Research Article
BibTex RIS Cite

Hemşirelik Öğrencilerinde Yakın Akran Öğretiminin Fiziksel Muayene Uygulamaları ve Stres Düzeylerine Etkisi

Year 2025, Volume: 8 Issue: 3, 547 - 555
https://doi.org/10.38108/ouhcd.1481889

Abstract

Amaç: Bu araştırmanın amacı, yakın akran öğretiminin hemşirelik öğrencilerinin fiziksel muayene uygulamaları ve algılanan stresleri üzerindeki etkisini incelemektir.
Yöntem: Tek gruplu ön test-son test çalışması 91 öğrenci (hemşirelik ikinci sınıf öğrencileri) ile yürütüldü. Veriler Öğrenci Bilgi Formu, Fiziksel Muayene Uygulama Formu ve Hemşirelik Öğrencileri İçin Algılanan Stres Ölçeği kullanılarak toplandı.
Bulgular: Hemşirelik öğrencilerinde boy ve kilo ölçümü dışında tüm fiziksel muayene uygulamalarında anlamlı gelişme gözlendi (p<0.05). Öğrencilerin uygulama öncesinde algıladıkları toplam stres puanı 67.0 (SS 21.6), uygulama sonrasında algıladıkları toplam stres puanı ise 57.6 (SS 21.42) olup aradaki fark istatistiksel olarak anlamlı bulunmuştur (p<0.05). Hemşirelik Öğrencileri İçin Algılanan Stres Ölçeğinin akran stresi ve günlük yaşam stresi dışındaki tüm alt boyutlarında anlamlı azalmalar gözlendi (p<0.05).
Sonuç: Bu araştırmada yakın akran öğretimi yöntemiyle verilen fiziksel muayene eğitiminin öğrencilerin fizik muayene uygulamaları ve algılanan stres düzeyleri üzerinde olumlu etkisi olduğu tespit edilmiştir. Bu bağlamda hemşirelik öğrencilerinin klinik ortamlarda fiziksel muayene uygulamaları yapmalarına yönelik yakın akran öğretimi programlarının uygulanması önerilmektedir.

