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This study aims to compile existing evidence on nurse managers' awareness of and competence in palliative care in municipal care settings. The systematic review followed the Preferred Reporting Items for Systematic Reviews and Meta\u2010Analyses recommendations and was registered in PROSPERO (CRD42024559183). In total, 6289 articles were initially retrieved, and 489 additional articles were identified in the updated searches. A narrative synthesis was conducted. Eight studies met the inclusion criteria and three themes emerged from the narrative synthesis: (1) Conceptual grasp of palliative care, (2) Recognition of gaps and needs, and (3) Competence in fulfilling complex responsibilities. Nurse managers' understanding of palliative care along with identified gaps and priorities shaped their competence in managing complex responsibilities related to palliative care, where confidence influenced how they performed the responsibilities. 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