ArticleJournal of medical Internet research2019
Developing the National Usability-Focused Health Information System Scale for Physicians: Validation Study.
Article in Journal of medical Internet research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- Information system support for case-based knowledge formation in social welfare: a cross-sectional study.Health information management : journal of the Health Information Management Association of Australia · 2026Article
- Predicting Electronic Health Record Usability: Scoping Review of Adoption Models, Metrics, and Future Directions.JMIR human factors · 2026Article
- Digitally dedicated nurses: a nationwide cross-sectional study of associated career and digital factors in the workplace.BMC health services research · 2025Article
- EMR usability and patient safety: a national survey of physicians.NPJ digital medicine · 2025Article
- Comparisons of Physicians', Nurses', and Social Welfare Professionals' Experiences With Participation in Information System Development: Cross-Sectional Survey Study.JMIR human factors · 2025Article
- Factors Contributing to Successful Information System Implementation and Employee Well-Being in Health Care and Social Welfare Professionals: Comparative Cross-Sectional Study.JMIR medical informatics · 2024Article
- Medical and nursing clinician perspectives on the usability of the hospital electronic medical record: A qualitative analysis.Health information management : journal of the Health Information Management Association of Australia · 2024Article
- Experiences of Electronic Health Records' and Client Information Systems' Use on a Mobile Device and Factors Associated With Work Time Savings Among Practical Nurses: Cross-Sectional Study.Journal of medical Internet research · 2024Article
- Associations of perceived changes in work due to digitalization and the amount of digital work with job strain among physicians: a national representative sample.BMC medical informatics and decision making · 2023Article
- Nurse Managers' Opinions of Information System Support for Performance Management: A Correlational Study.Methods of information in medicine · 2023Article
- Utilisation of remote capillary blood testing in an outpatient clinic setting to improve shared decision making and patient and clinician experience: a validation and pilot study.BMJ open quality · 2021Observational
- The Association Between Using a Mobile Version of an Electronic Health Record and the Well-Being of Nurses: Cross-sectional Survey Study.JMIR medical informatics · 2021Article
- Technology Acceptance of a Machine Learning Algorithm Predicting Delirium in a Clinical Setting: a Mixed-Methods Study.Journal of medical systems · 2021Article
- The Associations of Electronic Health Record Usability and User Age With Stress and Cognitive Failures Among Finnish Registered Nurses: Cross-Sectional Study.JMIR medical informatics · 2020Article
- Tailoring EHRs for Specific Working Environments Improves Work Well-Being of Physicians.International journal of environmental research and public health · 2020Article
- Usability Factors Associated With Physicians' Distress and Information System-Related Stress: Cross-Sectional Survey.JMIR medical informatics · 2019Article
- Sustainable Health Informatics: Health Informaticians as Alchemists.Studies in health technology and informatics · 2019Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundProblems in the usability of health information systems (HISs) are well acknowledged, but research still lacks a validated questionnaire for measuring and monitoring different dimensions of usability of HISs. Such questionnaires are needed not only for research but also for developing usability of HISs from the viewpoint of end-user experiences.
objectiveThis study aimed to develop and test the validity of the questionnaire measuring the National Usability-Focused HIS-Scale (NuHISS) among a nationally representative sample of Finnish physicians.
methodsWe utilized 2 cross-sectional data collected from a random sample of Finnish physicians in 2014 (N=3781; of which 2340 [61.9%] were women) and 2017 (N=4018; of which 2604 [64.8%] were women). Exploratory and confirmatory factor analyses (structural equation modeling [SEM]) were applied to test the structural validity of the NuHISS. As the concurrent validity measure, we used the self-reported overall quality of the electronic health record system (school grade) provided by the participants using marginal structural models.
resultsThe exploratory factor analyses with Varimax rotation suggested that the 7-factor solution did offer a good fit to the data in both samples (C
conclusionsNuHISS provides a useful tool for measuring usability of HISs among physicians and offers a valid measure for monitoring the long-term development of HISs on a large scale. The relative importance of items needs to be assessed against national electronic health policy goals and complemented with items that have remained outside the NuHISS from the questionnaire when appropriate.
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