Purpose. It has been well documented that nursing students across the world experience stress and anxiety throughout their education and training. The purpose of this randomized controlled study is to investigate the impact of biofeedback intervention program on nursing students' levels of stress and anxiety during their first clinical training. Methods. Participants consisted of 60 second-year baccalaureate nursing students. The 30 participants in the biofeedback group received training on how to use the biofeedback device to assist in stress and anxiety management for 5 weeks while the 30 in the control group did not receive any training. Findings. Results indicated that the biofeedback group was able to maintain the stress level while the control group had a significant increase in the stress level over the 5-week period of clinical training. Additionally, the biofeedback group had a significant reduction in anxiety, while the control group had a moderate increase in anxiety. Conclusions. The better the nursing students can manage their stress and anxiety, the more successful they can be in their clinical training. Ultimately, the more psychologically healthy the nursing students are, the more likely they will flourish and graduate to become productive and contributing members of the nursing profession. 1. Introduction It has been well documented that nursing students across the world experience stress and anxiety throughout their education and training [1–7]. Issues that contribute to their stress and anxiety include academic challenges, clinical challenges, technological advances, financial concerns, interpersonal difficulties, family problems, physical and mental health issues, inadequate support, and poor coping skills. Additional stressors for nonnative nursing students include cultural adjustments, language issues, social isolation, and discrimination. Furthermore, during the initial clinical training experience, nursing students report increases in their levels of stress and anxiety [8–13]. The stress and anxiety levels increase as nursing students learn to apply their theoretical knowledge to the clinical work with their first patients in new environments while being observed by their clinical instructors and their peers. Over the past 2 decades, many forms of interventions have been suggested to help nursing students with their stress and anxiety. One study developed a 6-week individualized stress-management program to help reduce performance anxiety of nursing students [14]. Another study utilized a worksite 6-session relaxation
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