Abstract: Objective To construct a post competency model for elderly care nurses under the background of integrated medical and elderly care, and to provide theoretical basis for the talent cultivation of integrated medical and elderly care. Methods Through evidence-based integration and behavioral event interview, based on competency model and expert opinions, the "Exploratory Questionnaire on Post Competency of Elderly Care Nurses in Integrated Medical and Elderly Care Institutions" was developed. A survey was conducted among 117 elderly care nurses in integrated medical and elderly care institutions, and exploratory factor analysis was employed to establish post competency model and assess its validity. Subsequently, based on these dimensions, the ‘Confirmatory Questionnaire on Competency Characteristics for Elderly Care Positions in Integrated Medical and Elderly Care Institutions' was formulated. This was administered to 249 elderly care staff in integrated medical and elderly care institutions. Confirmatory factor analysis was then applied to establish and validate a competency model for elderly care positions. Results Exploratory factor analysis extracted 33 competency items from 9 dimensions: basic knowledge, professional knowledge, basic vocational skills, basic care skills, specialized care skills, health and elderly care guidance skills, management and training guidance literacy, professional spirit and personal traits, and career development and promotion. The final model obtained by confirmatory factor analysis: chi square degree of freedom ratio（χ²/df)=1.730, showing good model fitting. Conclusion The established post competency model of elderly care nurses is scientific and reliable, which provides reference for the training, assessment, selection and evaluation of elderly care nurses under the background of integrated medical and elderly care.

Key words: integrated medical and elderly care, elderly care, Iceberg model, post competence