摘要：Objectives To explore the challenges of secondary use of routinely collected data for analyzing nursing-sensitive outcomes in Austrian acute care *** A convergent parallel mixed methods design was *** 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 *** results were first analyzed independently and afterward merged in the *** On average,76%of nursing documentation is already electronically supported in the surveyed Austrian ***,existing nursing data is seldom used for secondary purposes such as nursing-sensitive outcome *** is due to four major reasons:First,hospitals often do not have a data strategy for the secondary use of routine ***,hospitals partly lack the use of standardized and uniform nursing terminologies,especially for nursing ***,routine nursing data is often not documented correctly and ***,data on nursing-sensitive outcomes is usually collected in specific documentation forms not integrated into routine *** The awareness of the possibilities for secondary use of nursing data for nursing-sensitive outcome analyses in Austrian hospitals is still in its ***,nursing staff and nursing management must be trained to understand how to collect and process nursing data for nursing-sensitive outcome *** studies would be interesting in order to determine the factors that influence the decision-making processes for the secondary use of nursing data for outcome analyses.