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Nurse EHR satisfaction slides during pandemic

Electronic health record user mastery by nurses has seen a sharp decline because the start of the COVID-19 pandemic, in accordance with researchers.


Nearly 16,000 nurses across 35 healthcare organizations taken care of immediately a survey about their EHR experience, with results within KLAS Research’sArch Collaborative Nursing Guidebook 2022. Those results showed a substantial drop, with just 59% of nurses surveyed in 2022 finding ongoing training helpful weighed against 71% of these surveyed in 2020.

The urgency to create user mastery is clear, said KLAS researchers.

Nurses in radiology, pediatric and newborn intensive care units and procedural and behavioral health environments reported fighting the EHR “and have a tendency to disagree [that] their EHR gets the functionality they want,” based on the guidebook.

Nurses in these areas would particularly reap the benefits of improved onboarding, ongoing training, inclusion in governance and heightened communication efforts.

“Many would reap the benefits of re-evaluating how their training and education programs prepare nurses because of their day-to-day EHR use while also weathering inevitable EHR and related environmental changes,” the researchers say.

The guidebook includes steps healthcare organizations may take to launch pilot programs to handle EHR satisfaction and some evidence-based practice discussions with links to case studies for deploying guidelines across three categories:

  • Communications and engagement strategy guidelines, including nursing representation inside it, usage of superusers, and governance and EHR changes.

  • Onboarding/initial EHR education best practice tips about training time, content, trainer quality and training methods.

  • Ongoing EHR education insights addressing frequency, IT rounding and usage of virtual training.

Chief on the list of engagement strategies are recommendations to add nurses in EHR governance and decision-making because organizations with multi-disciplinary teams see higher EHR satisfaction. Governance leaders should enable impacted nurses along with other stakeholders to rate the expected effectiveness of proposed EHR changes.

Allowing frontline nurses to create EHR requests can be best practice, based on the guidebook.

“Organizations should concentrate on helping nurses reach the main problem and interact with analysts to locate a solution,” said researchers. “Achieving this helps build relationships between IT personnel and nurses.”

This is actually the first Arch Collaborative Guidebook to target exclusively on nursing professionals, in accordance with a representative that reached out to Healthcare IT News.


This past year, one study centered on nurse burnout that has been published in the Journal of the American Medical Informatics Association had nurses grading EHR usability an F.

Many nurses are considering leaving the healthcare profession and not simply due to the staffing crisis hastened by the COVID-19 pandemic, in accordance with Shawn Sefton, chief nursing officer and vice president of client services at Hospital IQ.

Sefton spoke with Healthcare IT News in March in regards to a report that showed 90% of the surveyed nurses saying they intend to leave the profession.

“Given the breadth of the existing healthcare staff crisis in this country, the outcomes were both alarming and illuminating,” said Sefton.

One cause is that nurses want healthcare systems to streamline and automate manual workflows.

“Outdated, inefficient and manual workflows and communications processes consume an excessive amount of nurses’ time and attention, and ensure it is nearly impossible to attain effective and efficient coordination of care across units and teams,” Sefton had said.


“Nurses must have an opportunity to make mistakes in a protected climate and learn to respond to a few of the more difficult documentation conditions that may arise within their given workshop,” the KLAS Arch Collaborative guidebook advises.

“While nurse satisfaction with the EHR is probable not the biggest driver of burnout and job satisfaction, it can seem to be an essential section of a nurse’soverall job satisfaction. We continue steadily to see strong associations between EHR satisfaction, satisfaction with EHR training and a person’s self-reported burnout levels and potential turnover,” said report author Jacob Jeppson, data scientist for the Arch Collaborative.

Andrea Fox is senior editor of Healthcare IT News.

Healthcare IT News is really a HIMSS publication.

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