levels were measured pre and post each massage session. Sick leave was also measured. Results The findings indicate that aromatherapy massage and music significantly reduced anxiety levels. Although occupational stress levels were high in relation to workload there was no significant difference following the 12 week period of the intervention. Discussion The use of a simple and time effective on-site stress reduction strategy significantly reduced nurses' anxiety levels. Regular on-site aromatherapy massage with music has the potential to increase staff job satisfaction and decrease sick leave. Further research examining the result of regular on-site massage would be useful in determining long term effects.