Arrogante, OscarOrtuño-Soriano, IsmaelFernandes-Ribeiro, Ana SofíaRaurell Torredà, MartaJiménez-Rodríguez, DianaZaragoza-García, Ignacio2025-06-172025-06-172025-04-021876-1399https://hdl.handle.net/2445/221612Background: 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.8 p.application/pdfengcc-by-nc-nd (c) Arrogante, Oscar et al., 2025https://creativecommons.org/licenses/by-nc-nd/4.0/Comunicació en infermeriaEnsenyament de la infermeriaSimulació (Ciències de la salut)Communication in nursingNursing educationMalingeringinfo:eu-repo/semantics/article7579552025-06-17info:eu-repo/semantics/openAccess