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Nurs Educ Perspect. 2019 Aug 29. doi: 10.1097/01.NEP.0000000000000495. [Epub ahead of print]

The Use of Tai-Chi to Reduce Anxiety Among Nursing Students Undergoing Simulation.

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About the Authors Angela Mulcahy, PhD, RN, CMSRN, CHSE, is a clinical assistant professor at Texas A&M University College of Nursing, Bryan, Texas. Brian Holland, PhD, RN, is associate dean for academic affairs at the University of Florida College of Nursing. Kevin Gosselin, PhD, is director, Academics and Biostatistics, HonorHealth Research Institute, Scottsdale, Arizona. Alison Pittman, PhD, RN, CPN, CNE, is a clinical assistant professor, Texas A&M University College of Nursing. For more information, contact Dr. Mulcahy at


This study sought to examine tai-chi as an anxiety-reducing method to increase self-efficacy and improve performance among baccalaureate nursing students experiencing a patient care simulation. The sample included 63 nursing students enrolled in a traditional or second-degree nursing program. The study used a randomized control group pretest-posttest design. Students in the experimental group experienced significant reductions in cognitive and somatic anxiety, along with an increase in self-efficacy and improved performance. Tai-chi can be an effective technique to reduce anxiety and improve self-efficacy and performance among nursing students in simulations.

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