The objective of this study was to evaluate the efficacy of hands-on training using simulation-based techniques in basic neonatal resuscitation for nursing officers, employing a quasi-experimental pretest-posttest design. A non-probability purposive sampling method was utilized to select a sample of 39 nursing officers. The data analysis included both descriptive and inferential statistics, revealing a noteworthy improvement from the pretest assessment (33.2%) to the posttest assessment (75.38%). Sociodemographic data were collected to characterize the participants. The results of the paired t-test demonstrated a significant difference in the mean scores before (M = 6.6, SD = 3.5) and after (M = 15.1, SD = 2.5) the training intervention, with a p-value of less than .001, indicating a substantial enhancement in the participants' competency. These findings underscore the positive impact of the simulation-based training program on the nursing officers' proficiency in neonatal resuscitation. The study contributes to the understanding of simulation-based training effectiveness among nursing officers, underscoring the need for further research to explore diverse competencies and simulation methods in nurse training. A related systematic review on military nurses supports the efficacy of simulation-based interventions in enhancing various competencies. The conclusion emphasizes the necessity for additional research to expand the scope of simulation-based training for nurses and tailor methods to specific competency requirements.