Abstract: Objectives: To set up an observed symptom-guided structured nursing records system for new nurses' training. Methods: According to the requirement of the standardized training, the authors designed the symptoms-guided nursing records system based on literature review. After experts consulting and pilot application, they introduced it to the mobile nursing information system. And then they analyzed the satisfaction of the new nurses and the teachers who used this system to train new nurses. Results: The satisfaction of new nurses and teachers were 91.81% and 84.44%, respectively (P>0.05). The time spending on the observed symptom-guided structured nursing records online was significantly lower than the manual entry time (P<0.05). Conclusion: The observed symptom-guided structured nursing records system applied in new nurses' training linked standard training with clinical practice without interruption, minimized the conversion cycle from learning to practice. It could improve the recording efficiency of nurses; and reflect the disease characteristics of different disciplines.