Anxiety is a psychological condition that college students may experience, particularly when they face exams that require clinical skills, such as the Objective Structured Clinical Examination (OSCE). Increasing anxiety leading up to the OSCE can affect students’ sleep quality. The purpose of this study was to analyze the relationship between anxiety levels and sleep quality among nursing students at Muhammadiyah University of Semarang leading up to the OSCE. This study was conducted as a cross-sectional study with random sampling. The sample consisted of 100 undergraduate students in the Nursing program at Muhammadiyah University of Semarang who were scheduled to take the OSCE. Data were collected via a questionnaire assessing anxiety levels and sleep quality. The data were analyzed univariately and bivariately using the chi-square test and Spearman’s rank correlation. The results showed that the majority of respondents experienced high anxiety (50 individuals, 50%), while the sleep quality of most respondents fell into the “poor” category (38 individuals, 38%). The results of the Spearman’s rank correlation test showed a correlation coefficient (r) = 0.509 with a p-value (p < 0.001), indicating a significant moderate-strength relationship between anxiety levels and sleep quality among students prior to the OSCE exam.
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Athiya et al. (2026) studied this question.
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