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Biomedical subjects

L Snell

Publications and source records attributed to L Snell.

38 records · Page 3Linked to original sources

Biofeedback-assisted relaxation to reduce stress in labor.

OBJECTIVE: To test the feasibility and effectiveness of incorporating biofeedback-assisted relaxation techniques into routine instruction in Lamaze classes. DESIGN: A quasi-experimental design (static groups comparison) was used. SETTING: Lamaze classes. PARTICIPANTS: A convenience sample of 33 subjects recruited from 12 Lamaze classes. MEASURES: Duration of first-stage labor, amount of sedation and analgesia during first-stage labor, number of complications, and 1- and 5-minute Apgar scores of the neonates. RESULTS: The experimental subjects reported greater stress during labor than did the control subjects. CONCLUSIONS: Although the supplementary instruction in reducing stress seemed to promote relaxation during the prenatal classes, it did not reduce distress during labor and delivery because no mothers attempted to use the technique at that time.

Adult↗

Planning change in scheduling practices: a theoretical perspective.

The dynamic nature of today's health care environment requires innovation and creativity in organizational structure and management style. Some of the most essential concerns of nursing staff today are related to quality of working life, and perhaps a central focus for most nurse employees is a scheduling system which offers the flexibility necessary for them to respond to an active personal and professional life. This paper describes the utilization of change theory in operationalizing new scheduling practices with four unique nursing groups. The self designed master rotation and a self scheduling process are two examples of innovative change implemented by four nurse managers. Each participative management approach is presented in relation to the phases of Lewin's change process. Strategies include a needs assessment survey, facilitating staff participation in the design, implementation and evaluation of a new scheduling practice and encouraging group responsibility for the process and outcome of the planned change.

Decision Making, Organizational↗