Evidence map›Paper›PMID 37679958›Full record

ArticleMedical education online2023

Effectiveness of endotracheal intubation and mask ventilation procedural skills training on second-year student using modified Peyton's Four-Step approach during COVID-19 pandemic.

Aldy Heriwardito, Andi Ade Wijaya Ramlan, Abd Basith, Lara Aristya

Registry-linked trialAbstract read
In one paragraph

Article in Medical education online, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07530822 (The Effect Of Prenatal Care Training Using The Peyton Model On Midwifery Students' Knowledge, Skills, Self-Efficacy, Anxiety, And Satisfaction Levels), which is not on this map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07530822 nacompletednot on this mapstarted 2025, after this paper: background citation

The Effect Of Prenatal Care Training Using The Peyton Model On Midwifery Students' Knowledge, Skills, Self-Efficacy, Anxiety, And Satisfaction Levels

TypeinterventionalSponsorSaglik Bilimleri UniversitesiRan2025 to 2026Enrolled64ConditionsPrenatal Care, Midwifery Education, Clinical Self-Efficacy, AnxietyArmsPeyton Model Training, Standard Training
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Aldy HeriwarditoDepartment of Anesthesiology and Intensive Care, Cipto Mangunkusumo General Hospital, Faculty of Medicine University of Indonesia, DKI Jakarta, Indonesia.ORCID 0000-0003-1337-547X
Andi Ade Wijaya RamlanDepartment of Anesthesiology and Intensive Care, Cipto Mangunkusumo General Hospital, Faculty of Medicine University of Indonesia, DKI Jakarta, Indonesia.ORCID 0000-0002-7216-4763
Abd BasithDepartment of Anesthesiology and Intensive Care, Cipto Mangunkusumo General Hospital, Faculty of Medicine University of Indonesia, DKI Jakarta, Indonesia.
Lara AristyaDepartment of Anesthesiology and Intensive Care, Cipto Mangunkusumo General Hospital, Faculty of Medicine University of Indonesia, DKI Jakarta, Indonesia.ORCID 0009-0001-1111-8106

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAirway emergency is the reason behind competency in mask ventilation and intubation skills for doctors. Procedural skills are taught through face-to-face training. However, the COVID-19 pandemic has had an impact on the education system, including medical education. The face-to-face training method cannot be carried out and requires a modification to an online method. Therefore, Peyton's Four-Step Approach is modified to adapt this change.

objectiveAssessing the effectiveness of learning methods between modified Peyton's Four-Step approach and classic Peyton's Four Step approach in learning basic skills of mask ventilation and intubation during the COVID-19 pandemic.

methodThis was an experimental study with two groups of subjects in the Basic ClinicalSkills module of endotracheal intubation and mask ventilation at the Faculty ofMedicine, Universitas Indonesia during February-June 2022. The first group received training with classic Peyton's Four-Step approach and another group with modified Peyton's Four-Step approach. Both groups were tested and assessed using rubric score and global rating score, and asked to fill a feedback questionnaire.

resultsThis study was conducted with 133 students in the classic group and 96 students in the modified group. The median rubric score was 21.2 for both groups and the global rating score showed 82%and 78% students passed, for classic and modified group respectively. Therubric score and global rating score, also the pass rate between two learningmethods showed no significant results (

conclusionThe learning method using modified and classic Peyton Four-StepApproach were equally effective for learning basic skill of endotracheal intubation and mask ventilation for students of the Faculty of Medicine,University of Indonesia. Both methods provided equal students' satisfaction and self-confidence.

Indexed as

COVID-19PandemicsHumansIntubation, IntratrachealLearningStudentsClinical skillintubationmedical studentonline learningPeyton’s Four Step approach

Identifiers

PMID37679958
PMCPMC10486285

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.