응급실 중증도 분류 간호사의 의사결정과정에 나타난 사고전략: 소리내어 생각하기

문선희,박연환,Moon, Sun Hee,Park, Yeon Hwan 한국중환자간호학회 2016 중환자간호학회지 Vol.9 No.1

Purpose: The aim of this study was to identify thinking strategies in the complicated decision-making process based on real patient-based data of triage nurses in the emergency department (ED). Methods: This study used the 'think aloud' method to collect data from 8 triage nurses from one general hospital ED in South Korea. The data were analyzed with protocol analysis using thinking strategies. Results: The triage process was divided into three stages. The first stage consisted of 8 thinking strategies, including searching for information. They used intuition based on directly observed concepts for identifying a crisis. The second stage consisted of 17 thinking strategies related to the decision-making process. They assessed patients and generated a hypothesis to try to understand their health problems through analytic thinking. The third stage consisted of 10 thinking strategies, including qualifying. They considered the situation of the ED and properly triaged the patients. During the triage process, they frequently used judging the value and searching for information on 17 thinking strategies. Conclusions: Triage nurses demonstrated various connected thinking strategies for each stage. Based on our results, further studies should be done to develop a triage education program.

응급실 간호사의 중증도 분류 역량에 대한 개념분석

문선희,박연환,Moon, Sun Hee,Park, Yeon Hwan 한국중환자간호학회 2017 중환자간호학회지 Vol.10 No.3

Purpose : This concept analysis identified attributes and defined triage competency among emergency nurses. Method : Walker and Avant's approach was used to guide the concept analysis. A literature review was completed including 26 studies, 5 reports of related associations, and 5 books. Results : The concept of triage competency in emergency nurses was identified as five attributes: clinical judgment, expert assessment, management of medical resources, timely decision, and communication. Antecedents of the concept were triage education and emergency room experience. The consequences of the concept were efficiency of care, patient rating, and safety. Triage competency in emergency nurses was defined as the comprehensive ability to prioritize patients' urgency and allocate limited medical resources. Conclusion : This study is meaningful since it clarified triage competency among emergency nurses. The attributes and empirical indicators of this study will likely lay the foundation for development of triage competency metrics.

깊이 버퍼 테스트와 의사 번스타인 다항식 계수 보정을 이용한 3D 디지털 의복 데이터의 2D 벡터화 저장 기법

문선희,김성민,설인환,Moon, Sun Hee,Kim, Sung Min,Sul, In Hwan 한국섬유공학회 2016 한국섬유공학회지 Vol.53 No.5

This paper presents a novel technique to express 3D digital garment data as 2D vectorized graphic file format. The 3D garment mesh data, generated by 3D apparel CAD systems, were projected to 2D image plane, maintaining the triangular mesh and color information. The projected image was saved as scalable vectorized graphics (SVG) file format. Each triangle element comprised of three triangular components to express Gouraud shading. To preserve the in-plane continuous Gouraud shading, pseudo-Bernstein polynomial coefficient was adopted. The proposed method was compared with the results of conventional 2D raster-type images.

응급실 체류 중에 의식이 저하된 환자의 특성

문선희(Sun-Hee Moon) 한국산학기술학회 2018 한국산학기술학회논문지 Vol.19 No.10

본 연구는 내원 당시에는 의식이 명료했으나 응급실 체류 중에 의식이 저하된 환자의 특성을 의식이 명료한 환자와 비교하여 파악하기 위한 후향적 조사연구이다. 연구대상은 일개 응급실에 방문한 응급환자 중 내원 당시에는 의식이 명료했으나 내원 후 의식저하를 보인 환자 90명과 내원당시 의식이 명료했으며 응급실 체류 중에도 의식저하가 없는 환자 중 무작위 추출한 100명이었다. 연구결과 의식저하 군은 의식명료 군에 비해 뇌혈관 질환, 간질환, 당뇨, 고혈압의 기저질환이 많았다(p=.001, p=.003, p<.001, and p=.002, respectively). 중증도 분류 결과 의식저하 군은 의식명료 군에 비해 중증도가 높았다(p<.001). 의식저하 군의 최종 진단명은 신경계 질환 64.9%, 소화기계 질환 63.3%로 의식명료 군과 차이가 있었다(p<.001). 의식저하 군 중 56명(62.2%)은 응급실 간호사에 의해 의식저하 상태가 발견되었다. 의식저하 군 중 9명은 심정지가 발생하여 심폐소생술을 받았다. 본 연구결과 응급실 간호사는 응급실 내원 당시 의식이 명료하더라도 중증도가 높고, 신경계 질환이나 소화기계 질환이 의심되는 환자는 의식수준을 자주 사정해야 함을 시사한다. This was a retrospective study that compared the characteristics of patients with decreased mental status (DMS) during their stays in an emergency department (ED) with that of patients with alert mental status (AMS). The participants in this study consisted of 90 patients with DMS who were staying in an ED along with 100 randomly selected patients with AMS. The DMS group contained more instances of cerebrovascular disease, liver disease, diabetes, and hypertension compared to the AMS group (p=0.001, p=0.003, p<0.001, and p=0.002, respectively). With regard to triage, the DMS group had higher severity than the AMS group (p<.001). The final diagnosis for the DMS group was as follows: 64.9% neurological and 63.3% related to the digestive system, which differed from that of the AMS group (p<.001). Fifty-six (62.2%) patients with DMS had their statuses discovered by nurses, while nine patients in the DMS group had received cardiopulmonary resuscitation. These results suggest that ED nurses frequently assess the consciousness of patients who they suspect may have neurologic or digestive diseases and are classified as high severity, even when the patients are alert.

