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Small Great Things: A Novel Paperback – February 20, 2018

4.6 4.6 out of 5 stars 97,080 ratings

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#1 NEW YORK TIMES BESTSELLER • A stunning page-turner with richly layered characters and a gripping moral dilemma that will lead readers to question everything they know about privilege, power, and race

Look for Jodi Picoult’s new novel,
By Any Other Name, available now!

“[Picoult] offers a thought-provoking examination of racism in America today, both overt and subtle. Her many readers will find much to discuss in the pages of this topical, moving book.”—Booklist (starred review)

Ruth Jefferson is a labor and delivery nurse at a Connecticut hospital with more than twenty years’ experience. During her shift, Ruth begins a routine checkup on a newborn, only to be told a few minutes later that she’s been reassigned to another patient. The parents are white supremacists and don’t want Ruth, who is African American, to touch their child. The hospital complies with their request, but the next day, the baby goes into cardiac distress while Ruth is alone in the nursery. Does she obey orders or does she intervene?

Ruth hesitates before performing CPR and, as a result, is charged with a serious crime. Kennedy McQuarrie, a white public defender, takes her case but gives unexpected advice: Kennedy insists that mentioning race in the courtroom is not a winning strategy. Conflicted by Kennedy’s counsel, Ruth tries to keep life as normal as possible for her family—especially her teenage son—as the case becomes a media sensation. As the trial moves forward, Ruth and Kennedy must gain each other’s trust, and come to see that what they’ve been taught their whole lives about others—and themselves—might be wrong.

With incredible empathy, intelligence, and candor, Jodi Picoult tackles race, privilege, prejudice, justice, and compassion—and doesn’t offer easy answers.
Small Great Things is a remarkable achievement from a writer at the top of her game.

Praise for Small Great Things

Small Great Things is the most important novel Jodi Picoult has ever written. . . . It will challenge her readers . . . [and] expand our cultural conversation about race and prejudice.”The Washington Post

“A novel that puts its finger on the very pulse of the nation that we live in today . . . a fantastic read from beginning to end, as can always be expected from Picoult, this novel maintains a steady, page-turning pace that makes it hard for readers to put down.”
San Francisco Book Review
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From the Publisher

Editorial Reviews

Review

Small Great Things is the most important novel Jodi Picoult has ever written. . . . It will challenge her readers . . . [and] expand our cultural conversation about race and prejudice.”The Washington Post
 
“A novel that puts its finger on the very pulse of the nation that we live in today . . . a fantastic read from beginning to end, as can always be expected from Picoult, this novel maintains a steady, page-turning pace that makes it hard for readers to put down. It also allows for conversations to be had and for people to sit back and look at their lives, actions (past and present) and wonder how they will move forward. This is a fantastic book not only because it addresses something that happens in America and around the world every day, but it also shows us that change is possible too.”
San Francisco Book Review
 
“A gripping courtroom drama . . . Given the current political climate it is quite prescient and worthwhile. . . . This is a writer who understands her characters inside and out.”
—Roxane Gay, The New York Times Book Review

Small Great Things embraces . . . empathy, hope and humility.”Newsday 

“[An] author at the top of her heart-rending game.”
—The National

“A gripping read about an issue of urgency.”
—The Vancouver Sun

“A book that needs to be read.”
—The Detroit News
 
“Exciting and fast-paced.”
New York Journal of Books 

 “[Picoult] offers a thought-provoking examination of racism in America today, both overt and subtle. Her many readers will find much to discuss in the pages of this topical, moving book.”
Booklist (starred review)

“Powerful . . . revelations abound.”
—The Free Lance-Star
 
“Picoult has outdone herself.”
—St. Louis Post-Dispatch 
 
“A courageous and important work.”
Minneapolis Star Tribune

“I couldn’t put it down. Her best yet!”
New York Times bestselling author Alice Hoffman
 
“A compelling, can’t-put-it-down drama with a trademark [Jodi] Picoult twist.”
Good Housekeeping
 
“It’s Jodi Picoult, the prime provider of literary soul food. This riveting drama is sure to be supremely satisfying and a bravely thought-provoking tale on the dangers of prejudice.”
Redbook
 
“Jodi Picoult is never afraid to take on hot topics, and in 
Small Great Things, she tackles race and discrimination in a way that will grab hold of you and refuse to let you go. . . . This page-turner is perfect for book clubs.”Popsugar

About the Author

Jodi Picoult is the #1 New York Times bestsellingauthor of twenty-five novels, including Small Great Things, Leaving Time, The Storyteller, Lone Wolf, Sing You Home, House Rules, Handle with Care, Change of Heart, Nineteen Minutes, and My Sister’s Keeper. She is also the author, with daughter Samantha van Leer, of two young adult novels, Between the Lines and Off the Page. Picoult lives in New Hampshire with her husband and three children.

