Understanding and Addressing EHR Burden in Nurses

A statewide comparison study was conducted in two states to identify nurse and setting factors that influence nurses’ satisfaction with their electronic health record (EHR) so that evidence-based strategies can be implemented to address burden. An exploratory descriptive comparative analysis was conducted using a random sample of nurses in two states (n=1117 and n=551). Following IRB approvals, nurses were invited to complete the web-based survey that included the validated 37-item clinical information systems implementation evaluation scale (CISIES) and the 24-item meaningful use maturity-sensitive index (MUMSI). Analyses included logistic regression to analyze odds of satisfaction while controlling for EHR maturity and nurse and setting characteristics. Modeling methods were used to determine variable differences and the impact on odds ratios. Qualitative analysis was used to evaluate the nurses’ narrative responses. Of the nurses surveyed, 29.6% of nurses from the south central state were satisfied with their EHR compared to 36.9% from the midwestern state (p