Objective: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.

Objective:To build an evaluation index system for the post competency of nurses in Kidney Intensive Care Unit (KICU) , so as to provide references for the post access management and training system setting of KICU nurses.Methods:Through literature review and semi-structured interview, the post competency evaluation index system of nurses in KICU was preliminarily constructed. Using the purposive sampling method, a total of 15 nursing experts were selected for 2 rounds of expert letter consultation from March to June 2021, and the indicators at all levels were screened, revised and improved. The evaluation index system for the post competency of nurses in KICU was established.Results:The effective recovery rates of the two rounds of questionnaires were both 100.00% (15/15) , the expert authority coefficients were respectively 0.85 and 0.87 and the Kendall harmony coefficients of total indicators were respectively 0.332 and 0.341 ( P<0.01) . The final evaluation index system of post competency of nurse in KICU included 4 first-level indicators, 16 second-level indicators and 51 third-level indicators. Conclusions:The constructed evaluation index system of post competency for KICU nurses is scientific and reliable, which can provide references for the post access management and training system setting of KICU nurses.