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Objective:To evaluate the confidence level of nurses in nursing care in urinary retention before and after low-fidelity simulation training. Method: This was a quasi-experimental study carried out among nurses stationed in municipal care units in the interior of São Paulo State. Data were collected during the course of a pedagogical workshop that used low-fidelity simulation training. Results: The study included 42 nurses, mostly female with over 15 years of experience. After low-fidelity simulation training, nurses showed a significant increase (p<0.05) in confidence related to nursing care in urinary retention. The lowest self-attributed scores during the activity were related to the objective assessment of urinary retention. Conclusion: Low-fidelity simulated training is an effective resource for the development of nurses with respect to nursing care in urinary retention. DESCRIPTORS Simulation;Teaching; Education, Nursing; Urinary Retention; Urinary Catheterization. Urinary retention: implications of low-fidelity simulation training on the self-confidence of nursesRetenção urinária: implicações do treino simulado de baixa fidelidade na autoconfiança do enfermeiro Retención urinaria: implicaciones del entrenamiento simulado de baja fidelidad en la autoconfianza del enfermero