Date of Paper/Work


Type of Paper/Work

Doctor of Nursing Practice Project

Degree Name

Doctor of Nursing Practice



First Advisor

Susan Hageness


Doctor of Nursing Practice


Undergraduate nursing students report high levels of stress associated with academia and multiple life responsibilities. This quality-improvement pilot project sought to evaluate the outcomes of focused breathing sessions and the use of a Nursing Process Self-Care Plan (NPSCP) Bookleton students' perceived stress levels. The Transpersonal Care Theory facilitated the implementation of holistic student-centered classroom-based strategies. Fourteen students from a first-semester nursing course completed the pre-and post-test Perceived Stress Scale (PSS) survey and digital narrative questionnaires (DNQ). Descriptive and inferential statistics appraise the results from the PSS survey. Data from the DNQ were examined for patterns. Overall, the project findings support nursing students' perceived stress levels were lowered. Students' stress management strategies were captured under four categories: mindful inquiry, movement breaks, passive pauses, and cognitive events. Students identified that the focused breathing and journaling in the NPSCP Booklet as helpful stress reduction tools.

Available for download on Monday, September 11, 2023