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It explores how combining cooperative learning and situational simulation can improve the nursing competence of undergraduate students while on clinical rotation. Students typically need to develop decision-making skills and interact well with different people, so standard lecturing does not often help. That’s why teachers in nursing education now rely on new teaching methods. Structured group activities in cooperative learning help children become good at reading, interpersonal skills, organizing groups and solving problems. Otherwise, scenario simulation immerses students into realistic clinical cases with different models to practice their clinical skills and management of unexpected situations. With support from constructivism, experiential learning and deliberate practice, this paper reviews the research and theory to find how these learning methods help link theory and practice in clinical work. It has been found from research that using these techniques helps students strengthen critical thinking, confidence, teamwork and their skills in actual clinical settings. It additionally reviews important steps needed to apply these techniques such as dealing with issues of resources, developing faculty and supervising the work of various groups. Study results back the need to use these approaches in nursing curricula, since they help create graduates who can offer high-quality, adaptable patient care in various healthcare settings.