{"doi":"10.1093/jamia/ocab059","title":"The association between perceived electronic health record usability and professional burnout among US nurses","abstract":"OBJECTIVES: To measure nurse-perceived electronic health records (EHR) usability with a standardized metric of technology usability and evaluate its association with professional burnout. METHODS: A 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. RESULTS: Among 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). CONCLUSIONS: Nurses 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.","journal":"Journal of the American Medical Informatics Association","year":2021,"id":149950,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":99,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9409,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2021-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":285629,"name":"Colin P. West","orcid":"0000-0003-1628-5023","position":1,"is_corresponding":false},{"id":629949,"name":"Bidisha Nath","orcid":"0000-0002-8385-3417","position":2,"is_corresponding":false},{"id":637837,"name":"Pamela F. Cipriano","orcid":"0000-0002-9844-6515","position":3,"is_corresponding":false},{"id":639275,"name":"Cheryl Peterson","orcid":null,"position":4,"is_corresponding":false},{"id":637838,"name":"Daniel Satele","orcid":"0000-0003-0795-714X","position":5,"is_corresponding":false},{"id":285630,"name":"Tait D. Shanafelt","orcid":"0000-0002-7106-5202","position":6,"is_corresponding":false},{"id":285628,"name":"Liselotte N. Dyrbye","orcid":"0000-0002-7820-704X","position":7,"is_corresponding":false},{"id":34339,"name":"Edward R. Melnick","orcid":"0000-0002-6509-9537","position":0,"is_corresponding":true}],"reference_count":86,"raw_metadata":null,"created_at":"2026-07-18T23:43:01.325389Z","pmid":"33871018","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}