<![CDATA[This paper aims to find the influence of Role Play and Simulation teachiing English speaking ability for nursing student of level II semester IV STIKes Santa Elisabeth Medan, and this research uses ecperimental research design. The population sample in this study uses purposive random sampling. The number of samples are 90 of nursing students of semester IV. The samples are devided into 3 parts, 30 students as control group and 60 students as experimental group. 30 students as a group of role play and 30 students as simulation group. The research data collection technique uses pre-test and post-test in term of conservation bertween nurse and patient, nurse with doctor and nurse with patient‟s family in giving therapeutic communication. In analyzing the data, the researcher uses ANNOVA test and the data is calculated using Tukey formula. The final result indicates that the test value of F (Fobs) is 495,042. This result means higher than the F-table (Ft) value of 3.10 or 495,042>3.10. The value of p probability is 0.000 smaller than the value significance alpa 0,05. Thus Ho is rejected and H1 is accepted. From the results of this research data can be concluded that the role play techniques and simulation technique is significant effect in teaching nursing students the ability to speak in English and it could be concluded also that the simulation technique is more effective in teaching English speaking with the difference of the average value of 10.767 class with the technique higher simulation of classes with role play technique]]>
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