Competence is a prerequisite for high quality nursing in clinical settings .
A more systematic assessment of nurses’ palliative care competence is considered to be an important research area [9, 12].
A total of 122 clinical nurse specialists who had completed a postbachelor program in palliative care at two university colleges in Norway answered the questionnaire.
The study showed that competencies in managing pain, nausea, anxiety/restlessness, fatigue and dryness of mouth as well as time available for nursing care, measured using the Edmonton symptom assessment system (ESAS), had a positive effect on care routines.Seymour  stated that the key terms in palliative care nursing are teamwork, the relief of suffering, the promotion of quality of life and hope, knowing the patient and the promotion of dignity, comfort, and support.According to Becker’s analyses of earlier research, the core categories of palliative care nurses’ clinical competencies are communication skills, psychosocial skills, teamwork skills, physical care skills, life closure skills, and intrapersonal skills. , many palliative care competence frameworks fail to indicate how the framework could inform curriculum development or support continued professional development and life-long learning in clinical practice.Palliative care in Norway has been closely integrated with cancer care units; therefore, palliative care units and their specialists remain limited in number .A large proportion of patients in Norway die in their community, either at home or in nursing homes [4, 5].