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The Shift: One Nurse, Twelve Hours, Four Patients' Lives, by Theresa Brown
Download The Shift: One Nurse, Twelve Hours, Four Patients' Lives, by Theresa Brown
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Review
"The Shift takes an intimate look at the practice of modern medicine from the point of view of a professional on duty at the patient's bedside. It's an engrossing human drama composed of interlocking stories of patients and their families, doctors and nurses, aides, chaplains, social workers, and others who take care of sick people in a modern-day hospital. The Shift is one nurse's story, but it contains elements of every nurse's experience." –Wall Street Journal "Brown does an excellent job of taking us moment by moment through her day -- meeting the patients (one difficult, one frail, one possibly dying, one about to go home); the paperwork (endless); the fail-safe procedures (also endless, but clearly important); the workarounds (not always kosher, but sometimes the only way to get things done). Brown...is skillful at keeping the narrative flowing. The reader feels her affection and deep sense of responsibility for her patients, even the aggravating ones, and her frustration over not being able to give them each the attention she believes they need." –Minneapolis Star-Tribune “Theresa Brown’s The Shift … should be required reading for all incoming medical and nursing students — or anyone who is a patient or visitor in a hospital. …her story is riveting in the exacting way she recounts the way her day unfolds.” –Pittsburgh Post-Gazette “This riveting account of a day in the life of a highly competent and compassionate but overtaxed bedside nurse provides an up-close, insider’s view from the perspective of one of the worker bees of the medical world. It raises important questions about staffing, shift lengths, various protocols, and the role of touch, empathy, and record keeping in healthcare. If nothing else, The Shift will leave you with a better understanding of why your hospital call button doesn’t always bring a nurse running as quickly as you’d wish. …the living, breathing heart of Brown’s book lies in her vivid, composite profiles of the handful of patients (disguised for privacy) who come under her watch on the day in question, and her enormous concern for them.” – Barnes & Noble Review “…this meticulous, absorbing shift-in-the-life account of one nurse’s day on a cancer ward stands out for its honesty, clarity, and heart. Brown…juggles the fears, hopes, and realities of a 12-hour shift in a typical urban hospital with remarkable insight and unflagging care. Her memoir is a must-read….” —Publishers Weekly (starred review) "Anyone who wants to know what it’s like to be a nurse in a hospital today should read this book. Patients, families, and non-nurse colleagues tend to see nurses as ever-present yet often in the background, quietly moving from room to room, attending to patients, and distributing medications or charting at computers. But what they don’t understand about what nurses do is what Brown so deftly describes—the cognitive multitasking and constant reordering of priorities that occur in the course of one shift as Brown manages the needs of four very different patients (she was working in a stem cell transplant unit at the time); completes admissions and discharges; and communicates with families, colleagues, and administrators. I hope the general public reads this book, too. It’s time for consumers to see past the traditional stereotype in which nurses are only physicians’ helpers, and see instead the essential role that nurses play in ensuring quality and safety in health care." –AJN (American Journal of Nursing) / Off the Charts “A wonderfully-told story of the life-and-death reality of a hospital. Theresa Brown helps us understand the dramas and the dangers, as the beautifully evocative stories of nurses and doctors, patients and family members overlap and entwine during a 12-hour shift. —Perri Klass, MD, author of Treatment Kind and Fair: Letters to a Young Doctor “Compelling and compassionate human drama. If you want to understand how modern medicine ticks, fasten your seat belt and spend a day in the hospital with Theresa Brown on The Shift.” —Danielle Ofri, MD, PhD, author of What Doctors Feel: How Emotions Affect the Practice of Medicine “Written from the perspective of an immensely talented, insightful nurse, The Shift is extremely moving and inspiring. Brown makes me so proud to be a nurse.” –Claire M. Fagin, PhD, RN, Dean Emerita, University of Pennsylvania School of Nursing “Theresa Brown's exacting and riveting way of telling a story evokes an empathy that is overwhelming. The ability to capture the joy when an individual survives cancer and the sorrow when they do not is a talent that Theresa has perfected. A truly memorable read.” –Bobbie Berkowitz, PhD, RN, Dean and Professor, Columbia University School of Nursing
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From the Back Cover
“A wonderfully told story of the life-and-death reality of a hospital . . . . . . Theresa Brown helps us understand the dramas and the dangers as the beautifully evocative stories of nurses and doctors, patients and family members, overlap and entwine during a twelve-hour shift.” —Perri Klass, MD, author of Treatment Kind and Fair: Letters to a Young Doctor Practicing nurse and New York Times columnist Theresa Brown invites us to experience not just a day in the life of a nurse but all the life that happens in just one day on a busy teaching hospital’s cancer ward. In the span of twelve hours, lives can be lost, life-altering treatment decisions made, and dreams fulfilled or irrevocably stolen. Unfolding in real time--under the watchful eyes of this dedicated professional and insightful chronicler of events--The Shift gives an unprecedented view into the individual struggles as well as the larger truths about medicine in this country. By shift’s end, we have witnessed something profound about hope and humanity. “Meticulous, absorbing . . . Stands out for its honesty, clarity, and heart. [Brown] juggles the fears, hopes, and realities of a twelve-hour shift in a typical urban hospital with remarkable insight and unflagging care. Her memoir is a must-read.” —Publishers Weekly (starred review) “Riveting . . . Should be required reading for all incoming medical and nursing students--or anyone who is a patient or visitor in a hospital.” —Pittsburgh Post-Gazette “What makes Brown’s story shine are the touching and sometimes bizarre moments that make real life in a hospital stranger than fiction.” —The Boston Globe “An empathetic and absorbing narrative as riveting as a TV drama.” —Kirkus Reviews “Captures perfectly [a nurse’s] central role in any patient’s life.” —Susan Love, MD, author of Dr. Susan Love’s Breast Book
