# ENA University vs NIHSS+

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.

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.

## The numbers

| Metric | ENA University | NIHSS+ |
| --- | --- | --- |
| Price | Free | Free |
| Rating | **[4.6 (349 ratings)](https://appshunter.io/ios/app/ena-university/id1598382372/reviews)** | [4.4 (8 ratings)](https://appshunter.io/ios/app/nihss-plus/id1669590578/reviews) |
| Number of ratings | **349** | 8 |
| Positive reviews | 50.0% of reviews | **100.0% of reviews** |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | Every 8 months | **Every 2 weeks** |
| Monetization | Free | Free |
| Size | 27 MB | 1.2 GB |
| Requires iOS | **15.0** | 16.0 |
| Devices | **iPhone, iPad, iPod** | iPhone, iPad |
| Age rating | 17+ | 17+ |
| Developer | [Emergency Nurses Association](https://appshunter.io/developer/941188785) | [Apex Innovations](https://appshunter.io/developer/1669590580) |

## What reviewers say

### ENA University

[App page](https://appshunter.io/ios/app/ena-university/id1598382372)

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.

**Highlights:** Personalized learning programs, Innovative education resources, Skillset improvement, Patient care quality enhancement, CNE hour earning, Offline content download

**Features:** macOS Compatibility

**In-app purchases:** none

**What reviewers like**

- 👍 Easy to navigate
- 👍 Knowledge at hand
- 👍 Handy app
- 👍 Good alternative to doom scrolling
- 👍 Easy access to ENA University

**What reviewers complain about**

- 🐛 Doesn't work on phone for coursework
- 🐛 App tells user to turn phone, but doesn't help
- 🐛 Cannot access TNCC course under ENPC/TNCC
- 🐛 Useless for TNCC coursework
- 🐛 App shows no courses available

**Reported bugs**

- 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

**Requested features**

- Update to the newest edition (9th edition)
- Make app more user-friendly
- Reduce the number of clicks required for navigation


### NIHSS+

[App page](https://appshunter.io/ios/app/nihss-plus/id1669590578)

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.

**Highlights:** Stroke symptom evaluation, Digital learning format, Accurate stroke assessment guidance, Tips and tricks for assessment, Telestroke situation support, Educational training

**Features:** Vision Pro support

**In-app purchases:** none


## Frequently asked questions

### Is ENA University free?

ENA University is free to download, with no in-app purchases.

### Is NIHSS+ free?

NIHSS+ is free to download, with no in-app purchases.

### Which has better reviews, ENA University or NIHSS+?

ENA University is rated higher. ENA University averages 4.6 out of 5 from 349 ratings, while NIHSS+ averages 4.4 from 8 ratings.

### Do ENA University or NIHSS+ have ads?

Neither ENA University nor NIHSS+ shows ads.

### Which is updated more often, ENA University or NIHSS+?

ENA University ships an update every 8 months, and NIHSS+ every 2 weeks. Most recently, ENA University was updated on September 22, 2026 and NIHSS+ on August 30, 2026.

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*Compared by [AppsHunter](https://appshunter.io/) from daily US App Store data. Review summaries are generated from verbatim App Store reviews.*