“…On the other hand, the majority of studies on nursing competence remain descriptive in nature, and do not go beyond identifying the antecedents of competence. Indeed, many of the existing studies have aimed at identifying the attributes of nursing competence (Axley, 2008;Smith, 2012;Valloze, 2009), the scales to measure it (Bartlett et al, 2000;Cowan et al, 2008;Liu et al, 2009;Meretoja et al, 2004a), and the level of competence demonstrated by nurses (Chang et al, 2012;Meretoja and Leino-Kilpi, 2003;Meretoja et al, 2014). Only a limited number of studies have explored the antecedents of competence, such as critical thinking ability (Chang et al, 2011;Wangensteen et al, 2012), but none of them have explored the impact of learning.…”