Abstract
Purpose : This study was conducted to develop and implement a simulation based high-risk newborn nursing education program for nursing student, and examine its effects on clinical competency, SBAR communication competency and learning confidence.
 Methods : For this quasi-experimental study, 54 nursing students were recruited from 7 colleges. Twenty eight nursing students were assigned to experimental group and participated in the simulation based high-risk newborn nursing education program. Data were analyzed using the SPSS 22.0 program to perform χ²-test and t-tests between experimental and control groups.
 Results : Clinical competency increased after simulation based high-risk newborn nursing education program, and there was a statistically significant difference(t＝6.05, p＜.001). SBAR communication competency increased after simulation based high risk high-risk newborn nursing education program and there was a statistically significant difference(t＝3.49, p ＝.001). However, there was no statistically significant difference in learning confidence after simulation based high-risk newborn nursing education program(t＝0.91, p＝.066).
 Conclusion : These findings indicated that simulation based high risk high-risk newborn nursing education program is effective educational strategy for nursing students to learn clinical competency and SBAR communication competency
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