An integrative review was used to examine the effects of being a tutor versus not being a tutor. The matrix method was used to guide the research process, to identify articles that met the inclusion criteria, and to reduce data into common topics of peer tutoring. The results of the integrative review yielded 20 articles and suggested that students in the position to assist others are more confident in communicating in groups and have higher knowledge in the subject they help with than their fellow peers. The literature showed that students in the position to assist others have defined personal and professional standards and leadership skills. However, there is little research on the benefits of being a tutor when compared with the benefits tutees obtain from coming to tutoring sessions. More research is needed to examine the effects of being a tutor. More specifically, there are no studies where the skills of nursing student tutors are compared with nursing student non-tutors. In this study, the researcher created a survey to evaluate nursing student tutors and non-tutors, their communication and leadership skills, as well as their personal and professional growth. Focus groups were created to provide tutors a means of discussing the personal and professional impact that tutoring has had on them. The study results indicated that tutors have decreased nervousness in public speaking, have higher confidence in their communication skills, share their life experiences to help others more often, and readily reach out to instructors and other tutors for assistance.

Peer tutoring as an instructional strategy has been used by school personnel to increase academic achievement in the classroom setting. Traditionally, the peer tutoring concept relies on student partnerships linking higher achieving students with lower achieving students for structured reading sessions. Recently, new studies have focused on linking students with comparable reading achievements or cross-age peer tutors. Research suggests that using peer tutors may promote higher reading fluency in at-risk students as compared to teacher instruction. A potential reason for this phenomenon includes students’ comfort level with peers allowing for a more easy development of reading growth. The purpose of this study is to determine the effectiveness, efficiency, and scalability of cross-age peer tutoring on reading fluency and reading comprehension. The study involved 7 fifth grade struggling readers as tutors to 7 third grade struggling readers. Reading to Read was used as the intervention protocol. The dyads met for 5 weeks with progress monitoring conducted at the beginning of each week. Results indicated consistent benefit in improving reading fluency in 13 of the 14 participants. Several implications to the study can be identified. Peer assisted learning can benefit both participants in reading fluency. Participating in the peer assisted learning process improves the attitudes toward reading of below grade level readers. Further implications, limitations, and future research relating to the results of this study are also discussed.