Peer Support in Skills Training of Undergraduate Nursing Students at the International Level: An Evaluation of a Teaching and Learning Method

Öz

Objective: This study aimed to evaluate the peer support method in skills training for first-year nursing students, including both local and international students. Material and Methods: This mixed-methods study included nursing students enrolled in an undergraduate nursing program at a foundation university in Turkey (n=106), who received nursing education in English. The study employed an intervention and control group (Standard Group, n=52; Peer Support Group, n=54) during the Spring Semester of the 2023-2024 academic year. Skills in calculating parenteral drug dose and withdrawing the calculated dose from a pre-diluted ready-to-use vial (Skill 1), and administering an intramuscular injection (Skill 2) were addressed. A focus group interview was conducted with intervention group participants (n=10) to assess their experiences with the method. Results: The study participants comprised 80.2% females, 67.0% local, and 33.0% international students. Although skill exam scores were higher in the PSG, there was no statistically significant difference between the groups (Overall score, p=0.382; Skill 1, p=0.797; Skill 2, p=0.189). The correct calculation step of Skill 1 had a low score in both groups (p=0.254). The level of satisfaction with this method among the intervention group was 9.07±1.26. Qualitative responses were grouped into the following main categories: "Safety and Comfort," "Teaching and Learning," "Motivation," "Communication," "Knowledge and Experience," and "Process Management." Conclusion: The scores of Skills 1 and 2 can generally be interpreted as being at a moderate level. Although there was no statistically significant difference, the scores favored the intervention group.

Anahtar Kelimeler

• Baccalaureate nursing education
• clinical skills
• nursing education research

Uluslararası Düzeyde Hemşirelik Lisans Öğrencilerinin Beceri Eğitiminde Akran Desteği: Bir Öğretme ve Öğrenme Yönteminin Değerlendirilmesi

Öz

Amaç: Bu çalışma, ulusal ve yabancı öğrencilerden oluşan birinci sınıf öğrencilerine yönelik beceri eğitiminde akran destek yöntemini değerlendirmeyi amaçlamıştır. Gereç ve Yöntem: Bu karma yöntem çalışmasına, İngilizce hemşirelik eğitimi veren Türkiye'deki bir vakıf üniversitesinin hemşirelik lisans programına kayıtlı hemşirelik öğrencileri (n=106) dahil edilmiştir. Çalışma, 2023-2024 akademik yılı Bahar Dönemi’nde girişim ve kontrol gruplu (Standart Grup, n=52; Akran Destek Grubu, n=54) olarak yürütülmüştür. Çalışmada, parenteral ilaç dozu hesaplama ve hesaplanan dozu önceden seyreltilmiş kullanıma hazır bir flakondan çekme (Beceri 1) ve intramüsküler enjeksiyon uygulama (Beceri 2) becerileri ele alınmıştır. Katılımcıların yönteme ilişkin deneyimlerini değerlendirmek üzere girişim grubu katılımcılarıyla (n=10) odak grup görüşmesi yapılmıştır. Bulgular: Çalışmanın katılımcılarının %80,2'si kadın olup %67,0'ını ulusal ve %33,0’ını uluslararası öğrenciler oluşturmuştur. Genel beceri sınavı ve her iki becerinin puanları girişim grubunda daha yüksek olmasına karşın, gruplar arasında istatistiksel olarak anlamlı bir fark bulunmamıştır (Toplam beceri, p=0,382; Beceri 1, p=0,797; Beceri 2, p=0,189). Beceri 1’in ilaç dozunu doğru hesaplama adımı her iki grupta da düşük puan almıştır (p=0,254). Girişim grubu katılımcılarının yönteme ilişkin memnuniyet düzeyi 9,07±1,26'dır. Nitel yanıtlar “Güvenlik ve Konfor”, “Öğretme ve Öğrenme”, “Motivasyon”, “İletişim”, “Bilgi ve Deneyim” ve “Süreç Yönetimi” ana kategorilerinde gruplandırılmıştır. Sonuç: Beceri 1 ve Beceri 2 puanları genel olarak orta düzeyde olarak yorumlanabilir. İstatistiksel olarak anlamlı bir fark olmamasına karşın puanlar girişim grubu lehine yüksektir.

