General characteristics of the participants.

Background
This study aimed to demonstrate the effectiveness of a team-based mixed reality simulation program about emergencies.
Method
A nonequivalent control group pretest-posttest design was utilized. We recruited 32 nurses for the experimental group and 32 for the control group, resulting in a total of 61 nurses ultimately included as subjects for analysis. This mixed reality program is designed to facilitate responses in cardiopulmonary resuscitation situations simultaneously using four HoloLens. With shared content visible to all four trainees, the participants could engage in simulation while freely communicating. The experimental group engaged in cardiopulmonary resuscitation emergency simulation while wearing the HoloLens, while the control group was provided with written CPR materials.
Results
There were significant increases in the experimental group’s critical thinking (p < .001), learning transfer motivation (p = .006), communication confidence (p = .033), and learning immersion (p < .001) compared to the control group.
Conclusion
The program developed in this study presents an effective educational strategy that can enhance nurses’ emergency competencies and leverage the practicality of mixed reality.