The Influence Of Peer Education For Subjective Well-being And Job Adaptation Of The New Nurses

Objective To explore the effect of peer education on self-efficacy, subjective well-being and job adaptation for new nurses. To investigate the role of peer education playing on new nurse training, and provide a reference for the establishment of the new clinical nurse training mode.Methods This was a quasi-experimental study. Randomly, 80 new nurses were recruited from a Third-grade Class-A Hospital of Heng Yang city in Hunan Province of China from February 2012 to February 2014. And then the samples were randomly divided into a intervention group and a control group equally(n=40). The control group received nurse routine training of hospital only. While on the basis of new nurses’ routine training, the intervention group also received a six-month new nurses’ peer education. Eventually 38 nurses in the intervention group completed the research, and the control group was 40. All nurses in the sample were asked to complete a self-designed demographic questionnaire, and General Self-Efficacy Scale, General Well-Being Scale and Work Attitude Scale before the intervention, 3 months after intervention and 6 months after intervention subsequently. Epi Data software(version 3.1) was used for data recording. All the data was conducted with by SPSS18.0 software package. The statistical methods included Descriptive Statistics Analysis, t-Test, variance analysis, Wilcoxon signed-rant test, Chi-Square Test, and ANOVA of Repeated Measures.Results 1 There were no statistically differences of demographics such as gender, age, service time length, marital status, the first academic qualifications, nature of employment, only-child or not, salary level, family address,etc. between the two groups(P>0.05). 2 In the baseline survey, 78 new nurses general self-efficacy score was(24.04±4.06), work attitude score was(26.78±5.27), both were lower than the national scale norm, and the differences were statistically significant(P<0.05). Compared with the Scale national women norm subjective well-being score(71.55±9.67) had no statistical significance(P>0.05). 3 Before the intervention, the score of General Self-efficacy, Work Attitude, Subjective Well-being and each dimension were not statistical different(P>0.05) between the two groups. 4 The scores of control group after intervention were as follows:the self-efficacy score had no obvious changes after 3 months compared with before, but after 6 months self-efficacy score was higher than before, the difference was significant(P<0.05); the work obstacle score significantly decreased after intervention(3 and 6 months) than before(P<0.05); the subjective well-being score had no obvious change(P>0.05). 5 The scores of intervention group after the intervention: self-efficacy, the score of those who got 6 months’ intervention was higher than those got 3 months’ intervention and pre-intervention; the work obstacle score of 3 months’ intervention and 6 months’ intervention were both significantly decreased, and 6 months’ score was also obviously lower than 3months’(P<0.05); the scores of subjective well-being at 3 months’ intervention and 6 months’ intervention were higher than pre-intervention and 6 months’ higher than 3 months’, they were all statistical different(P<0.05). 6 Comparison of inter-group after intervention: after 3 months’ intervention, the score of work obstacle was lower than the control group, the difference was statistically significant(P<0.05); the score of subjective well-being of the intervention group was higher than the control group, the difference was statistically significant. After 6 mouths’ intervention, the score of work obstacle were lower than the control group, and the difference was statistically significant(P<0.05); the score of self-efficacy, and subjective well-being of intervention group were both higher than control group, and they were both statistically different(P<0.05).Conclusions 1 The overall level of self-efficacy of new nurses is low, subjective well-being level is medium, and the work adjustment disorders were severe. 2 Peer education for new nurses could improve their level of self-efficacy. 3 The implementation of peer education for new nurses could increase their subjective well-being and improve their job adaptation.