Related Experiment Video
Updated: Feb 3, 2026

Using Learning Outcome Measures to assess Doctoral Nursing Education
Published on: June 21, 2010
The effect of Halsted and Peyton teaching approaches on objective performance, self-regulated learning and
1ŞAHİN Merve, MSc Nursing, Goodmayes Hospital, London, United Kingdom.
Aim:
To evaluate experimentally the effectiveness of Peyton's four-step teaching method compared with traditional Halsted method in teaching urinary catheterization skills to nursing students.
Background:
Technological advances have also facilitated the integration of various pedagogical methods in nursing skills education. However, the implementation process supporting the development of Peyton's approach, which contributes to the acquisition of structured and complex skills, is still not sufficiently understood.
Design:
A pre- and post-test, block blind, randomized controlled trial.
Methods:
The study was conducted during the academic year with first-year nursing students (n = 217) in Türkiye. The sample consisted of 109 in the intervention group and 108 in the control group. The intervention group received training using Peyton's method, while the control group was taught using the traditional Halsted method. Data were collected using a information, satisfaction, pre- and post-test and a skill checklist.
Results:
The intervention group's test scores increased from 55.5 to 77.7, while the control group's increased from 51.9 to 65.2. Additionally, satisfaction were higher in intervention group (6.35 ± 1.89) compared with control group (5.23 ± 2.27). The experimental group students' skill checklist average was 83.87 ± 7.28, while control group students' was 70.53 ± 9.53. The results showed that the difference between the skill checklist scores of the experimental and control groups was statistically significant (p < 0.05).
Conclusion:
Peyton's method had greater positive effect on post-test success, skill performance and satisfaction compared with the Halsted method. It is recommended to increase the use of Peyton's teaching model in nursing education.
Related Concept Videos
Nursing Process for Patient and Caregiver Teaching II: Planning and Implementation
Nursing Process for Patient and Caregiver Teaching I: Assessment and Diagnosis
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data...
Nursing Process for Patient and Caregiver Teaching III: Evaluation and Documentation
Nurses can use several methods to evaluate patient outcomes. For example, oral questions can assess cognitive learning,...
Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
Clinical Trials: Overview
Trial and Error and Algorithm

