Development of a tool to measure user experience following electronic health record implementation

Yan Xiao, Donna Cook Montgomer, Lindsey M. Philpot, Sunni A. Barnes, Jan Compton, Donald Kennerly

Research output: Contribution to journalArticlepeer-review


OBJECTIVE: The aim of this study was to develop a survey tool to assess electronic health record (EHR) implementation to guide improvement initiatives. BACKGROUND: Survey tools are needed for ongoing improvement and have not been developed for aspects of EHR implementation. METHODS: The Baylor EHR User Experience (UX) survey was developed to capture 5 concept domains: training and competency, usability, infrastructure, usefulness and end-user support. Validation efforts included content validity assessment, a pilot study, and analysis of 606 nurse respondents. The revised tool was sent to randomly sampled EHR nurse-users in 11 acute care facilities. RESULTS: A total of 1,301 nurses responded (37%). Internal consistency of the survey tool was excellent (Cronbach's = .892). Survey responses including 1,819 open comments were used to identify and prioritize improvement efforts in areas such as education support, optimization of EHR functions, and vendor change requests. CONCLUSION: The Baylor EHR UX survey was a valid tool that can be useful for prioritizing improvement efforts in relation to EHR implementation.

Original languageEnglish (US)
Pages (from-to)423-428
Number of pages6
JournalJournal of Nursing Administration
Issue number7-8
StatePublished - 2014

ASJC Scopus subject areas

  • Leadership and Management


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