Abstract
Purpose : The purpose of this study is to analyze the effect of high-risk neonatal nursing simulation education using video modeling on the communication self-efficacy, critical thinking ability and clinical performance in nursing students.
 Methods : A non-equivalent control group pretest-posttest design was used. The experimental group applied a video modeling simulation program, and the control group applied a scenario-based role play-oriented simulation program. The study participants included 78 nursing students (40 in experimental group and 38 in control group) from G city. A simulation module consisted of a orientation and lecture, pre-learning, problem-based learning, scenario operation, debriefing. Data were analyzed using χ² -test, independent t-test, Fisher’s exact test, paired t-test, ANCOVA.
 Results : The experimental group showed a significant increase in communication self-efficacy (t＝2.33, p＝.023, d＝.538) and clinical competence (F＝17.50, p＜.001, ηp² ＝.189) compared to the control group.
 Conclusion : The High-risk neonatal nursing simulation program using video modeling was effective in improving students’ communication self-efficacy and clinical competence. The neonatal nursing simulation education using video modeling applied in this study is expected to be one of the learning strategies that can significantly increase the effectiveness of HFS by adding learning methods tailored to the needs of students familiar with the media.
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