References

  • Aslan F, Subaşı A. (2022). A different perspective to artificial intelligence technologies from nursing education and nursing process perspective. University of Health Sciences Journal of Nursing, 4(3), 153-158.
  • Badowski DM, Oosterhouse KJ. (2017). Impact of a simulated clinical day with peer coaching and deliberate practice: Promoting a culture of safety. Nursing Education Perspectives, 38(2), 93-95.
  • Bahar A, Kocaçal E, Maraş G. (2022). Impact of the peer education model on nursing students' anxiety and psychomotor skill performance: A quasi-experimental study. Nigerian Journal of Clinical Practice, 25(5), 677-682.
  • Blank WA, Blankenfeld H, Vogelmann R, Linde K, Schneider A. (2013). Can near-peer medical students effectively teach a new curriculum in physical examination? BMC Medical Education, 13(1), 1-6. doi: 10.1186/1472-6920-13-165.
  • Bulte C, Betts A, Garner K, Durning S. (2007). Student teaching: views of student near-peer teachers and learners. Medical Teacher, 29(6), 583-590.
  • Chernomas WM, Shapiro C. (2013). Stress, depression, and anxiety among undergraduate nursing students. International Journal of Nursing Education Scholarship, 10(1), 255-266.
  • Council of Higher Education(CoHE). 2017. "Nursing Bachelor's Degree Education Workshop Report, 2017." Access date: August 15, 2023. URL: https://www.yok.gov.tr/Documents/Yayinlar/Yayinlarimiz/ Hemsirelik_Lisans_Egitimi_Calistayi_Sonuc_Raporu.pdf
  • Çulha Y, Afşin F. (2023). The effect of peer education about assessment of sexual health innursing students on their attitudes towards sexual health. University of Health Sciences Journal of Nursing, 5(1), 23-28.
  • Desnita R, Oka SD. (2020). Effectiveness of peer-assisted learning in nursing student knowledge and compliance in the application of standard precautions. Jurnal Keperawatan Indonesia. 23 (3), 162–169.
  • Dikmen Y, Ak B, Yildirim Usta Y, Ünver V, Akin Korhan E, Cerit B, Yönder Ertem M. (2017). Effect of peer teaching used in nursing education on the performance and competence of students in practical skills training. International Journal of Educational Sciences, 16(1-3), 14-20.
  • Doğdu AK, Arıkan F, Kol E.(2021). Physical examination skills used by nursing students and determination the barriers encountered in the use of these skills. Journal of Education and Research in Nursing, 18(3), 335-340.
  • Enç N. (2021). Sağlık Tanılaması ve Fiziksel Muayene. 4.Baskı, İstanbul, Nobel Tıp Kitabevleri.
  • Eyüboğlu G, Çalışkan N. (2019). The Barriers to nurses' use of physical assessment. Gümüşhane University Journal of Health Sciences, 8(2), 57-61.
  • Fard ZR, Azadi A, Khorshidi A, Mozafari M, O'Connor T, Budri AMV, et al. (2020). A comparison of faculty led, mentorship program and peer mentoring on nursing students wound dressing clinical skills. Nurse Education Today, 89, 104378.
  • Hannan TA, Umar SY, Rob Z, Choudhury RR. (2021). Designing and running an online Objective Structured Clinical Examination (OSCE) on Zoom: A peer-led example. Medical Teacher, 43(6), 651-655.
  • Henderson A, Briggs J, Schoonbeek S, Paterson K. (2011). A framework to develop a clinical learning culture in health facilities: ideas from the literature. International Nursing Review, 58(2), 196-202.
  • Karaca A, Yıldırım N, Ankaralı H, Açıkgöz F, Akkuş D. (2015). Turkish adaptation of perceived stress scale, bio-psycho-social response, and coping behaviours of stress scales for nursing students. Journal of Psychiatric Nursing, 6(1), 15-25.
  • Kavradım ST, Özer Z. (2018). Cardiovascular physical examination: a nursing care assessment. Turkiye Klinikleri Journal of Nursing Science, 10(3), 238-250.
  • Kocaman G, Yürümezoğlu HA. (2015). Situation analysis of nursing education in Turkey: Nursing education with numbers (1996-2015). Journal of Higher Education and Science, 5(3), 255-262.
  • Kronschnabl DM, Baerwald C, Rotzoll DE. (2021). Evaluating the effectiveness of a structured, simulator-assisted, peer-led training on cardiovascular physical examination in third-year medical students: a prospective, randomized, controlled trial. GMS Journal of Medical Education, 38(6), Doc108.
  • Kunter D, Gezer N. (2020). The physical examination experience of nursing students: a qualitative study. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi, 12(1), 108-117.
  • Ladyshewsky RK. (2002). A quasi-experimental study of the differences in performance and clinical reasoning using individual learning versus reciprocal peer coaching. Physiotherapy Theory and Practice, 18(1), 17-31.
  • Lynn P. (2018). Taylor's clinical nursing skills: a nursing process approach. Lippincott Williams & Wilkins.
  • Musbahi A, Sharpe A, Straughan R, Ong S, Alhaddabi A, Reddy A. (2019). A near-peer regional surgical teaching programme designed by medical students, delivered by junior doctors. Medical Education Online, 24, 1583969.
  • Öztürk D, Baykara ZG. (2019). The Effect of peer education on the teaching of nursing skills . Journal of Education & Research in Nursing. 16 (4), 295-300.
  • Pintér Z, Kardos D, Varga P, Kopjár E, Kovács A, Than P, et al. (2021). Effectivity of near-peer teaching in training of basic surgical skills–a randomized controlled trial. BMC Medical Education, 21(1), 1-8.
  • Rashid A, Chan SC, Choa G, Eboreime O. (2019). Evaluating the effectiveness of using near-peer tutors in teaching first-year medical students. Future Healthcare Journal, 6(2), 24.
  • Raymond JM, Sheppard K. (2017). Effects of peer mentoring on nursing students’ perceived stress, sense of belonging, self-efficacy and loneliness. Journal of Nursing Education and Practice, 8(1), 16.
  • Rosenberg CJ, Nanos KN, Newcomer K.L. (2017). The "near-peer" approach to teaching musculoskeletal physical examination skills benefits residents and medical students. PM&R, 9(3), 251-257.
  • Schiff A, Salazar D, Vetter C, Andre J, Pinzur M. (2014). Results of a near-peer musculoskeletal medicine curriculum for senior medical students interested in orthopedic surgery. Journal of Surgical Education, 71(5), 734-737.
  • Sheu S, Lin H, Hwang S, Yu P, Hu W, Lou M. (1997). The development and testing of perceived stress scale of clinical practice. Nursing Research, 5(4), 341-351.
  • Stewart P, Greene D, Coke S. (2018). Effects of a peer evaluation technique on nursing students’ anxiety levels. Nurse Educator, 43(4), 219-222.
  • Sü S, Özlük B, Demirören N. (2018). Effects of mentoring in reducing clinical stress levels of nursing students during experiences in their first clinical practice. Journal of Human Sciences, 15(1), 280-292.
  • Şahan D, Gezer N. (2021). The Physical Examination Experience of Nursing Students: A Qualitative Study. Acıbadem University Health Sciences Journal, 12(1), 108-117.
  • Şahin ÖÖ, Aközlü Z, Taşdelen Y. (2023). Pediatric nursing students’ self-efficacy regarding medication administration and clinical comfort and worry: A pre-posttest comparative study of nurse mentoring versus peer mentoring. Nurse Education in Practice, 71, 103712.
  • Taylor D, Quick S. (2020). Students' perceptions of a near-peer Objective Structured Clinical Examination (OSCE) in medical imaging. Radiography, 26(1), 42-48.
  • Tuzer H, Dinc L, Elcin M. (2016). The effects of using high-fidelity simulators and standardized patients on the thorax, lung, and cardiac examination skills of undergraduate nursing students. Nurse Education Today, 45, 120-125.
  • Ulupınar S, Eycan Ö. (2023). A Model Used for the Evaluation of Nursing Education Program: Kirkpatrick Education Evaluation Model. Gümüşhane University Journal of Health Sciences, 12(2), 820-827.
  • Ünver V, Akbayrak N. (2013). Peer tutoring model in nursing education. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi, 6(4), 214-217.
  • Waddell DL, Dunn N. (2005). Peer coaching: The next step in staff development. Journal of Continuing Education in Nursing, 36(2), 84-89.
  • Yüksel A, Bahadır-Yılmaz E. (2019). The effect of mentoring program on adjustment to university and ways of coping with stress in nursing students: A quasi-experimental study. Nurse Education Today, 80, 52-58.

