Competence Of Nurses Research Articles

Indicators Associated with Scientific Production and Competencies in Clinical Nurses at a Specialized Institute, Lima-Peru

Introduction: nursing research is a scientific process that supports the practice of care by improving and generating new knowledge for incorporation into practice. However, it is limited by factors that affect the development of the research function, such as indicators that hinder the work of researchers and their investigative competencies.Objective: to determine the indicators associated with scientific production and competencies in clinical nurses at a specialized institute. Method: this was a non-experimental study with a quantitative, descriptive, correlational, and cross-sectional approach. The population consisted of a total of 248 nurses working in a specialized institute. Two instruments were used: the Scale of Indicators Associated with Scientific Production and the Instrument of Research Competencies. Results: regarding the indicators associated with scientific production, the highest scored dimension was preparation for research production (Me=3,00, RI=1,00), and the lowest scored dimension was teamwork and network formation (Me=0,00, RI=1,00). In the variable of scientific production competencies, the lowest scored dimension was dissemination (Me=20,00, RI=8,50). Conclusions: It is evident that the nursing professional's production is limited by factors supporting research. Moreover, scientific production can be boosted by identifying its relationship with the competencies required to conduct research in health institutions

Roles, experience and views of nurses working in robotic surgery settings: A mixed-methods study.

Robotic-assisted surgery has benefits for patients, but there are challenges to working in this field. In Turkey, training is not provided for nurses working in robotic-assisted surgery, and national legislation on nurses' roles in these settings has not been implemented. This study aimed to demonstrate the roles and experiences of nurses in robotic-assisted surgery in Turkey. This study was conducted as a mixed-methods research. The qualitative data were analysed by content analysis. More than half of the nurses had received basic training in robotic-assisted surgery. Qualitative data consisted of five themes, including the effects of robotic surgery, feelings and thoughts on robotic surgery, working as a nurse in robotic surgery settings, responsibilities of nurses and competence of nurses working in robotic surgery settings. Determining the working conditions and roles of nurses working in robotic-assisted surgery settings by policymakers in regulations is crucial for improving the quality of nursing care and the outcomes of patients.

Ecological predictors of cultural competence among nurses in the neonatal intensive care unit: A cross-sectional descriptive study.

Active migration and globalization have led to increased opportunities for critical care nurses to care for patients from diverse racial and cultural backgrounds. This study thus aimed to identify the individual, interpersonal, and organizational factors affecting cultural competence levels among neonatal intensive care unit (NICU) nurses based on an ecological model. This was a cross-sectional descriptive study that included 135 NICU nurses in South Korea. A hierarchical multiple linear regression analysis was conducted using the proposed ecological model, and a regression model for each of the four subdomains of cultural competence was constructed and compared. NICU nurses' cultural competencies were influenced not only by the "necessity of multicultural education" and "ethnocultural empathy" at the individual level but by the "hospital's readiness and support for cultural competencies" at the organizational level. To promote the cultural competence of nurses in critical care settings, environmental and organizational support should be improved, along with developing strategies that focus on nurses' individual characteristics. It is also necessary to investigate the "intersectionality" of the effects of individual and environmental factors on cultural competence.

Competence and Confidence With Quality and Safety Education for Nurses Competencies by Newly Licensed Registered Nurses.

Understanding newly licensed registered nurses' perceived confidence in the Quality and Safety Education for Nurses (QSEN) competency domains and corresponding knowledge, skills, and attitudes will help inform clinical leaders to develop successful transition-to-practice programs. Newly licensed registered nurses and prelicensure nursing students had confidence in their understanding of QSEN competencies as they began their transition to practice. Online learning and virtual practicums were effective for attaining QSEN competencies, offering support for using these interventions in academic settings and transition-to-practice programs.

Advanced-level paramedic perspectives on competence requirements for responding to radiological/nuclear incidents

The threat of chemical, biological, radiological, and nuclear (CBRN) incidents has been a topic of increasing concern in recent years, and the need for increasing preparedness and competence among the first responder professions is widely recognized. This qualitative study explored advanced-level paramedic perspectives on competence requirements for responding to radiological/nuclear (R/N) incidents. This study utilized reflective essays (n = 26) written by advanced-level paramedics after familiarizing themselves with a fictional accidental nuclear power plant incident scenario. The material was analyzed using inductive content analysis. Three main categories were found: 1) Awareness of operating in multi-authority RN incidents, 2) Consideration of occupational safety, and 3) Competence in emergency care nursing and management during RN incidents. The results can be utilized for enhancing the competence management and training provision of Emergency Medical Services organizations.

