Related Experiment Video
Updated: Jul 14, 2026

Reducing State Anxiety Using Working Memory Maintenance
Published on: July 19, 2017
Dedicated Education Unit Improving Critical Thinking and Anxiety: A Longitudinal Study
Kathleen Vnenchak1, Marnie Lynn Sperling, Kathleen Kelley
1Kathleen Vnenchak, MSN, RN, CNML, is Nurse Educator, Morristown Medical Center, New Jersey. Marnie Lynn Sperling, MSN, RN, APN-C, DMD, is Faculty, Caldwell University, New Jersey. Kathleen Kelley, DNP, MSN, RN, CCRN, CNRN, is Faculty, Caldwell University, New Jersey. Brenda Petersen, PhD, MSN, RN, APN-C, CPNP-PC, is Faculty, Caldwell University, New Jersey. Wendy Silverstein, DNP, RN, CNML, is Nurse Manager, Morristown Medical Center, New Jersey. Olivia Petzoldt, BSN, RN-BC, is Assistant Nurse Manager, Morristown Medical Center, New Jersey. Lise Cooper, DMH, MSN, RN-BC, is Assistant Nurse Manager, Morristown Medical Center, New Jersey. Mildred Ortu Kowalski, PhD, RN, NE-BC, CCRP, is Nurse Researcher, Morristown Medical Center, New Jersey.
Senior nursing students in a dedicated education unit showed significant improvements in critical thinking, reduced anxiety, and increased self-efficacy. These findings enhanced the clinical institution's Practice Transition Program.
Area of Science:
- Nursing Education
- Clinical Practice Improvement
- Healthcare Professional Development
Background:
- Dedicated Education Units (DEUs) are innovative models for clinical nursing education.
- Transitioning senior nursing students into practice requires targeted support and skill development.
- Existing onboarding processes may not fully address the needs of new graduate nurses.
Purpose of the Study:
- To evaluate the impact of a DEU on senior nursing students' preparedness for practice.
- To measure changes in critical thinking, anxiety levels, and self-efficacy among participating students.
- To inform the restructuring of a clinical institution's Practice Transition Program.
Main Methods:
- A longitudinal study involving 17 senior Bachelor of Science in Nursing students.
- Utilized the Health Education System Inc. (HESI) for standardized assessment.
- Measured critical thinking, anxiety, self-efficacy, and confidence in clinical decision-making.
Main Results:
- Statistically significant improvements (p < .05) were observed across all measured areas.
- Students demonstrated enhanced critical thinking skills and increased self-confidence.
- Anxiety levels decreased, while self-efficacy and confidence in clinical decision-making improved.
Conclusions:
- DEUs are effective in enhancing nursing students' readiness for professional practice.
- The study's findings led to the accreditation of an improved Practice Transition Program.
- Evidence-based educational strategies can positively impact the transition from student to practicing nurse.
More Related Videos
Related Concept Videos
The Scientific Method
Critical Thinking I
Critical Thinking II
Anxiety: Overview
Individuals with anxiety often experience a range of physical and emotional symptoms, including sweating, trembling, tachycardia, and disturbances in sleep patterns. These symptoms vary in intensity and frequency but are generally disruptive and distressing.
Critical Thinking
Colleges and universities are...
Cognitive Therapy

