目的 调查分析医院护士工作重塑行为现状，并探讨其影响因素，为促进临床护理人力资源管理提供参考。 方法 采用便利抽样法，选择新疆地区5所三级甲等医院的3525名护士作为研究对象，采用护士工作重塑量表、护士调节焦点量表、护士授权型领导量表、护士工作绩效量表对其进行调查。 结果 护士工作重塑量表总得分为（88.46±14.36）分，多元线性回归结果显示，民族、就业初衷、调节焦点、授权型领导、工作绩效是护士工作重塑的主要影响因素（均P＜0.01）。 结论 新疆地区三级甲等医院护士工作重塑处于中上等水平，影响因素较多，护理管理者应关注个体调节焦点、组织领导、绩效奖励等对护士工作重塑行为的影响，提高护士工作积极性，进而提升护理服务质量。

Objective To investigate the status quo of nurse job crafting in tertiary hospitals,to explore its influencing factors,and to provide reference for promoting human resource management in clinical nursing. Methods A total of 3525 nurses from 5 tertiary A hospitals in Xinjiang were selected as the research subjects by the convenience sampling method.The Nurse Job Crafting Scale,the Authorized Leadership Scale,Adjustment Focus Scale,and Job Performance Scale were used for a survey. Results The total score of Nurse Job Crafting Scale was (88.46±14.36).Multiple linear regression analysis showed that ethnicity,original intention of employment,adjustment focus,authorized leadership,and job performance were the main influencing factors for nurse job crafting (all P＜0.01). Conclusions The crafting of nurses in tertiary A hospitals in Xinjiang is at a medium and high level with many influencing factors.Nursing administrators should pay attention to the individual adjustment focus tendency,organizational leadership,performance rewards, and their influences on nurse’s job crafting behavior,so as to enhance nurses’ work enthusiasm and improve the quality of nursing.

R47;R826