Nurses' perspectives on shared decision-making in the daily care of hospitalized patients with dementia: An exploratory qualitative study.

Gain insight into the process of shared decision-making (SDM) in daily hospital care for patients with dementia from nurses' perspectives. Explorative qualitative design. In-depth digital interviews were conducted with 14 registered nurses between June and November 2022. A phenomenological approach was applied using Colaizzi's seven-step method. Five themes were identified in the data: (1) SDM in daily care: How shared decision-making is applied; (2) Nurses' perceptions and competence: How nurses perceive and manage SDM; (3) Nurses' roles and advocacy: The evolving roles of nurses and their advocacy efforts, (4) Recognition of dementia and its impact: How nurses recognize and manage dementia; and (5) Interventions to support SDM: Strategies and interventions to facilitate SDM. This study highlights the complexity of SDM in patients with dementia. It demonstrates the importance of the involvement of relatives, omission of patient goals in discussions and perceived deficiencies of nurses. The early identification of dementia, evaluation of nuanced capacity and targeted communication are essential. Further research and enhanced training are required to improve care in this context. Potential areas for further research on SDM in nurses involving patients with dementia include investigating the effects of integrating goal discussions into SDM training for nurses, overcoming barriers to SDM competence, and challenging the idea that SDM is solely the responsibility of physicians. These findings highlight the need for policies that encourage interdisciplinary collaboration, address misconceptions and recommend training programmes that focus on applying SDM to the daily care of patients with dementia, thereby improving the overall quality of patient care. The Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist was used for reporting. No patient or public contribution.

Effect of evidence-based nursing practices training programme on the competency of nurses caring for mechanically ventilated patients: a randomised controlled trial

BackgroundEvidence-Based Practice (EBP) has been recognised worldwide as a standardised approach for enhancing the quality of healthcare and patient outcomes. Nurses play a significant role in integrating EBP, especially in Intensive Care Unit (ICU). Consequently, this study aims to examine the effect of an adapted evidence-based nursing practices training programme on the competency level of nurses caring for mechanically ventilated patients.MethodsA prospective open-label parallel 1:1 randomised controlled trial was conducted on 80 nurses caring for ICU patients at the National Hepatology and Tropical Medicine Research Institute, Egypt. The trial was carried out between November 2022 and February 2023 under the registration number NCT05721664. The enrolled nurses were randomly divided into intervention and control groups. The intervention group received the evidence-based nursing practice training programme (EBNPTP) in accordance with the Johns Hopkins EBP conceptional model, whereas the control group received traditional in-service education. Four assessments (one pre- and three post-assessments) were conducted to evaluate nurses’ competency level over time using the adapted evidence-based nursing competency assessment checklist. The primary endpoint was an increase the competency levels among nurses caring for mechanically ventilated patients.ResultsThe current study results revealed statistically significant differences between intervention and control groups in relation to their level of competency across the three post-assessments, with (p <.001). The study also demonstrated that the nurses’ competency level continued to decline significantly over time, with (p <.001). Additionally, a significant correlation was found between the nurses’ pre-assessment and educational level, acting as independent variables (predictors), and the third endpoint assessment (p <.01), indicated by multiple linear regression.ConclusionThe EBP training programme demonstrated a significant increase in the nurses’ level of competency compared with traditional in-service education. This suggests that by training the nurses in various settings with the essential skills and knowledge for EBP, their competency level can be enhanced, leading to the delivery of effective care and improving patient outcomes. However, the long-term sustainability of the EBP adoptions was insufficient; further studies are needed to investigate the factors that affect the durability of EBP adoption.Trial registrationThe study was registered with Clinical Trials.gov (Registration # NCT05721664) on 10/02/2023.

The BANCC research forum: supporting cardiac nurses to develop research and academic skills

This month's BANCC column describes the abstract writing, poster design and writing for publication workshops delivered by the BANCC research forum in 2023, and the potential for similar initiatives to improve nurses' research confidence and competence.

