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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 system.
- Sales Rank: #34692 in Books
- Published on: 2016-04-19
- Original language: English
- Number of items: 1
- Dimensions: 8.20" h x 1.00" w x 5.40" l, .0 pounds
- Binding: Paperback
- 384 pages
Review
"A funny, intimate & often jaw-dropping account of life behind the scenes.." —People
"...a detailed, sympathetic, and eye-opening portrait of how nurses work, deal with stresses, and fulfill their mission of serving patients...An insightful perspective on the realities of crucial health care providers." —Kirkus Reviews
"After interviewing hundreds, Robbins narrowed her focus to the personal narratives of four nurses.... Their stories are compelling in every way." —Bookpage
"...dishes eye-opening material." —Publishers Weekly
"Anyone who has ever set foot in a hospital—or might in the future—would do well to read this book. With page-turning prose, Robbins pulls back the curtain on a world rife with joy and challenge. It's brutally honest, emotional, and most of all, a paean to nurses—the people who help us live, die, and survive every day." — Rachel Simmons, author of Odd Girl Out
"Nurses are the unseen warriors of the hospital system, part of a 'secret club' of heroes with its own rules and codes. They're also strong-willed, flawed human beings made of flesh and (unafraid of) blood, rendered here in stunning detail. This fascinating and compulsively readable book even has a few tricks that could save your life. First tip: Don't get sick in July." — Mickey Rapkin, author of Pitch Perfect
"A fascinating and somewhat alarming examination of the contemporary nursing profession...Robbins not only shows, she tells in this revealing expose of the modern day state of nursing. It is an eye-opener not to be missed.” —EarlyWord
"Readers... will find themselves guided by an excellent stylist and a first-rate mind." —Houston Chronicle
“Alexandra Robbins writes reality TV in book form.” —New Jersey Star-Ledger
"A rich, fast-paced book about heroic, neglected professionals; editor's recommendation." —Barnes and Noble
“The Nurses' is exciting and honest, from admission to release. Robbins…busts myths, shows the inner workings of emergency rooms, offers golden advice, and explains behind-the-scenes events and why nurses deserve way more kudos than they get.” —The Daily News
"...dramatic and riveting...Robbins has done an excellent job of bringing the world of nurses to life." —The Examiner
About the Author
Alexandra Robbins, winner of the prestigious 2014 John Bartlow Martin Award for Public Interest Magazine Journalism, is the author of four New York Times bestsellers, including Pledged and The Geeks Shall Inherit the Earth. She has written for The New Yorker, Vanity Fair, The New York Times, and other publications, and has appeared on numerous television shows from 60 Minutes to The Colbert Report.
Excerpt. © Reprinted by permission. All rights reserved.
Prologue
Four hospitals stand within a fifty-mile radius of a major American city. On the surface, they are as different from one another as fairy-tale sisters.
Pines Memorial Hospital is a pleasant-looking cream-colored building with a sixteen-story tower and broad, welcoming windows overlooking a quiet tree-lined suburban avenue. After decades of independence, the neighborhood’s favorite hospital was bought out by Westnorth, a large healthcare corporation, which is slowly diluting the local flavor. With 190 beds, Pines Memorial serves a highly educated, wealthy population with a large percentage of academics, retirees, and nursing home residents. Because it is close to a major highway, Pines’ emergency room, which has approximately 60,000 visits per year, often treats victims of major-impact car accidents. Nurses joke that the hospital should be called Highway Memorial, because the risks of the highway are far more relevant to the medical staff than the quiet red pine forests outside of town.
Several miles away, South General Hospital occupies a mostly gray edifice curved away from the road, as if to shield its inhabitants from the gang violence that occurs frequently nearby. The Level-1 trauma center— designated as such because it has the resources to treat every stage of injury, from prevention through rehabilitation—has 300 beds to serve one of the most indigent areas outside the city. South General’s ER sees 95,000 ER patients annually. The reputation of “The South” is like that of the proverbial kid from the wrong side of the tracks, hoping to keep up with her peers, but unable to overcome the disadvantages of living on the poverty-stricken south side of town.
