Abstract: Objective: To evaluate the efficacy of unfolding case simulation in undergraduate teaching for stroke nursing. Methods: All the 113 nursing undergraduates in Grade three were recruited by cluster sampling. Self-designed questionnaires were used to evaluate the effects of unfolding case simulation teaching. Results: Both the students in simulation groups and observation groups were very satisfied with the unfolding case simulation teaching, and they scored very high in the following items: "simulation is quite different from common study model" "I worry about that my misjudgment or misconduct would harm my patients in simulation" "debriefing and discussion after simulation are big inspirations for me". Conclusion: The application of unfolding case simulation teaching in stroke nursing improves the undergraduates' experience of the whole process for caring stroke patients with a strong sense of real clinical scene experience, and enhance their comprehensive ability in nursing.

Key words: unfolding case; simulation teaching; stroke; nursing