本研究是採描述性設計，目的在探討五專應屆畢業生於臨床實習時之主觀經驗。 以半結構式問卷收集學生在檢討會時提出之問題及心得感言， 共得樣本 146 份加以分析整 理。結果發現：實習的環境、臨床工作人員的互動、個人的自我準備程度、老師的教學方式 、單位的實習方式皆會影響學生的臨床實習經驗感受。臨床交叉訓練方式，有助於學生在實 習中能有效的學習給予患者整體護理計劃；換單位時病房不同的交班方式會造成適應上的困 擾；護理記錄的書寫使學生感到困難和不安；個人對護理角色功能期許過高易生挫折感．． ．等共 20 多項的主觀經驗感受。建議：加強死亡教育的心理課程、指導如何有效運用時間 、及人際溝通技巧等課程安排，將有助於學生在實習過程中之適應及焦慮的減輕；在臨床實 習時的指導老師和護理員方面，應要求或鼓勵他們在專業上的不斷自我進修，及加強在教學 和指導方面的能力。

　　　　　The objective of this study was to evaluate and describe the subjective feelings of student nurses about clinical practices. We collected data with a semi-structured questionnaire by means of a group conversation with 146 samples. The subjects were 5-year graduate student nurses. The results showed that there was a great influence on their experiences in the practicing processes of student nurses among environmental characteristics of practice, the interaction attitude of clinical nurses, self-preparation of students and teaching methods. Different duty-transition makes students feel confused. The difficulties in writing patients' progress reports and high expectations in clinical functioning roles caused students to have frustrated feelings, etc. The planned course for educating students about facing death, effective utilization of time and techniques of communication would be helpful for student nurses in adaptation during practice, alleviating anxiety. Bed-side instructors and clinical nurses should be encouraged or be asked to help students with the ability of clinical skills and the continuous self-training courses.