It is not necessary to have read the previous volumes to understand the intent of this one. It concentrates on the need for sensory integrity; acceptance of self and others; need for ration- ality, conceptualization, and problem solving; for safety; a wholesome body image; sexual integrity; and the need to manage stress.

Each chapter provides an introduction about the particular need, followed by two or more case studies. Case studies are varied so the reader can see how factors such as acute or chronic illness, age, medical intervention (sur- gical, obstetrical, pediatric, psychiatric) influ- ence the nurse’s plan of action. In each situa- tion, the reader learns a method of assessing the patient’s assets, limitations, therapeutic self-care demands, and self-care deficits. Next, the nursing diagnosis, goals, and strategies are outlined. This is followed by how the nurse implements and evaluates the plan of care and results obtained.

Like the first two volumes, this is a very readable and informative book. It will help nurses in any setting to better meet the basic needs of their patients.

Sister Kane, RN, MEd, RHSJ Corn wall, Ontario

First-line Patient Care Management, 2nd ed. Barbara J Stevens. Aspen Systems Corp, 1600 Research Blvd, Rockville, Md 20850, 1983, 195 pp, $22.50

Are you a head nurse who was promoted from staff nurse without preparatory education or experience? If so, this book is for you.

“First-line manager” is defined by the author as a management position one step above the workers. It is an excellent book written for nurses who supervise a nursing staff in addi- tion to having patient care responsibilities. The author dwells on the roles of the head nurse, charge nurse, and team leader.

Part I discusses management issues and collateral relations in first-line management. The author uses practical examples and gives good suggestions for dealing with other man- agers, other health professionals, patients and their families, physicians, and other nurses.

Part II defines goal-oriented management, including a section on management by objec- tives and problem-solving management. This section also provides good information con-

cerning change. The author states that “one of the primary functions of the nurse manager is to effect change.” She discusses the psychological aspects of change and gives some advice on how to implement change.

Managing patients is the subject of Part 111. A fresh approach to the nursing process is used to assist the first-line manager in understand- ing and implementing this concept. A chapter is also dedicated to quality control, patient classification, and a comparison of the two systems.

Staff management is discussed in the final section of the book. The author provides useful information on many aspects of supervising staff. A valuable chapter in this section deals with delegation and direction. The author acknowledges that “directing and delegating are difficult tasks for many new managers.” In this chapter, as in the rest of the book, she uses practical examples to help new manag- ers learn how to delegate and direct. This sec- tion also deals with staffing and assigning, employee performance appraisal, using com- munications resources, and the aspects of committees in management.

“First-line management is an exciting role because it offers the ideal synthesis of man- agement and nursing. It offers the nurse a chance to observe the effects of her direction, and, through the careful use of her staff, it enables her to accomplish more than she ever could do alone.” This aura of excitement per- vades the book.

Kathy E Shaneberger, RN Allendale, Mich

Professionalism and the Empowerment of Nursing. American Nurses’ Association, 2420 Pershing Rd, Kansas City, Mo 641 08,1982,76 PP.

The matter of power and professionalism is a concern in all fields of nursing practice. The papers in this book were presented at the 53rd convention of the American Nurses’ Associa- tion in Washington, DC. Speakers addressed roles, stresses, constraints, and alternative ways of obtaining and using power.

This book is an excellent source of informa- tion for the nurse who wants to be an active change agent within the profession. The pa- pers offer insights, historical perspectives, and

866 AORN Journal, November 1983, Vol38, No 5

avenues of potential actions for the nursing profession in the context of professionalism and effective use of power.

The papers identify the roles and the lack of roles for nurses within the health care system. And they talk about the need for the profes- sional nurse to be an active constituent in or- ganizational levels of institutions, professional associations, and the federal legislation pro-

Power, as identified in Margretta Styles’s paper, is the capacity to act. She says power is essential within the nursing profession and while interacting with other professions. It can be used to remain the patients’ advocate and to promote wellness as well as put into action the developed definitions, standards, codes, regulations, resolutions, positions, and scien- tific knowledge endorsed by the nursing or- ganizations.

Anne Van Slyck‘s paper offers an innovative plan of variable charges for nursing care. She says, “Nursing historically has justified its existence with ‘quality of care’ arguments and rationales alone. But we are faced with having to justify nursing services financially as well.” The model offers an alternative for nursing care to be identified and quantified according to the patient’s level of illness and care needed. In Doris Armstrong’s presentation, she shows proof that when nurses are given more power to control their practice, it leads to improved patient care and lower costs.

This book addresses the complex aspect of power and professionalism, a concern of all practicing nurses. The book is recommended for those nurses in leadership positions who have the power to direct charges, give guid- ance and promote recognition of professional nursing within the health care system.

Charlotte Owen, RN Clearwater, Fla

The Socialization of Neophyte Nurses. Loretta C Myers. UMI Research Press, Uni- versity Microfilms International, Ann Arbor, Mich 48106, 1982, 144 pp, 39.95.

Remember your first months as a new gradu- ate? How did you learn what it really meant to be a nurse? The Socialization of Neophyte Nurses deals with this process using a formal research approach. Loretta C Myers explores how graduate nurses learn what is expected,

cess.

as well as how they develop some control of their environment.

Myers notes that until recently little was writ- ten about how new graduates adjusted to be- coming professionals. Recent studies by nurs- ing leaders, such as Marlene Kramer, RN, have investigated what the new graduate is experiencing.

Myers chose to study the socialization of new graduates from the experienced staffs viewpoint. She maintained objectivity by col- lecting the data on a specialty unit in a hospital with which she had no prior contact.

The text is written in research format but without using extensive research terminology. Most of the book describes the study design, environment, and the author’s data collection experiences. The initial study design was re- vised soon after data collection began; Myers included only one study unit instead of the three units planned because of time restric- tions. By studying only one unit, she was able to Observe the same nurses on each shift throughout their first months of experience.

Diagrams and graphs are used to describe the unit, and models effectively explain Myers’s theoretical approach. A methodological ap- pendix details how observations were made and how the nurses reacted to being observed. Another section includes references, defines terms, and further explains some aspects of the study environment. This small, hardbound book will be helpful to nursing educators and administrators as they plan orientation for new graduate nurses. I recommend the book to those responsible for the development of nurse orientation internship programs.

Marjorie Y Placek, RN Verona, Pa

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