摘要目的:调查实习护生整体临床能力并分析其影响因素，为实习护生临床能力的提升提供依据。方法:采用问卷调查的方法，于2020年3—5月便利抽取山东大学齐鲁医院的288名实习护生进行调查研究。调查工具包括一般资料调查表、整体临床能力评估工具、临床学习环境评估量表、实习护生患者安全态度和职业素养问卷。采用t检验、方差分析、Pearson相关分析以及多元线性回归分析影响实习护生整体临床能力的因素。结果:实习护生整体临床能力评估工具得分为（114.95 ± 22.91）分，临床学习环境评估量表得分为（156.70 ± 26.98）分，患者安全态度和职业素养问卷得分为（123.65 ± 31.00）分。实习护生整体临床能力的影响因素包括是否有社会实践经历、临床学习环境，共解释实习护生整体临床能力总变异量的28.0%。结论:护生所在学校以及实习所在医院的教育者以及管理者都应积极探索促进临床能力提升的教育改革实践，推动护生整体临床能力的提升。

abstractsObjective:To investigate the overall clinical performance of nursing students and analyze its influencing factors to provide evidence for the improvement.Methods:A questionnaire survey was carried out among 288 nursing students from Qilu Hospital of Shandong University in March to May 2020. The survey included a general data questionnaire, Holistic Clinical Assessment Tool, Clinical Learning Environment, Supervision and Nurse Teacher evaluation scale, Medical Student Safety Attitudes and Professionalism Survey of nursing students. The factors associated with overall clinical performance of nursing students were analyzed by t test, analysis of variance, Pearson correlation analysis and multiple linear regression. Results:The total score of Holistic Clinical Assessment Tool was 114.95 ± 22.91. The total score of Clinical Learning Environment, Supervision and Nurse Teacher evaluation scale was 156.70 ± 26.98. The total score of Medical Student Safety Attitudes and Professionalism Survey was 123.65 ± 31.00. The influencing factors included social practice experience and clinical learning environment, which accounted for 28.0% of the total variation of overall clinical performance of nursing students.Conclusions:Educators and managers of nursing students' schools and internship hospitals should actively explore the educational reform practice to promote the improvement of clinical ability, so as to promote the improvement of the overall clinical ability of nursing students.