Objective To explore the teaching reform path and practical effects of Basic Nursing Technology course under the integration of Job-Course-Competition-Certificate. Methods Under the background of integrating Job-Course-Competition-Certificate,a Basic Nursing Technology course was developed based on typical clinical nursing tasks,incorporating the latest job skills, aligning with competition standards,and meeting the requirements for obtaining the “1+X” certificate. The course included four forms:online virtual classs,virtual simulation classs,offline physical classs,and social practice. A five-step teaching approach was adopted:introducing problems,finding solutions,scientific analysis,effective problem-solving,and outcome evaluation. This teaching method was applied to 326 nursing students in the 2020 cohort(experimental group). In comparison,319 nursing students from the 2019 cohort received blended teaching based on the pre-reform design without Job-Course-Competition-Certificate integration. After the teaching intervention,the comprehensive professional ability assessment scores and self-directed learning ability scores of the two groups were compared. Results After the teaching intervention,the comprehensive professional ability assessment scores and self-directed learning ability scores of the students in experimental group were significantly higher than those of the control group(both P<0.05). Conclusion The reform of Basic Nursing Technology course based on the integration of Job-Course-Competition-Certificate can enhance students’ comprehensive vocational abilities and improve teaching quality.