기업복지제도가 기혼 직장여성의 가정생활과 직무 만족에 미치는 영향: 가족친화제도의 효과

문선희 ( Sun Hee Moon ) 한국가족복지학회 2013 한국가족복지학 Vol.18 No.1

국내 응급실에서 간호사의 중증도 분류역량에 영향을 주는 요인

문선희(Sun-Hee Moon) 위기관리 이론과 실천 2021 Crisisonomy Vol.17 No.3

본 연구의 목적은 국내 응급실 간호사의 중증도 분류 역량에 영향을 주는 요인을 확인하기 위한것이다. 우리는 2016년 8월부터 2017년 5월까지 국내 18개 응급의료센터 수집한 225개의 원 자료를2차 분석하였다. 자료는 서술적 분석, t-test, one-way ANOVA, 다중회귀분석의 방법으로 분석되었다. 대상자의 중증도 분류 역량은 연령(F=5.23, p=.002), 임상경험(F=7.79, p<.001), 응급실 경험(F=4.88, p=.003)에 따라 유의한 차이를 보였다. 대상자의 중증도 분류 역량에 영향을 주는 요인은 대안이나선택지 탐색(β=.33, p<.001), 가치와 목적에 대한 검토(β=.29, p<.001), 중증도 분류 경험(β=.15, p=.008), 지식(β=.14, p=.015), 응급실 경험(β=.13, p=.023) 순 이었다. 이러한 요인들이 중증도 분류역량의 36.4%를 설명하였다. 응급실 간호사의 중증도 분류 역량을 향상시키기 위해서 본 연구에서확인된 다양한 요인들을 고려한 전략적인 중재가 필요할 것이다. This study identified factors that influenced triage competency among nurses working in emergency departments in Korea. As such, we conducted a secondary analysis of 225 original questionnaires collected from 18 emergency centers in Korea from August 2016 to May 2017. Relevant data were analyzed via descriptive statistics, t-tests, one-way ANOVA, and a multiple linear regression. Among respondents, we found that the level of triage competency significantly differed based on age (F=5.23, p =.002), nursing experience (F=7.79, p<.001), and emergency department experience (F=4.88, p=.003). Meanwhile, the factors that influenced triage competency included the search for alternatives or options (β=.33, p<.001), canvassing of objectives and values (β=.29, p<001), triage experience (β=.15, p=.008), triage knowledge (β=.14, p=.015), and emergency department experience (β=.13, p=.023); these factors accounted for 36.4% of the variance in triage competency. Strategic interventions aimed at enhancing triage competency among emergency nurses should be developed in consideration of these factors.

차의 폴리페놀성분과 그 기능성

문선희(Sun Hee Moon),Protiva Rani Das,은종방(Jong Bang Eun) 한국차학회 2016 한국차학회지 Vol.22 No.3

Tea is one of the most widely consumed beverages in the world due to its attractive color, flavor and health benefits. It has been used as a source of phenolic compounds. The phenolic compounds in tea are hydroxybenzoic acids such as gallic acid, vanillic acid, galloylquinic acid protocatechuic acid, coumaryl quinic acid and galloylated derivatives. Hydroxybenzoic acids have the potential to treat different health complications. Phenolic acid is considered to be a strong antioxidant likely antidiabetic, anticancer, antimicrobial, and neuroprotective activity. The connection between tea consumption and its health benefits is related to its phenolic compound contents. Tea is extremely rich in gallic acid derivatives which exhibit free radical scavenger activity, as well as inducing apoptosis. Therefore, in this study, the phenolic compounds in tea and their physiological effects, which have been reported in various studies, are discussed. Simultaneously, the primary identified phenolic compounds of tea are summarized and their related properties are examined in detail.

고려시대『妙法蓮華經』寫經變相圖의 도상 연구

문선희(Moon Sun-Hee) 한국미술사학회 2009 美術史學硏究 Vol.264 No.264

응급실 간호사의 중증도 분류 역량 측정도구 개발

문선희(Moon, Sun Hee),박연환(Park, Yeon Hwan) 한국간호과학회 2018 Journal of Korean Academy of Nursing Vol.48 No.3

손자녀를 돌보는 조모의 심리적 복지감에 대한 사회관계망의 효과

문선희 ( Sun Hee Moon ) 한국가족복지학회 2015 한국가족복지학 Vol.20 No.1

The purpose of this study is to explore, first, which factors influence the rearing of grandchildren and then, second, how the social networks of grandmothers impact their psychological well-being. Drawn from the fourth wave of the Korean Longitudinal Study of Aging (KLoSA), 3,289 women above the age of 51 with one or more grandchildren were selected for this study. The findings are as follows; first, the support of family members is the strongest factor influencing the psychological well-being of grandmothers raising their grandchildren. Raising their grandchildren may be a burden on their daily lives, but support from their family members reduces the stressors of childrearing. Second, focusing on social networks as a resource is important to increase the psychological well-being of grandmothers. It implies that intangible resources such as trust and intimacy strengthened by informal meetings and friendships can be important factors determining the quality of later life. Lastly, childrearing by grandmothers should be supported at a social policy level. Furthermore, informal childcare by family members or relatives would continue even with the increase of public daycare centers and monetary support for grandmothers raising their grandchildren. These findings imply that the attempt to improve the quality of life for grandmothers raising their grandchildren acts as an agent in creating well-being derived from voluntary intentions, and not just passive beneficiary of policy.