Anahtar Kelimeler

• Hemşirelik lisans eğitimi
• hemşirelik eğitimi araştırması
• klinik beceriler

Kaynakça

1. Byrne AL, Baldwin A, Harvey C. Whose centre is it anyway? Defining person-centred care in nursing: An integrative review. PLoS One. 2020;15(3):e0229923. DOI:10.1371/journal.pone.0229923.
2. Potter PA, Perry AG, Stockert PA, Hall A. Fundamentals of nursing. 10th ed. St. Louis: Elsevier; 2020. p. 2177-200.
3. Whitmore C, Baxter PE, Kaasalainen S, Ploeg J. The similarities and differences in transition to practice experiences for new-graduates and practical nurses in long-term care. J Nurs Adm. 2019;49(12):586-90. DOI:10.1097/NNA.0000000000000820.
4. Aldridge MD. Nursing students' perceptions of learning psychomotor skills: A literature review. Teach Learn Nurs. 2017;12(1):21-7. DOI:10.1016/j.teln.2016.09.002.
5. Şancı Y, Kelleci Ö. Hemşirelik bölümü öğrencilerinin akran eğitimi hakkındaki görüşleri: bir vakıf üniversitesi örneği. SBÜHD. 2019;1(2):104-11.
6. Brierley C, Ellis L, Reid ER. Peer-assisted learning in medical education: A systematic review and meta-analysis. Med Educ. 2022;56(4):365-73. DOI: 10.1111/medu.14672.
7. Markowski M, Bower H, Essex R, Yearley C. Peer learning and collaborative placement models in health care: A systematic review and qualitative synthesis of the literature. J Clin Nurs. 2021;30(11-12):1519-41. DOI:10.1111/jocn.15661.
8. Osborne K, Othman M. Peer assisted learning model to support students’ success in a complex science course. J Nurs Educ Pract. 2019;9(11):53-62. DOI:10.5430/jnep.v9n11p53.

