Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
The Effectiveness of Peer Coaching in the Skill Development of Nursing Students: The Experimental Study
Hemşirelik Öğrencilerinin Beceri Gelişiminde Akran Koçluğunun Etkinliği: Deneysel Çalışma
Elif PEHLİVAN ÇOŞTUa , Şebnem BİLGİÇb
aDepartment of Nursing, Trakya University Institute of Health Sciences, Edirne, Türkiye
bDepartment of Fundamentals of Nursing, Trakya University Faculty of Health Sciences, Edirne, Türkiye
Turkiye Klinikleri J Nurs Sci. 2023;15(3):689-97
doi: 10.5336/nurses.2023-95277
Article Language: EN
Full Text
ABSTRACT
 Objective: The aim of this study was to determine the effect of peer coaching for basic nursing skills on the skill levels of nursing students. Material and Methods: The study, an experimental type, was conducted with 130 first-grade nursing students (n=180) of a state university. The data were collected using the personal information form, the Spielberger State-Trait Anxiety Inventory (STAI), Peer Support Scale (PSS), and the guides on blood collection and vascular access skills. Results: The mean age of the students was 18.90±0.94 years. No significant difference was found between students' pre-intervention individual characteristics and STAI and PSS scores (p>0.05). It was determined that there was a significant decrease in the STAI scores of the experimental group students after peer coaching (p=0.000). The scores of the students in the experimental and control groups from the guide on blood collection skills were 24 (20-25), 24 (20-25), respectively, and their vascular access skills scores were 23 (15-25), and 22 (18-25), respectively. No significant difference was found between the median scores of vascular access and blood collection of the students in the experimental and control groups (p>0.05). Conclusion: It was determined that the skill development of the students in both groups was high. The significant decrease in the STAI score of the students in the experimental group shows that peer support reduces anxiety levels. Furthermore, the lack of difference in terms of skill development between the students in both groups indicated that the skill training provided by peer coaches was as effective as the training provided by the instructors.

Keywords: Nursing education; peer group; clinical skills
ÖZET
 Amaç: Bu çalışmanın amacı, temel hemşirelik becerilerine yönelik akran koçluğunun, hemşirelik öğrencilerinin beceri düzeylerine etkisini belirlemektir. Gereç ve Yöntemler: Yarı deneysel tipte olan çalışma, bir devlet üniversitesinin hemşirelik bölümü birinci sınıfında okuyan 130 (n=180) öğrenci ile yapılmıştır. Veriler kişisel bilgi formu, Durumluk Kaygı Ölçeği (DKÖ), Akran Desteği Ölçeği (ADÖ), kan alma ve damar yolu açma beceri rehberleri kullanılarak toplandı. Bulgular: Öğrencilerin yaş ortalamaları 18,90±0,94 idi. Öğrencilerin girişim öncesi bireysel özellikleri ve DKÖ, ADÖ puanları arasında anlamlı farklılık saptanmadı (p>0,05). Deney grubu öğrencilerin akran koçluğu eğitimi sonrası DKÖ puanında anlamlı azalma olduğu saptandı (p=0,000). Deney ve kontrol grubundaki öğrencilerin kan alma beceri rehberi puanları sırasıyla 24 (20-25), 24 (20-25), damar yolu açma beceri puanları ise sırasıyla 23 (15-25), 22 (18-25) idi. Deney ve kontrol grubu öğrencilerin damar yolu açma ve kan alma puanları arasında anlamlı farklılık saptanmadı (p>0,05). Sonuç: Her iki gruptaki öğrencilerin beceri gelişimlerinin yüksek düzeyde gerçekleştirildiği belirlendi. Deney grubundaki öğrencilerin STAI puanlarındaki anlamlı düşüş, akran desteğinin kaygı düzeyini azalttığını göstermektedir. Ayrıca her iki gruptaki öğrenciler arasında beceri gelişimi açısından fark olmaması akran koçları tarafından verilen beceri eğitiminin öğretim elemanları tarafından verilen eğitim kadar etkili olduğunu göstermiştir.