The Effect of Near-Peer Teaching on Nursing Students' Physical Examination Practices and Stress Levels

Year 2025, Volume: 8 Issue: 3, 547 - 555
https://doi.org/10.38108/ouhcd.1481889

Abstract

Objective: The objective of this research was to examine the effect of near-peer teaching on nursing students' physical examination practices and perceived stress.
Methods: This single group pretest-posttest study was conducted with 91 students (second-year nursing undergraduate students). Data were collected using the Student Information Form, Physical Examination Practices Form, and the Perceived Stress Scale for Nursing Students.
Results: A significant improvement was observed in all physical examination practices among nursing students, except for height and weight measurements (p<0.05). The total perceived stress score of students before the implementation was 67.0 (SD 21.6), and the total perceived stress score after the implementation was 57.6 (SD 21.42), with the difference being statistically significant (p<0.05). Significant reductions were observed in all subscales of the Perceived Stress Scale for Nursing Students, except for stress from peers and daily life (p<0.05).
Conclusion: This research determined that physical examination education provided through the near-peer teaching method had a positive impact on students' physical examination practices and perceived stress levels. In this context, implementing near-peer teaching programs for nursing students to practice physical examinations in clinical settings is recommended.

Ethical Statement

Ethics committee approval for this study retrieved from the Ordu University Clinical Research Ethics Committee (Date: 30.09.2022 and Issue No: 2022/224)

