Objective To evaluate and analyze the clinical practical competence level of nursing graduates before and after internship and to screen its deficiency under current clinical practical ability training model and provide references for developing nursing graduates education of clinical practice ability and for improving clinical practical competence training pattern in clinical setting .Methods To implement the clinical practice guide tutor system to 160 graduate students in Shanxi Medical University from 2008 to 2011 , the students were asked to complete the clinical practical manual , which were designed to evaluate their clinical practical competence level using “OPSN” ( self-evaluation scale of oriented problem solving behavior in nursing practice) and “NPGA” (nursing practice goal attainment ).Results In the dimension of “OPSN” scale, the scores of “to discover problems by organizing and applying information ” “to offer psychological support for patients problem solution” “to provide personalized care for patients” and “to evaluate for solved problems”were (20.28 ±2.78), (17.23 ±1.92), (26.81 ±2.59), (20.76 ±2.59) after the internship, which were (17.82 ±3.47), (14.53 ±3.03), (24.82 ±3.44), (18.31 ±4.40), respectively, before the internship, and the differences were statistically significant (t=3.98, 5.40, 3.32, 3.43, respectively;P〈0.05).The scores of “coordination of behavior between nurses and patients” were (16.76 ±2.72) and (17.51 ±1.96) before and after the internship, which had no significant difference (t=1.61, P〉0.05).Each dimension of“NPGA” scale was not statistically significant before and after the internship (P〉0.05).Conclusions There is still a gap between standard requirements and acquisition of practice ability under current clinical teaching environment .The project training for graduate students should be added according to the weak points in clinical practice ability training . Key words: Nursing; Graduate student; Clinical practice ability