关键词: 职业发展；影响因素；护理管理；卫生人力

Abstract: Objective: To analyze the status and influencing factors of nurses' career development in China, and to provide reference for the development of nurses' career development management strategies. Methods: From November to December 2019, a total of 70932 nurses in 23 provinces, 5 autonomous regions, 4 municipalities and 2 special administrative regions of China were selected by convenient sampling to investigate the current status of career development. Multiple linear regression analysis was conducted. Results: The nurses' career development was 3.63±0.58, the work engagement was 3.81±0.63, the career development motivation was 3.52±0.63, and the career environment was 3.59±0.69. The difference among the three groups was statistically significant (F=445921.840, P<0.001). The results of multiple linear regression analysis showed that hospital grade, age, education, personal annual income, working years, children’s situation, psychological resilience and work-family conflict were influencing factors for nurses’ career development, which could explain 36% of the total variation. Conclusion: The level of work engagement is relatively high. Psychological resilience and work-family conflict are important predictors of nurses' career development. Nursing managers can promote nurses' career development by improving psychological resilience and reducing their work-family conflicts.

Key words: career development; influencing factor; nursing management; health workforce