Abstract:Objective To establish job responsibilities (output competency standards) of the clinical nursing managers, and to initially determine the priority of training for them. Methods A DACUM (Developing A Curriculum) method was used establish job responsibilities (output competency standards) of the clinical nursing managers:preliminary preparation was made to establish DACUM "prototype"; through DACUM workshops, researchers determined responsibilities/task areas and task list sorted by "importance"; a week later, a questionnaire was used to sort the tasks according to FIDES ("frequency", "importance", "difficulty", "expe-rience", "standardization") method, then researchers pooled up and confirmed the order of all the tasks; researchers divided the four quadrants by using the "importance" dimension of F×I as the abscissa axis, the "cultivation degree" dimension of D×E×S as the ordinate axis, and formed the training priorities of each task. Results A total of 98 tasks were established, totaling 7 responsibi-lities/task domains, including 17 tasks (17.3%) in clinical practice domain, 10 tasks (10.2%) in endorsements domain, and 22 tasks (22.4%) in systematic analysis/risk prediction/effect management domain, 19 tasks (19.4%) in education domain, 11 tasks (11.2%) in information management domain, 10 tasks (10.2%) in team management domain, 9 tasks (9.2%) in professional developments domain.Between on-site sorting and questionnaire sorting, there was 90.0% to 100% degree of match in domains except for education domain, which was only 31.6% degree of match.The quadrant analysis showed that 33 tasks (33.7%) were important and difficult to cultivate , 15 tasks(15.3%) were important and easy to cultivate, 21 tasks (21.4%) were secondary important and difficult to cultivate , 29 tasks (29.6%) were secondary important and easy to cultivate. Conclusion The DACUM method could capture systemic and up-to-date job responsibilities in details, form key output competency standards(tasks) for competency training, and initially determine the training priorities of the tasks.The study lays the foundation of input competency standards for training/evaluation of clinical nursing managers and performance evaluation criteria in the future.