目的 了解护理高职生临床操作能力现状,为护理高职生在校实训操作教学改革提供参考。方法 选择6所医院的186名护理高职生作为研究对象,应用操作技能直接观察评估表对其进行临床操作能力评价。结果 护理高职生操作技能直接观察评估表总得分（7.21±1.29）;其中得分最低的条目是评估患者（6.97±1.53）和操作技术（6.98±1.48）。结论 护理高职生临床操作能力处于较高水平,但应加强护理高职生操作技术熟练度及准确性的训练,并注重与操作技能密切相关的评估能力、观察分析及解决问题能力的培养。

Objective To understand the current situation of the clinical operational skill of higher vocational nursing students. Methods One hundred and eighty-six higher vocational nursing students from 6 hospitals were recruited and their clinical operational skill was evaluated by direct observation from their clinical mentors. Results The total score of students’ operational skills was 7.21±1.29. The items with the lowest score were patients assessment（6.97±1.53） and skills（6.98±1.48）. Conclusion The clinical operational skill of higher vocational nursing students is at a high level，but the skill proficiency and accuracy should be strengthened. Besides，the cultivation of assessment ability，data analysis ability and problem solving ability should be paid attention to.