Child Health Nursing Research

Korean Academy of Child Health Nursing (한국아동간호학회)
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The effect of peer tutoring on pediatric nursing education: a systematic review

  • Hyun Young Koo (Research Institute of Nursing Science, College of Nursing, Daegu Catholic University) ;
  • Hyeran An (Research Institute of Nursing Science, College of Nursing, Daegu Catholic University) ;
  • Bo Ryeong Lee (Research Institute of Nursing Science, College of Nursing, Daegu Catholic University)
  • Received : 2024.06.24
  • Accepted : 2024.08.19
  • Published : 2024.10.31
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Abstract

Purpose: This study aimed to systematically review studies on the effect of peer tutoring on pediatric nursing education for nursing students and identify its contents and characteristics. Methods: A comprehensive search was conducted from November to December 2023 across databases including PubMed, Embase, CENTRAL, CINAHL, ProQuest, and others. We included both published and unpublished literature in English or Korean. Three reviewers independently screened and selected eligible studies that involved undergraduate nursing students participating in peer tutoring programs focused on pediatric nursing education. We analyzed quantitative outcomes related to learning effects and learner responses. The quality of the studies was assessed using the revised Cochrane risk-of-bias tool for randomized trials and the risk of bias assessment tool for non-randomized studies. Results: Five studies were reviewed, encompassing randomized controlled trials, a non-randomized controlled trial, a cohort study, and a before-after study. These interventions were conducted in school settings or pediatric clinical environments and featured different forms of peer teaching: horizontal, near-peer, and reciprocal. The tutor-to-tutee ratios ranged from 1:3 to 1:36.5. The educational content covered nursing care for major neonatal diseases, communication skills, medication administration, and resuscitation techniques. Significant improvements in cognitive knowledge and communication skills were observed among nursing students. However, there was noticeable variability in the design and reporting of the studies. Conclusion: Peer tutoring programs can effectively enhance pediatric nursing education by improving nursing students' knowledge and skills. For future meta-analyses, more studies in this field reported according to reporting guidelines are needed.

Keywords

Acknowledgement

This study was supported by the research fund of Daegu Catholic University in 2023.

