الفهرس 
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Abstract
Background: Health education has been regarded as an important aspect of nursing for years. To be able to provide health education, nurses need to know about the content of health education. Simulations in nursing education are indispensable. Aim: The study aims to assess using of simulation education on nurse’s performance of applying health education process. A quasi experimental design was utilized in this study. Method: Purposive sample included all nurses (70) whom assigned to work in outpatient clinics of Aga Central Hospital at Dakahlia governorate. Nurses’ qualifications include baccalaureates, technician and diploma. Tools of study: Four tools were used for collecting data in this study: self-administered structured questionnaire to assess demographic, qualification and occupational data, self-administered structured questionnaire to assess nurses’ knowledge regarding health education and structured observation checklist to assess nurses’ performance regarding the application of health education process, self-administered structured questionnaire to assess: nurses’ perception regarding importance of health education and the use of simulation learning. Results: This study showed that the average scores of nurses’ knowledge and performance about health education process is significantly higher after applying the simulated learning sessions. Conclusion: present study revealed that nurses’ knowledge and performance related to health education were poor in pre-program while their knowledge and performance improved in post program. Recommendations: Staff development educators can create carefully crafted simulations that will assist in developing the expertise needed to meet the current challenges in nursing and healthcare at large.