Purpose: This study aimed to develop and evaluate a simulation-based nursing education program for respiratory emergencies in critically ill, extremely low birth weight infants (ELBWIs). Methods: A single-arm quasi-experimental study was conducted with 32 neonatal intensive care unit (NICU) nurses. The program was developed systematically using the ADDIE model, incorporating needs assessment, real-case scenario development, and pilot testing. Data were collected before and after the intervention and were analyzed using paired and independent t-tests, as well as a one-way analysis of variance (ANOVA) with Scheffé post-hoc tests. Results: The results showed statistically significant improvements in participants’ problemsolving ability (t = -3.49, p = .001), clinical performance confidence (t = -4.64, p < .001), and overall clinical performance competency (t = -13.79, p < .001) following the training. The clinical relevance and feasibility of the program were supported by pilot testing and positive evaluations of the practicality and educational usefulness of the simulation scenarios. Conclusion: These findings suggest that the simulation-based program was effective in enhancing NICU nurses’ clinical competence in managing respiratory emergencies in ELBWIs and can be used as a practical alternative to traditional on-the-job training.

ABSTRACT
Ⅰ. 서 론
    1. 연구의 필요성
    2. 연구의 목적
Ⅱ. 연구 방법
    1. 연구 설계
    2. 연구 대상자
    3. 연구 도구
    4. 연구 진행 절차
    5. 자료 분석 방법
    6. 윤리적 고려
Ⅲ. 연구 결과
    1. 대상자의 일반적 특성
    2. ELBWI의 중증 호흡기계 응급 간호 시뮬레이션 교육이 문제해결능력에 미치는 효과
    3. ELBWI의 중증 호흡기계 응급 간호 시뮬레이션 교육이 임상수행자신감에 미치는 효과
    4. ELBWI의 중증 호흡기계 응급 간호 시뮬레이션 교육이 임상수행도에 미치는 효과
    5. 일반적 특성에 따른 ELBWI의 중증 호흡기계응급 간호 시뮬레이션 교육 프로그램 적용효과
    6. ELBWI의 중증 호흡기계 응급 간호 시뮬레이션 교육 후 만족도
Ⅳ. 논 의
V. 결론 및 제언
참고문헌

• 송영애(분당서울대학교병원 특수간호팀장) | Song Youngae (Unit Manager Director, Department of Nursing, Seoul National University Bundang Hospital)
• 이재희(분당서울대학교병원 수간호사) | Lee Jaehee (Unit Manager, Department of Nursing Seoul National University Bundang Hospital) Corresponding author
• 강지윤(분당서울대학교병원 수간호사) | Kang Jiyoon (Unit Manager, Department of Nursing Seoul National University Bundang Hospital)
• 강희경(분당서울대학교병원 책임간호사) | Kang Heekyung (Charge Nurse, Department of Nursing, Seoul National University Bundang Hospital)
• 이정희(분당서울대학교병원 책임간호사) | Lee Junghee (Charge Nurse, Department of Nursing, Seoul National University Bundang Hospital)
• 봉인경(분당서울대학교병원 교육간호사) | Bong Inkyung (Clinical Nurse Educator, Department of Nursing, Seoul National University Bundang Hospital)