9. Mauliandari R, Sumarwati M, Upoyo AS. Peer learning: An effective teaching-learning method for improving ability in arterial blood gases interpretation. Nurse Media J Nurs. 2020;10(3):329-38. DOI: 10.14710/nmjn.v10i3.28660.
10. Tullis JG, Goldstone RL. Why does peer instruction benefit student learning? Cogn Res Princ Implic. 2020;5(1):15. DOI:10.1186/s41235-020-00218-5.
11. Pålsson Y, Mårtensson G, Swenne CL, Mogensen E, Engström M. First-year nursing students' collaboration using peer learning during clinical practice education: An observational study. Nurse Educ Pract. 2021;50:102946. DOI:10.1016/j.nepr.2020.102946.
12. Yang L, Wang Y. Application of a peer learning and assessment model in an undergraduate pharmacy course. BMC Med Educ. 2023;23(1):362. DOI:10.1186/s12909-023-04352-8.
13. Palinkas LA, Horwitz SM, Green CA, Wisdom JP, Duan N, Hoagwood K. Purposeful sampling for qualitative data collection and analysis in mixed method implementation research. Adm Policy Ment Health. 2015;42(5):533-44. DOI:10.1007/s10488-013-0528-y.
14. Qualtrics. Sample Size Calculator [Internet, Updated December 8, 2023]. Available from: https://www.qualtrics.com/blog/calculating-sample-size/ (Accessed December 12, 2024).
15. Noor S, Tajik O, Golzar J. Simple random sampling. Int J Educ Lang Stud. 2022;1(2):78-81. DOI:10.22034/ijels.2022.162982.
16. Taylor C, Lynn P, Barlett JL. Fundamentals of nursing: the art and science of person-centered nursing care. 9th ed. Philadelphia: Wolters Kluwer; 2019. p. 835-70.
17. IBM SPSS Statistics for Windows, Version 28.0. Armonk, NY: IBM Corp; 2022.
18. Pallant J. SPSS survival manual: A step by step guide to data analysis using IBM SPSS. 7th ed. London: McGraw-Hill Education; 2020. p. 94-110.
19. Vears DF, Gillam L. Inductive content analysis: A guide for beginning qualitative researchers. Focus Health Prof Educ. 2022;23(1):111-27. DOI:10.11157/fohpe.v23i1.544.
20. Pehlivan Coştu E, Bilgiç Ş. The effectiveness of peer coaching in the skill development of nursing students: the experimental study. Turkiye Klin J Nurs Sci. 2023;15(3):689-97. DOI:10.5336/nurses.2023-95277.
21. Bahar A, Kocaçal E, Maraş GB. Impact of the peer education model on nursing students’ anxiety and psychomotor skill performance: A quasi experimental study. Niger J Clin Pract. 2022;25:677-82. DOI:10.4103/njcp.njcp_1905_21.
22. Alzaabi S, Nasaif M, Khamis AH, Otaki F, Zary N, Mascarenhas S. Medical students' perception and perceived value of peer learning in undergraduate clinical skill development and assessment: mixed methods study. JMIR Med Educ. 2021;7(3):e25875. DOI:10.2196/25875.
23. Cole JD, Ruble MJ, Donnelly J, Groves B. Peer-assisted learning: clinical skills training for pharmacy students. Am J Pharm Educ. 2018;82(6):6511. DOI:10.5688/ajpe6511.
24. Zhang H, Liao AWX, Goh SH, Wu XV, Yoong SQ. Effectiveness of peer teaching in health professions education: A systematic review and meta-analysis. Nurse Educ Today. 2022;118:105499. DOI:10.1016/j.nedt.2022.105499.
25. Simonsen BO, Daehlin GK, Johansson I, Farup PG. Improvement of drug dose calculations by classroom teaching or e-learning: A randomised controlled trial in nurses. BMJ Open. 2014;4(10):e006025. DOI:10.1136/bmjopen-2014-006025.
26. Stake-Nilsson K, Almstedt M, Fransson G, Masoumi D, Elm A, Toratti-Lindgren M, Björkman A. Medication dosage calculation among nursing students: does digital technology make a difference? A literature review. BMC Nurs. 2022;21(1):123. DOI:10.1186/s12912-022-00904-3.
27. Bıyık Bayram Ş. The effect of padlet on nursing students’ drug dose calculation skills. Mediterr Nurs Midwifery. 2024;4(2):112-9. DOI:10.4274/MNM.2023.23168.
28. Karabag-Aydin A, Dinc L. Effects of web-based instruction on nursing students’ arithmetical and drug dosage calculation skills. Comput Inform Nurs. 2017;35(5):262-9. DOI:10.1097/CIN.0000000000000317.
29. Pol-Castañeda S, Carrero-Planells A, Moreno-Mulet C. Use of simulation to improve nursing students' medication administration competence: A mixed-method study. BMC Nurs. 2022;21(1):117. DOI:10.1186/s12912-022-00897-z.
30. Dutra SVO, Kumar K, Clochesy JM. Instruction strategies for drug calculation skills: A systematic review of the literature. Nurse Educ Today. 2022;111:105299. DOI:10.1016/j.nedt.2022.105299.
31. Korkut S, Başer M. Students’ opinions on the peer education approach in nursing skill training. J High Educ Sci. 2020;10(3):414-22. DOI:10.5961/jhes.2020.401.
32. Eraydın Ş, Güven S. Peer assisted learning in clinical nursing education: A mixed method study. J Educ Res Nurs. 2024;21(4):1-11. DOI:10.14744/jern.2024.77992.