ArticleJournal of the American Medical Informatics Association : JAMIA2021
The association between perceived electronic health record usability and professional burnout among US nurses.
Article in Journal of the American Medical Informatics Association : JAMIA, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 3 of them syntheses that pooled it.
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Who cites it
46 citing papers in PubMed, 3 syntheses or guidelines pooled it, 92 citations in OpenAlex.
- Electronic health records-related determinants of healthcare professionals' burnout and mitigation strategies: systematic review and meta-analysis.Frontiers in public health · 2026Pooled it
- Participation in the digital transformation of healthcare: a review of qualitative studies.International journal of health care quality assurance · 2024Pooled it
- Experience of Health Care Professionals Using Digital Tools in the Hospital: Qualitative Systematic Review.JMIR human factors · 2023Pooled it
- Effects of electronic health records implementation on workflow and health care provider outcomes: a prospective, multi-professional cohort study.JAMIA open · 2026Article
- Clinical Barriers to Hands-Free, Eyes-Free Voice Input for Nursing Records: Field Usability Study.Asian/Pacific Island nursing journal · 2026Article
- Impact of electronic health records on nursing workflow efficiency and predictive factors in Palestinian hospitals.PLOS digital health · 2026Article
- When better data meets better design: How EHR data usability and system usability shape physicians' cognitive load.NPJ digital medicine · 2026Article
- Person-centered hospital care in Indonesia: the role of digital health competency, user interface quality, and user experience in a multi-hospital study.Frontiers in health services · 2026Article
- Physicians' perceptions of how digital-intelligent medical technology reshapes job characteristics: a qualitative study.BMC health services research · 2025Article
- Development and application of desiderata for automated clinical ordering.Journal of the American Medical Informatics Association : JAMIA · 2025Article
- Behavioral Phenotypes in Electronic Health Record Use by Primary Care Providers: a Cluster Analysis.Journal of general internal medicine · 2025Article
- Improving Nurse Documentation Time via an Electronic Health Record Documentation Efficiency Tool.Applied clinical informatics · 2025Article
- Choosing between Patient Care Needs and Accurate Data Capture: Exploring Nurses' Experiences of Excessive Documentation Burden.Applied clinical informatics · 2025Article
- What matters most? Identifying key resource gain and loss factors affecting nurses' work engagement and job burnout in digital healthcare contexts.BMC nursing · 2025Article
- EMR usability and patient safety: a national survey of physicians.NPJ digital medicine · 2025Article
- Assessing the Impact on Electronic Health Record Burden After Five Years of Physician Engagement in a Canadian Mental Health Organization: Mixed-Methods Study.JMIR human factors · 2025Article
- Development of the TrendBurden Survey: Assessing Perceived Documentation Burden among Health Professionals in the United States.Applied clinical informatics · 2025Article
- Usability of an electronic health record 6 months post go-live and its association with burnout, insomnia and turnover intention: a cross-sectional study in a hospital setting.BMJ health & care informatics · 2025Article
- Exploratory Co-Design on Electronic Health Record Nursing Summaries: Case Study.JMIR formative research · 2025Article
- Article
Corrections and comments
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Authors and funding
8 authors at 4 institutions in 1 country.
Funding
Abstract
objectivesTo measure nurse-perceived electronic health records (EHR) usability with a standardized metric of technology usability and evaluate its association with professional burnout.
methodsA cross-sectional survey of a random sample of US nurses was conducted in November 2017. EHR usability was measured with the System Usability Scale (SUS; range 0-100) and burnout with the Maslach Burnout Inventory.
resultsAmong the 86 858 nurses who were invited, 8638 (9.9%) completed the survey. The mean nurse-rated EHR SUS score was 57.6 (SD 16.3). A score of 57.6 is in the bottom 24% of scores across previous studies and categorized with a grade of "F." On multivariable analysis adjusting for age, gender, race, ethnicity, relationship status, children, highest nursing-related degree, mean hours worked per week, years of nursing experience, advanced certification, and practice setting, nurse-rated EHR usability was associated with burnout with each 1 point more favorable SUS score and associated with a 2% lower odds of burnout (OR 0.98; 95% CI, 0.97-0.99; P < .001).
conclusionsNurses rated the usability of their current EHR in the low marginal range of acceptability using a standardized metric of technology usability. EHR usability and the odds of burnout were strongly associated with a dose-response relationship.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.