Assessment of Factors Associated With the Acquisition of Competencies among Undergraduate Nursing Students in Ugandan Universities

Purpose: Like other developing countries, Uganda grapples with the critical challenge of equipping nursing students with essential clinical competencies. These competencies encompass vital nursing skills, knowledge, attitudes, and behaviors crucial for effective nursing practice. This study assessed student perceptions and confidence in applying acquired clinical skills among undergraduate nursing students in Ugandan universities.&#x0D; Methodology: A descriptive cross-sectional study was used to assess bachelor's in nursing students from central and western Ugandan universities. Data were entered into Excel and exported to SPSS version 22. Results were presented using frequencies, pie charts, percentages, and tables. Chi-square tests were conducted to assess associations of the variables in the study.&#x0D; Findings: The study showed that acquisition of clinical competencies is positively correlated with students’ perceptions (r=0.775) (p=0.000), Institutional factors(r=0.668) (p=0.000), clinical learning environment (r=0.556) (p=0.000), clinical feedback (r=0.439) (p=0.000). The study further shows that 69.9% (n=70) had adequate clinical learning experience, while 31% (n=31) had inadequate clinical learning experience. This implies moderate student supervision, feedback, and an unfavorable clinical learning environment. Competency acquisition in student nurses is positively influenced by the active involvement of students' perceptions, institutional factors, and a supportive clinical learning environment. A sufficient amount of clinical experience is pivotal in developing competent student nurses.&#x0D; Unique Contribution to Theory, Practice and Policy: Management should always invite experienced professionals to share career experiences to enhance realistic perceptions among nursing students. Students should be given more time to practice in clinical settings, and management should advocate for including student attitude tests in orientation programs across nursing and clinical training universities.

Investigating the Relationship Between Cultural Competence and Job Burnout in Nurses: A Study in Southwest Iran

Providing nursing care based on respecting cultural differences is very effective in the relationship between nurse and patient. Nurses who are unable to recognise and accept different cultures often experience burnout and anxiety and stress in the work environment. On the other hand, the importance of cultural competence and its relationship with job burnout in nurses as the most important group providing care to patients is becoming more clear. Therefore, we conducted a study to determine the relationship between cultural competence and job burnout in nurses working in selected hospitals affiliated to Jundishapour University of Medical Sciences in Ahvaz in 2021. Methods: This descriptive cross-sectional study was conducted on 232 nurses working in selected hospitals of Jundishapour University of Medical Sciences, Ahvaz. The samples were selected using convenient sampling method. Demographic questionnaire, Mulder's cultural competence questionnaire and Maslach's job burnout questionnaire were used to collect data. Data were analysed using Pearson's correlation coefficient test and SPSS 16 software. Results: Most of the participants were female (74.3%) and 27.7% were male. Also, 71.3% of them were married and 92.3% had a bachelor's degree. There is an inverse relationship between job burnout dimensions and cultural competence dimensions (knowledge in cultural care, preparation for cultural care, attitude in cultural care, awareness in cultural care), but it is not statistically significant (p&gt;0.05). Emotional exhaustion has an inverse and significant correlation with cultural competence (p = 0.000), (r = -0.494). Conclusion: The results of this study showed that cultural competence is related to job burnout in nurses.

Pengaruh Kompetensi dan Fasilitas Rumah Sakit terhadap Motivasi Kerja Perawat di RSGM Universitas Prof. Dr. Moestopo (Beragama)

Background : Nurses are the most important human resource in hospitals in terms of carrying out various efforts aimed at optimizing the quality of nurse skills and providing health service to the community. One of the good performance of nurses is influence by the level of enthusiasm or motivation of nurses at work. High motivation can be supported through the competence that nurses have and adequate working condition to make work easier. Objective : Improve the work motivation of nurses by analyzing the influence of competence on the work motivation of nurses, analyzing the hospital facilities on the work motivation of nurses, and analyzing the influence competence and hospital facilities towards work motivation of nurses at RSGM Prof. Dr. Moestopo (Beragama). Materials and Methods : Research is a correlational research using a quantitative approach, descriptive-inferential statistical analysis method, and data analysis technique of correlation and regression in both single and multiple. The sample in this research was dental nurses at RSGM Prof. Dr. Moestopo (Beragama) in total of 50 people. Sample was performed using non-probability sampling method with a purposive sampling technique. Research Result : Indicate that the competence of nurses has an positive and significant influence to the level of work motivation of nurses at RSGM Prof. Dr. Moestopo (Beragama) and hospital facilities have a positive and significant influence on the work motivation of nurses at RSGM Prof. Dr. Moestopo (Beragama) as well. Conclusion : Competence and hospital facilities simultaneously and significantly have an influence on the work motivation of nurses at RSGM Prof. Dr. Moestopo (Beragama).

