The problem of the study was to determine the relationship between teaching methods and attainment of knowledge and skill performance of nurse aides in rural area nursing homes. The purpose of this study was to determine the improvement in skills performance and knowledge gain in the population cited above. The skill to be learned was operation of an electronic thermometer. The analysis of variance used on the pretest for written performance showed a significant difference at the .01 level; however, the analysis of covariance done on the posttest results showed no significant difference, indicating that the initial difference was of no consequence to the results obtained on the posttests. The paired comparison t test of the group means obtained from written tests showed that the programmed instruction group was superior to either the control or teacher-taught groups at the .001 level. Overall the programmed instruction tool was more effective in teaching skill and learning of cognitive knowledge. This report concluded that the evidence seems to support the use of programmed instruction as a means of economically and effectively teaching nurse aides who work in a rural area nursing home.