高压力情境密室逃脱训练在急诊体外膜肺氧合护理团队能力提升中的应用

doi:10.3761/j.issn.2096-7446.2026.09.016

Abstract

Abstract:

Objective To explore the application effect of high-stress scenario-based escape room training on the core competency improvement of emergency extracorporeal membrane oxygenation（ECMO） nursing teams. Methods From March to June 2025，convenience sampling was used to recruit 64 nurses involved in ECMO resuscitation in the emergency department of a tertiary grade-A hospital in Hangzhou. They were randomly divided into an experimental group（n=32） and a control group（n=32） using a random number table. The experimental group received escape room scenario training built on real emergency ECMO procedures in addition to routine training，while the control group received conventional ECMO team training. The training effect was evaluated through theoretical knowledge tests，skill operation assessments，the Teamwork Ability Questionnaire，and the Critical Thinking Disposition Inventory. Results After the training，the experimental group scored significantly higher than the control group in ECMO theoretical knowledge and skill operation（P<0.05）. The experimental group also demonstrated significantly better scores in all dimensions of teamwork ability and critical thinking ability compared to the control group（P<0.05）. Conclusion Escape room scenario training designed based on the high-stress，time-sensitive features of emergency ECMO can enhance the comprehensive competence of nursing teams in complex resuscitation environments. It shows particular advantages in cultivating non-technical skills such as teamwork and critical thinking，and may provide a new practical pathway for the training of critical care nursing teams.

Key words: Simulation Training, Escape Room, Extracorporeal Membrane Oxygenation, Team Competency Development, Nursing

ZHANG Rui, WANG Sa, DING Youya, XU Shurong, WANG Yuwei. Application of high-stress scenario-based escape room training in competency development of emergency extracorporeal membrane oxygenation nursing teams[J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(9): 1119-1124.

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References 17

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Application of high-stress scenario-based escape room training in competency development of emergency extracorporeal membrane oxygenation nursing teams

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