The impact of digital technology use on nurses' professional identity and relations of power: a literature review.

This study seeks to review how the use of digital technologies in clinical nursing affects nurses' professional identity and the relations of power within clinical environments. Literature review. PubMed and CINAHL databases were searched in April 2023. We screened 874 studies in English and German, of which 15 were included in our final synthesis reflecting the scientific discourse from 1992 until 2023. Our review revealed relevant effects of digital technologies on nurses' professional identity and power relations. Few studies cover outcomes relating to identity, such as moral agency or nurses' autonomy. Most studies describe negative impacts of technology on professional identity, for example, creating a barrier between nurses and patients leading to decreased empathetic interaction. Regarding power relations, technologically skilled nurses can yield power over colleagues and patients, while depending on technology. The investigation of these effects is underrepresented. Our review presents insights into the relation between technology and nurses' professional identity and prevalent power relations. For future studies, dedicated and critical investigations of digital technologies' impact on the formation of professional identity in nursing are required. Nurses' professional identity may be altered by digital technologies used in clinical care. Nurses, who are aware of the potential effects of digitized work environments, can reflect on the relationship of technology and the nursing profession. The use of digital technology might lead to a decrease in nurses' moral agency and competence to shape patient-centred care. Digital technologies seem to become an essential measure for nurses to wield power over patients and colleagues, whilst being a control mechanism. Our work encourages nurses to actively shape digital care. We adhere to the JBI Manual for Evidence Synthesis where applicable. EQUATOR reporting guidelines were not applicable for this type of review. No patient or public contribution.

Excelling in the AI Era: Cultivating AI Literacy

In light of the rapid advancements in artificial intelligence (AI), the future of the nursing profession is expected to be closely intertwined with AI applications. In response to this challenge, nursing educators must cultivate AI literacy in students to ensure their ability to communicate and collaborate effectively with their interdisciplinary peers. Nursing educators should comprehend the essence of AI literacy, integrate AI literacy into their curriculum designs, and regularly assess the effectiveness of AI literacy cultivation efforts among their students to ensure nursing graduates are able to effectively fulfill their roles in nursing and healthcare. The purpose of this paper is to explain the essence of AI literacy, approaches for cultivating AI literacy in students, and methods for assessing AI literacy with the aim of educating nursing students to become competent nurses for tomorrow.

Factors affecting nurses' emergency competencies in public health emergency: A cross-sectional study based on the stress-coping adaptation model.

To investigate the factors associated with stress, resilience, coping styles, and emergency competencies when nurses are faced with a public health emergency. This study used a cross-sectional design. Study data came from a survey of 646 nurses who were from a tertiary hospital in Southern China in March-June 2022. Participants responded to self-report questionnaires through a web-based survey. Stress, resilience, emergency competencies, and response to public emergencies were assessed using the Perceived Stress Scale, Connor-Davidson Resilience Scale, the core competencies of nurses in public health emergencies, and a simplified coping style questionnaire. A total of 646 nurses participated in this study. Slightly over half of the participants were ≤30 years old, and almost all were female. Resilience, positive coping, and negative coping were positively correlated with emergency competencies. Multiple linear regression analysis demonstrated that resilience, working years, and participation in the treatment of infectious diseases were significant predictors of emergency competencies. The findings suggest that nurses require additional training in emergency management and clinical practice to enhance their emergency competencies. More interventions and social support should be provided to improve nurses' resilience and positive coping strategies when they encounter public health emergencies.

Challenges and Support Mechanisms for Nurse Educators during Transition from Clinical Nursing to Nurse Educator: A Commentary on Role Transformation

Nursing is an intricate profession and qualified nurse educators who possess sound theoretical, clinical and evidence-based knowledge is important for ultimately delivering the knowledge and skills to the students and producing the competent nurses. By providing effective nursing care the best patient care outcome can be achieved [1]. Undoubtedly, the role played by nursing instructors is considered significant to bridge the theory practice gap and to impart the new learning into the future nurses. Moreover, the shortage of nursing faculty is a risk to the quality of education, bearing implications for health sector. This issue hinders the smooth transition of clinical nurses to nurse educators as they need to adopt continuously fresh knowledge, revisit curriculum, student-cantered learning approaches [2]. Their ability to understand and address these challenges is important, and a complete understanding of these issues which they face during the transition phase may be supportive in boosting their classroom teaching abilities [3]. Failure in meeting with the requisite capabilities that is essential in imparting compassionate, evidence-based care lead to sense of disorientation and have the impact on overall satisfaction level of their duties [4].

