This document summarizes a project to develop communication skills training for nursing students using simulation. Actors were trained to portray patients in scenarios covering topics like end-of-life care, distress, and communication challenges. Students participated in 2-hour sessions before clinical placements. Evaluations found both participants and observers significantly increased confidence in communication skills. Students, actors, and facilitators provided positive feedback on the sessions' benefits. Publications resulted from the project, which aimed to meet standards for nursing communication competencies.