broader issues are examined. Issues included are: definition of nursing,

nursing knowledge, changing education, changing practice, quality assurance, gover- nance, government intervention, cost effec- tiveness, personal and political assertiveness, role conflict, cultural diversity, and ethics. Al- though some of these may seem too broad to be recognizable current issues, the debates and viewpoints clearly explain and elaborate the specific issues. For example, there are debates on independent nursing practice, doc- toral education, entry into practice, nurse prac- titioners, continuing education, nursing's role in governance, discrimination, and cost effec- tiveness in nursing.

The viewpoint chapters take the reader to the heart of the issues. They encompass mate- rial on: nursing theories, clinical specialization, generating nursing knowledge, research ethics, external degrees and open curriculum, educational preparation for nursing faculty, joint practice, the hospice movement, creden- tialing in nursing, alternatives to hospital nurs- ing, collective bargaining, consumer rights, faculty practice, the public image of nursing, unification of nursing practice and education, ethnicity and cultural diversity.

This collection is comprehensive. The editors' introduction to each section helps tie the enormous amounts of material together. The collection is strengthened by the knowl- edge and prestige of many of its contributors. There is careful identification of the complexity of the issues and perceptive analysis. I espe- cially appreciate the debates. As with all collec- tions, however, there is some uneveness and some repetition.

I would recommend this book for use in undergraduate and graduate courses con- cerned with issues and prQblemS in nursing. I would also recommend it to faculty who teach such courses, as well as to others who may need to increase their knowledge of these is- sues. Any nurse concerned about the many complex issues before nursing will also profit from this contribution to the nursing literature.

Clifford H Jordan, RN AORN executive director designate

Denver

Time Management for Health Care Profes- sionals. Steven H Appelbaum, Walter F

Rohrs. Aspen Systems Corp, 1600 Research Blvd, Rockville, Md 20850, 1981, 260 pp.

There is a growing problem with our ability to manage time constructively, and Appelbaum and Rohrs have some helpful advice. In this book, they provide a model of effective time management, which they describe as both an art and a science.

This is an enjoyable book. It begins with some witty, yet significant comments on the importance of time and how it is used today. One anecdote recalls that in 1931, the Empire State building was completed only 14 months after the ground breaking. But the Phillip Hart Senate Office Building in Washington, DC, a much less ambitious project begun in 1976, has a seven to ten year construction timetable.

The authors take the position that time is the scarcest resource, and unless it is managed, nothing else can be. The book is directed to- ward managers and management styles in re- lation to the optimal use of time.

Each chapter begins with a list of highlights of the most important contents. The use of charts and graphs assists the reader in under- standing such concepts as formulating work logs, time management self-analysis, and productivity charting. The book is easy to read, and the examples used are relevant, although frequently slanted toward physicians.

This book offers the reader the opportunity to examine his own use of time, diagnose time problems, and establish patterns to make the best use of time. I thoroughly enjoyed the book, and it broadened my awareness of the problems I encounter due to my own time mismanagement.

Linda White, FIN Educational coordinator

0 RIPA R Stanford (Calif) University Medical Center

Nursing Administration of Critical Care. Arlene Nash Hayne, Zeila Warren Bailey. Aspen Systems Corp, 1600 Research Blvd, Rockville, Md 20850, 1981, 293 pp.

Although this book is written primarily for nurs- ing service administrators, their assistants, and students in nursing service administration, the authors include concepts and examples that may be helpful for all nursing service per-

620 AORN Journal, October 1982, Vol36, No 4

sonnel. Rather than deal with devising new systems, the authors address problems re- lated to the introduction of change within exist- ing programs.

Nursing Administration of Critical Care is divided into three sections: development, management, and patient care. Included in the frame of reference are critical care areas (in- cluding emergency departments) and inter- mediate care areas.

The book first presents methods of planning and implementing change and then continues on to “Concepts of Nursing Power.” Although the book is a good review, no new ideas are advanced. The chapter on “Creating a Philosophy of Critical Care” falls far short be- cause of its brevity. Chapters on organization structure and a case study on decentralization proceed with obvious conclusions.

Section I I provides basic information con- cerning job descriptions, staff ing and schedul- ing, and retention of essential workers. Orien- tation and staff development are then consid- ered. Unfortunately, there is insufficient infor- mation to guide those who work in states where continuing education is mandated for relicensure.

The chapters on employee relations and management by objectives are timeworn and relate the obvious. The chapter on budgeting leaves many important areas uncovered, especially determining priority budget needs and the possibility of applying for outside grant monies.

Part Ill suggests nursing care plans; policies, procedures, and legal aspects of criti- cal care; quality assurance factors; and a pro- gram of patient education. The book’s 18 ap- pendices give examples of various evaluation tools, lists of objectives, check lists, position descriptions, scheduling charts, and audits.

Hayne and Bailey based their work upon the approach used at the Baptist Medical Center-Montclair, Birmingham, Ala. Because of being limited to one hospital, the authors are hampered in providing alternative and innova- tive suggestions. Nursing Administration of Critical Care can be used as a textbook to give students an introduction and overview of criti- cal care nursing. For experienced nurses in critical care administration, however, the areas covered in this book should already be known and practiced.

Marjorie A Collins Director of Public Relations

Organization of Continuing Education for American Nurses

Casselberry, Fla

Surgical alternative to insulin therapy Paul Lacy, MD, director of pathology department, Washington University, St Louis, is optimistic that he will develop a surgical procedure to control blood sugar levels. His tests are still in the experimental stage.

Dr Lacy has successfully transplanted islets of Langerhans from a healthy rat to a rat with diabetes. In a report to Hospitals, Dr Lacy said, ”The islets lived, they functioned normally, and they cured the animal of diabetes.” He is now testing the technique on 15 monkeys. If the testing is successful, tests on humans will be done. It may, according to Dr Lacy’s estimates, take more than a year to complete testing on the monkeys.

The procedure in humans would be simple. The islets would be preserved in banks from deceased donors until a diabetic recipient is found. Given success in monkey testing, Dr Lacy says that the man-to-man transplant “is almost certain to work.”

Dermatology nurses form new association A professional organization was recently formed for dermatology nurses. The organization, “Dermatology Nurses Association,” will provide continuing education and address professional issues related to dermatologic nursing. Its first continuing education offering will be Dec 5 to 6 at the Royal Sonesta Hotel, New Orleans, and is cosponsored by the American Academy of Dermatology. More information can be obtained by writing the Dermatology Nurses Association, N Woodbuty Rd, Pitman, NJ 08071, or calling (609) 589-2071.

AORN Journal, October 1982, Vol36, No 4 62 1