Top positive review
I am glad I read this book.
on November 16, 2013
This book has deeply influenced the way I see the profession and has inspired me to pay attention to the social, economic, and cultural forces at work in the hospital that can endanger patients. This book made me feel like nurses are victims of external forces that they are constantly struggling to defeat, but I know that her excellent purpose for writing the book was for us to stand up for what's right and take control of our work environment so we can care for our patients to the greatest degree of our ability and education. She calls for nurses to take responsibility and action for what is going on just as much as she hammers the media, cost-cutting administration, and abusive colleagues for making nurses powerless to affect positive change in their patients' care.
Ms. Gordon did a great job including nursing data from all around the world and several different hospital systems, as well as dissecting in-depth a couple of hospitals that she discovered had lost respect for the value of nursing. However, some of her generalized assessments of the nursing profession were slightly inaccurate, which of course can be allowed for when such large generalizations are made. For example, she stated that Bachelor-prepared nursing students do not receive as much clinical training as Associate-prepared students. In my area, this is not true. Here it is known that ADN-prepared students receive much less clinical hours, and with less autonomy, than BSN-prepared students. In fact, the BSN preceptorships are twice as long.
Thanks to Ms. Gordon for writing this book. I recommend it to all who enter the profession, but be aware that this is not a feel-good book. She uses much data and journalist expertise to draw a picture of the profession that might shock or surprise those who are not in healthcare. But for us who are, her words ring true.