Objective To investigate the current construction situation of nursing workers in medical institutions in Hubei province in order to promote the standardized development ofdic the nursing workers industry.Methods Nursing administrators and nursing workers in medical institutions in 17 prefectures and states in Hubei province were selected by convenience sampling method from August to September 2023, and then they were surveyed by a questionnaire for medical institutions and a questionnaire for nursing workers compiled by the Decision-making Consultation Work Committee of the Chinese Nursing Association.Results A total of 1,398 medical institutions were effectively surveyed, of which only 395 were equipped with nursing workers.The staffing structure of the nursing workers was dominated by females, age ≥50 years, middle school education or below, and ＜5 years of nursing work experience; the working mode was mainly 1-to-1 service, 24 h system, and unscheduled rest; the channels of recruitment were mainly through referrals by other people, with a focus on patients′ self-recruitment and socialized management; the management agencies were mainly the third-party intermediary companies (62.62%); the training coverage rate was 78.27%, mainly consisting of pre-service one-time training, with an assessment rate of 49.62%; the salary level was mainly 2,000～5,000 yuan; 53.78% of the nursing workers did not pay or had their own insurance paid; and nearly 60% of the medical institutions were satisfied with the service attitude and service quality of the nursing workers.Conclusion The management system of nursing staff in medical institutions needs to be improved, and the staff structure also needs to be regulated, furthermore, there is something that should be done to optimize the coordination mechanism, and to guarantee the sustainability of team building.It is necessary to establish the management system of nursing workers, unify the access standards, construct scientific working modes, innovate the training and assessment system, and construct a scientific and reasonable labor security system to promote quality nursing service.