Arrogante Maroto, ÓscarOrtuño Soriano, IsmaelFernandes Ribeiro, Ana SofíaRaurell Torredà, MartaJiménez Rodríguez, DianaZaragoza García, Ignacio2025-04-292025-04-292025-04Arrogante, O., Ortuño-Soriano, I., Fernandes-Ribeiro, A. S., Raurell-Torredà, M., Jiménez-Rodríguez, D., & Zaragoza-García, I. (2025). The impact of high-fidelity simulation training on first-year nursing students’ attitudes toward communication skills learning: A quasi-experimental study. Clinical Simulation in Nursing, 101. https://doi.org/10.1016/J.ECNS.2025.1017111876-139910.1016/j.ecns.2025.101711https://hdl.handle.net/20.500.14352/119761Background Communication skills are essential for fostering nurse-patient relationships and ensuring quality nursing care, making them a critical competency in nursing education. Attitudes constitute powerful behavioral indicators and influence the learning process of nursing students. Aim This study evaluated the effects of high-fidelity simulation training on first-year nursing students' attitudes toward learning communication skills. Methods A total of 149 first-year students participated in a quasi-experimental study, in which their attitudes toward learning communication skills were compared between baseline and after the simulation experience. The standardized patient performed different behaviors during each simulated nursing consultation: assertive, passive/noncompliant, depressed, aggressive, and agitated. Results Nursing students significantly improved their attitudes toward learning communication skills after the simulation sessions. Conclusion High-fidelity simulation training using standardized patients allows first-year nursing students to improve their attitudes toward learning communication skills. This improvement can provide benefits directly related to nurse-patient relationships and high-quality nursing care. Therefore, the inclusion of simulation training programs in nursing curricula is necessary to promote these attitudes in order to prepare undergraduate nursing students for real clinical practice.engAttribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/The impact of high-fidelity simulation training on first-year nursing students’ attitudes toward communication skills learning: A quasi-experimental studyjournal articlehttps://doi.org/10.1016/J.ECNS.2025.101711https://www.nursingsimulation.org/article/S1876-1399(25)00028-3/fulltextopen access616-083AttitudeCommunication skillsHigh fidelity simulation trainingLearningNurse-patient communicationNursing educationNursing studentsPatient-centered communicationEnfermería3299 Otras Especialidades Médicas