目的 调查分析医院护理质量指标数据采集所存在的问题，为推进数据采集标准化提供依据。方法 2025年1-3月，采用便利抽样，选取国内307所非营利性医院进行调查，并对其中18所医院的护理质量监测相关人员开展半结构化访谈，运用Colaizzi 7步分析法提炼主题。结果 参与调查的307所医院中，272所（88.59%）的数据采集需多个系统协同完成、205所（66.77%）需人工记录辅助信息系统采集、133所（43.32%）使用了数据分析平台、78所（25.41%）使用了智能决策系统、83所（27.04%）上线了预警系统。质性访谈得出影响数据采集的主要问题为：多个系统与手工填报导致数据整合困难；护理人员信息素养不足制约数据质量；政策支持与资源配置不完善。结论 医院护理质量指标数据采集的质量，受到信息系统优化困难、护理人员信息化素养等问题的影响。护理管理者应采取积极措施，推动数据采集向标准化、智能化和可持续化方向发展。

Objective To investigate and analyze the existing problems in the data collection of hospital nursing quality indicators,so as to provide a basis for promoting the standardization of data collection.Methods From January to March 2025, a convenience sampling method was adopted to select 307 non-profit hospitals in China for investigation.Semi-structured interviews were conducted with personnel related to nursing quality monitoring in 18 representative hospitals,and Colaizzi’s 7-step analysis method was used to extract themes.Results Among the 307 surveyed hospitals,data were collected in 272 hospitals (88.59%) with the collaboration of multiple systems,205 hospitals (66.77%) with manual recording to assist information system-based data collection,133 hospitals (43.32%) with data analysis platforms,78 hospitals (25.41%) with intelligent decision-making systems,and 83 hospitals (27.04%) with early warning systems.The main problems affecting data collection summarized from qualitative interviews were as follows: difficulties in data integration caused by multiple systems and manual input,insufficient information literacy of nursing staff restricting data quality,and inadequate policy support and resource allocation.Conclusions The quality of data collection for hospital nursing quality indicators is affected by difficulties in optimizing information systems and the insufficient information literacy of nursing staff.Nursing administrators should take active measures to promote the development of data collection towards standardization,intellectualization and sustainability.

R47

广东省护理学会2024年度护理创新发展研究课题（GDHLYJYM202421）