단순화 QFD를 적용한 의료서비스 품질 향상

전나미 ( Na Mi Chun ) 한국경영공학회 2014 한국경영공학회지 Vol.19 No.1

Despite various advantages of Quality Function Deployment, QFD has not been well utilized in the area of Korean healthcare services due to its complicated deployment process. This article developed a simplified two step QFD model through literature review and two identified sample cases. QFD model in this study focused on function planning and solution planning that could easily be applied to the busy hospital setting for quality improvement. Application of NHPP(Non Homogeneous Poison Process) was also suggested in order to provide healthcare service institutions efficient management strategies to attain the goal by evaluating outcomes, predicting and keeping track of the level of improvement. The simplified QFD model and its application based on the customer needs could be an useful method for identifying the functional quality of services and translating it to the solution planning. This result could contribute to the improvement of customer satisfaction and qualities in healthcare service. NHPP model could be utilized to measure the outcomes of QFD application.

의료서비스의 안전성 향상을 위한 효율적인 FMEA 적용방안

전나미 ( Na Mi Chun ) 한국경영공학회 2015 한국경영공학회지 Vol.20 No.4

Medical incidents occur when medical services are not properly performed as they were originally intended, or due to the error at the planning stage before implementation of practice. Experts emphasized medical errors occur not because of carelessness or incompetence but because of structure or delivery process of healthcare system. Although FMEA was developed to manage failure and risk of products in the manufacturing field, it has been increasingly utilized in the healthcare field for quality improvement and cost effectiveness. FMEA has been applied on a variety of healthcare services such as medication, chemotherapy, critical care, neonatal care, blood transfusion, and management of medical equipment in order to prevent medical incidents and to improve service quality. Purpose of this study was to review utilizations of FMEA in the healthcare field on safety issues and to provide strategies to improve healthcare quality and prevent medical incidents by applying FMEA effectively. Problems were identified by analyzing cases in adopting tools originally developed for manufacturing field to healthcare field and improvement ways were proposed.

성인 여성의 대사증후군 및 대사증후군 진단요인 유병률

전나미(Chun Na-mi),채현주(Chae Hyun Ju) 한국기초간호학회 2018 Journal of korean biological nursing science Vol.20 No.4

Purpose: The purpose of this study was to investigate the prevalence of metabolic syndrome and diagnostic components in adult women. Methods: The subjects of this study were 12,016 women that were aged twenty years or older and underwent an annual health check-up for National Health Insurance Service (NHIS) from 2009 to 2013. Data including blood pressure, waist circumstance, fasting glucose, triglyceride, and high density lipoprotein cholesterol (HDL-C) were received from the NHIS. This data was analyzed through the use of descriptive statistics, x²-test, and multiple logistic regression. Results: The prevalence of metabolic syndrome and diagnostic components increased with age. In the five diagnostic components of the metabolic syndrome, the prevalence of low HDL-C was highest in 20s to 40s. The prevalence of high blood pressure was highest in the people aged fifty or older. The risk of metabolic syndrome in 2013 was higher in women with abnormal diagnostic component of metabolic syndrome in 2009 and highest in women with abnormal waist circumstance in 2009. Conclusion: There was a need to investigate the prevalence of metabolic syndrome components according to age. Education on metabolic syndrome was required for those that had one or two abnormal diagnostic components. The risk of abdominal obesity related to metabolic syndrome needs to be emphasized. Moreover the education for management of abdominal obesity also needs to be emphasised.

여성의 생애주기별 골건강 문제 및 골밀도 영향요인: 2010년 국민건강영양조사 자료 이용

전나미 ( Na Mi Chun ),채현주 ( Hyun Ju Chae ) 여성건강간호학회 2015 여성건강간호학회지 Vol.21 No.1

Purpose: This study was conducted to identify the problem of bone health and potential influencing factors of bone mineral density (BMD) for women across the life cycle of menopause. Methods: Complex sampling design data analysis was performed on the fifth Korea National Health and Nutrition Examination Survey 2010 in order to identify the problems with bone health, BMD and its influencing factors in 3,499 women who answered the menopausal status. Women’s life cycle was categorized by premenopausal, postmenopausal, and elderly. Results: 35.1% of premenopausal women, 73.3% of postmenopausal women, and 96.0% of elderly women had problems with bone health that were related to low BMD. Influencing factors of BMD were residential area, alcohol drinking, and body mass index (BMI) for premenopausal women; age, residential area, education, marital status, income, and BMI for postmenopausal women; and age, education, and BMI for elderly women. Conclusion: Problems with bone health required to be considered as a major health problem in all women regardless their life cycle. Interventions to maximize BMD need to be developed by considering its influencingfactors across the women``s life cycle.