References

  • Aslan F, Subaşı A. (2022). A different perspective to artificial intelligence technologies from nursing education and nursing process perspective. University of Health Sciences Journal of Nursing, 4(3), 153-158.
  • Badowski DM, Oosterhouse KJ. (2017). Impact of a simulated clinical day with peer coaching and deliberate practice: Promoting a culture of safety. Nursing Education Perspectives, 38(2), 93-95.
  • Bahar A, Kocaçal E, Maraş G. (2022). Impact of the peer education model on nursing students' anxiety and psychomotor skill performance: A quasi-experimental study. Nigerian Journal of Clinical Practice, 25(5), 677-682.
  • Blank WA, Blankenfeld H, Vogelmann R, Linde K, Schneider A. (2013). Can near-peer medical students effectively teach a new curriculum in physical examination? BMC Medical Education, 13(1), 1-6. doi: 10.1186/1472-6920-13-165.
  • Bulte C, Betts A, Garner K, Durning S. (2007). Student teaching: views of student near-peer teachers and learners. Medical Teacher, 29(6), 583-590.
  • Chernomas WM, Shapiro C. (2013). Stress, depression, and anxiety among undergraduate nursing students. International Journal of Nursing Education Scholarship, 10(1), 255-266.
  • Council of Higher Education(CoHE). 2017. "Nursing Bachelor's Degree Education Workshop Report, 2017." Access date: August 15, 2023. URL: https://www.yok.gov.tr/Documents/Yayinlar/Yayinlarimiz/ Hemsirelik_Lisans_Egitimi_Calistayi_Sonuc_Raporu.pdf
  • Çulha Y, Afşin F. (2023). The effect of peer education about assessment of sexual health innursing students on their attitudes towards sexual health. University of Health Sciences Journal of Nursing, 5(1), 23-28.
  • Desnita R, Oka SD. (2020). Effectiveness of peer-assisted learning in nursing student knowledge and compliance in the application of standard precautions. Jurnal Keperawatan Indonesia. 23 (3), 162–169.
  • Dikmen Y, Ak B, Yildirim Usta Y, Ünver V, Akin Korhan E, Cerit B, Yönder Ertem M. (2017). Effect of peer teaching used in nursing education on the performance and competence of students in practical skills training. International Journal of Educational Sciences, 16(1-3), 14-20.
  • Doğdu AK, Arıkan F, Kol E.(2021). Physical examination skills used by nursing students and determination the barriers encountered in the use of these skills. Journal of Education and Research in Nursing, 18(3), 335-340.
  • Enç N. (2021). Sağlık Tanılaması ve Fiziksel Muayene. 4.Baskı, İstanbul, Nobel Tıp Kitabevleri.
  • Eyüboğlu G, Çalışkan N. (2019). The Barriers to nurses' use of physical assessment. Gümüşhane University Journal of Health Sciences, 8(2), 57-61.
  • Fard ZR, Azadi A, Khorshidi A, Mozafari M, O'Connor T, Budri AMV, et al. (2020). A comparison of faculty led, mentorship program and peer mentoring on nursing students wound dressing clinical skills. Nurse Education Today, 89, 104378.
  • Hannan TA, Umar SY, Rob Z, Choudhury RR. (2021). Designing and running an online Objective Structured Clinical Examination (OSCE) on Zoom: A peer-led example. Medical Teacher, 43(6), 651-655.
  • Henderson A, Briggs J, Schoonbeek S, Paterson K. (2011). A framework to develop a clinical learning culture in health facilities: ideas from the literature. International Nursing Review, 58(2), 196-202.
  • Karaca A, Yıldırım N, Ankaralı H, Açıkgöz F, Akkuş D. (2015). Turkish adaptation of perceived stress scale, bio-psycho-social response, and coping behaviours of stress scales for nursing students. Journal of Psychiatric Nursing, 6(1), 15-25.
  • Kavradım ST, Özer Z. (2018). Cardiovascular physical examination: a nursing care assessment. Turkiye Klinikleri Journal of Nursing Science, 10(3), 238-250.
  • Kocaman G, Yürümezoğlu HA. (2015). Situation analysis of nursing education in Turkey: Nursing education with numbers (1996-2015). Journal of Higher Education and Science, 5(3), 255-262.
  • Kronschnabl DM, Baerwald C, Rotzoll DE. (2021). Evaluating the effectiveness of a structured, simulator-assisted, peer-led training on cardiovascular physical examination in third-year medical students: a prospective, randomized, controlled trial. GMS Journal of Medical Education, 38(6), Doc108.
