目的 探讨在奥地利急性照护医院对日常收集数据二次使用进行护理敏感结局分析的挑战.方法 采用汇聚平行混合方法研究设计.抽取32所奥地利综合性急性照护医院的护理管理人员进行具有代表性的定量调查,对11名护理质量管理专家进行半结构化访谈.对量性和质性研究的结果分别进行报告和分析,然后在讨论中综合分析.结果 在接受调查的奥地利医院中,平均76％的护理文书已经电子化.但现有护理资料很少二次使用,如用于护理敏感性结局分析.主要原因包括4个方面:医院通常没有将常规数据进行二次使用的数据策略;医院在使用统一的标准化护理术语方面不完善,尤其是在护理评估方面;日常收集的护理数据往往正确性和完整性不足;护理敏感结局的数据通常以特定的报告形式收集,而不是纳入日常记录文件.结论 关于护理数据二次使用进行护理敏感结局分析的可能性,奥地利医院对其认识水平仍处于初级阶段.因此,护理人员和管理者应接受培训,了解如何收集和处理护理数据以进行护理敏感结局分析.进一步的研究可考虑确定对护理数据二次使用进行结局分析的决策过程的影响因素.“,”Objectives:To explore the challenges of secondary use of routinely collected data for analyzing nursing-sensitive outcomes in Austrian acute care hospitals.Method:A convergent parallel mixed methods design was performed.We conducted a quantitative representative survey with nursing managers from 32 Austrian general acute care hospitals and 11 qualitative semi-structured interviews with nursing quality management experts.Both results were first analyzed independently and afterward merged in the discussion.Results:On average,76％ of nursing documentation is already electronically supported in the surveyed Austrian hospitals.However,existing nursing data is seldom used for secondary purposes such as nursing-sensitive outcome analyses.This is due to four major reasons:First,hospitals often do not have a data strategy for the secondary use of routine data.Second,hospitals partly lack the use of standardized and uniform nursing terminologies,especially for nursing evaluation.Third,routine nursing data is often not documented correctly and completely.Fourth,data on nursing-sensitive outcomes is usually collected in specific documentation forms not integrated into routine documentation.Conclusion:The awareness of the possibilities for secondary use of nursing data for nursing-sensitive outcome analyses in Austrian hospitals is still in its infancy.Therefore,nursing staff and nursing man-agement must be trained to understand how to collect and process nursing data for nursing-sensitive outcome analyses.Further studies would be interesting in order to determine the factors that influ-ence the decision-making processes for the secondary use of nursing data for outcome analyses.