Background: Nurses play a key role in delivering health education in hospital and
community settings; however, their competence is influenced by various personal
and institutional factors. Objective: The objective of this study was to evaluate the
knowledge, skills, and personal attributes of hospital nurses concerning health
education competence in Saudi Arabia, as well as to investigate the related sociodemographic
and occupational factors. Methods: This cross-sectional study included
450 clinical nurses from public and private healthcare institutions in Saudi Arabia.
Nurses’ health education competence was assessed using the Nurse Health
Education Competence Instrument (I-CEpSE), which measures knowledge, skills,
and personal attributes. Descriptive statistics, Spearman correlations, and multiple
linear regression analyses were performed to examine associations with sociodemographic,
professional, and training factors. Results: The study included 450
nurses (median age 38 years; 58.2% male), with 70.9% receiving formal health
education training. Median scores were 69 for knowledge, 79 for skills, and 27 for
attitude. Conclusion: Nurses demonstrated strong practical skills but showed gaps in
theoretical knowledge and attitudes. Health education competence is influenced by
factors such as age, experience, clinical setting, and training. These findings
highlight the need for targeted educational interventions and organizational
support, particularly in high-acuity settings such as ICUs.
Keywords: health education, nursing competence, knowledge, skills, attitudes,
patient education, Saudi Arabia, cross-sectional study
