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The Nurses: A Year of Secrets, Drama, and Miracles with the Heroes of the Hospital

Tekijä: Alexandra Robbins

JäseniäKirja-arvostelujaSuosituimmuussijaKeskimääräinen arvioMaininnat
16813161,280 (3.79)4
Biography & Autobiography. Health & Fitness. Medical. Nonfiction. HTML:

A New York Times bestseller. "A funny, intimate, and often jaw-dropping account of life behind the scenes."??People
Nurses is the compelling story of the year in the life of four nurses, and the drama, unsung heroism, and unique sisterhood of nursing??one of the world's most important professions (nurses save lives every day), and one of the world's most dangerous, filled with violence, trauma, and PTSD.
In following four nurses, Alexandra Robbins creates sympathetic characters while diving deep into their world of controlled chaos. It's a world of hazing??"nurses eat their young." Sex??not exactly like on TV, but surprising just the same. Drug abuse??disproportionately a problem among the best and the brightest, and a constant temptation. And bullying??by peers, by patients, by hospital bureaucrats, and especially by doctors, an epidemic described as lurking in the "shadowy, dark corners of our profession."
The result is a page-turning, shocking look at our health-care
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Näyttää 1-5 (yhteensä 13) (seuraava | näytä kaikki)
There's a section in this book where nurses admit they find cops and firemen very attractive. They say the reason behind this is that They get us. They are right there in the trenches with us, and know what it feels like to not only save people, but to loose them as well." So why is that we teach our kids that cops and firemen are heroes, but nurses are caregivers? Yes, they are caregivers, but was this book demonstrates time and time again, nurses are the true heroes of our health care system; even more so than the doctors. It's about time we start spreading this around. Read this book and spread the word around. ( )
  kevinkevbo | Jul 14, 2023 |

This review originally appeared on my blog at www.gimmethatbook.com.

Thanks to Net Galley for this ARC in exchange for an honest review.

Alexandra Robbins is familiar with bringing the reader into a closed society; she is the author of Pledged: The Secret Life of Sororities. Her research is exhaustive, thorough and massive. For THE NURSES, she has interviewed hundreds of nursing professionals, active and retired, along with intensive reading of healthcare related books.

The plot is exactly as described–we are following the stories of four nurses as they navigate their way through their workdays at different hospitals. The workplaces are vastly different; one is in a low income area and very dangerous, another is in a better area but understaffed, yet another employs a staff that is closeminded and cliquey. Each chapter covers a different subject, such as interpersonal difficulties, healthcare in general, the physical danger to nurses, availability of loose drugs and therefore the potential to become hooked, and the doctor’s and healthcare industry’s attitude towards nurses in general.

As I read, I simply could not believe what I was seeing. My perception of nursing changed 180 degrees as I made my way through the book. Discard your vision of a glamorous, overpaid, angel in white. Be prepared to hear about nurses getting fired for following doctor’s orders, drunk patients wreaking havoc and causing serious permanent injury, staff surfing the Internet and being “too busy” to give aid to their coworkers, and the overwhelming, constant burden of having too many patients under your care.

The more I read, the less I want to be anywhere near a hospital.

Gore and lengthy descriptions of medical procedures are not a part of this book. Rather, there are recountings of conversations, incidents, and situations that these nurses found themselves dealing with on a daily basis. The book is detailed and can be a bit long winded, just a bit, especially with some of the statistics that seem to go on for a while, but they are relevant and serve to educate the reader.

I’m interested to see what the nursing community has to say about this book–will there be an outpouring of agreement, or is Robbins sensationalizing the truth? Either way, THE NURSES is well written and thrusts you into a world most of us don’t normally see. Most of us probably aren’t even aware that this shady underbelly of medicine exists. Kudos to Robbins for bringing it to the forefront. ( )
  kwskultety | Jul 4, 2023 |
It was hard for me to rate this one—my feelings about it are very mixed. For reference, I'm a former med/surg nurse who practiced mostly in the 2000s.

Overall I think it's an interesting and informative(*) book, and the writer's heart is definitely in the right place; Robbins clearly loves nurses and wants to raise public awareness of their work and the pressures they're under, and takes a strong stand for better working conditions and labor solidarity, while also acknowledging the many ways nurses can sabotage themselves. A particularly nice touch is near the end, where she gives patients and their family members some pretty reasonable tips on how to simultaneously advocate for their own care and make nurses' lives easier.

It was really hard for me to get past how it's written, though. Half of it is straight nonfiction presentations of facts and statistics—clear, but not particularly well organized and full of repetition. The other half is narrative dramatizations of four pseudonymous real people (or composite characters?) as they face various job challenges, and even though the individual scenes are interesting enough and the background information is explained without any terrible mistakes, the style is very clunky and flat. I realize that this is meant to be more of an educational presentation than a work of literature—and this kind of thing is in the eye of the beholder, so it may read perfectly well to other people—but to me it's just very careless writing with no rhythm, no nuance, no difference in tone between different narrators, and every point hammered into the ground. It's also weirdly melodramatic and cliché-ridden, considering how much Robbins (in the non-narrative sections) talks about wanting to debunk misconceptions and stereotypes: there's a long discussion of why the "sexy nurse" image is so pernicious, but then a young nurse is introduced with a scene where she checks out her own "ample bosom"; whenever the main characters are given an ongoing subplot involving anything in their personal life, it's from a checklist of predictable big-ticket items (finding romance, staying sober, trying to have a child); there's some good discussion of the many pressures that contribute to mismanagement and bad working conditions, but in the narrative the bad managers just happen to be amazingly bad people in every way; and there's some abstract acknowledgment of how easy it is for anyone to make mistakes, but apart from a drug addiction story that happens in flashback, the main characters basically never do anything wrong. Even if it's entirely based on real people's experiences, if you choose to present this stuff in the style of a fictional narrative, I think it's worth using more fictional craft than this.

