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.Abstract This study examined the effectiveness of maternity nursing simulations using a high-fidelity simulator forundergraduate nursing students. One-group pretest-posttest design was used. The simulation-based education programconsisted of three sessions, including the clinical scenarios about prenatal, childbearing and postpartum care. The program provided for 3 weeks in November 2014. Data was collected before and after the simulation education usingself-reported questionnaires, which included simulation effectiveness, problem solving ability, communication skills and self-confidence in maternity nursing. The data of 83 participants were analyzed using the IBM SPSS 20.0 program. After simulation education, the overall score of the simulation effectiveness was 17.4 out of 26.0. Communication skill (t=4.58, p=<.001) and self-confidence in maternity nursing (t=9.70, p=<.001) increased significantly in the posttest. On the other hand, there was no significant change in the problem solving ability. Thesimulation effectiveness correlated significantly with the problem solving ability (r=.494, p<.001), communication skill(r=.361, p<.001), and self-confidence in maternity nursing (r=.497, p<.001) after simulation-based education. These findings suggest that the high-fidelity simulation in maternity nursing education could be used not only to enhancethe nursing competency, but also to deal with the limitations of the clinical practicum in the current situation. Keywords : Communication; Education, Nursing, Baccalaureate; Obstetric Nursing; Problem Solving; Simulation Training; Self Efficacy

Effects of Maternity Nursing Simulation using High-fidelity Patient Simulator for Undergraduate Nursing Students