目的 探索本科实习护生成就动机的潜在剖面及其影响因素。方法 便利抽样法选取河南省4所三级甲等医院的588名本科实习护生为研究对象,使用一般资料调查表,成就动机量表,临床实习环境量表,创新自我效能量表对其进行调查。应用潜在剖面分析探索本科实习护生成就动机分型,采用Logistic 回归分析不同潜在类别的影响因素。结果 本科实习护生成就动机可分为3个潜在剖面：低追求成功-中避免失败组（30.1%）、中追求成功-中避免失败组（58.7%）、高追求成功-高避免失败组（11.2%）。不同家庭居住地、是否担任过班干部、学习成绩、临床实习环境和创新自我效能是本科实习护生成就动机潜在剖面分类的影响因素（均P＜0.05）。结论 本科实习护生成就动机具有3个潜在剖面,学校医院等可依据学生的不同人群特征给予针对性的教育策略,以提高其成就动机水平。

Objective To explore the potential profiles and influencing factors of achievement motivation among undergraduate nursing interns.Methods 588 undergraduate nursing interns from 4 tertiary A hospitals in Henan Province were conveniently selected and surveyed using the general information questionnaire,achievement motivation scale,clinical internship environment scale,and innovative self-efficacy scale.Analysis of latent profile was applied to explore the achievement motivation classification of undergraduate nursing interns,and logistic regression was used to analyze the influencing factors of different latent categories.Results The achievement motivation of undergraduate nursing interns can be divided into three potential profiles：low success rate to medium failure rate group (30.1%),medium success rate to medium failure rate group (58.7%),and high success rate to high failure rate group (11.2%).The factors influencing the potential profile classification of achievement motivation include family residence,whether they served as class leaders,academic performance,clinical internship environment,and innovative self-efficacy (all P＜0.05).Conclusions Undergraduate nursing interns have three potential profiles of achievement motivation,and schools,hospitals,and other institutions can provide targeted educational strategies based on the characteristics of different student populations to improve their level of achievement motivation.

R47

国家社会科学基金项目（21VSZ084）