There's also an oddly limited perspective here: the book presents itself as a comprehensive cross-section of the profession (and literally tells readers that they'll never see health care the same way again after this!), and also talks about how TV and movies don't give you the real story... but then looks exclusively at ER nursing, just like every TV show. There is literally one mention of acute-care floor nursing, and it's only as an unreasonable obstacle to the ER nurses who are mad at the floor nurses for not wanting to take patient transfers during shift change (Robbins does mention later that maybe the floor nurses kind of have a point there, but it's an afterthought)—and she really doesn't seem to have spent any time in any other part of the hospital, let alone in any non-hospital health care settings. That's a big missed opportunity; most nurses will go through very different kinds of jobs in a career, not just the same position at different hospitals.

A minor pet peeve that I only bother mentioning because it would've been so easy to not do this: "murse" as slang for "male nurse" is a jokey term that some people are fine with and others dislike, so it really isn't a great idea to refer to every single male nurse in the book exclusively as a "murse" even when the word "nurse" would've worked just as well. I presume Robbins would prefer not to be constantly called an "authoress." (Sort of related: she mentions that "murses" shouldn't be stereotyped as effeminate—and then massively overcompensates by making every one of them a big burly boy with bulging biceps.)

I know I've made this sound terrible, but again, I do respect the research(*) that went into it, and Robbins' advocacy for nurses (and the way she addresses specific institutional issues like over-reliance on patient satisfaction surveys). She really does capture the essence of a lot of interactions and work dynamics that I recognize from experience... even if the way that essence is presented in prose is pretty unsatisfying to me as a reader.

(* I should mention that not everything in the book is equally well researched— basically, whenever Robbins cites one of her nurse characters as an authority on something that isn't directly part of the job, I would take it with a big grain of salt. The biggest WTF moment in that regard was, as another reviewer mentioned, the casual assertion [as a fact, not as the character's opinion] that teenagers are constantly making up rape stories. This is a relatively tiny part of the book, but good grief.) ( )
  elibishop173 | Oct 11, 2021 |
I haven't been doing this very long, realistically. But some of this is spot on. Some of it is sensationalized, and I found myself annoyed by this. Nursing, especially in the ER, is exciting enough without inflating what goes on. Still worth a read if you are a nurse or thinking of becoming one. It does give the non nurse a glimpse into the profession and maybe some perspective on their treatment. ( )
  cookierooks | Nov 16, 2016 |
So this was a really interesting book. I love reading and hearing about other peoples jobs. I think it's fascinating that so many people in this world do so many varied things and it all fits into part of a whole. Nursing is one of those professions I never even considered when going to college, so getting this detailed overview from the perspectives of actual professionals in the field was fun. The one caveat I will add is this focuses the personal anecdotes towards trauma units, although much of the data represented accounts for the more general field of nursing. Just something to keep in mind.

I feel like everything that could possibly be covered was discussed here. There was a chapter on Nurse-On-Nurse bullying (aka, eating their young), as well as one on the sometimes tense relationships between nurses and doctors. There's a chapter on the burnout factor for the profession, especially those who work in the ER. One chapter focuses on why nurses chose their field and why they stay in it. There's even a chapter about chemical substance abuse and how prevalent yet not talked about it is.

Overall, as a layperson, I have to say that this book fulfilled everything I wanted it to be and more. I have had several of this authors books on my shelf for years and now I just want to start them right away considering how well written and thought out this piece was. I would highly suggest this if you are interested in the nursing field as either a potential career, or if, like me, you are just interested in what it's like in the day-to-day trenches.

Copy courtesy of Workman Publishing Company, via Netgalley in exchange for an honest review. ( )
  GoldenDarter | Sep 15, 2016 |
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Biography & Autobiography. Health & Fitness. Medical. Nonfiction. HTML:

A New York Times bestseller. "A funny, intimate, and often jaw-dropping account of life behind the scenes."??People
Nurses is the compelling story of the year in the life of four nurses, and the drama, unsung heroism, and unique sisterhood of nursing??one of the world's most important professions (nurses save lives every day), and one of the world's most dangerous, filled with violence, trauma, and PTSD.
In following four nurses, Alexandra Robbins creates sympathetic characters while diving deep into their world of controlled chaos. It's a world of hazing??"nurses eat their young." Sex??not exactly like on TV, but surprising just the same. Drug abuse??disproportionately a problem among the best and the brightest, and a constant temptation. And bullying??by peers, by patients, by hospital bureaucrats, and especially by doctors, an epidemic described as lurking in the "shadowy, dark corners of our profession."
The result is a page-turning, shocking look at our health-care

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