Aim and objectives. The aim of this paper is to reveal the main nursing competencies for spiritual care, which emerged from data collecting from qualified nurses in Malta.Background. For nurses to deliver spiritual care, they must be competent to provide care on a physical, mental, social and spiritual level. As spiritual care may be influenced by culture, this study explored the competencies for spiritual care from the Maltese nurses’ perspective.Methods. A descriptive exploratory study investigated nurses’ competencies in the delivery of spiritual care to patients with myocardial infarction. Data were collected by means of an open‐ended questionnaire on qualified nurses (n = 77) followed by an in‐depth interview on a stratified random sample (n = 14) of nurses from the same respondents.Results. The four main nursing competencies identified were associated with the role of the nurse as a professional and as an individual person; delivery of spiritual care by the nursing process; nurses’ communication with patients, inter‐disciplinary team and clinical/educational organizations and safeguarding ethical issues in care.Conclusion. This study demonstrated the complexity of spirit
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