Objective To explore the status quo and the influencing factors of perceived organizational career management among nurses at working in tertiary hospitals in Hubei province. Methods A total of 1 423 clinical nurses from 4 tertiary hospitals in Hubei province were selected by convenience sampling and investigated by using a general information questionnaire, the Organization Career Management Scale, the Organizational Justice Scale and the Turnover Intention Inventory. Results The total scores of organizational career management, organizational justice and turnover intention were （49.81±8.29）points,（77.04±15.85) points and （14.01±4.17) points respectively. Organizational justice and turnover intention were the influencing factors of organizational career management (P＜0.01 for both). Conclusion Hospital and nursing managers should take measures to improve hospital management system, provide effective organizational support, help nurses do a good career planning job and guide nurses to carry out career management, so as to improve perceived organizational career management.