Analyzing Peyton's Four Step Approach

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After learning about Peyton’s four-step approach (Nikendei 2014), I have used this frequently in teaching clinical skills, such as the placement of sutures and intravenous catheters. Peyton’s four-step approach was originally intended to be used one-on-one, so I have made some modification to allow it to be used in small groups. Stage three, comprehension, is accomplished by having the students direct the instructor as a group, or, by having them take turns directing. I also typically give them a few minutes of practice on their own before the performance step. For me, one of the most useful techniques learnt in this module was that of using ice breakers. Frankly, having spent the previous five years teaching second-year veterinary nursing
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