Abstract: Objective To investigate the current situation of nurses' occupational compromise in a grade-A tertiary hospital in Wuhu City, and analyze its influencing factors, in order to provide reference for subsequent intervention. Methods From April to June 2024, 339 nurses from a grade-A tertiary hospital in Wuhu City were selected as the study subjects, and a questionnaire survey was conducted using the general information questionnaire, occupational compromise scale, nurse occupational identity rating scale, overqualified sense scale, and occupational alienation scale, and the data were analyzed. Results The score for nurse occupational compromise was（42. 25±11. 52）points. Nurse occupational compromise was negatively correlated with occupational identity（r=-0. 549, P<0. 01）, and positively correlated with sense of overqualification（r=0. 445, P<0. 01） and occupational alienation（r=0. 605, P<0. 01）. Multivariate linear regression analysis showed that different genders, reasons for choosing nursing, professional identity, sense of overqualification, and professional alienation were all influencing factors of nurse professional compromise（all P<0. 05）, which could explain 51. 4% of the total variation. Conclusion The occupational compromise level of nurses in a grade-A tertiary hospital in Wuhu City is at a moderate to high level. Nursing managers should pay attention to the occupational compromise level of nurses and take targeted nursing measures according to the influencing factors to reduce the occupational compromise level of nurses, improve the working environment of nurses, and promote the stable development of the nursing team.

Key words: Nurse, Occupational compromise, Professional identity, Sense of overqualification, Professional alienation