부인암 환자의 성기능 조사

전나미 ( Na Mi Chun ),박영숙 ( Young Sook Park ) 한국여성건강간호학회 2006 여성건강간호학회지 Vol.12 No.4

성교육 프로그램이 여대생의 성지식과 성적 자율성에 미치는 효과

전나미 ( Na Mi Chun ) 여성건강간호학회 2012 여성건강간호학회지 Vol.18 No.2

Purpose: The purpose of this study was to evaluate the effect of the sexual education program on female college students` sexual knowledge and sexual autonomy. Methods: The integrative 5-week (15 hour) sexual education program reflecting control and coping aspects of sexual autonomy was developed based on self- determination theory. 59 female students were assigned to the experimental (n=29) and the control group (n=30). Students completed the sexual knowledge and the sexual autonomy questionnaires at prior to the program, right after and 10 weeks after the completion of the program. Independent t-test were used to test the effectiveness of the program. Results: Significant group differences were found on sexual autonomy score right after and 10weeks after the completion of the program. No significant group differences were found on sexual knowledge at any time after the program completion. Conclusion: The results indicate that the 5-week Sexual Education Program was effective in increasing female college students`` sexual autonomy. Nursing professors majoring women`s health nursing may contribute to improving college students`` sexual autonomy by opening the sexual education program as a general elective curriculum. Strategies to improve sexual knowledge need to be considered for better effectiveness of the programs.

간호학생의 여성건강간호학 임상실습 경험 및 만족도 조사

김윤미 ( Yun Mi Kim ),전나미 ( Na Mi Chun ),이은희 ( Eun Hee Lee ),조인숙 ( In Sook Cho ),안숙희 ( Suk Hee Ahn ),김증임 ( Jeung Im Kim ),허명행 ( Myung Haeng Hur ),이숙희 ( Sook Hee Lee ),이혜경 ( Hae Kyung Lee ),정재원 ( Chae Weo 여성건강간호학회 2011 여성건강간호학회지 Vol.17 No.3

Purpose: The purpose of this study was to identify students` experiences of performance and their satisfaction with clinical nursing practice in Women`s health nursing. Methods: Data was collected using questionnaire consisting of 104; 89,; and 82 nursing activities with 12; 10; and 7 domains for delivery floor, obstetric, and gynecologic wards retrospectively. Five hundred ninety nursing students from 10 four year and one three year colleges, were recruited and selected for data collection. Results: Site specific core nursing activities among top 15 items of performed experience were: interpreting fetal monitoring; massage for pain reduction; breathing technique; perineal pad change; non stress test; manual check for uterine contraction; and position change for the delivery floor. Experiences of clinical nursing practice for the obstetric ward and the gynecologic ward were identified and ranked as well. Observation of delivery, measurement & test during labor and observation of anesthesia and operation were the highest ranked activity domains of satisfaction for delivery floor, obstetric and gynecologic wards retrospectively. Conclusion: Discussions are needed to standardize curriculum for clinical practice in women`s health nursing initiated at the level of Korean Society of Womens` Health Nursing by reflecting this result. Strategic approaches are emphasized in order to enhance a collaboration between clinical fields and colleges.