Forty-five minutes west, in a peaceful corner of the city, Academy Hospital, proud and prestigious, inhabits several white-pillared, brick structures that wind around courtyards and patios, reflecting the storied architecture of its surrounding university campus. With approximately 425 beds, Academy treats a ritzy demographic of young and middle-aged residents in the nearby million-dollar homes and the students at the elite university. The Academy ER treats fewer than 45,000 patients per year, partly because it simply does not have the building space to expand its emergency department walls.
And Citycenter Medical, a longtime teaching hospital, is split between two dusty beige high-rises, perhaps representative of its dual personalities: a stalwart institution with top-notch doctors and an ER so poorly managed it is considered dangerous by many of its own staff. A 390-bed Level-1 trauma center, Citycenter has an emergency department that is crumbling beneath the weight of the 85,000 annual patients it does not have enough nursing staff to treat properly. While Pines Memorial treats more blunt force, multisystem traumas because of the car accidents, Citycenter’s traumas are typically isolated injuries, such as gunshot wounds. Easily reached by public transportation and in the heart of a densely populated city, Citycenter is a destination of choice for homeless people, drug-seeking addicts, and the uninsured.
In each of these disparate institutions, pale blue curtains shroud pods of frightened people. In each, seasoned healers perform routine procedures and medical feats behind bleached sterile walls. And in each, tracking invisible undercurrents through hallway mazes, nurses connect doctors to patients, carrying out copious orders in synchronized steps, entwining themselves intimately in convalescents’ lives.
Most helpful customer reviews
40 of 43 people found the following review helpful.
"It's like high school, except for the dying people." -- New nurse
By Bassocantor
THE NURSES is a very unsettling book. It actually made me mad to read this book.
The authors show the reader what it's like being a nurse in a busy hospital - and sometimes in a hospital with far too few resources to properly care for the patients. Some of the cases do not make for pleasant reading. For example at the hospital which the authors referred to as " city center Medical " the nurses have to be with a woman " who had attempted suicide by turning on a BBQ to grill in her bedroom and inhaling the gas."
The author does not sugarcoat things. One of the nurses followed in this book is recovering from a serious substance abuse problem. She still is tempted daily, when she sees drugs lying around. The author also describes situations where nurses are intimidated or abused. For example, at a busy city hospital, the administration was "required to give nurses breaks, yet the constantly short staffed Pines nurses never had time for them."
Physicians are sometimes not presented in a very positive light. In one case, where "Sam" is trying to help a critically ill patient, the attending physician is found surfing on the internet, instead of seriously looking at the patient. In fact, the doctor "had not spent five minutes with the patient."
The sections that scared me the most in this book were the descriptions of lack of cleanliness at hospitals. The authors cite a surprise inspection at one busy hospital where "They were so disgusted by the lack of cleanliness and the nurse to patient ratio that they nearly shut down the ER on the spot... They found several different strains of bacteria. They gave the hospital 45 days to fix the ER." Aargh!
The authors describe one type of abuse that frankly I had not ever thought of. It turns out that patients themselves sometimes attack nurses: "Patients often punch, kick, bite, shove, hit, scratch, or strangle nurses, but typically only the hospital shootings hit the news. Bureau of Labor Statistics data indicate that nursing is the country's third most dangerous profession behind police officers and correctional officers."
All in all, THE NURSES is a serious, scary look at what is actually happening in the lives of big city nurses. This read was a sobering learning experience for me. I admit that I had no idea of the dangers nurses face.
Advance copy for review courtesy of NetGalley.
72 of 81 people found the following review helpful.
Anyone who is a nurse, who knows a nurse, or who might one day need a nurse, should read this book.
