U-M School of Nursing team develops software to track work of nurses and results

October 02, 2002

ANN ARBOR---The Barbara Ann Karmanos Cancer Institute, Spectrum Health and Trinity Health Organization are among the groups hoping that funds come through for a new computer application designed by U-M to track how nurses treat illness and the outcomes of that care.

A team from the U-M School of Nursing developed a program called Hands-on Automated Nursing Data System (HANDS) and after a series of beta tests of a CD-ROM version, they hope to begin operating a secured, Web-based update of HANDS for use by nurses. Several facilities have begun preparations to use HANDS at one or more of their locations, pending funding to move the software from prototype into operational status. The program's developers hope to get word this fall about funding.

University of Michigan Hospital and Health Centers has contributed to the project and plans to use the application in one Health System unit later this year. The Veterans Health Administration also is a potential partner for collaboration.

Using a series of pull-down menus with dozens of terms approved by nursing professional groups, nurses enter diagnoses, treatments and outcomes for each patient.

These are not transcriptions of doctors' information but the nurses' own observations of their patients' health conditions and records of what they did by doctors' requests as well as the ways in which they used their experience to enhance treatment. For example, a nurse entering notes on a patient with severe arthritis might record what medications or movement therapy he or she provided to help the physical ailments and might also note an educational plan to teach the patient how to function better at home.

One goal of HANDS is to give health care professionals a more holistic sense of what's ailing a patient, what's been done, what's worked and what hasn't, said Gail Keenan, assistant professor at U-M School of Nursing and leader of the HANDS project. Taken collectively, the data---collected in a way that protects patient confidentiality---also can help show which nursing activities lead to the best patient outcomes.

Keenan is not yet sure whether HANDS will become a self-sustaining project, perhaps through selling benchmarking studies or spinning it off to a private company, or whether grants might pay for its use at additional sites. Keenan had hoped a commercial software company would develop a program to provide these functions, but when the private sector didn't show interest, she and nursing colleagues decided not to wait and to do it themselves.

Keenan began work on HANDS four years ago with help on the project from Marcy Treder, project manager; Crystal Heath, systems analyst; Sharie Falan, research associate, and Julia Stocker, nursing doctoral student.

During its four years, the HANDS project has received funding of about $1 million, including indirect support from the National Institutes of Health, as well as support from the U-M Hospital and Health Centers and private foundations.
-end-
For more information, visit http://www.umich.edu/~handsmi/ and
U-M School of Nursing: http://www.nursing.umich.edu/
Producers: U-M has professional TV studios and uplink capabilities.

The University of Michigan
News Service
412 Maynard
Ann Arbor, MI 48109-1399


University of Michigan

Related Health Articles from Brightsurf:

The mental health impact of pandemics for front line health care staff
New research shows the impact that pandemics have on the mental health of front-line health care staff.

Modifiable health risks linked to more than $730 billion in US health care costs
Modifiable health risks, such as obesity, high blood pressure, and smoking, were linked to over $730 billion in health care spending in the US in 2016, according to a study published in The Lancet Public Health.

New measure of social determinants of health may improve cardiovascular health assessment
The authors of this study developed a single risk score derived from multiple social determinants of health that predicts county-level cardiovascular disease mortality.

BU study: High deductible health plans are widening racial health gaps
The growing Black Lives Matter movement has brought more attention to the myriad structures that reinforce racial inequities, in everything from policing to hiring to maternal mortality.

Electronic health information exchange improves public health disease reporting
Disease tracking is an important area of focus for health departments in the midst of the COVID-19 pandemic.

E-health resource improves men's health behaviours with or without fitness facilities
Men who regularly used a free web resource made significantly more health changes than men who did not, finds a new study from the University of British Columbia and Intensions Consulting.

Mental health outcomes among health care workers during COVID-19 pandemic in Italy
Symptoms of posttraumatic stress disorder, depression, anxiety and insomnia among health care workers in Italy during the COVID-19 pandemic are reported in this observational study.

Mental health of health care workers in china in hospitals with patients with COVID-19
This survey study of almost 1,300 health care workers in China at 34 hospitals equipped with fever clinics or wards for patients with COVID-19 reports on their mental health outcomes, including symptoms of depression, anxiety, insomnia and distress.

Health records pin broad set of health risks on genetic premutation
Researchers from the University of Wisconsin-Madison and Marshfield Clinic have found that there may be a much broader health risk to carriers of the FMR1 premutation, with potentially dozens of clinical conditions that can be ascribed directly to carrying it.

Attitudes about health affect how older adults engage with negative health news
To get older adults to pay attention to important health information, preface it with the good news about their health.

Read More: Health News and Health Current Events
Brightsurf.com is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com.