Background: Indonesia has a very high level of disaster vulnerability. Earthquake disasters can occur at any time without being predicted. It is important to implement disaster management simulations in nursing learning to improve the knowledge and skills of nursing students. Aim: The purpose of this study is to find out whether management simulations can improve nursing students' knowledge and skills Method: Experimental research used the nonequivalent control group design with a population of 75 students and students divided into 2 treatment groups 35 and 40 control groups using total sampling technique. Results: the result that the average knowledge in the pretest treatment group was 42.86, while the average posttest was 72.51. The difference in the average value of pretest and posttest was 29.65, then the statistical test results obtained p = 0,000. the average skills value in the pretest treatment group was 63.20, while the average posttest was 75.54. The difference in the difference between the average pretest and posttest scores is 12.34. Then the results of the statistical test obtained p = 0,000. The average knowledge in the control group was 47.60, while the treatment group's average knowledge score was 72.51, the difference in the difference in the average value of the control group and the treatment group was 24.1. Then the statistical test results obtained p value = 0,000. The average skill in the control group was 53.65, while the treatment group had an average skill score of 75.54. The difference in the difference in the average value of the control group and the treatment group is 21.59. Then the statistical test results obtained p value = 0,000. Conclusion: Simulation methods can be used as learning media related to disaster management in improving the knowledge and skills of nursing students.