Ophthalmic Nursing in Specialized Healthcare

In health care settings, due to advancement in technologies, the expectations from every individual have increased over the last few years. Advance nursing educational programs &amp; trainings are developing competency of nurses in every specialized area. Consequently the nurses need to enhance practical skills to meet the expectations of the patient. Nurses have upgraded standard of nursing care both in community health &amp; hospital based health care settings. Specialized ophthalmic nurse plays significant role regarding promotion of eye health, preventive &amp; curative treatment of eye disease as well as for low vision services &amp; rehabilitation. In challenging situation to meet the growing needs of ophthalmic profession, modern ophthalmic nurse is frequently encountered with expectations to deal more patients, more swiftly by using specialized ophthalmic skills &amp; new technology to meet the goals regarding eye health and wellbeing of the patients. This advanced specialized skill enables ophthalmic nurses to expand their practices in different areas of ophthalmic care. Nurses are more vigilant to deal emergencies especially in areas where the resources are minimum and burden of patients. In tertiary eye hospitals nurses perform administrative duties very efficiently as well as clinical duties. An ophthalmic nurse can assess visually impaired patient. They also helps to meet the psychological or spiritual needs of the patient. They can educate and counsel patient which plays a significant role in increasing the awareness of visually impaired.

Development of Integrated Supportive Care Nursing Competence Scale for Cancer Survivors.

Nurses play a key role in providing integrated supportive care to cancer patients for their various needs. Efforts should be made to identify the competencies required for nurses providing integrated supportive care to cancer survivors, evaluate the competence level with reliable and reasonable tools, and continuously improve them. In Phase 1, the items of the scale were developed through a literature review and by conducting a focus group interview. In Phase 2, the validity and reliability of the scale were analyzed. A total of 504 nurses participated. Data were analyzed using item analysis, exploratory factor analysis, confirmatory factor analysis, Pearson's correlation with other scales, internal consistency, and split-half reliability. The developed scale consisted of 22 items. These items were grouped into five subscales and labeled as professionalism enhancement, care coordination, comprehensive nursing needs assessment, providing tailored information and education, and recurrence surveillance and secondary cancer prevention. Confirmatory factor analysis supported good convergent and discriminant validities. The criterion validity was verified. The internal consistency of the scale measured by Cronbach's α was 0.91. The developed scale is expected to be used as an instrument to identify cancer survivor integrated supportive care competencies of nurses in practice.

Strategies for incorporating evidence-based practice into nurse residency programs: A scoping review.

The American Nurses Credentialing Center's (ANCC's) Practice Transition Accreditation Program (PTAP) establishes standards for nurse residency programs to elevate and optimize the skills, knowledge, and attitudes of new nurses participating in nurse residency programs. Evidence-based practice (EBP) is foundational to providing safe nursing care. One of the National Academy of Medicine's (NAM's) 2020 goals stated that 90% of clinical decisions would be supported by the best available evidence to attain the best patient outcomes. Nurse residency programs can benefit from evidence-based strategies to develop EBP competencies in new nurses. The purpose of this scoping review was to synthesize the literature around strategies for incorporating EBP into nurse residency programs across the United States. This scoping review was informed by the JBI (formerly known as the Joanna Briggs Institute) methodology for scoping reviews. Searches were conducted by a health science librarian in PubMed and CINAHL with Full Text. Keywords and their synonyms, Medical Subject Headings (MeSH; PubMed), and Subject Headings (CINAHL with Full Text) were used. Covidence, a literature review management program, was used to organize the literature and manage the review. Title, abstract, and full-text reviews were completed within Covidence using three teams of two independent reviewers. Four hundred and thirty-eight citations were imported into Covidence. Ten articles were retained for the final review. Three strategies for incorporating EBP into nurse residency programs emerged from the literature: (1) exposure of nurse residents to existing organizational resources, (2) completion of online EBP modules, and (3) completion of an EBP project. The incorporation of EBP competencies in nurse residency programs aligns with NAM's and ANCC's goals, yet a paucity of evidence exists to guide curriculum development in nurse residency programs. This scoping review corroborates the need for further research to inform best practices for implementing EBP into nurse residency programs.

