Table 3 Main themes and sub-themes categorized from the study

3.1 Sources of perceived anxiety

3.1.1 Career decision dilemmas

3.1.2 Competitive pressure for employment

3.1.3 Worries about the progress of the graduation project

3.1. 4 Challenges of the nursing licensure examination

3.1.5 Low confidence in clinical competence

3.1 Psychological journey of coping with anxiety

3.2.1 Negative avoidance and retreat

3.2.2 Positive preparation and response

3.3 Suggestions for nursing management and education

3.3.1 Policy support to create more employment opportunities

3.3.2 Comprehensive guidance from nursing school and hospital

3.3.3 Psychological assistance and counseling