The purpose of this study was to evaluate the characteristics of clinical instructors' educational approaches and factors affecting these approaches. A self-described questionnaire survey by mail was carried out, and effective responses were obtained from 631 instructors (70.0%). Analysis of obtained responses showed the following 3 factors constituting clinical instructors' educational approaches: "provision of feedbacks", "formation of mutual relationships", and "arrangement of learning environments". These constituting concepts were supported by analysis of cases of supportive involvement described by 61 among 162 instructors with a higher educational approach score (the top 25%). The educational approach score significantly differed according to the years of experience as nurses (p<0.01), the position in the workplace (p<0.01), and the state of the participation in training seminars for clinical instructors of nursing practice (p<0.001). Concerning the image of students, there was a weak correlation between the educational approach score and the student image in terms of evaluation (r=0.273, p<0.001) but no correlation between the image in terms of abilities and the image in terms of activity. According to contents expected to be learned by students, instructors who expect them to learn "the charm and pleasure of nursing" showed a significantly high educational approach score (p<0.01), while those who expect them to learn "nursing techniques" showed a significantly low score (p<0.01). These results suggest that clinical instructors' educational approaches are affected by the occupational background, the readiness of instructions, and experience and recognition involved in motivation.

　The purpose of this study is to identify differences ofeducational programs, relationships between the ability of nursing performanceand nursing education, and influencing factors on the ability of nursingperformance of baccalaureate nurses by comparing with associate degree anddiploma nurses. The ability of nursing performance was measured by using theJapanese 6-D Scale which was confirmed by the internal consistency reliabilityand the construct validity. One hundred and ten nurses were the sample for analysis.Data were analyzed by using one-way ANOVA coefficient and Stepwise's multipleregression analysis. The results were as follows : 1) the ability of nursingperformance of baccalaureate nurses was lower than that of associate degree anddiploma nurses ; 2) no significant relationships were observed between theability of nursing performance and the learning of specialized nursing subjectsfor associate degree and diploma nurses. However. a significant correlation wasindicated between the plan/ evaluation and the community health care forbaccalaureate nurses ; 3) the learning of specialized nursing subjects and jobsatisfaction were identified as the influence factors on the ability of nursingperformance of baccalaureate nurses.

　This report analyzed the changes of the students' feeling for handicapped children in an asylum for severe psychosomatic handicapped children (asylum for severe children), by using contents analysis technique through the practical reports and the reports of the nursing viewpoint of the students who have carried out "Clinical and Practical Training of Fundamental Nursing II" in the asylum.

　The result was that the four changes had happened to the students' feeling. The first change was a surprising resulted from meeting and touching handicapped children for the first time. The second one was, in spite of the surprising, to grope the existential meaning of the handicapped children. The third one was that the students have recognized their existential worth owing to watching their figure to live as a handicapped child. And finally, they reached to think of what the nursing ought to be.

　It was suggested that the relation ship with severe psychosomatic handicapped children, at the subject, namely, the first practice of the charge system, has been effective for the understanding of the nursing object and the motivation to the nursing.