徐双燕：研究方案设计、文章撰写；唐碧云：课程开发、质量控制；王飒：案例撰写、统计学分析；李雷清：案例撰写、方案实施；闫丹萍：数据收集整理；张莉娜：数据收集
收稿日期: 2026-02-04
网络出版日期: 2026-08-04
Development and empirical study of an emergency scenario simulation course based on structured feedback
Received date: 2026-02-04
Online published: 2026-08-04
目的 设计基于“收集-分析-总结”（gather-analyze-summarize，GAS）结构化反馈的急救情景模拟课程，并评价其在提升急危重症护士急救能力的初步效果。 方法 开发基于GAS结构化反馈的急救情景模拟课程，包含课前预习、理论精讲、视频观看、综合模拟演练、GAS引导反馈及课后综合考核6个步骤。采用类实验研究方法，选取浙江省某三级甲等综合医院2025年参加GAS结构化反馈急救模拟课程培训的护士为试验组（n=120），2024年参加传统急救模拟课程培训的护士为对照组（n=121）。通过理论考核、心肺复苏技术操作考核、团队协作能力测评及满意度问卷调查，并结合焦点小组访谈，综合评价课程效果。 结果 试验组在理论考核[（93.27±5.56）分与（91.24±6.93）分]、心肺复苏技术操作考核[（92.53±5.57）分与（90.84±6.46）分]及课程满意度方面显著优于对照组（P<0.05）。焦点小组访谈显示，GAS结构化反馈急救情景模拟课程有助于提升学员的深度反思。 结论 基于GAS的结构化反馈急救情景模拟课程能提高急危重症护士的理论水平与程序性技能，并通过引导性反思促进知识向临床实践能力的转化，以提升其急救胜任力。
徐双燕 , 唐碧云 , 王飒 , 李雷清 , 闫丹萍 , 张莉娜 . 基于结构化反馈的急救情景模拟课程设计与实践研究[J]. 中华急危重症护理杂志, 2026 , 7(8) : 930 -936 . DOI: 10.3761/j.issn.2096-7446.2026.08.005
Objective To develop an emergency scenario simulation course based on gather-analyze-summarize （GAS） structured feedback and evaluate the preliminary effectiveness in improving the emergency response capabilities of critical care nurses. Methods A GAS-based structured feedback emergency simulation course was developed，comprising six steps：pre-class preparation，theoretical instruction，video viewing，comprehensive simulation exercises，GAS-guided feedback，and a post-class comprehensive assessment. Using a quasi-experimental research design，nurses trained in 2025 were selected as the experimental group（n=120） and those trained in 2024 were selected as the control group（n=121）. Course effectiveness was evaluated through theoretical assessments，cardiopulmonary resuscitation（CPR） skills assessments，teamwork ability evaluations，satisfaction questionnaires，and focus group interviews. Results The experimental group significantly outperformed the control group in theoretical assessment（93.27±5.56 vs 91.24±6.93），CPR skill assessment（92.53±5.57 vs 90.84±6.46），and course satisfaction（P<0.05）. Focus group interviews indicated that the GAS structured feedback emergency scenario simulation course enhanced participants’ depth of reflection. Conclusion The GAS structured feedback emergency scenario simulation course improves the theoretical knowledge and procedural skills of critical care nurses，and promotes the transformation abilities of knowledge into clinical practice through guided reflection，thereby enhancing their emergency competency.
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*徐双燕，女，本科，副主任护师，科护士长，E-mail：