Background: Essential newborn care (ENC) is a cornerstone of neonatal survival and quality nursing practice. Simulation-based training offers an effective approach to improve clinical competence by providing realistic learning experiences without compromising patient safety.

Aim: To evaluate the effectiveness of simulation training on essential newborn care skills among staff nurses working at Triveni Health Care, Madhya Pradesh.

Objectives- To evaluate the effectiveness of simulation training by comparing pre-test and post-test skill scores. 

Methodology: A quantitative pre-experimental one-group pre-test and post-test design was adopted. Thirty staff nurses were selected using convenience sampling. Skills were assessed using a structured observational checklist consisting of 40 items before and after simulation training. Descriptive and inferential statistics were used for analysis.

Results: The mean pre-test score was 22.80 ± 3.12, while the mean post-test score was 35.73 ± 2.41. The calculated paired t-value was 20.84 (p < .001), indicating a statistically significant improvement following simulation training. Educational qualification showed a significant association with post-test skill scores.

Conclusion: Simulation training significantly improved essential newborn care skills among staff nurses. Regular simulation-based competency training should be incorporated into continuing nursing education programs.