  • Kunter D, Gezer N. (2020). The physical examination experience of nursing students: a qualitative study. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi, 12(1), 108-117.
  • Ladyshewsky RK. (2002). A quasi-experimental study of the differences in performance and clinical reasoning using individual learning versus reciprocal peer coaching. Physiotherapy Theory and Practice, 18(1), 17-31.
  • Lynn P. (2018). Taylor's clinical nursing skills: a nursing process approach. Lippincott Williams & Wilkins.
  • Musbahi A, Sharpe A, Straughan R, Ong S, Alhaddabi A, Reddy A. (2019). A near-peer regional surgical teaching programme designed by medical students, delivered by junior doctors. Medical Education Online, 24, 1583969.
  • Öztürk D, Baykara ZG. (2019). The Effect of peer education on the teaching of nursing skills . Journal of Education & Research in Nursing. 16 (4), 295-300.
  • Pintér Z, Kardos D, Varga P, Kopjár E, Kovács A, Than P, et al. (2021). Effectivity of near-peer teaching in training of basic surgical skills–a randomized controlled trial. BMC Medical Education, 21(1), 1-8.
  • Rashid A, Chan SC, Choa G, Eboreime O. (2019). Evaluating the effectiveness of using near-peer tutors in teaching first-year medical students. Future Healthcare Journal, 6(2), 24.
  • Raymond JM, Sheppard K. (2017). Effects of peer mentoring on nursing students’ perceived stress, sense of belonging, self-efficacy and loneliness. Journal of Nursing Education and Practice, 8(1), 16.
  • Rosenberg CJ, Nanos KN, Newcomer K.L. (2017). The "near-peer" approach to teaching musculoskeletal physical examination skills benefits residents and medical students. PM&R, 9(3), 251-257.
  • Schiff A, Salazar D, Vetter C, Andre J, Pinzur M. (2014). Results of a near-peer musculoskeletal medicine curriculum for senior medical students interested in orthopedic surgery. Journal of Surgical Education, 71(5), 734-737.
  • Sheu S, Lin H, Hwang S, Yu P, Hu W, Lou M. (1997). The development and testing of perceived stress scale of clinical practice. Nursing Research, 5(4), 341-351.
  • Stewart P, Greene D, Coke S. (2018). Effects of a peer evaluation technique on nursing students’ anxiety levels. Nurse Educator, 43(4), 219-222.
  • Sü S, Özlük B, Demirören N. (2018). Effects of mentoring in reducing clinical stress levels of nursing students during experiences in their first clinical practice. Journal of Human Sciences, 15(1), 280-292.
  • Şahan D, Gezer N. (2021). The Physical Examination Experience of Nursing Students: A Qualitative Study. Acıbadem University Health Sciences Journal, 12(1), 108-117.
  • Şahin ÖÖ, Aközlü Z, Taşdelen Y. (2023). Pediatric nursing students’ self-efficacy regarding medication administration and clinical comfort and worry: A pre-posttest comparative study of nurse mentoring versus peer mentoring. Nurse Education in Practice, 71, 103712.
  • Taylor D, Quick S. (2020). Students' perceptions of a near-peer Objective Structured Clinical Examination (OSCE) in medical imaging. Radiography, 26(1), 42-48.
  • Tuzer H, Dinc L, Elcin M. (2016). The effects of using high-fidelity simulators and standardized patients on the thorax, lung, and cardiac examination skills of undergraduate nursing students. Nurse Education Today, 45, 120-125.
  • Ulupınar S, Eycan Ö. (2023). A Model Used for the Evaluation of Nursing Education Program: Kirkpatrick Education Evaluation Model. Gümüşhane University Journal of Health Sciences, 12(2), 820-827.
  • Ünver V, Akbayrak N. (2013). Peer tutoring model in nursing education. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi, 6(4), 214-217.
  • Waddell DL, Dunn N. (2005). Peer coaching: The next step in staff development. Journal of Continuing Education in Nursing, 36(2), 84-89.
  • Yüksel A, Bahadır-Yılmaz E. (2019). The effect of mentoring program on adjustment to university and ways of coping with stress in nursing students: A quasi-experimental study. Nurse Education Today, 80, 52-58.
There are 41 citations in total.

