“…Peer learning, a lively and appealing classroom, and the establishment of new contacts between students were among the good elements of the puzzle teaching approach, according to the participants, notably in the second and third stages of the study. A review of the literature revealed that puzzle teaching approaches are used in a variety of areas, including mathematics (26), computer programming (27), medicine (7, 28), nursing (2,11), dentistry (29), pharmacy (10), language learning (4), has been linked to positive outcomes such as increased knowledge and student satisfaction, increased learning, interest and motivation, academic achievement, self-regulatory learning, group participation, social skills, teamwork skills, and peer learning. (25).…”