By Denise Crawford
Although this non-fiction book focuses on four Emergency Room nurses and their personal experiences at various hospitals in an unnamed, large US city, it also includes reflections and anecdotes contributed by many other nurses from all over the world. The meticulous research by the author is evident as statistics and cited material provide a valid snapshot of many issues important to nurses, other healthcare workers, and patients. The voices of the many different types of licensed nurses are heard loud and clear -- LPN, RN, NP, CS, CRNA, DNP with all types of special certifications to add more credentials indicating specialty of practice. Two main points are clear -- nurses mostly love what they do, and they deserve respect and support. Long gone are the days when a nurse dressed in white and wore a cap, stood when a doctor came for rounds, and routinely did as bid without question. Nurses are sentient, compassionate and well-educated practitioners in their own right, doing what they do best -- providing physical care, giving spiritual and emotional support, as well as meticulously assessing, planning, documenting, and evaluating the patient's response and condition at all times. They don't want to be medical doctors, and feel that being a nurse is not a second tier position but one that should be valued on the same level as part of the health care team. When blatant bias against nurses is revealed herein, it's obvious that, although nursing has come a long way since the early days, there is still a long way to go to change perception and treatment of these professionals.
When my family gathers for any occasion, there are among us 4 nurses (one an NP), 2 medical doctors (one a hospitalist and the other a surgeon) and 2 pharmacists. Everyone in the entire family has grown up in an atmosphere where "work stories" and arguments dominate the conversation as everyone wants to share his or her own point of view in situations that have occurred where each person may have felt that the "others" didn't respond appropriately or give due respect to the title, the work, the need, or the decision. It comes down to this -- each one of us wants to feel that we are equally valued for our area of expertise. That doesn't always happen in my family, and neither does it happen in real life practice. Working on a "team" can sometimes be a game of oneupsmanship or a darned if you do and darned if you don't situation. For example: the doctors may not really want the middle of the night phone calls, but the nurses and pharmacists have to make them whether they want to or not. For all that we each want to provide the best care for every patient, the team situation is often adversarial because it usually boils down to the fact that much of what nurses or pharmacists can do still relies ultimately on a doctor's order (though that is changing). Regardless, each member of the health care team has his or her own role to perform in the complex delivery of effective patient care. Thus, I didn't really care for the "heroes of the hospital" phrase in the title as all members uniquely contribute in their responsibilities.
I've been a Registered Nurse for 37 years and have practiced in many different settings in hospitals, clinics, EMS, education, publishing, and now, as a school nurse. I can't think of another career that provides so many different avenues for change and self-fulfillment from one basic degree. As one quote puts it, "nursing isn't just a job -- it's who I am." I could relate to almost every scenario presented in this book, and only wish that it had followed the stories of nurses from other departments besides the ER. I laughed when I read that some ER nurses consider themselves the "rock stars" of nursing -- that's only their opinion as I'd bet that many other specialty nurses feel that same way about their own (ICU and OR nurses to name two) -- and, really, how is that label even determined? Regardless, this book reminded me again of why I stayed in nursing and I hope that the coming generation of nurses will be just as satisfied as I have been in my chosen vocation.
I'll be recommending this book to everyone as it offers insight into a profession that will be much in demand as baby boomers age and health care initiatives change how health care is provided -- and by whom. I'd like to thank Workman Publishing and Edelweiss for an ARC digital copy of this book for review.
44 of 50 people found the following review helpful.
Perplexing
By Kindle Customer
I gave this book three stars because much of it was dull. I am a nurse (BSN), and feel the book glorifies nurses and makes very broad statements about nurses....that our jobs cause us to cherish our lives. While this is no doubt true for some of us, it is hard to reconcile this sentiment when one considers the vast number of nurses who are morbidly obese and/ or smoke. Many nurses are incredibly callous and unkind to patients.... for no good reason. It is frightening to read, on page 273, about the nurse in New York who freely admits to diagnosing patients and determining course of treatment, in order to let the doctor or PA get a good night's rest. The nurse admits it is beyond her scope of practice to do so but the PA is so grateful. Yes, it is beyond the scope of her practice. It is also illegal. Finally, on page 296, Lara, an RN has just had surgery to repair a hernia and she has "called in her Percocet prescription". This is simply impossible. A patient cannot call in a prescription for herself. Especially one for Percocet. Because of this and other examples too numerous to list, the book lacks credibility.
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