Physicians’ and nurses’ experiences on EHR usability: Comparison between the professional groups by employment sector and system brand

Johanna Kaipio, Anne Kuusisto, Hannele Hyppönen, Tarja Heponiemi, Tinja Lääveri

Research output: Contribution to journalArticleScientificpeer-review

70 Downloads (Pure)


Background: Usability associates with patient safety and quality of care. This article reports results from nation-wide usability-focused survey studies for physicians and nurses in Finland. Earlier research has shown dissatisfaction and serious deficiencies, which hamper the efficient use of health information systems (HIS); however, evaluation studies covering the viewpoints of both user groups are practically lacking. Our study aimed at comparing end-users’ experiences on the usability of electronic health record (EHR) systems by employment sector and EHR brand.

Methods: To measure usability, we used the validated National Usability-focused HIS Scale (NuHISS). For this study, we selected 11 usability statements that relate to technical quality (n = 3), ease of use (n = 6), benefits (n = 1) and collaboration (n = 1), and were identical in both surveys. We report the responses from 3013 physicians and 2560 nurses working in public sector hospitals or primary care health centers in 2017.

Results: Results in total and by healthcare sector showed notable differences between nurses’ and physicians’ experiences on usability of their EHR systems. Physicians were more satisfied than nurses on technical quality and learnability of the EHR-systems, while nurses experienced the ease of use better and were more satisfied with collaboration aspects than physicians. Two EHR brands used in hospitals appeared to have succeeded in supporting physician workflows, while two others used in health centers were more suitable for nurses’ needs.

Conclusions: Nurses’ and physicians’ experiences on EHR usability appear to vary more by EHR brand and employment sector rather than either professional group being generally more satisfied. Development of EHR systems should consider the perspectives of these two main user groups and their working contexts.
Original languageEnglish
Article number104018
Pages (from-to)1-9
Number of pages9
JournalInternational Journal of Medical Informatics
Publication statusPublished - Feb 2020
MoE publication typeA1 Journal article-refereed


  • Usability
  • Electronic health record
  • Nurse
  • Physician
  • National monitoring survey
  • User experience


Dive into the research topics of 'Physicians’ and nurses’ experiences on EHR usability: Comparison between the professional groups by employment sector and system brand'. Together they form a unique fingerprint.

Cite this