Evaluating the impact of INFINITI mind mapping on stress reduction and academic performance among nursing students: a randomized controlled study in Puducherry

Abstract

Background: Nursing students face significant academic stress, which can negatively impact their learning and performance. This study aimed to evaluate the effectiveness of the INFINITI mind mapping technique as a strategy to reduce stress and improve academic performance among first-year B.Sc. Nursing students. Methods: A cluster randomized controlled trial was conducted with 192 first-year B.Sc. Nursing students from selected colleges in Puducherry. The intervention group (n = 96) utilized the INFINITI mind mapping learning technique over 15 days, with a focus on the ‘vital signs’ topic. The control group (n = 96) received standard instruction. Stress levels were measured using the Student Nurse Stress Index (SNSI), and academic performance was evaluated through unit test and university exam scores. Results: The intervention group showed a statistically significant reduction in stress scores (t = 4.44, p < 0.001, Cohen’s d = 0.57) and a significant improvement in academic performance (f = 119.29, p < 0.001, Cohen’s d = 1.94) when compared to the control group. No significant changes were observed in the control group. Conclusion: The INFINITI mind mapping technique is a promising and effective strategy for enhancing learning outcomes and reducing stress in nursing students. However, the generalizability of these findings is limited due to the single-site nature of the study, the absence of blinding for participants and instructors, and the lack of long-term follow-up. Trial registration: Clinical trial number: not applicable.