Implementation of nurse’s clinical competency: A scoping review

&lt;p&gt;&lt;strong&gt;&lt;em&gt;Background&lt;/em&gt;&lt;/strong&gt;&lt;strong&gt;&lt;em&gt;:&lt;/em&gt;&lt;/strong&gt;&lt;em&gt; Nursing care provided to patients, especially in hospitals, is expected to be of high quality, and its implementation is in accordance with the nurse's clinical competence. &lt;/em&gt;&lt;/p&gt;&lt;p&gt;&lt;em&gt;&lt;strong&gt;Objectives:&lt;/strong&gt; This scoping review aimed to assess the implementation of the clinical competence of nurses in hospitals so that a clear picture of the implementation of these competencies is obtained. In addition, this study can be evidence-based and related to implementing these clinical competencies. &lt;/em&gt;&lt;/p&gt;&lt;p&gt;&lt;strong&gt;&lt;em&gt;Methods:&lt;/em&gt;&lt;/strong&gt;&lt;em&gt; &lt;/em&gt;&lt;em&gt;This literature review used PICO framework to develop articles questions (P: nurses, I: not applicable, C: not applicable, and O: application of clinical nursing competency). Articles search for literature review was conducted during April and May 2023. &lt;/em&gt;&lt;em&gt;&lt;/em&gt;&lt;/p&gt;&lt;p&gt;&lt;em&gt;This study used Pubmed and ScienceDirect Databases and other sources. The keywords that used in this scoping review was &lt;/em&gt;&lt;em&gt;“nursing competency” OR “clinical nursing competency” AND “evaluation” OR “implementation” AND “hospital”.&lt;/em&gt;&lt;em&gt;&lt;/em&gt;&lt;/p&gt;&lt;p&gt;&lt;strong&gt;&lt;em&gt;Results: &lt;/em&gt;&lt;/strong&gt;&lt;em&gt;There were 1,150 articles from the search results, but only seven were included for review. One article is a descriptive comparative study using a qualitative approach, and six articles are cross-sectional studies. The articles are publications within five years (2019-2023). In its implementation, the average clinical competency of nurses is at a low to moderate level, and only one study found was at high nurse competency. The results of the supervisor's clinical competency assessment were significantly lower than those assessed by oneself and the group. In addition, &lt;/em&gt;&lt;em&gt;the nurse competency level was moderate, and there was no significant difference in the clinical competency of nurses before and during the COVID-19 pandemic.&lt;/em&gt;&lt;em&gt;&lt;/em&gt;&lt;/p&gt;&lt;strong&gt;&lt;em&gt;Conclusions: &lt;/em&gt;&lt;/strong&gt;&lt;em&gt;The implementation of nurses' clinical competence has yet to be optimal, so hospital management needs to improve nurses' clinical competence so that nurses can provide higher quality and professional nursing care in the hospital.&lt;/em&gt;

A Latent Variable of Holistic Nursing Competence and Turnover Intention: Job Satisfaction.

Aim: Holistic nursing competence is very important for increasing job satisfaction and reducing turnover intention. The aim of this study is to explain the relationship between nurses' holistic nursing competence, job satisfaction and turnover intention, and the mediating effect of job satisfaction between holistic nursing competence and turnover intention. Design: The cross-sectional design was adopted and explained with a hypothetical model. Methods: The study was conducted between March, 8 and May, 5 2021 in a training and research hospital in Turkey. The research was conducted on 342 voluntary nurses. Percentage, frequency distribution, descriptive statistics (mean, standard deviation) and Pearson correlation analysis were benefitted to evaluate the data. Path analysis was used for model testing. p < 0.05 was accepted for significance. Results: The mean scores of the nurses in all scales were moderate. Holistic nursing competence was positively correlated to job satisfaction, but it is detected as negatively and less correlated to turnover intention (p < .05). Job satisfaction played a mediating role between nurses' holistic nursing competence and their turnover intention (p < .05). Conclusions: It is important to understand nurses' holistic nursing competencies and job satisfaction and to reduce their intention to leave. These concepts should be taken into account in order to retain professional nurses with holistic nursing competence.