Anahtar Kelimeler: Hemşirelik eğitimi; akran grubu; klinik beceri
REFERENCES:
  1. Hwang GJ, Chang CY, Ogata H. The effectiveness of the virtual patient-based social learning approach in undergraduate nursing education: a quasi-experimental study. Nurse Educ Today. 2022;108:105164. [Crossref]  [PubMed] 
  2. Hamzah NN, Putri ST, Sumartini S. The experience of nursing students in the clinical learning using peer learning method. J Keperawatan Soedirman. 2019;14(1):23-30. [Crossref] 
  3. Wong FMF. A phenomenological research study: perspectives of student learning through small group work between undergraduate nursing students and educators. Nurse Educ Today. 2018;68:153-8. [Crossref]  [PubMed] 
  4. Forbes H, Oprescu FI, Downer T, Phillips NM, McTier L, Lord B, et al. Use of videos to support teaching and learning of clinical skills in nursing education: a review. Nurse Educ Today. 2016;42:53-6. [Crossref]  [PubMed] 
  5. Sheikhaboumasoudi R, Bagheri M, Hosseini SA, Ashouri E, Elahi N. Improving nursing students' learning outcomes in fundamentals of nursing course through combination of traditional and e-learning methods. Iran J Nurs Midwifery Res. 2018;23(3):217-21. [Crossref]  [PubMed]  [PMC] 
  6. Nakayoshi Y, Takase M, Niitani M, Imai T, Okada M, Yamamoto K, et al. Exploring factors that motivate nursing students to engage in skills practice in a laboratory setting: a descriptive qualitative design. Int J Nurs Sci. 2020;8(1):79-86. [Crossref]  [PubMed]  [PMC] 
  7. Barisone M, Bagnasco A, Aleo G, Catania G, Bona M, Gabriele Scaglia S, et al. The effectiveness of web-based learning in supporting the development of nursing students' practical skills during clinical placements: a qualitative study. Nurse Educ Pract. 2019;37:56-61. [Crossref]  [PubMed] 
  8. Nygren F, Carlson E. Preceptors' conceptions of a peer learning model: a phenomenographic study. Nurse Educ Today. 2017;49:12-6. [Crossref]  [PubMed] 
  9. Sağkal Midilli T, Çevik K, Baysal E. Hemşirelik öğrencilerinin laboratuvar uygulamalarındaki bilgi ve becerileri ile sınav kaygısı ilişkisinin incelenmesi [Assessment of the relationship between test anxiety and the levels of knowledge and skills about laboratory practices for nursing students]. SDÜ Sağlık Bilimleri Dergisi. 2017;8(1):43-54. [Crossref] 
  10. Terzioğlu F, Yücel Ç, Koç G, Şimşek Ş, Yaşar BN, Şahan FU, et al. A new strategy in nursing education: from hybrid simulation to clinical practice. Nurse Educ Today. 2016;39:104-8. [Crossref]  [PubMed] 
  11. Şenyuva E, Akince EK. Is peer education an effective method of strengthening nursing education? J Hum Sci. 2020;17(1):92-103. [Crossref] 
  12. Johnsen HM, Fossum M, Vivekananda-Schmidt P, Fruhling A, Slettebø Å. Nursing students' perceptions of a video-based serious game's educational value: a pilot study. Nurse Educ Today. 2018;62:62-8. [Crossref]  [PubMed] 
  13. Yan Z, Finn K, Cardinal BJ, Bent L. Promoting health behaviors using peer education: a demonstration project between international and American college students. Am J Health Educ. 2014;45(5):288-96. [Crossref] 
  14. Herrmann-Werner A, Gramer R, Erschens R, Nikendei C, Wosnik A, Griewatz J, et al. Peer-assisted learning (PAL) in undergraduate medical education: An overview. Z Evid Fortbild Qual Gesundhwes. 2017;121:74-81. [Crossref]  [PubMed] 
  15. Pålsson Y, Mårtensson G, Swenne CL, Ädel E, Engström M. A peer learning intervention for nursing students in clinical practice education: a quasi-experimental study. Nurse Educ Today. 2017;51:81-7. [Crossref]  [PubMed] 
  16. Ko Y, Issenberg SB, Roh YS. Effects of peer learning on nursing students' learning outcomes in electrocardiogram education. Nurse Educ Today. 2022;108:105182. [Crossref]  [PubMed] 
  17. Carey MC, Chick A, Kent B, Latour JM. An exploration of peer-assisted learning in undergraduate nursing students in paediatric clinical settings: an ethnographic study. Nurse Educ Today. 2018;65:212-7. [Crossref]  [PubMed] 
  18. Dikmen Y, Ak B, Yildirim Usta Y, Ünver V, Akin Korhan E, Cerit B, et al. Effect of peer teaching used in nursing education on the performance and competence of students in practical skills training. Int J Educ Sci. 2017;16(1-3):14-20. [Crossref] 
  19. Öner N, Le Compte VA. Durumluk-Sürekli Kaygı Envanteri El Kitabı. 1. Baskı. İstanbul: Boğaziçi Üniversitesi; 1983.
