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.

일반 소비자와 피부미용 종사자의 화장품 안전성에 대한 인식 비교

문선희 ( Sun Hee Moon ),한삼성 ( Sam Sung Han ),김영희 ( Young Hee Kim ),유왕근 ( Wang Keun Yoo ),김경호 ( Kyung Ho Kim ) 대한미용학회(구 대한미용과학회) 2018 대한미용학회지 Vol.14 No.3

Here, we examined factors relevant to awareness of cosmetic safety between general consumers and skin care workers and provide basic information for the: i) establishment of effective policies relating to cosmetic safety management and ii) development of education programs. Survey data relating to cosmetics were collected between May 1 and July 31, 2016 from 597 general consumers and skin care workers living in the Daegu or Gyeongbuk regions. This study revealed that skin care workers have higher levels of concern for cosmetic safety than general consumers. Additionally, the percentage of consumers experiencing adverse reactions related to cosmetic usage was 27.8%. In order to strengthen the effective management of cosmetic safety, comprehensive measures are needed (eg, strengthening educational programs for general consumers and skin care workers) to provide: i) consumer-focused information on cosmetic ingredients and usage and ii) more concerted efforts by government and industry on cosmetic safety management.

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.

제주 농촌관광마을 방문객의 농가민박 서비스품질 만족도 연구

문선희(Seon-Hee Moon),박덕병(Duk-Byeong Park),김경희(Kyung-Hee Kim) 한국농어촌관광학회 2010 농어촌관광연구 Vol.17 No.1

The study aims to investigate the profile of a tourists for each type of accommodation offered at a rural holiday destination. Data were collected from 308 people by field survey in rural areas. The study indicates that consumer prefer farmstay to difference accommodation in rural areas. This investigation is evident that the individuals who choose farmstay at a rural accommodation were satisfied with farm householder’s kindness, reservation, and room size. Individual service factor as farmstay’s facilities and active is more satisfied than it’s relational service factor as village’s event and product. It is important to have organic network among rural tourism organizations. It should be noted that we have information on the characteristics and satisfactions of the consumers in order to improve farmstay’s service quality in rural tourism.

실크로드

문선희(Moon Sunhee) 현대건축사 2015 (월간)Maru Vol.154 No.-

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.

제주 농촌관광 방문객의 체험프로그램 선호 및 만족도 연구

문선희 ( Seon Hee Moon ),박덕병 ( Duk Byeong Park ),김경희 ( Kyeong Hee Kim ) 한국농촌지도학회 2009 농촌지도와 개발 Vol.16 No.4

Rural tourism is a multi-faceted activities rather than farm-based tourism only. The study aims to investigate the profile of a consumer for each type of preferences of tourism activities. Data were collected from 308 people by field survey in rural areas. The study indicates that consumer satisfied with farmer`s kindness and farmer`s knowledge above all difference factors on tourism activities. The most preferences of activity`s factor is program`s quality which is include variety, characteristics, interest without regard to sex, age, companion. Both `walking on the road` and `climbing the Orum` is more likely than difference activities. It is important to have information on the characteristics and preferences of the consumers of the different types of tourism activities to develop program in rural tourism.

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