References

  1. Korean Accreditation Board of Nursing Education (KABONE). The manual of nursing education accreditation for university. KAB-ONE; 2021. p. 58-59, 143-145.
  2. Kim MY, Kang JS, Kwon YJ, Kwon IS, Kim SH, Kim JS, et al. Child health promotion care. Soomoonsa; 2018. p. 2, 384-397.
  3. Collier AD. Characteristics of an effective nursing clinical instructor: the state of the science. Journal of Clinical Nursing. 2018;27(1-2):363-374. https://doi.org/10.1111/jocn.13931
  4. Park YA, Kong EH, Park YJ. Head nurses' experiences in clinical practice education of nursing students: a qualitative research. Journal of Korean Academic Society of Nursing Education. 2018;24(4):337-346. https://doi.org/10.5977/jkasne.2018.24.4.337
  5. An H, Koo HY. Peer tutoring experiences of neonatal nursing simulations among Korean nursing students: a qualitative study. Child Health Nursing Research. 2022;28(4):280-290. https://doi.org/10.4094/chnr.2022.28.4.280
  6. Berga KA, Vadnais E, Nelson J, Johnston S, Buro K, Hu R, et al. Blended learning versus face-to-face learning in an undergraduate nursing health assessment course: a quasi-experimental study. Nurse Education Today. 2021;96:104622. https://doi.org/10.1016/j.nedt.2020.104622
  7. 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 Education Today. 2018;65:212-217. https://doi.org/10.1016/j.nedt.2018.03.014
  8. Li T, Petrini MA, Stone TE. Baccalaureate nursing students' perspectives of peer tutoring in simulation laboratory, a Q methodology study. Nurse Education Today. 2018;61:235-241. https://doi.org/10.1016/j.nedt.2017.12.001
  9. Topping KJ. The effectiveness of peer tutoring in further and higher education: a typology and review of the literature. Higher Education. 1996;32(3):321-345. https://doi.org/10.1007/BF00138870
  10. Topping KJ. Trends in peer learning. Educational Psychology. 2005;25(6):631-645. https://doi.org/10.1080/01443410500345172
  11. Irvine S, Williams B, Ozmen M, McKenna L. Exploration of self-regulatory behaviours of undergraduate nursing students learning to teach: a social cognitive perspective. Nurse Education in Practice. 2019;41:102633. https://doi.org/10.1016/j.nepr.2019.102633
  12. Jeong H. A qualitative study on the purpose, difficulties, achievements, and improvements of peer tutoring at university: from the perspective of tutors. Korean Journal of Educational Methodology Studies. 2019;31(4):737-766. https://doi.org/10.17927/tkjems.2019.31.4.737
  13. Brannagan KB, Dellinger A, Thomas J, Mitchell D, Lewis-Trabeaux S, Dupre S. Impact of peer teaching on nursing students: perceptions of learning environment, self-efficacy, and knowledge. Nurse Education Today. 2013;33(11):1440-1447. https://doi.org/10.1016/j.nedt.2012.11.018
  14. Svellingen A, Rossland A, Roykenes K. Students as facilitators: experiences of reciprocal peer tutoring in simulation-based learning. Clinical Simulation in Nursing. 2021;54:10-16. https://doi.org/10.1016/j.ecns.2021.01.008
  15. Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021;372:n71. https://doi.org/10.1136/bmj.n71
  16. Bidwell S, Jensen MF. Etext on Health Technology Assessment (HTA) Information Resources [Internet] Bethesda: U.S. National Library of Medicine, National Institutes of Health, Health & Human Services; 2003. Jun 14, [cited 2016 Jul 5]. Chapter 3: Using a Search Protocol to Identify Sources of Information: the COSI Model. Available from http://www.nlm.nih.gov/archive/20060905/nichsr/ehta/chapter3.html#COSI
  17. Sterne JAC, Savovic J, Page MJ, Elbers RG, Blencowe NS, Boutron I, et al. RoB 2: a revised tool for assessing risk of bias in randomised trials. BMJ. 2019;366:l4898. https://doi.org/10.1136/bmj.l4898
  18. Kim SY, Park JE, Lee YJ, Seo HJ, Sheen SS, Hahn S, et al. Testing a tool for assessing the risk of bias for nonrandomized studies showed moderate reliability and promising validity. Journal of Clinical Epidemiology. 2013;66(4):408-414. https://doi.org/10.1016/j.jclinepi.2012.09.016
  19. McHugh ML. Interrater reliability: the kappa statistic. Biochemia Medica. 2012;22(3):276-282.
  20. Shenhav L, Heller R, Benjamini Y. Quantifying replicability in systematic reviews: the r-value. arXiv. https://doi.org/10.48550/arXiv.1502.00088
  21. Egger M, Davey Smith G, Schneider M, Minder C. Bias in meta-analysis detected by a simple, graphical test. BMJ. 1997;315(7109):629-634. https://doi.org/10.1136/bmj.315.7109.629
  22. Bhele R, Arora S, Bhardwaj U. Effectiveness of peer led intervention programme (PLIP) on knowledge of student nurses regarding management of neonatal disorders. International Journal of Nursing Education. 2015;7(1):26-31. https://doi.org/10.5958/0974-9357.2015.00006.9
  23. Cheraghi F, Hooshangian M, Doosti-Irani A, Khalili A. The effect of peer support approach on communication skills of nursing students in pediatric clinical setting. Nurse Education in Practice. 2021;52:102984. https://doi.org/10.1016/j.nepr.2021.102984
  24. Ozturk Sahin O, Akozlu Z, Tasdelen Y. 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. 2023;71: 103712. https://doi.org/10.1016/j.nepr.2023.103712
  25. Robinson E, Niemer L. A peer mentor tutor program for academic success in nursing. Nursing Education Perspectives. 2010;31(5):286-289.
  26. Valler-Jones T. The impact of peer-led simulations on student nurses. British Journal of Nursing. 2014;23(6):321-326. https://doi.org/10.12968/bjon.2014.23.6.321
  27. 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 Education Today. 2022;118:105499. https://doi.org/10.1016/j.nedt.2022.105499
  28. Stone R, Cooper S, Cant R. The value of peer learning in undergraduate nursing education: a systematic review. ISRN Nursing. 2013;2013:930901. https://doi.org/10.1155/2013/930901
  29. 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 Education Today. 2022;119:105577. https://doi.org/10.1016/j.nedt.2022.105577
  30. Sim M, Kim S, Kim K. Effects of simulation-based neonatal nursing care education on communication competence, self-efficacy and clinical competency in nursing students. Journal of Digital Convergence. 2022;20(2):563-571. https://doi.org/10.14400/JDC.2022.20.2.563
  31. Koo HY, Lee BR. Educational needs for practicing neonatal intensive care among Korean nursing students. Child Health Nursing Research. 2021;27(4):339-353. https://doi.org/10.4094/chnr.2021.27.4.339
  32. Mikkonen K, Tomietto M, Cicolini G, Kaucic BM, Filej B, Riklikiene O, et al. Development and testing of an evidence-based model of mentoring nursing students in clinical practice. Nurse Education Today. 2020;85:104272. https://doi.org/10.1016/j.nedt.2019.104272