Abstract: Objective: To identify the latent category characteristics of self-directed learning competence and innovation behavior of nurses in grade A tertiary hospitals, analyze the influencing factors of different characteristics, and put foward to the corresponding improvement countermeasures. Methods: From October to November 2022, 1 042 nurses from 3 grade A tertiary hospitals were investigated with the general information questionnaire, self-directed learning competence for nurses, and nurse innovation behavior scale. Results: There were three potential profiles of self -directed learning competence and innovation behavior of nursing staff in grade A tertiary hospitals including C1 "insufficient self-directed learning competence-low innovation behavior"(30.33%), C2"general self-directed learning competence-medium innovation behavior"(49.81%), C3 "high self-directed learning competence-proactive innovation behavior"(19.86%). Multiple Logistic regression analysis showed that the importance of nursing research on career development, scientific research atmosphere of the department, career orientation, and frequency of reading professional journals at daily time were influencing factors for different types of self-directed learning competence and innovation behavior among nursing staff (P<0.05). Conclusion: There was heterogeneity in the self-directed learning competence and innovation behavior of nursing staff in grade A tertiary hospitals. Three expected types of self-directed learning competence and innovation behavior were identified. In particular, attention should be paid to the importance of nursing research on career development, scientific research atmosphere of the department, career orientation, and frequency of reading professional journals at daily time, so as to develop targeted nursing measures for nursing staff with different types of self-directed learning competence and innovation behavior, so as to improve their self-directed learning competence and innovation behavior.

Key words: Nurses, Self-directed learning competence, Innovation behavior, Latent profile analysis

摘要： 目的：探究三级甲等医院护理人员自主学习能力和创新行为水平的潜在类别特征，并分析不同特征的影响因素，提出相应的改善对策。方法：采用便利抽样的方法，于 2022 年 10 月至 11 月，采用一般资料调查表、护士创新行为量表、护士自主学习能力评价量表对天津市 3 所三级甲等医院 1 042 名护理人员进行调查。采用潜在剖面分析确定护理人员自主学习能力和创新行为的潜在类别，采用 Logistic 回归分析探讨不同潜在类别的影响因素。结果：三级甲等医院护理人员自主学习能力和创新行为存在 3 个潜在类别，C1“自主学习能力不足-低创新行为型”（30.33%），C2“自主学习能力一般-中等创新行为型”（49.81%）以及 C3“自主学习能力较强-高创新行为型”（19.86%）。多元 Logistic 回归分析显示，护理科研对职业发展的重要程度、科室科研氛围、职业定位、平时阅读专业期刊的频次等是不同自主学习能力和创新行为类别的护理人员的影响因素（P<0.05）。结论：三级甲等医院护理人员自主学习能力和创新行为存在异质性，识别出 3 个自主学习能力和创新行为类别。护理科研对职业发展的重要程度、科室科研氛围、职业定位、阅读专业期刊的频次是影响各类别的主要因素。护理管理者需根据不同自主学习能力和创新行为类型的护理人员特点制定针对性的培训管理措施，提升护理人员的自主学习能力和创新行为。

关键词: 护理人员, 自主学习能力, 创新行为, 潜在剖面分析