ENA University vs NIHSS+
Price, ratings, monetisation and update history for both apps, side by side — with what reviewers say about each.
ENA University
Access exclusive learning opportunities designed for emergency nurses. Improve your skills and confidence in patient care while earning CNE hours. Download content to learn anytime, anywhere.
- Personalized learning programs
- Innovative education resources
- Skillset improvement
- Patient care quality enhancement
- CNE hour earning
- Offline content download
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ENA University offers exclusive learning opportunities through personalized, innovative education programs and resources designed to improve your confidence, ability and skillsets to deliver the highest quality of patient care and earn CNE hours. ENA University app allows emergency nurses to download relevant learning contents directly to their devices, and take the learning on the go!
NIHSS+
This app provides a digital learning format for evaluating stroke symptoms based on the established NIHSS scale. It offers guidance for accurate stroke assessment, tips, and support for telestroke situations, intended for educational purposes.
- Stroke symptom evaluation
- Digital learning format
- Accurate stroke assessment guidance
- Tips and tricks for assessment
- Telestroke situation support
- Educational training
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Since the initial release in 1990, the NIHSS has been a standard for evaluating stroke symptoms in patient diagnosis. With the proven success in quickly identifying patients using the Stroke Scale, NIHSS+ utilizes the same fundamentals in a different learning format more suited for today's technology. Guided by Dr. Lyden, in digital form, you can quickly explore all possible deficits for an accurate stroke assessment, get tips and tricks, and be guided through telestroke situations. The information provided in this training and certification app is for educational purposes only, and does not substitute for professional medical advice. If seeking medical advice, diagnosis, or treatment, consult a medical professional or a healthcare provider.
Screenshots
Verdict
The clearest difference is review sentiment: NIHSS+ at 100% against ENA University's 50%. NIHSS+ also leads on update cadence (every 2 weeks vs every 8 months). ENA University's advantage is ratings volume (349 vs 8) and rating (4.6 vs 4.4). On price, ads, in-app purchases and monetization model there is nothing between them.
Scored on Price · Rating · Positive reviews · Number of ratings · Update frequency · Ads · In-app purchases · Monetization · Best chart rank · Devices · Requires iOS
Both are free to download. Neither carries in-app purchases, so what you see is what you pay.
ENA University holds the better App Store score, 4.6 against 4.4. That said, the two scores are not equally well evidenced: ENA University has 349 ratings behind it against 8, so its average is the more settled of the two. Written reviews complicate that: 50% of ENA University's written reviews are positive against 100% of NIHSS+'s, so the app with the better star average is not the one people write more warmly about.
ENA University ships an update every 8 months, NIHSS+ every 2 weeks. The most recent releases landed on September 22, 2026 and August 30, 2026 respectively.
| Parameter | ENA University | NIHSS+ |
|---|---|---|
| Price | Free | Free |
| Rating | 4.6 (349 ratings) — better | 4.4 (8 ratings) |
| Positive reviews | 50.0% of reviews | 100.0% of reviews — better |
| Number of ratings | 349 — better | 8 |
| Update frequency | Every 8 months | Every 2 weeks — better |
| Ads | No | No |
| In-app purchases | No | No |
| Monetization | Free | Free |
| Devices | iPhone, iPad, iPod — better | iPhone, iPad |
| Requires iOS | 15.0 — better | 16.0 |
| Further details — not scored | ||
| Size | 27 MB | 1.2 GB |
| Age rating | 17+ | 17+ |
| Developer | Emergency Nurses Association | Apex Innovations |
Customer experience
ENA University
NIHSS+
Bugs and requests
ENA University
Reported bugs
9 issues- App tells user to turn phone to do coursework, but it doesn't work
- Cannot access TNCC course under ENPC/TNCC, but can access via browser
- App keeps showing no courses available for TNCC pre-course
- Text skips all over
- Constantly logs out
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- Cannot find courses
- Subtext doesn't show up in trauma modules
- Difficulty advancing most slides
- App doesn't open
Requested features
3 requests- Update to the newest edition (9th edition)
- Make app more user-friendly
- Reduce the number of clicks required for navigation
NIHSS+
Not enough reviews yet to summarise bugs or requests.
In-app purchases
ENA University
No in-app purchases
NIHSS+
No in-app purchases
