Abstract: Objective: To analyze the effect of group counseling on perceived career barriers, career decisionmaking self-efficacy and career identity of undergraduate nursing students. Methods: We conducted group counseling for 58 undergraduate nursing students who were grade one or grade two from a certain university. Then we compared perceived career barriers, career decision making self-efficacy and career identity of undergraduate nursing students before and after the group counseling. Results: The scores of perceived career barriers, career decision making self-efficacy and career identity of undergraduate nursing students were different before and after the intervention, and the differences were statistically significant (P<0.05, P<0.001). Conclusion: Group counseling can effectively improve the career decisionmaking self-efficacy and professional identity of undergraduate nursing students, and reduce their perceived career barriers.