The effect of music listening on the anxiety of nursing students during their first blood draw experience

Nurse Educ Today. 2017 May;52:10-14. doi: 10.1016/j.nedt.2017.02.009. Epub 2017 Feb 14.


Background: Nursing education is a process aimed both at theoretical knowledge and skill development. The Fundamentals of Nursing is a course that furnishes students with professional knowledge, concepts and technical skills, and, also, is the keystone of nursing education in our country. Students experience a great deal of anxiety as they face basic nursing practices for the first time. Studies have revealed the effectiveness of music in relieving anxiety in many patient groups. However, no previous studies were found where music was used with the intent to lower the anxiety that students experience over the course of skill learning. The experimental study is aimed at determining the effect of music in decreasing anxiety during the first nursing practices of students in a laboratory setting.

Methods: The experimental study was conducted on nursing students of Akdeniz University attending Fundamentals of Nursing, a freshman course, during the 2013-2014 academic year. A total of 73 students, of which 34 were assigned to the experimental group and 39 to the control group, participated in the study. Data collection was carried out using (a) the student identification form prepared by the authors, (b) skill control lists and (c) the Situational Anxiety Scale. The students in the experimental group listened to music during blood draw skill practice in a laboratory environment. The students were assessed with respect to their performance of blood drawing through skill control lists using the statements "True", "False" and "Forgotten". The anxiety levels and vital signs of students were assessed before and after the practice.

Results: The mean age of the students was 19.08. 64.7% of the experimental group and 82.1% of the control group were female. The age group of 64.7% of the students in the experimental group was female. The age group of 82.1% of the students in the control group was female. After music listening, the mean anxiety score of the students was 38.70±3.83 in the experimental group and 39.76±4.72 in the control group. The difference between the mean anxiety scores of the two groups was statistically significant (p<0.05). The evaluation made before and after the blood draw revealed a statistically significant difference in diastolic blood pressure values in the experimental group that listened to music(p<0.05).

Conclusions: The results of the study showed that listening to music decreased the anxiety levels of nursing students during their first blood draw experience.

Keywords: Anxiety; Blood draw; Music; Nurse education; Nursing student.

MeSH terms

  • Anxiety / psychology*
  • Blood Specimen Collection / methods*
  • Education, Nursing
  • Female
  • Humans
  • Male
  • Music / psychology*
  • Music Therapy / methods
  • Students, Nursing / psychology*
  • Turkey
  • Young Adult