Objective To understand the current situation of reflection ability of wound ostomy and continence specialty nurses，and to explore its influencing factors，so as to provide reference for improving their reflection ability. Methods During April-May 2023，193 wound ostomy and continence specialty nurses from Henan Province were selected as the research objects by convenience sampling method，and the general information questionnaire，clinical nurse reflection ability scale and nurse professional identity rating scale were used for investigation. Results The score of reflective ability of specialty nurses was（89.93±12.34），and the total score of professional identity was（111.60±16.68）. There was a moderately positive correlation between them（r=0.528，P<0.001）. Multiple linear regression analysis showed that the working years of specialist nursing，whether they loved to reflect on wound ostomy specialty nursing work，and professional identity were the main influencing factors of the reflective ability，which could explain the 61.2% variability of the reflective ability of wound ostomy and continence specialty nurses. Conclusion The reflection ability of wound ostomy and continence specialty nurses needs to be improved. We suggest that targeted reflective ability improvement strategies should be formulated according to the characteristics of their professional working years，and their professional identity should be enhanced，so as to improve their reflective ability.