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The purpose of this study was to develop "situation-based educational program" for obtaining competency in accurate blood pressure measurement and to verify its effectiveness.Methods: A randomized controlled trial was conducted with 23 second-year students of Auniversity in the intervention (situation-based education) group and 25 students in the control (conventional education) group. The effectiveness was compared between both groups using Objective Structured Clinical Examination (OSCE) with "Competency Checklist for Vital Signs Accurate Measurement (VSAM Checklist) " and the " Situational Response Competency Self-Assessment Scale (SRCS Scale)".Results: The results of the VSAM checklist tended to show effects of the intervention on 4 items regarding the competency of flexible response to patients' needs and situations, including "explaining the measurement method" and "maintaining comfort". The results of SRCS Scale in 8 items indicated significant main effect of education. In particular, the score of "I can response well to changes in the patient's situation" increased by more than 1.1 out of 5 points in both groups. Conclusion:This program has been shown potential effectiveness of enhancing the competency of flexible response to patients' needs and situations, and could be an effective method in basic nursing education.

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