ArticleBMC medical education2020
The effect of a stress and anxiety coping program on objective structured clinical examination performance among nursing students in shiraz, Iran.
Article in BMC medical education, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 3 of them syntheses that pooled it.
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Who cites it
24 citing papers in PubMed, 3 syntheses or guidelines pooled it, 45 citations in OpenAlex.
- The effectiveness of music interventions on psychological, physiological and academic outcomes in health sciences students: a meta-analysis.BMC medical education · 2026Pooled it
- Effects of music-based interventions on test anxiety in students: a systematic review and meta-analysis.Frontiers in psychology · 2026Pooled it
- Interventional Strategies to Reduce Test Anxiety among Nursing Students: A Systematic Review.International journal of environmental research and public health · 2023Pooled it
- Can relaxation exercises improve students' OSCE grades: a prospective study.Canadian medical education journal · 2025Trial
- Article
- The effect of meditation on exam anxiety of nursing students: a randomized clinical trial.Irish journal of medical science · 2026Article
- Performance of undergraduate nursing students across Objective Structured Clinical Examination (OSCE): a retrospective cross-sectional study.BMC medical education · 2026Article
- Relation of Anxiety Levels and Objective Structured Clinical Examination among Undergraduate Nursing Students.F1000Research · 2026Article
- Effects of interventions to reduce clinical placement-related psychological distress among nursing students: A systematic review with meta-analysis.International journal of nursing studies advances · 2025Review
- Identifying clinical error patterns in nursing students' CPR performance: a mixed-methods OSCE study.Resuscitation plus · 2025Article
- Simulated Learning, Real Emotions: The Impact of Simulation-Based Education on Nursing Students' Stress Levels During Objective Structured Clinical Examination: A Longitudinal Observational Cohort Study.Nursing reports (Pavia, Italy) · 2025Article
- Design, implementation, and comprehensive evaluation of the specialized teachings of health information technology students.Journal of education and health promotion · 2025Article
- Exploring the challenges and needs of nursing students in relation to OSCE exam stress: A qualitative study.PloS one · 2025Article
- Nursing students' experiences of professional competence evaluation by Objective Structured Clinical examination method: a qualitative content analysis study.BMC medical education · 2024Article
- Impact of familiarity with the format of the exam on performance in the OSCE of undergraduate medical students - an interventional study.BMC medical education · 2024Article
- Objective structured clinical examination: Do first-year nursing students perceive it to be stressful?Curationis · 2023Article
- Article
- Efficacy of simulated video on test anxiety in objective structured clinical examination among nursing and midwifery students: A quasi-experimental study.Nursing open · 2023Article
- Psychiatric outcomes and overall functioning in healthcare students during the first wave of the COVID-19 pandemic: a cross-sectional study.Trends in psychiatry and psychotherapy · 2023Article
- Medical science students' experiences of test anxiety: a phenomenological study.BMC psychology · 2022Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEvaluation of the competence and practical skills of nursing students, using the objective structured clinical examination (OSCE), is an integral part of the nursing education program. However, their performance could be negatively influenced by a significant level of stress and anxiety prior to the test. The present study aimed to evaluate the effect of an anxiety coping program on the OSCE performance level of first-year nursing students in Shiraz, Iran.
methodsThe present quasi-experimental study was conducted among 76 nursing students; control group (n = 35) and intervention group (n = 41). To attain the study purpose, the intervention group received a pre-exam anxiety coping program that included relaxation and soothing techniques, diaphragmatic breathing training, and progressive muscle relaxation training accompanied by light instrumental music, while the control group received no intervention before the exam. Data collection instruments included a demographic characteristics form and State-Trait Anxiety Inventory (STAI) questionnaire. Demographic characteristics of the participants indicated an overall homogeneity within the study population. The STAI questionnaire was filled in before and after the OSCE and the results were compared with those of the control group. The data were analysed using SPSS software (version 22.0). P < 0.05 was considered statistically significant.
resultsAs a result of the anxiety coping program, a substantial reduction in the anxiety score (by 11.61 units) in the intervention group was observed. There was a significant difference in the pre- and post-exam anxiety scores between the control and intervention groups (P < 0.001). The anxiety coping program improved the examination results of nursing students in the final exam compared to the midterm results (an increase of 0.9487 units, P < 0.001).
conclusionThe anxiety coping program reduced the anxiety level among nursing students and improved their OSCE results. Our findings can be utilized to better evaluate clinical activities in different medical and paramedical groups. Moreover, educators can implement such coping programs prior to evaluations in order to effectively assess the knowledge, attitude, and performance of the students.
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