부인암 환자의 복합항암화학요법 후 가정간호중재 효과

황문숙,송현주,전나미,노기옥,Hwang, Moon-Sook,Song, Hyun-Joo,Chun, Na-Mi,Noh, Gie-Ok 한국가정간호학회 2007 가정간호학회지 Vol.14 No.1

Purpose: This study was designed to evaluate the effect of home care nursing intervention with parenteral hydration and IV anti-emetic therapy on distress, nutritional status, anxiety, depression and QOL in gynecologic cancer patients who were undergoing combination chemotherapy. Methods: Quasi-experimental design was used to test the intervention. Changes of result variables were measured to evaluate effects of the intervention. variables consisted of serum lab results(auto analytic equipment for lab), symptom distress Scale(McCorkle & Young, 1978; Song et al., 2000), nutritional status(body weight, circumference of upper arm, serum protein, serum albumin, oral intake per day), anxiety(Spielberger, 1972; Kim & Shin, 1978), depression(Zung, 1965; Kim, 1995) and QOL(Padilla et al., 1983; Lee & Jo, 1996). Subjects were selected among gynecologic cancer patients(EG 15 patients and CG 15 patients) by convenient sampling. Data collection was done from June to Nov. in 2000. Data were analyzed by Chi-test and Mann-whitney U test using SPSS Win 10.0. Result: Hypothesis 1, the EG receiving this intervention equals to lab test(Hb & ANC, GOT & GPT, BUN & Cr) the CG, was supported(u=69.50 p=.074; u=94.50, p= .455; u= 89.50, p= .339; u=106.50, p= .803; u=75.00, p= .119; u=97.50, p= .523). Hypothesis 2, the EG has less symptom distress than the CG, was also supported(u=43.50, p= .004). Hypothesis 3, the EG has higher nutritional status than the CG, was partially supported on daily oral intake (u=59.00, p= .025). Hypothesis 4, the EG has less anxiety than the CG, was rejected(u=86.50, p= .280). Hypothesis 5, the EG has less depression than the CG, was rejected(u=203.50, p= .228). and the last hypothesis 6, the EG has higher QOL than the CG was supported (u=51.50, p= .011). Conclusion: Home care nursing intervention undergone in this study was found to be effective to reduce patients' symptom distress and to improve their oral intake and QOL.

출산 후 여성의 체중 감소 기대치에 대한 영향 요인

여정희 ( Jung Hee Yeo ),전나미 ( Na Mi Chun ) 여성건강간호학회 2014 여성건강간호학회지 Vol.20 No.2

Purpose: The purpose of this study was to identify factors influencing desired postnatal weight loss in women afterbirth. Methods: With correlational survey design, 191women of the study participants completed questionnaires on their desired postnatal weight loss and related factors, and body and health concerns during their hospitalization after birth. Data were collected from February to May, 2011. Data were analyzed using t-test, ANOVA, Pearson correlation coefficients, and multiple linear regression. Results: The women``s gestational weight gain, pre-pregnant BMI, body concerns, expected time to reach the desired weight after birth and health concerns were identified as factors influencing desired postnatal weight loss in women after birth. The model explained 68% of the variance. Conclusion: Results suggest that nurses in women’s health care should consider women’s gestational weight, pre-pregnant BMI and their body concerns, health concerns and expected time to reach the desired weight after birth when developing weight management program for women after birth.

국가 간호·간병통합서비스에 대한 의료서비스 고객만족도와 충성도의 상관관계

장복순 ( Jang Bok-sun ),전나미 ( Chun Na-mi ) 한국경영공학회 2017 한국경영공학회지 Vol.22 No.3

The purpose of study was to identify correlations between customer satisfaction and loyalty in health care service focused on the comprehensive nursing care medical service. 152 subjects who were admitted in the comprehensive inpatient nursing care unit answered the questionnaire on customer expectation, satisfaction and loyalty. Customer expectation were 3.88 and satisfaction were 4.11 on the 5-point likert scale. Discrepancies were noted between customer expectation and satisfaction. The highest discrepancies between customer expectation and satisfaction were service responsiveness with 3.86 points of expectation and 4.25 points of satisfaction. Customer loyalty showed 4.23 points on 5-point likert scale. Significant correlations were noted among customer satisfaction and all categories of loyalty, intention to reuse despite unfavorable hours, distance, cost to use and intention to recommend hospital. Results indicate that the comprehensive inpatient nursing care services were effective health care system on customer satisfaction and loyalty.