Background: Simulation-based learning is a modern educational approach that allows students to recognize and practice what they've learned. Self-efficacy and perceived clinical competence allow nursing students to attain higher levels of performance and consequently higher quality of rendered care.Methods: This study employed a quantitative cross-sectional research design recruiting 302 Lebanese and Saudi senior nursing students. Results:The results have displayed moderately high levels of self-efficacy and perceived clinical competence among students who took part in simulation-based learning, where Saudi students presented higher perceived competence. A significant correlation was found between the variables where self-efficacy was a predictor of perceived clinical competence.Conclusions: Lebanese and Saudi nursing seniors students who took part in simulation-based learning experiences had notable scores of self-efficacy and clinical competence.

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