本研究的目的在比較病房護理長對剛進入臨床工作的新人，各項護理技能操作能力與大學護理學系應屆畢業生自覺勝任程度的差異。個案以來自臺北、臺中、臺南、及高雄等地，各一所醫學院護理學系應屆畢業生147名及該醫學院附設醫學中心可能接受應屆畢業生工作單位的護理長或代理護理長126名為對象。結果顯示在213項護理技能項目中，60%以上的護理長認為有153項技能，新人於進入臨床時應能正確操作；而60%以上的應屆生認為個人能正確操作者僅82項。護理長與應屆畢業生認為各項護理技能得以正確操作於臨床的百分比，達統計學差異者多達145項 (68%)。其中有76項技能為60%以上護理長及應屆畢業生共同認為應能正確操作者。但有54項技能，護理長期待能正確操作的人數百分比顯著高於應屆畢業生。然而，有14項是應屆畢業生自認可正確操作的人數百分比，卻是高於護理長的人數比率。本研究所呈現護理長與應屆畢業生對臨床技能操作程度的差異，將可運用於學校護理技能教學及畢業生就業前準備的參考。

　　　　　The purpose of this study was to compare the differences between head nurses' expectations and new graduates' perceptions of the entry-level skill competency. Subjects included 147 new graduates and 126 head nurses from four schools of nursing and their affiliated medical centers located in northern, central and southern Taiwan. The results showed that among 213 skills, 153 skills were reported by over 60% of head nurses to be performed precisely under clinical settings. In contrast to the graduates' perceptions, over 60% of the graduates had confidence to perform only 82 skills precisely. The percentage of head nurses' expectation and the perception of the graduates in skills that were reported to be performed precisely in clinical situations were significantly differenct in 145 skills (68%). For seventy-six skill items there was congruence between the percentage of head nurses' expectations and new graduates' perceptions. The percentage of the head nurses' expectation were higher than the graduates' perception in 55 skills. On the other hand, for 14 skills the percentage of graduates who perceived themselves as being able to perform them precisely was significantly higher than the percentage of head nurses. The results can be applied to improve nursing skills' teaching and students' pre-job preparation.