目的 探讨我国三级甲等综合医院护士临床沟通能力状况并分析其相关因素，为评估和促进护士临床沟通能力提供参考。方法 2023年10月—12月，选取我国6个行政区域各1所三级甲等综合性医院临床护士作为调查对象，采用一般资料调查问卷和护士临床沟通能力量表进行调查，报告我国三级甲等综合医院护士临床沟通能力的平均水平、分布状况及相关因素。结果 4 172名护士被纳入研究。我国三级甲等综合医院护士临床沟通能力量表总分为（69.54±13.37）分，其中建立和谐关系（72.56±17.15）分、敏锐倾听（77.14±18.99）分、确认患者问题（76.08±19.03）分，共同参与（52.71±22.46）分、传递有效信息（60.62±16.54）分、验证感受（70.62±18.84）分；以5%为间隔建立呈现护士临床沟通能力的百分位数分布情况；以[0，56.17）、[56.17，62.86）、[62.86，76.23）、[76.23，82.91）、[82.91，100]将护士临床沟通能力划分为低、较低、一般、较高、高5个等级；不同年龄、职称、职务和工作年限的护士临床沟通能力得分比较，差异和趋势检验有统计学意义（P<0.05）。结论 护士临床沟通能力处于一般水平，与从事临床工作时间密切相关，建议重点关注年轻护士的临床沟通能力。可将本研究结果作为护士临床沟通能力常模推广。

Objective To investigate nurses’ clinic communication competence of nurse in tertiary grade A general hospitals in China and analyze its influencing factors，so as to provide references for evaluating and enhancing the nurses’ clinical communication abilities. Methods From October to December 2023，clinical nurses from six tertiary grade A general hospitals were selected as the research objects， and these hospitals were from different administrative regions. A general information questionnaire and the Nurses’ Clinic Communication Competence Scale were used to investigate and report on the average level，distribution，and related factors of nurses’ clinical communication abilities. Results A total of 4 172 nurses were included in this study. The total score of clinical communication ability scale for nurses was（69.54±13.37），including establishing harmonious relationship（72.56±17.15），keen listening（77.14±18.99） and confirming patients’ problems（76.08±19.03），joint partici pation（52.71±22.46），effective information delivery（60.62±16.54），and verification of feelings（70.62±18.84）；The percen tile distribution of nurses’ clinical communication ability was established at 5% intervals. Using[0，56.17），[56.17，62.86），[62.86，76.23），[76.23，82.91），[82.91，100] as the boundary points，the clinical communication competence of nurses was divided into five levels：limited，developing，proficient，advanced and exceptional. The score of clinical communication ability of nurses with different ages，professional titles，positions and working years was compared，and the difference and trend test were statistically significant（P<0.05）. Conclusion The clinical commu-nication competence of nurses is at a proficient level，which is closely related to their clinical practice time. It is recommended to focus on younger nurses as training objects. The results of this study can be used as a norm of nurses’ clinical communication ability.