en Nursing Review Article Review Article <span style="font-size:12px;"><span style="font-family:Times New Roman;"><b>Background:</b> Acquiring clinical skills is vital in nursing education as it directly impacts students&#39; competency and preparedness to provide safe and effective patient care. Flipped classroom approaches have gained attention, restructuring the teaching model to promote active learning and student engagement.<br> The effectiveness of flipped classroom approaches in developing clinical skills among nursing students was evaluated through a systematic review.<br> <b>Methods:</b> A systematic review methodology was employed to identify relevant studies. From the period 2013 to 2023, seven databases, namely ScienceDirect, Scopus, ProQuest, EBSCOhost, Sage Journal, Taylor and Francis, and PubMed, were searched through search strategy and the use of Boolean operators. Articles were assessed based on criterion and appraised using standardized tools: Joanna Briggs Institute (JBI) for quasi-experimental research & ROBVIS RCT checklist for assessing the risk of bias in randomized controlled trials. The authors employed the synthesis without meta-analysis (SWiM) guidelines for data analysis PRISMA checklist in finally appraising articles included for review.<br> <b>Results:</b> Eight articles (quasi-experimental and RCTs) out of 17,374 reviewed were conducted in Egypt, the United States, Turkey, Spain, and Taiwan. The studies involved 733 nursing students, and the duration of the interventions ranged from 10 to 16 weeks. Studies showed an overall low risk of bias and flipped classrooms significantly improved nursing students&#39; clinical skills. The specific clinical skills that were improved included cardiopulmonary resuscitation, urinary catheterization, and safe medication administration.<br> <b>Conclusion</b>: Flipped classroom approaches are a promising pedagogical method for enhancing the clinical skills of nursing students. However, more research is needed to confirm these findings and to identify the best practices for implementing flipped classroom approaches in nursing education.</span></span><br> &nbsp; Clinical Competence, Effectiveness, Flipped Classroom, Nursing Education, Students 6 10 http://nmj.goums.ac.ir/browse.php?a_code=A-10-1563-1&slc_lang=en&sid=1 Hamdoni Pangandaman hamdoni.pangandaman@msumain.edu.ph 100319475328460012933 100319475328460012933 Yes Mindanao State University, Main Campus, Marawi City, Lanao Del Sur, 9700, Philippines Nursidar Mukattil nursidar.mukattil@msusulu.edu.ph 100319475328460012934 100319475328460012934 No Mindanao State University, Sulu Campus, Jolo, Sulu, 7400, Philippines Joy Hope Lambayong joycaponong@gmail.com 100319475328460012935 0009-0003-8802-9114 No Christian University of Thailand, Khlong Chinda, Nakhon Pathom, 73000, Thailand Marwida Abdulhan marwida.abdulhan@msusulu.edu.ph 100319475328460012936 0009-0007-5470-4125 No Mindanao State University, Sulu Campus, Jolo, Sulu, 7400, Philippines Raniza Hayudini raniza.hayudni@msusulu.edu.ph 100319475328460012937 0009-0007-1747-1174 No Mindanao State University, Sulu Campus, Jolo, Sulu, 7400, Philippines Mardalyne Salve mardalyne.salve@msusulu.edu.ph 100319475328460012938 0009-0001-0516-2506 No Mindanao State University, Sulu Campus, Jolo, Sulu, 7400, Philippines Iman Matumadi iman.matumadi@msumain.edu.ph 100319475328460012939 0009-0002-4345-8065 No Mindanao State University, Main Campus, Marawi City, Lanao Del Sur, 9700, Philippines Samiel Macalaba samiel.macalaba@msumain.edu.ph 100319475328460012940 0009-0008-9029-6525 No Mindanao State University, Main Campus, Marawi City, Lanao Del Sur, 9700, Philippines Ronald Kadil rhkresearch101@gmail.com 100319475328460012941 100319475328460012941 No Cotabato Regional and Medical Center, Sinsuat Avenue, Cotabato City, 9600, Philippines Abolbashar Mangontawar abolbashar.mangontawar@msumain.edu.ph 100319475328460012942 100319475328460012942 No Mindanao State University, Main Campus, Marawi City, Lanao Del Sur, 9700, Philippines