  20. Çalışkan T, Çınar S. Akran desteği: geçerlik güvenirlik çalışması [Peer cooperation: the study of validity and reability]. Clin Exp Health Sci. 2012;2(1):51-7. [Link] 
  21. Atabek Aştı T, Karadağ A. Hemşirelik Esasları: Hemşirelik Bilimi ve Sanatı. 1. Baskı. İstanbul: Akademi Basım ve Yayıncılık; 2012.
  22. Uzelli Yılmaz D. İntravenöz sıvı tedavisi. Kara Kaşıkçı M, Akın E, editörler. Temel Hemşirelik Esaslar Kavramlar İlkeler Uygulamalar. 1. Baskı. İstanbul: İstanbul Tıp Kitabevleri; 2021. p.239-58.
  23. Biçer S, Ceyhan YŞ, Şahin F. Hemşirelik öğrencileri ve klinik hemşirelerin klinik uygulamada öğrenciye yapılan rehberlik ile ilgili görüşleri [Opinions of clinic nurses and nursing students about the guiding to the students in nursing practice]. Florence Nightingale Hemşirelik Dergisi. 2015;23(3):215-23. [Crossref] 
  24. Özlük B, Karaaslan A. Sağlık bilimleri fakültesi birinci sınıf öğrencilerinin üniversite yaşamına uyumunda akran desteğinin etkisi [The effect of peer support on adaptation to university life in first year students of the faculty of health sciences]. Uluslararası Eğitim Bilimleri Dergisi. 2017;4(10):209-22. [Link] 
  25. Raymond JM, Sheppard K. Effects of peer mentoring on nursing students' perceived stress, sense of belonging, self-efficacy and loneliness. J Nurs Educ Pract. 2017;8(1):16. [Crossref] 
  26. Onieva-Zafra MD, Fernández-Mu-oz JJ, Fernández-Martínez E, García-Sánchez FJ, Abreu-Sánchez A, Parra-Fernández ML. Anxiety, perceived stress and coping strategies in nursing students: a cross-sectional, correlational, descriptive study. BMC Med Educ. 2020;20(1):370. [Crossref]  [PubMed]  [PMC] 
  27. Tambağ H. Examination of nursing students' anxiety levels related to clinical practice with respect to peer support. Perspect Psychiatr Care. 2021;57(3):1114-9. [Crossref]  [PubMed] 
  28. Sprengel AD, Job L. Reducing student anxiety by using clinical peer mentoring with beginning nursing students. Nurse Educ. 2004;29(6):246-50. [Crossref]  [PubMed] 
  29. Şancı Y, Kelleci Ö. Hemşirelik bölümü öğrencilerinin akran eğitimi hakkındaki görüşleri: bir vakıf üniversitesi örneği [Views on peer education of nursing students: an example of a foundation university]. Sağlık Bilimleri Üniversitesi Hemşirelik Dergisi. 2019;1(2):104-11. [Link] 
  30. Mete S, Uysal N. Hemşirelik mesleksel beceri eğitiminde bir model uygulaması [Implementation of an education model for nursing skills development]. DEUHYO E- Journal. 2009;2(3):115-23. [Link] 
  31. Yava A, Sütçü Çiçek H. Hemşirelik eğitiminde yeni bir yaklaşım: akran koçluğu [A new approach in nursing education: peer coaching]. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi. 2016;3(1):65-71. [Link] 
  32. 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. [Crossref]  [PubMed] 
  33. Öztürk D, Göçmen Baykara Z. Akran eğitiminin hemşirelik becerilerinin öğretimine etkisi [The effect of peer education on the teaching of nursing skills]. Koç Üniversitesi Hemşirelikte Eğitim ve Araştırma Dergisi. 2019;6(4):295-300. [Link] 
  34. Lim S, Xin Min L, Chan CJW, Dong Y, Mikkonen K, Zhou W. Peer mentoring programs for nursing students: a mixed methods systematic review. Nurse Educ Today. 2022;119:105577. [Crossref]  [PubMed] 

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