Abstract Background The unprecedented demographic shift toward an aging global population poses substantial challenges to healthcare systems worldwide, particularly in China. Despite the increasing demand for specialized geriatric nursing, a trend has emerged in which nursing students consistently demonstrate a reluctance toward pursuing careers in geriatric nursing, resulting in a critical shortage of qualified healthcare professionals in this essential field. Objectives This study aimed to examine the interrelationships among nursing students’ attitudes toward older people, their geriatric nursing competence, and their motivation to pursue careers in geriatric nursing; and to investigate the potential mediating role of geriatric nursing competence in the relationship between attitudes toward older people and geriatric nursing career motivation. Methods A cross-sectional survey was conducted using a convenience sample at Wenzhou Medical University from June 2023 to Augu
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