Background: Nursing education learning process goals are create qualified nurses with knowledge, attitude, and good skills, it is prior to an emotional intelligences. The purpose of this study was identifying the influence of metacognition approach towards problem solving skills and attitude performance for practicioner nursing students in Tanjungpura University. Methode. This study was quasy experimental without control group, with 17 respondents as total sampling, the subjects was nursing students of Tanjungpura University. Data was collected in RSUD dr.Abdul Aziz, Singkawang, West Kalimantan on May – July 2014. Each subject was three times implemented by Tutorial in Clinic (TIC) learning system with metacognition approach. Results. Data was analised by paired t test and found that both of variables, problem solving skills and attitude performance, each has significant p 0.0001 ( p values < 0.05.Discussion. Learning process with metacognition implication is be able to improve nursing students critical thinking ability that showed by mean scores improvement of problem solving skills and attitude performance. It is recommended that school of nursing in Indonesia should implement this model into clinical practice for nursing students. Keywords: metacognition, problem solving skills, attitude, performance, students.