View
216
Download
1
Category
Tags:
Preview:
Citation preview
3.11.2003Peer Tutoring1
Peer tutoring as a means of enhancing nursing students’ professional development
K. H. Yuen & A. TiwariThe University of Hong Kong
3.11.2003Peer Tutoring2
Preregistration Preparation of Nursing Students From hospital-based training to
university degree education competent practitioners who are:
professionalcritical thinkersreflectiveself-reliantpatient-oriented
3.11.2003Peer Tutoring3
Or, are they?
University-prepared nurses oriented towardspreservationreplication of past practice
3.11.2003Peer Tutoring4
Through peer tutoring...
Students learn with and from each other
Gain better insight into professional values of nursing
Develop professional role conception
3.11.2003Peer Tutoring5
Objectives
1. Facilitate better understanding of professional nursing roles
2. Acclimatise students to the demands of the profession
3. Enhance confidence and skills in dealing with role conflict
3.11.2003Peer Tutoring6
The peer tutoring project
Phase 1A pilot schemeDecember 2002 - July 2003
Phase 2A revised peer tutoring schemeAugust 2003 - June 2004
3.11.2003Peer Tutoring7
Student Tutors
Phase 110second-year nursing students
Phase 220second- and third-year nursing
students
3.11.2003Peer Tutoring10
Selection
Voluntary Self select Involvement of the Student
Union One tutor to one tutee Pairing decided by project
coordinator
3.11.2003Peer Tutoring11
Publicising the Project...
Nursing students Head of Department Programme coordinator Year coordinator
3.11.2003Peer Tutoring13
Training workshop
ThreeInitial, mid-way, final
PurposeExplanation about the schemeTraining of tutoring skillsFeedback from tutors and tutees
3.11.2003Peer Tutoring14
Implementation
Student tutors - tuteesFace to face tutorialsElectronic contact
Student tutors - scheme coordinatorsUse of discussion forumMonthly workshop
3.11.2003Peer Tutoring16
Rewards
Certificates for student tutors and tutees
Book tokens for student tutors Social function
3.11.2003Peer Tutoring17
Evaluation
Focus group interviewBefore and after peer tutoringStudent tutors, tutees and
comparison groups Summative evaluation
Questionnaire Monthly report External assessor’s report
3.11.2003Peer Tutoring18
Measurements Changes:
Understanding of nurses’ rolesAcclimatisation to the demands of the
professionConfidence and skills in dealing with
role conflict Comparison:
Change over timeComparison groups
3.11.2003Peer Tutoring19
Understanding of nurses’ roles
Tutees:No obvious changes between pre-
and post-intervention Student tutors:
Obvious changesA more ‘professional’ understanding
Comparison groups:No obvious changes
3.11.2003Peer Tutoring20
Acclimatisation
Tutees:No obvious changes
Student tutors:No obvious changes
Comparison groups:No obvious changes
3.11.2003Peer Tutoring21
Role conflict
Tutees:No obvious changes between
pre- and post-intervention Student tutors:
Obvious changesMore confident
Comparison groups:No obvious changes
3.11.2003Peer Tutoring22
Unexpected findings
Apparent enhanced professional development among student tutors
No obvious enhancement among tutees
Student tutors supporting tutees during the SARS outbreak
Student tutors reacted to SARS with increased confidence
3.11.2003Peer Tutoring23
Summative evaluation
Student tutors:Positive evaluation of peer tutoring
schemeImprovement in patience,
communicationLearn from tuteesNot enough communication among
student tutors Discussion forum not user-friendly
3.11.2003Peer Tutoring24
Summative evaluation
Tutees:Positive evaluation of peer
tutoring schemeSupport from student tutors
valuedMore structured meeting
arrangement with their tutorsMore informal workshops
3.11.2003Peer Tutoring25
Improvements Suggested To improve communication among
student tutors Less often and more flexible form of
reporting If IT is to be used, it should be more
user-friendly To have less formal and more
interactive workshops
3.11.2003Peer Tutoring27
Improvement (1) Clear and specified content
1. The concept of profession- What is a profession- Characteristics of a profession
2. Professional socialisation- A novice nurse’s perception of a nurse
and nursing- The norms and values of the nursing
profession- The process of professional socialisation
3.11.2003Peer Tutoring28
Improvement (1) Clear and specified content
3. Nursing identity- The giving up of societal and media stereotypes about
being a nurse or nursing- The adoption of the values and norms of professional
nursing
4. Role conflict- Causes of role conflict- Literature on the professional socialisation of nursing
students- Transition from the role of a student nurse (newcomer)
to that of a professional nurse (insider)
3.11.2003Peer Tutoring29
Improvement (2) Re-defined outcome measures
For tutors- Internalisation of the norms and
values of nursing- Development of a nursing identity- Confidence in handling role conflict- Teaching/tutoring skills- ‘All round’ skills in teamwork,
communication and leadership
3.11.2003Peer Tutoring30
Improvement (2)
Re-defined outcome measuresFor tutee- Understanding of the norms and
values of nursing- Insight into nursing identity- Knowledge and skills for handling
role conflict- Interest in learning
3.11.2003Peer Tutoring31
Improvement (3)
Less formal workshopsFor student tutors onlySharing of ideas and experienceTutoring skills provided in CD-
ROM
3.11.2003Peer Tutoring32
Improvement (4)
More structured tutor-tutee meetingsMeeting schedule & learning
agreement• Date• Topic• Mode of contact• Duration• Venue
3.11.2003Peer Tutoring33
Improvement (5)
More communication among student tutorsWorkshops for student tutorsBBQ at the beginning and end of
phase 2
3.11.2003Peer Tutoring34
Improvement (6)
More user-friendly discussion forumPassword of student’s choice
3.11.2003Peer Tutoring35
Improvement (7)
Reporting less often and more user-friendlyMonthly reportElectronicRefine some of the items
3.11.2003Peer Tutoring36
Improvement (8)
Formative & summative evaluationCompare changes over timeRefine some of the items
3.11.2003Peer Tutoring37
Improvement (9)
Refine the questions used in focus group interviewTo reflect the objectives and
outcome measures
3.11.2003Peer Tutoring38
Improvement (10)
Production of a course manualDetails of the project clearly
describedWith summary of activitiesAnd action plan
3.11.2003Peer Tutoring39
Conclusion1. Peer tutoring seemed to have enhanced nursing
students’ professional development (student tutors, end of phase 1)
2. The design of the project should be both structured and informal
3. Outcome measures should reflect learning objectives
4. Clear outline of learning content is required5. A course manual is essential6. Both student tutors and tutees were capable of
functioning independently and creatively
Recommended