To analyze the categories of change fatigue among clinical nurses and to explore the influencing factors of change fatigue in different categories of nurses.

A total of 748 clinical nurses from a tertiary grade A hospital in Hebei Province were selected as the study subjects using convenience sampling method from November to December 2024.A general information questionnaire,the Chinese version of the Change Fatigue Scale(CFS),the Chinese version of the Voice Behavior Scale,and the Chinese version of Essentials of Magnetism Scale(EOM) were used for the survey.Latent profile analysis was conducted based on the scores of each item of the Chinese version of the CFS among nurses.Univariate analysis and multinomial Logistic regression analysis were used to explore the influencing factors of different categories.

The average item score of the Chinese version of the CFS for nurses was 3.13±1.57 points.Based on the scores of Chinese version of the CFS,change fatigue of nurses could be categorized into three categories,namely the low-fatigue adaptation type(48.7%),the morderate burnout type(39.8%),and the high-fatigue exhaustion type(11.5%).The results of the multinomial Logistic regression analysis showed that job stress,workload,voice behavior,and hospital magnetism level were influencing factors for the different categories of change fatigue of nurses(P<0.05).

The level of change fatigue among clinical nurses was moderate to low and exhibited group heterogeneity.Nursing managers should focus on nurses of the morderate burnout type and high-fatigue exhaustion type,and implement targeted interventions according to the influencing factors of different categories to reduce their level of change fatigue.