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The aim of this study was to investigate high-priority training needs by analysing the perceived importance and self-reported performance of nurses' delirium care competency. A cross-sectional survey with a convenience sample of 255 Korean intensive care units nurses. Intensive care units in the Republic of Korea. Intensive care unit nurses' delirium care competency. Exploratory factor analysis of the Nurse Delirium Care Competency Scale showed a six-factor structure, which accounted for 67.51% of the variance in nurses' delirium care competency management