<![CDATA[Background: Coronary Heart Disease (CHD) significantly impacts patients' physical, psychological, social, and spiritual well-being. Spiritual care has been shown to enhance coping, reduce emotional distress, and improve holistic health outcomes. However, spiritual care is often delegated to clergy, while nurses primarily focus on managing physical symptoms, resulting in unmet spiritual needs among patients with CHD. Objectives: This study describes the spiritual care competence of Intensive Care Unit (ICU) nurses and identifies factors influencing this competence among nurses caring for CHD patients in hospitals across Tasikmalaya City. Methods: This quantitative correlational study involved a total population of 95 ICU nurses from seven hospitals in Tasikmalaya City. Data were collected using the Spiritual Competency Scale (SCS). Multivariable associations were examined using ordinal logistic regression. Results: Multivariate ordinal logistic regression identified three significant predictors of nurses' spiritual care competence. Nurses with ≤3 years of work experience were less likely to achieve higher competence than those with longer experience (OR = 0.26, 95% CI: 0.08–0.84, p = 0.024). Similarly, nurses who had never attended spiritual care training (OR = 0.20, 95% CI: 0.04–0.96, p = 0.044) and team leaders (OR = 0.16, 95% CI: 0.03–0.82, p = 0.028) showed significantly lower competence. Conclusions: Work experience, previous spiritual care training, and nursing position were significant predictors of nurses' spiritual care competence. Nurses with limited experience, no prior training, and team-leader roles require greater support to strengthen their competence. Healthcare institutions should implement structured spiritual care education, continuous professional development, and mentorship programs.]]>
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