TAKING CARE

A warm appreciation of the nursing profession.

Freelance journalist DiGregorio, author of Early, a history of premature birth, celebrates nursing in a capacious look at nurses throughout history, from prehistoric times to the present. Rather than focus only on hospital practice, the author sees nursing “as a biological science and as hands-on caring, as professional and as domestic, as skills and as relationships, as knowing in the mind and knowing in the body.” Before university-trained physicians dominated medical care, creating a hierarchy that defined nurses as their menial assistants, hands-on caring was provided by lay physicians, herbalists, midwives, members of religious communities, mothers, grandmothers, and great-grandmothers, who passed down skills and potions to heal wounds and repair vulnerable bodies. Nursing, the author asserts, did not begin in Victorian England with the tireless—though racist and classist—Florence Nightingale. DiGregorio highlights the work of some famous nurses, including Lillian Wald, who established a visiting nurse system, and birth control advocate Margaret Sanger. But most of her abundant evidence of the crucial and transformative practice of nursing comes through her profiles of community health nurses, first responders, reproductive health providers, nurses-turned-politicians, and hospice nurses. As the largest portion of the workforce, 4 million registered nurses practice in the U.S., and 90% are women. Although there is no nursing shortage, hospitals often cut nursing staff to keep costs low: “Nurses are considered a hospital expense,” writes DiGregorio, “because their practice is usually not billable to insurance the way physicians’ services are.” Overworked and exhausted, many are engaging in collective action, a move the author believes should get active public support. As one nurse told her, “Nursing is a profoundly radical profession that calls society to equality and justice, to trustworthiness and to openness. The profession is, also, radically political: it imagines a world in which the conditions necessary for health are enjoyed by all people.”

A well-informed consideration of the intimacy of care.