The article discusses the evaluation of clinical competence and job satisfaction among emergency nurses in Palestinian hospitals. The study found that only 33% of nurses exhibited good clinical competence, with the highest proportion in the helping role domain and the lowest in ensuring quality. In contrast, 58% of nurses reported high or very high job satisfaction. Clinical competence was found to be significantly associated with job satisfaction. The study also identified demographic characteristics such as education, experience, and marital status as predictors of clinical competency among emergency nurses. The authors concluded that enhancing nurses' clinical competency will lead to an improvement in the quality of patient care.Key points:* Only 33% of emergency nurses in Palestinian hospitals demonstrated good clinical competence.* The highest proportion of good clinical competence was in the helping role domain, while the lowest was in ensuring quality.* 58% of nurses reported high or very high job satisfaction.* Clinical competence was found to be significantly associated with job satisfaction.* Demographic characteristics such as education, experience, and marital status were predictors of clinical competency among emergency nurses.* Enhancing nurses' clinical competency will lead to an improvement in the quality of patient care.