Evidence map›Paper›PMID 41098552›Full record

ArticleAdvances in medical education and practice2025

Enhancing Maternal ACLS Training: Evaluating the Effectiveness of a Modified Peyton's Four-Step Teaching Approach.

Xiaoqing Zhang, Zhuonan Sun, Qiong Lan, Mao Xu, Xiangyang Guo, Bin Wei

Registry-linked trialAbstract read
In one paragraph

Article in Advances in medical education and practice, 2025. 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. Trial
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.

Xiaoqing Zhang *Department of Anesthesiology, Peking University Third Hospital, Beijing, 100191, People's Republic of China.
Zhuonan Sun *Department of Anesthesiology, Peking University Third Hospital, Beijing, 100191, People's Republic of China.ORCID 0009-0005-0362-5481
Qiong LanDepartment of Anesthesiology, Peking University Third Hospital, Beijing, 100191, People's Republic of China.
Mao XuDepartment of Anesthesiology, Peking University Third Hospital, Beijing, 100191, People's Republic of China.ORCID 0000-0001-6400-7023
Xiangyang GuoDepartment of Anesthesiology, Peking University Third Hospital, Beijing, 100191, People's Republic of China.
Bin WeiDepartment of Anesthesiology, Peking University Third Hospital, Beijing, 100191, People's Republic of China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Maternal Advanced Cardiovascular Life Support (ACLS) training is crucial for effective maternal cardiopulmonary resuscitation education. Traditional lecture-based approach for maternal cardiopulmonary resuscitation falls short in providing opportunities for adequate practice and active participating. Peyton's four-step teaching method shows advantages in the acquisition of procedural skills. Its effectiveness is constrained in group settings due to the 1:1 teacher-student ratio requirement. This study aims to evaluate the effectiveness of a modified Peyton's four-step teaching method in maternal ACLS training, with the objective of optimizing clinical training strategies. Methods: Sixty physicians participating in ACLS training at our hospital from October 2023 to December 2024 were enrolled and randomly divided into an experimental group (n = 30) and a control group (n = 30). The experimental group received the modified Peyton's four-step teaching method, while the control group underwent traditional lecture-based training. Teaching effectiveness was compared through knowledge assessments, skill evaluations, and feedback questionnaires. Results: No significant difference was observed in knowledge scores between the two groups (experimental group: 94.6 ± 4.1 vs control group: 94.3 ± 3.9, P > 0.05). However, the experimental group demonstrated significantly higher accuracy in skill operations, including uterine displacement maneuvers, peripartum cesarean section decision-making, defibrillation, and resuscitation drug administration (P < 0.05). Teamwork performance and adherence to maternal cardiac arrest (CA) protocols were also superior in the experimental group (P < 0.05). Questionnaire results indicated higher satisfaction (4.5 ± 0.7 vs 4.1 ± 0.5, P < 0.05) and greater learning engagement (4.5±0.6 vs 4.0±0.6, P < 0.05) in the experimental group. Conclusion: The modified Peyton's four-step teaching method significantly enhances physicians' mastery of maternal ACLS skills, improves teamwork capabilities, and elevates both teaching quality and learner satisfaction.

Indexed as

advanced cardiovascular life supportcardiac arrestmaternalPeyton’s four-step teaching methodphysician

Identifiers

PMID41098552
PMCPMC12519962

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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.