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Product details
Hardcover: 272 pages
Publisher: Algonquin Books; 1 edition (September 22, 2015)
Language: English
ISBN-10: 9781616203207
ISBN-13: 978-1616203207
ASIN: 161620320X
Product Dimensions:
5.8 x 1 x 8.5 inches
Shipping Weight: 12.8 ounces (View shipping rates and policies)
Average Customer Review:
4.5 out of 5 stars
424 customer reviews
Amazon Best Sellers Rank:
#449,119 in Books (See Top 100 in Books)
If you are a nurse you will appreciate Ms. Brown's book. A realistic look at a 12 hour nursing shift, hers in an oncology ward, but with a few simple changes could be on any ward. Truthful in its reality (no bathroom break I noticed....not unusual where I work! ) a 30 min lunch break in 12 hours? Ha! Maybe every other day! I not only loved her honest approach to telling it like it is within the world of nursing, (all those damned interruptions when you are trying to give out meds!) but she's not afraid to show her compassionate side too, following up on transferred or dischatged patients. If you want to be a nurse, are a nurse, or just want to see how a nurse's day REALLY looks like, then I highly recommend this read. If you already belong to the sisterhood, reading this book will let you will rest assured knowing someone else has crazy work days too. If you've never walked a mile in nursing shoes, this book will let you try on a pair for size to see if nursing is a good fit. Ms. Brown surely proves that technology, brains and compassion DO belong together, and she has them all.
I am an RN, BSN who has retired, but who still is always interested in nursing and hospitals. Theresa Brown, RN, is an amazing woman who, after already working as a UNIVERSITY PROFESSOR, decided to become a nurse. First I thought she might be crazy because I know how demanding a job nursing is, but she is an example of a nurse who excels at her difficult profession and has lived to write about it!! When I was a hospital, bedside nurse in the late '70's and '80's, my job was SO DIFFERENT from what Nursing is today. Today nurses are responsible for only the sickest of the sick, and the skill set of nurses has sky-rocketed. On the other hand, patients can be still the same as the past-wonderful, kind, compliant, helpful, to angry, demanding, confused, agitated, and completely dependent. I, too, as the author, was an oncology RN on a floor like hers, which also had regular medical patients. I might come to my shift, assigned to a patient who was dying, without either of us knowing each other. She tells her story of four patients over 12-hour shifts but also expands into giving people a lot of information about our healthcare system today. This book was so interesting, I read it in a day and wished it was 10 times as long!! Please, if you are or have been or will be (almost all of us) a patient or the loved one of a patient, PLEASE READ THIS BOOK!! It shows how important nurses are to you in your time of need-we nurses are there, watching over you, for our shifts, be them 8-12 hours. The doctors see you for 5-10 minutes. Most hospitals are not teaching hospitals, so a hospitalist doctor watches over you for a few minutes. The nurses are there ALL OF THE TIME, trying to balance unbelievable tasks and priorities. And by large, we do TRULY CARE about you. But nurses are constantly being made to do more and more with less and less numbers, all so the hospitals can make a profit or just stay open! Thank you for reading all of this.
Having had stem cell transplant for multiple myeloma, I have a personal appreciation for the efforts that both nurses and patients go through to treat the disease. This book brought much more insight into the difficult workload that both doctors and nurses have. Yet , they keep an upbeat demeanor and a supportive hand and touch. Thanks for sharing your personal story.
This book was recommended to me through a stress relief program at work. During my four day stretch off, I felt I was at work while reading this. I look to escape that world on my days away from the hospital. What I can tell you is I'd suggest this book for hospital outsiders to catch a glimpse of what a day in the career of a nurse is like. If you're a nurse and you have a spouse or friend who can't quite grasp what we do this book was written for you. Nurses, especially ontology nurses, don't read this on your day off.
Time order words – first, then, next, finally – are the building blocks for young writers. These words help new voices create sentences that move the story along in a purposeful and linear, if not especially inventive or interesting, way. Author Theresa Brown uses this technique – a lot - in her new book, “The Shift,†even though she’s not a first-time writer. The ‘this-and-that’ style becomes predictive. We know that when she’s describing patient care, she’s going to give us all the steps required to discharge her duties. It’s an excellent technique if she were writing a technical nursing manual instead of a patient-centered story about life and death on the oncology ward of a busy metropolitan hospital.This writerly habit even defines her world outside the hospital, so we know her tick-tock sentences aren’t her way of conveying the mind-numbing sameness of nursing care even if the patients on whom those redundant skills are applied are different. For example: “I unlock my bike, put on my helmet, snap the strap of my bag across my chest, and pull on my gloves.†There are hundreds of these kind of constructions in this 272-page book. After a while, I felt like I was confident enough in my reading-acquired nursing skills to skip ahead.Practice makes permanent, in both nursing and writing. As a patient, I want her skills born of deliberate practice; as a reader, not so much. A decent story that gets dragged down by tedious technique.
As a nurse I can really relate to the craziness a floor nurse must overcome to get through a shift. There are never enough hours in a shift to get all the work done and the unexpected interruptions are extremely frustrating. Patients think nurses don't care but we really do, we just don't have the time to show it like we would like to. Extremely well written and a unique perspective on the life of a floor nurse. A good example of why the high burn out rate. All hospital nurses should be admired for their dedication and perseverance in a very difficult job.
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