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The Nurse EHR Experience 2020
Jul 2020

The Nurse EHR Experience 2020


Authored by:  Lauren Manzione and Anna Beyer, 07/31/2020 | Read Time: 4 minutes

Nurses are the lifeblood of healthcare, keeping organizations running while balancing the needs of patients and physicians. Though they are on average more satisfied with the EHR than their physician counterparts, nurses have unique EHR needs that may be overlooked when clinician EHR satisfaction is examined as a whole. Accordingly, this report focuses specifically on the EHR satisfaction feedback shared by the more than 70,000 nurses (from 189 unique organizations) who have completed the Arch Collaborative survey. These findings can help organizations pinpoint ways to better support nurses in their crucial roles.


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A Note about This Research

These findings were gathered from organizations who chose to survey nurses as part of their EHR satisfaction measurement. The respondent sample size varies from question to question as not all organizations asked their nurses all of the standard survey questions and because the standard survey has periodically been updated with new questions. To increase the granularity of our nursing data, the Arch Collaborative survey was recently updated to gather information on nurse respondents’ clinical backgrounds, including clinical nurse specialists, LPNs, medical assistants, nursing assistants, RNs, and unit clerks. While breakouts by clinical background will be included in future reports, the change is too recent to be reflected in this current research.

What Factors Have the Greatest Impact on Nurse Satisfaction?

On average, nurses tend to report higher EHR satisfaction than physicians. Among nurses, what factors have the highest impact on EHR satisfaction?

Care setting

Nurses who work in both inpatient and outpatient environments have the lowest satisfaction scores. Outpatient nurses are slightly more satisfied than inpatient nurses.


Nursing focus area

Context matters. Surgical nurses have the highest satisfaction, with scores 26.2 points higher than NICU/PICU and perinatal (mother/baby) nurses, who report the lowest satisfaction.


Satisfaction with training

Nurses with high EHR satisfaction are much more likely to report that their initial and ongoing training was helpful and effective. The difference in satisfaction scores between those with strong vs. poor initial training is 50.9, and for ongoing training the difference is 52.3. Highly dissatisfied nurses often want more training.

Satisfaction with various EHR stakeholders

The Arch Collaborative survey asks respondents to rate three different EHR stakeholders: themselves, their organization, and their EHR vendor. Nurses who rate these stakeholders highly are more likely to report higher EHR satisfaction. In particular, vendors’ EHR delivery is significantly correlated with nurse satisfaction.


Satisfaction with various EHR tools/outcomes

Nurses who view various EHR tools positively report higher EHR satisfaction than those who don’t.


Use of personalization tools

Nurses who use personalization tools tend to be more satisfied with the EHR (by 12.9 points on average) than those who don’t.

What Are the Greatest Contributors to Nurse Burnout?

About 25% of nurses report having symptoms of burnout, with the greatest contributors being a chaotic work environment, time spent on bureaucratic tasks, and a lack of effective teamwork.

percent reporting burnout by clinical background
user selected contributors to burnout

Which Areas of the EHR Are Most in Need of Optimization?

Many EHR functions need optimization to fit nurse workflows and can impede nurse efficiency, the delivery of care, or both if not implemented or trained on effectively. Nurses identified the following key EHR functions as most likely to negatively impact their efficiency or ability to deliver care.

areas of the ehr most likely to impede efficiency care

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This material is copyrighted. Any organization gaining unauthorized access to this report will be liable to compensate KLAS for the full retail price. Please see the KLAS DATA USE POLICY for information regarding use of this report. © 2019 KLAS Research, LLC. All Rights Reserved. NOTE: Performance scores may change significantly when including newly interviewed provider organizations, especially when added to a smaller sample size like in emerging markets with a small number of live clients. The findings presented are not meant to be conclusive data for an entire client base.

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