Evidence map›Paper›PMID 40735144›Full record

ArticleJournal of medical education and curricular development

The Effectiveness of Peyton's 4-Step Approach to Teach Resuscitation Skills: A Randomized Controlled Clarification Study.

Denisa Cenaj, Leonie Schulte-Uentrop, Leonie Fee Laura Kröger, Josephine Küllmei, Jan-Marcus Haus, Parisa Moll-Khosrawi

Registry-linked trialAbstract read
In one paragraph

Article in Journal of medical education and curricular development. 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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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 map

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

1 citing paper in PubMed.

  1. 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

6 authors.

Denisa CenajDepartment of Anesthesia, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Leonie Schulte-UentropDepartment of Anesthesia, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Leonie Fee Laura KrögerDepartment of Anesthesia, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Josephine KüllmeiDepartment of Anesthesia, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Jan-Marcus HausDepartment of Anesthesia, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Parisa Moll-KhosrawiDepartment of Anesthesia, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.ORCID https://orcid.org/0000-0003-2024-0020

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: The aim of this study was to compare the effectiveness of the Peyton approach with the traditional 2-step approach instruction and to clarify if a possible superiority can be attributed to specific skill domains. The primary and secondary outcome were the quality of resuscitation, reflected by technical (TS)- and nontechnical skills (NTS). The tertiary outcome were the subjective learning gains of the undergraduates. Methods: In a randomized controlled simulation study, second year medical undergraduates participated in compulsory Advanced Cardiac Life Support training (ACLS). The control group received the 2-step approach and the intervention group Peyton's 4 step approach as a training instruction. Results: N = 290 second year medical undergraduates participated in the study. There were no relevant differences between both groups in purely haptically skills like chest compression. The intervention group showed significantly better procedural skills of ACLS skill domains, resulting in lower no-flow time during the scenarios ( Conclusion: Integrating Peyton's 4-step approach into structured ACLS training enhances procedural cardiopulmonary resuscitation skills, adherence to the ACLS algorithm, and skill retention in advanced stages of medical education, especially when undergraduates have prior resuscitation experience. While the method shows limited benefit for teaching discrete tactile skills in earlier stages, its strategic inclusion in later phases can optimize curriculum design by aligning advanced teaching methods with learners' developmental needs. These findings highlight the importance of tailoring ACLS education to maximize training effectiveness and improve resuscitation outcomes.

Indexed as

cardiopulmonary resuscitationcurriculum developmentlearning processnontechnical skillsPeyton’s 4-step approachprocedural skillssimulation-based medical educationtechnical skills

Identifiers

PMID40735144
PMCPMC12304607

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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.