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Challenges using electronic nursing routine data for outcome analyses: A mixed methods study.

Renate Nantschev1,2, Elske Ammenwerth1,2

  • 1UMIT - Private University for Health Sciences, Medical Informatics and Technology, Hall in Tirol, Austria.

International Journal of Nursing Sciences
|January 26, 2022
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Summary
This summary is machine-generated.

Austrian hospitals face challenges using routine nursing data for outcome analysis. Key barriers include lack of data strategy, standardized terminology, complete documentation, and integrated data collection for nursing-sensitive outcomes.

Keywords:
AustriaHealth care quality indicatorsNursing care planNursing informaticsRoutinely collected health dataSecondary useStandardized nursing terminology

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Area of Science:

  • Healthcare Informatics
  • Nursing Research
  • Health Services Research

Background:

  • Routinely collected health data offers potential for secondary use in quality improvement.
  • Analyzing nursing-sensitive outcomes is crucial for evaluating nursing care quality.
  • Austrian acute care hospitals face specific challenges in leveraging nursing data.

Purpose of the Study:

  • To identify challenges in the secondary use of routinely collected nursing data for analyzing nursing-sensitive outcomes.
  • To explore barriers within Austrian acute care hospitals.

Main Methods:

  • Convergent parallel mixed methods design.
  • Quantitative survey of nursing managers (32 hospitals) and qualitative interviews with nursing quality management experts (11 experts).
  • Independent analysis of quantitative and qualitative data, followed by merged discussion.

Main Results:

  • 76% of nursing documentation is electronically supported on average.
  • Secondary use of nursing data for outcome analyses is infrequent.
  • Major barriers include: lack of data strategy, non-standardized terminology, incomplete/incorrect documentation, and lack of integration of outcome-specific forms into routine documentation.

Conclusions:

  • Awareness and utilization of secondary data for nursing-sensitive outcomes are nascent in Austrian hospitals.
  • Training for nursing staff and management is needed for effective data collection and processing.
  • Further research is required to understand factors influencing decisions on secondary data use for outcome analysis.