Background: : This study was conducted to investigate the effect of problem based learning with simulation (S-PBL) on nursing students according to different levels of team activity satisfaction. Methods : A total of 46 nursing students at a university was surveyed. The data were collected using a self-report questionnaire and were analyzed using SPSS/WIN 24.0. Results : Self-directed learning ability improved (t=5.83, p<.001) and communication apprehension increased (t=2.24, p=.034), but not to the extent of high communication apprehension. According to different levels of team activity satisfaction, the improvement in self-directed learning ability was higher in the high satisfaction group and the evaluation of the class was also higher (t=6.92, p<.001). There was no difference in communication apprehension.

Conclusion: : Effective team building and lesson design are necessary to improve team activity satisfaction when running S-PBL classes.