Abstract: Objective: To explore the heterogeneity and influencing factors of thriving at work among specialist nurses, providing references for nursing managers to take measures to improve the thriving at work of specialist nurses. Methods: A questionnaire survey was conducted from June to August 2023, including 758 specialist nurses from 30 hospitals of varying levels in Henan province. The latent profile analysis was used to explore the characteristics of thriving at work among specialist nurses, and univariate analysis and unordered multinomial Logistic regression analysis were used to investigate the influencing factors of different latent profiles. Results: Thriving at work among specialist nurses was divided into 4 latent profiles, including a high thriving at work group (27.8%), a moderate learning low vitality group (20.8%), a broadly moderate thriving at work group (35.6%), and a low thriving at work group (15.8%). Unordered multinomial Logistic regression analysis showed that organizational support score, task load score, resilience score, age, number of children, hospital grade, years of work experience, and monthly income level were influencing factors of the latent profiles of thriving at work (all P<0.05). Conclusion: There is heterogeneity in the characteristics of thriving at work among specialist nurses. Nursing managers can take targeted measures based on the different thriving at work characteristics and influencing factors of specialist nurses to improve their thriving at work and the quality of nursing services.

Key words: specialist nurse; thriving at work; latent profile analysis; influencing factor