eISSN 2097-6046
ISSN 2096-7446
CN 10-1655/R
Responsible Institution：China Association for Science and Technology
Sponsor：Chinese Nursing Association
中华急危重症护理杂志

Chinese Journal of Emergency and Critical Care Nursing >

2026 , Vol. 7 >Issue 8: 930 - 936

DOI: https://doi.org/10.3761/j.issn.2096-7446.2026.08.005

Special PlanningEmergency——Rescue Nursing

Development and empirical study of an emergency scenario simulation course based on structured feedback

  • XU Shuangyan ,
  • TANG Biyun ,
  • WANG Sa ,
  • LI Leiqing ,
  • YAN Danping ,
  • ZHANG Lina
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  • 1 Nursing Department， the Second Affiliated Hospital of Zhejiang University School of Medicine， Hangzhou 310000， China
    2 Skill Center， the Second Affiliated Hospital of Zhejiang University School of Medicine， Hangzhou 310000， China
*XU Shuangyan，E-mail：daisy1978@zju.edu.cn

Received date: 2026-02-04

  Online published: 2026-08-04

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Abstract

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.

Key words： Structured Feedback; Simulation Training; Emergency Training; Critical Care Nurses

Cite this article

XU Shuangyan , TANG Biyun , WANG Sa , LI Leiqing , YAN Danping , ZHANG Lina . Development and empirical study of an emergency scenario simulation course based on structured feedback[J]. Chinese Journal of Emergency and Critical Care Nursing, 2026 , 7(8) : 930 -936 . DOI: 10.3761/j.issn.2096-7446.2026.08.005

References

[1] 阮晓芬, 冯燕, 严敏, 等. 病区疼痛护士阿片类药物临床危机管理仿真模拟课程的构建及应用[J]. 中华急危重症护理杂志, 2022, 3(5):414-419.
  Ruan XF, Feng Y, Yan M, et al. Construction and application of simulation course of opioid-induced clinical crisis management for pain nurse in ward[J]. Chin J Emerg Crit Care Nurs, 2022, 3(5):414-419.
[2] Wyckoff MH, Singletary EM, Soar J, et al. 2021 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations:Summary From the Basic Life Support;Advanced Life Support;Neonatal Life Support;Education,Implementation,and Teams;First Aid Task Forces;and the COVID-19 Working Group[J]. Resuscitation, 2021, 169:229-311.
[3] 何亚荣, 郑玥, 周法庭, 等. 2020年美国心脏协会心肺复苏和心血管急救指南解读:成人基础/高级生命支持[J]. 华西医学, 2020, 35(11):1311-1323.
  He YR, Zheng Y, Zhou FT, et al. Interpretation of the 2020 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care-adult basic and advanced life support[J]. West China Med J, 2020, 35(11):1311-1323.
[4] Elendu C, Amaechi DC, Okatta AU, et al. The impact of simulation-based training in medical education:a review[J]. Medicine, 2024, 103(27):e38813.
[5] Eppich W, Cheng A. Promoting excellence and reflective learning in simulation(PEARLS):development and rationale for a blended approach to health care simulation debriefing[J]. Simul Healthc, 2015, 10(2):106-115.
[6] McGaghie WC, Issenberg SB, Petrusa ER, et al. Revisiting ‘a critical review of simulation-based medical education research:2003-2009’[J]. Med Educ, 2016, 50(10):986-991.
[7] 金三丽, 庞冬, 叶名乐子, 等. 38所高等院校护理教师开展情景模拟教学的调查研究[J]. 中华护理杂志, 2021, 56(3):415-420.
  Jin SL, Pang D, Yeming LZ, et al. An investigation of knowledge,attitude and practice on simulation teaching among nursing teachers from colleges and universities of China[J]. Chin J Nurs, 2021, 56(3):415-420.
[8] Hsu JC, Wang MS, Wang PY, et al. The effects of the situated simulation program on the cultural competence of hemodialysis nurses:a quasi-experimental study[J]. Healthcare, 2023, 11(19):2609.
[9] 胡凯利, 于明峰. 不同引导性反馈方法在外科新入职护士心肺复苏模拟教学中的应用效果比较[J]. 循证护理, 2025, 11(10):1998-2002.
  Hu KL, Yu MF. Comparison of the effectiveness of different guided feedback methods in simulated teaching of cardiopulmonary resuscitation for newly recruited surgical nurses[J]. Chin Evid Based Nurs, 2025, 11(10):1998-2002.
[10] Panchal AR, Bartos JA,Caba. as JG, et al. Part 3:adult basic and advanced life support:2020 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care[J]. Circulation, 2020, 142(16_suppl_2): S366-S468.
[11] Kolb DA. Experiential learning:experience as the source of learning and development[M]. Englewood Cliffs: Prentice-Hall, 1984:23.
[12] 安德斯·艾利克森, 罗伯特·普尔. 刻意练习:如何从新手到大师[M]. 王正林,译. 北京: 机械工业出版社, 2021.
  Ericsson A, Pool R. Deliberate Practice:How to Get from Novice to Master[M]. Wang Zhenglin,trans. Beijing: China Machine Press, 2021.
[13] Merchant RM, Topjian AA, Panchal AR, et al. Part 1:executive summary:2020 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care[J]. Circulation, 2020, 142(16_suppl_2):S337-S357.
[14] Cooper S, Cant R, Connell C, et al. Measuring teamwork performance:Validity testing of the Team Emergency Assessment Measure(TEAM) with clinical resuscitation teams[J]. Resuscitation, 2016, 101:97-101.
[15] 林丹, 张艺雄, 孙蓉, 等. 赛教融合视角下临床护理技能综合实训教学方案的设计与实践效果评价[J]. 中华护理教育, 2024, 21(9):1088-1092.
  Lin D, Zhang YX, Sun R, et al. Design and practice of clinical nursing skills training proposal with incorporation of competition and education[J]. Chin J Nurs Educ, 2024, 21(9):1088-1092.
[16] Kang K, Yu M. Rapid cycle deliberate practice simulation with standardized prebriefing and video based formative feedback in advanced cardiac life support[J]. Sci Rep, 2025, 15:16150.
[17] 申琦, 石伟平. “场理论”视域下职业院校教师教学创新团队建设的现实困境和优化路径[J]. 职教论坛, 2023, 39(12):72-78.
  Shen Q, Shi WP. The realistic dilemmas,and optimization paths of the construction of teaching innovation teams for vocational college teachers from the perspective of field theory[J]. Vocat Tech Educ Forum, 2023, 39(12):72-78.
[18] Wijnen-Meijer M, Brandhuber T, Schneider A, et al. Implementing kolb’s experiential learning cycle by linking real experience,case-based discussion and simulation[J]. J Med Educ Curric Dev, 2022, 9:23821205221091511.
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