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Biomedical subjects

V M Littlefield

Publications and source records attributed to V M Littlefield.

7 recordsLinked to original sources

Participation in alternative care: relationship to anxiety, depression, and hostility.

Women's psychological mood and its relationship to satisfaction with participatory perinatal care was examined using a two-group evaluation design of convenience samples (N = 99). Women entered the perinatal experience with similar degrees of anxiety, depression and hostility, but contrary to prediction, the type of perinatal experience, conventional or alternative, was not associated with their psychological mood. However, women in both groups reported less anxiety 2 to 3 days and 4 weeks after delivery than they reported having in general prior to delivery. Women who were more satisfied with care and their participation in care, regardless of whether they had an alternative or conventional perinatal experience, reported less anxiety and depression immediately post delivery. In 4 weeks, satisfaction and participation in care were still negatively related to anxiety.

Adult↗

Patient participation in alternative perinatal care: impact on satisfaction and health locus of control.

Women's degree of participation, satisfaction, and change in health locus of control after giving birth in an alternative birthing unit was examined. A quasiexperimental two-group design of convenience samples (N = 99) was used to compare differences and evaluate the care given. An alternative birthing experience increased women's sense of participation and related to women's satisfaction, but did not change internal scores on the Multidimensional Health Locus of Control Scales. Women's reliance on powerful others increased post delivery. Complications were negatively related to selected aspects of women's satisfaction in labor and delivery, but positively related to satisfaction with antepartal care.

Adult↗

Visual-field displacements in human beings evoked by accoustical transients.

Sixty-two of 133 subjects reported visual-field displacements when they were exposed to intense (125 dB SPL) repetitive audiofrequency transients. This phenomenon was investigated in three experiments. Frequency (100-5000 Hz) was varied in experiment I; repetition rate (0.5/s--6.0/s) was varied in experiment II; acoustical transient onset/offset time (0.2--25 ms) was examined in experiment III. The results of these three experiments indicated that the largest proportion of displacement reports and the largest perceived motion magnitudes followed stimulation in the 500- to 1000-Hz frequency range at repetition rates of about 1/s. Response differences as a function of onset/offset time were erratic. The pattern of results obtained in this study, in conjunction with the results of previous investigations of acoustical vestibular stimulation, suggests that the visual-field displacments resulted from stimulation of the receptors of the vestibular system. These experiments may account for discrepancies in reports of infrasound-evoked eye movements. Finally, it is suggested that intense sound exposure may damage the vestibular receptors with or without concomitant damage to the auditory portion of the membranous labyrinth.

Acoustic Stimulation↗

Creating an administrative structure to support faculty governance: a participatory process.

Change in academic units is essential but challenging to new deans. This article describes principles of change applied to academic departments in general and a specific description of how one well-established academic unit in nursing changed its administrative structure. The goal of the dean in creating a new structure was to facilitate faculty governance. The process used was one of faculty participation and involvement in decision making. Evaluation of the effectiveness of the new structure provided support for how well it was working and suggestions for refinement. The entire process and the reflection on how and when to make changes when one is new to the position of dean will provide insight for others in similar positions.

Decision Making, Organizational↗

Conflict resolution: critical to productive schools of nursing.

Conflict, a normal component of university life, is enhanced in today's schools of nursing because of declining resources and increased expectations of faculty. Management of conflict for positive change and increased productivity is essential for academic leaders. A variety of strategies to diagnose, confront, and resolve conflict are important resources to facilitate change and allow faculty and administrators to respond to new opportunities and challenges. Collaboration and win/win strategies are ideal, but not always possible. Alternative approaches to confront destructive conflict, yet present options that benefit individuals as well as schools are also essential.

Attitude of Health Personnel↗