Peer Mentoring:a Pedagogy for Community Health Nursing Education

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Peer Mentoringa Pedagogy for Community Health
Nursing Education

• Diane Riff MS, RN
• University of Louisville
• School of Nursing
• Louisville, Kentucky

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Adjunct Faculty RNBS ProgramIndiana Wesleyan
University
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(No Transcript)
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Louisville
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Indianapolis
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Background to University of Louisvilles BSN
Program

• Lower division 1st 2 years, pre-professional
• Upper division Last 2 years, nursing clinical
  courses
• N340 Community Health Nursing
• N 350 and N440 Adult, Pediatrics,
  Psychiatric-Mental Health, Maternal Newborn
• N450 Synthesis course

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The Challenge

• Feedback/evaluation from N340 students regarding
  the Community Course
• I was expecting to finally do nursing stuffthis
  is not Nursing
• I did not go to school to be a teacher
• I want to be in the hospital and give shots

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The Opportunity

• Develop a teaching initiative that will
  facilitate an understanding of the role of he
  Community Health Nurse

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Describing and Defining Mentoring

• A learning relationship between and older and
  younger person that is based on modeling behavior
  and dialogue between them. A way of
  individualizing a students education by allowing
  or encouraging the student to connect with a
  college member who is experienced..
  C.Johnson(1989).

• Vance and Olsen(1998)found that mentoring
  relationships are common throughout nursing
  careers
• Nurses who are mentored mentor others
  Scott(2005)

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Jesus as Mentor Our Best Role Model!
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The Process

• Faculty retreat brainstorming
• Discussion with faculty
• Personal/professional background

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The Objectives

• The 340 and 450 student will identify the role of
  the professional nurse in a variety of community
  settings

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450 Senior Student objectiveDemonstrate
leadership behavior in the role of a student
mentor by
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• advising the N340 student on behaviors and study
  habits helpful in successfully matriculating
  through the nursing program
• b. being available to the N340 student for
  questions and advice in course content matter,
  and
• c. modeling academic accomplishments through the
  Synthesis Project Presentation and
  working collaboratively with the 340 students in
  assessing a community agency visit

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The 340 student will1.      Identify two
prevention based nursing interventions for a
specific client population.(Interventions must
be identified as primary,secondary or tertiary
prevention)One of the interventions needs to
include the community resource that you visited)
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2.      Identify specific available community
resources for above interventions.3.      Work
collaboratively with the 450 mentor in conducting
an assessment of a community resource. ( This
info will be put onto a form located in the 340
syllabus binder sheet)
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The N450 Assignment

• A 20 minute PowerPoint presentation of the
  synthesis project
• Present to Junior (N340) and Senior(450) peers
  and 2 faculty members
• Synthesis presentation included
  Pathophysioilogy, treatments, meds, and a nursing
  care plan based on current research

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The 340 Assignment

• 10 minute PowerPoint presentation that
• 1. identifies the two prevention based nursing
  interventions for a specific illness/disease
• 2. Summarizes the community resource visited
  with the 450 mentor

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Senior 450 student presenting
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Junior 340 Student presenting
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Group Discussion

• Discussion of case studies and community
  resources. Seniors asked Share how your image
  of nursing has changed? Any pointers/tips for
  success?

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The Pilot

• 16 total students (N340 N450)
• Feedback all thought it was beneficial
• Positive Feedback
• Negative Feedback

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The Feedback

• All Seniors stated it was beneficial
• I wish we were paired together earlier(Jr 2nd
  degree students with Sr 2nd degree student)
• I was made aware of new community and cultural
  resources in the area

• All Juniors stated it was beneficial
• Gives me a better picture of where I will be
  next year
• I liked hearing about future clinical
  experiences

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The Implementation

• Meeting with faculty from both courses to explain
  the assignment
• Logistics of matching up the 130 total N340 and
  N450 students and finding times/rooms for all to
  present over two days
• Communicating the assignment to both class groups

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The Senior Dialogue

• I never realized how huge the role of teaching
  is in nursing
• You can teach a monkey to put in a catheter..but
  they cannot critically think
• Everything you are learning now and you will
  learn in the program, you are going to use!

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More from the Seniors

• Everything begins to make sense
• It is the relationships with the patients that
  matter most
• Dont let anyone discourage you about going into
  nursing, it is a great choice

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Dialogue from the Juniors

• More listening than talking
• Glad to know more of what is ahead
• Questions about working while in Nursing School
• Questions about Nurse Externships

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The Future

• Continue to implement the N340/N450 peer
  mentoring project
• Pair students together earlier in the Semester
• Plan for joint hospital visit?
• Plan for joint community health home visit

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The Benefits

• Cost effective!
• Prepares them for future professional mentoring
  relationships
• Encouraging to faculty
• Students tend to listen to each other more openly
  intently than they would listen to faculty
• Gives Junior students a vision of where they are
  heading
• Gives Senior students a time to shine and mentor

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The Recommendations

• Continue the 340/450 joint synthesis
  presentations
• Develop joint home visits (include a Senior and
  Junior student)
• Develop joint community visits

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Think of a person who has been a professional/
spiritual /personal mentor for you?
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What did that mentor do for you that you found to
be helpful?
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Does anyone have any experience with a
mentoring program designed for college/adult and
professional students?
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• What current challenges are you facing in your
  curriculum?
• How could a student peer mentoring program help ?

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The end Thankyou!