Details

Primary Language English
Subjects ​Internal Diseases Nursing​, Nursing (Other)
Journal Section Araştırma
Authors

Yasemin Kalkan Uğurlu 0000-0003-0096-5593

Aslı Aydın 0009-0005-8915-5459

Barış Tongal 0009-0009-4394-0784

Mustafa Bakır 0009-0006-4249-7002

Songül Özuzma 0009-0008-4753-6423

Early Pub Date October 11, 2025
Publication Date October 14, 2025
Submission Date May 10, 2024
Acceptance Date October 27, 2024
Published in Issue Year 2025 Volume: 8 Issue: 3

Cite

APA Kalkan Uğurlu, Y., Aydın, A., Tongal, B., … Bakır, M. (2025). The Effect of Near-Peer Teaching on Nursing Students’ Physical Examination Practices and Stress Levels. Ordu Üniversitesi Hemşirelik Çalışmaları Dergisi, 8(3), 547-555. https://doi.org/10.38108/ouhcd.1481889
AMA Kalkan Uğurlu Y, Aydın A, Tongal B, Bakır M, Özuzma S. The Effect of Near-Peer Teaching on Nursing Students’ Physical Examination Practices and Stress Levels. Ordu University J Nurs Stud. October 2025;8(3):547-555. doi:10.38108/ouhcd.1481889
Chicago Kalkan Uğurlu, Yasemin, Aslı Aydın, Barış Tongal, Mustafa Bakır, and Songül Özuzma. “The Effect of Near-Peer Teaching on Nursing Students’ Physical Examination Practices and Stress Levels”. Ordu Üniversitesi Hemşirelik Çalışmaları Dergisi 8, no. 3 (October 2025): 547-55. https://doi.org/10.38108/ouhcd.1481889.
EndNote Kalkan Uğurlu Y, Aydın A, Tongal B, Bakır M, Özuzma S (October 1, 2025) The Effect of Near-Peer Teaching on Nursing Students’ Physical Examination Practices and Stress Levels. Ordu Üniversitesi Hemşirelik Çalışmaları Dergisi 8 3 547–555.
IEEE Y. Kalkan Uğurlu, A. Aydın, B. Tongal, M. Bakır, and S. Özuzma, “The Effect of Near-Peer Teaching on Nursing Students’ Physical Examination Practices and Stress Levels”, Ordu University J Nurs Stud, vol. 8, no. 3, pp. 547–555, 2025, doi: 10.38108/ouhcd.1481889.
ISNAD Kalkan Uğurlu, Yasemin et al. “The Effect of Near-Peer Teaching on Nursing Students’ Physical Examination Practices and Stress Levels”. Ordu Üniversitesi Hemşirelik Çalışmaları Dergisi 8/3 (October2025), 547-555. https://doi.org/10.38108/ouhcd.1481889.
JAMA Kalkan Uğurlu Y, Aydın A, Tongal B, Bakır M, Özuzma S. The Effect of Near-Peer Teaching on Nursing Students’ Physical Examination Practices and Stress Levels. Ordu University J Nurs Stud. 2025;8:547–555.
MLA Kalkan Uğurlu, Yasemin et al. “The Effect of Near-Peer Teaching on Nursing Students’ Physical Examination Practices and Stress Levels”. Ordu Üniversitesi Hemşirelik Çalışmaları Dergisi, vol. 8, no. 3, 2025, pp. 547-55, doi:10.38108/ouhcd.1481889.
Vancouver Kalkan Uğurlu Y, Aydın A, Tongal B, Bakır M, Özuzma S. The Effect of Near-Peer Teaching on Nursing Students’ Physical Examination Practices and Stress Levels. Ordu University J Nurs Stud. 2025;8(3):547-55.