OCTOBER 1996, VOL 64,NO 4
physicians’ career paths, which raises the issue of possible limitation of the discovery that should emerge from grounded theory.
Perloperative nursing ImpiicatiOnS. Individually, nurses must
examine the dichotomy of personal versus professional lives. These domains often are viewed as being in competition rather than as an integrated whole. Many manied women’s careers are considered secondary to their husbands’ careers. Caring for children and significant others imposes demands on women’s lives that have implications for the types of careers they can undertake. By applying the study findings to their lives, nurses can identify and understand the complexity of career changes they may experience. The study also has implications for perioperative nurse managers. The current climate of health care redesign and the accompanying stress emphasize the need for holistic approaches in managing health care providers as well as providing health care to patients. Managers need to acknowledge, respect, and a f f i i the actual life circumstances of nurses and help nurses maintain the interconnectedness of their lives. The importance of relationships to female nurses offers potential avenues for nurse managers to pursue in developing organizational and program policies. Perioperative nurse managers can examine career paths and clinical tracks critically and develop human resource policies that respect and value nurses’ commitments outside work. By creating flexible work hours and job-sharing opportunities and supporting on-site day care centers, managers can help nurses integrate their per-
sonal and professional lives. MICHELLE M. BYRNE RN, MS, CNOR
ing, and other current topics. Part three provides evaluations of outcomes management in a variety of settings (eg, neonatal intensive KATHRYN 0. SAPNAS care, long-term care). RN, MSN, CNOR, CCRN This book is easy to read and NURSINO RESEARCHCOMMIITEE full of current information; however, it is geared more toward ROOK REVIEWS nurse executives who are removed from everyday practice in the periOUTCOMES OF EFFECTIVE operative setting. The book’s MANAGEMENT PRACTICE biggest drawback is its lack of refEdited by Kathleen Kelly erence to traditional perioperative 1996,256 pp settings; however, it has an infor$39.95 hardcover mative chapter on ambulatory Care. his is a well-organized and I recommend this book for structured resource book for anyone who wants an overview of various topics related to managenurse executives, faculty members who teach nursing ment practices. It is not a good refadministration, and students in erence specific to outcomes of nursing administration programs. management in the perioperative It is part of an annual series that setting, however. provides new information on curThis book is available from Sage Publications, Inc, PO Box rent and emerging issues by authors comprised of nurse 5084, Thousand Oaks, CA 91359; administrators, educators, and (805) 499-087 1. researchers. Previous books in JUDITH 1. CLAYTON this series focus on structure and RN, CNOR ASSISTANT UNIT DIRECTOR process aspects of health care INPATIENT SURQICAL SERVICES management and the systems in (3vvlNNEll HOSPITAL *STEM which they are delivered. The LAWRENCEVILLE, GA purpose of this book is to provoke critical thinking about health care outcomes through the integration NURSING96 DRUG HANDBOOK of applied research, clinical and By Springhouse Corp management practices, and futur1996,240pp $29.95 paperback istic thinking. The book is organized into three parts with multiple chapters his is an excellent reference in each part. Part one presents the book on medications that framework for viewing the conshould be required reading for cepts and issues that link health student nurses. Its content is up-tocare outcomes with management date and organized in a userfriendly manner that allows readpractice. Part two presents processes or methodological ers to find information quickly. The beginning chapters proissues on various topics, including variance tracking and analyses, vide useful information on drug implementing Agency for Health therapies for pediatric and geriCare Policy and Research clinical atric patients and how to apply the guidelines, creative staff schedulnursing process to these therapies.
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