Product details

  • Publisher ‏ : ‎ Ballantine Books; Reprint edition (February 20, 2018)
  • Language ‏ : ‎ English
  • Paperback ‏ : ‎ 528 pages
  • ISBN-10 ‏ : ‎ 0345544978
  • ISBN-13 ‏ : ‎ 978-0345544971
  • Lexile measure ‏ : ‎ HL800L
  • Item Weight ‏ : ‎ 14.4 ounces
  • Dimensions ‏ : ‎ 5.52 x 1.18 x 8.23 inches
  • Customer Reviews:
    4.6 4.6 out of 5 stars 97,080 ratings

About the author

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Jodi Picoult
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Jodi Picoult is the #1 New York Times bestselling author of twenty-nine novels, including Mad Honey, Wish You Were Here, The Book of Two Ways, A Spark of Light, Small Great Things, Leaving Time, and My Sister's Keeper, and, with daughter Samantha van Leer, two young adult novels, Between the Lines and Off the Page. Picoult lives in New Hampshire.

Follow Jodi Picoult on Instagram, TikTok, Facebook, and Twitter: @jodipicoult

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4.6 out of 5 stars
97,080 global ratings

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Customers find the book engaging and thought-provoking. They praise the writing quality as excellent and the author's skill in tackling difficult issues. The storyline is described as riveting and exciting, with a twist at the end that keeps readers hooked. The characters are well-developed and relatable, making the book an enjoyable read for customers.

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4,188 customers mention "Readability"4,092 positive96 negative

Customers find the book engaging and well-written. They appreciate the author's talent and dedication to the subject matter. The story is described as compelling and appropriate for the occasion.

"...for the title of this novel and I feel it is very appropriate given the subject matter and story within the pages of this novel. &#..." Read more

"Gripping. Powerful. A story that needs to be told. From two different perspectives. One that is almost unbearable to read...." Read more

"...are quite a few secondary characters that add perspective and spice to the story as well and I think each one presented a point of view and point of..." Read more

"...This was SO worth the read and then some." Read more

2,709 customers mention "Thought provoking"2,651 positive58 negative

Customers find the book thought-provoking and entertaining. They appreciate the different points of view and the different voices. The book inspires them to be more aware and work harder to eliminate racism. It is poignant, touching, gripping, and an eye-opener about bias and hatred. Readers describe it as well-written and interesting as all of her books.

"...Jodi Picoult's novels are always extremely well-researched, intelligently-written, and very thought-provoking and "Small Great Things" is an..." Read more

"...Please don't misunderstand, I was enthralled by the book. The story is passionate, intense, and portrays a deep struggle, which you want to..." Read more

"...The characters in this novel are amazing. The story is told through three perspectives: Ruth, a black nurse who loses her job and is charged with a..." Read more

"...She does her homework. She tugs at your heartstrings, your very soul...." Read more

1,788 customers mention "Writing quality"1,496 positive292 negative

Customers find the writing quality of the book good. They appreciate the character development and writing about difficult issues artfully. The author has a talent and guts to continue writing about them. Readers praise the book as incredible, with beautiful quotes like "PRIDE is an evil dragon" and mention it's a must-read for all. However, some feel the book is not easy to read, with no metaphors, poetry, or descriptions.

"...Jodi Picoult's novels are always extremely well-researched, intelligently-written, and very thought-provoking and "Small Great Things" is an..." Read more

"...Something else I quite enjoyed was learning the medical and law jargon and procedures that aren't always shown or known to those outside the fields...." Read more

"...What I love about this book is that it is as well written and interesting as all of her books. It is a page turner and it doesn't point fingers...." Read more

"...she felt compelled to write about the subject was some of the best writing in the book." Read more

926 customers mention "Storyline"778 positive148 negative

Customers enjoy the engaging storyline. They find the plot twist at the end clever and the characters realistic. The book contains a courtroom drama, which they appreciate. Readers are drawn into the characters' experiences and able to see parts of themselves through the story.

"...Many of the chapters end in cliffhangers and I simply couldn't stop reading! Jodi Picoult is a wonderful storyteller and one of my favorite authors...." Read more

"...There is nothing that can bring him back. The back stories were amazing and uncomfortable to read...." Read more

"...Racism is discussed as well as 3k. But it has a good ending and I Would recommend people read it...." Read more

"...Highly recommend because it is not predictable." Read more

922 customers mention "Racism"838 positive84 negative

Customers find the book well-written and engaging. They appreciate the author's courage in tackling the difficult subject of racism and white privilege. The book makes them rethink their prejudices and assumptions about race. It also helps them understand how race affects their choices and justice.

"...I feel she tackles the topic of race well and paints beautiful portraits of all the individuals involved...." Read more

"...Jodi Picoult is at her best once again with this complex and multilayered story of race, discrimination, and understanding as only she can write..." Read more

"Very good read. It goes into the history of racism and sexism in this country...." Read more

"Kudos to Jodi Picoult for having the courage to write about racism in America...." Read more

747 customers mention "Character development"647 positive100 negative

Customers enjoy the well-developed characters. They find them portrayed as individuals, and the story is told in the voices of three different characters who each represent a character. The characters hold readers' attention and make them feel like friends.

"...These protagonists, as well as the supporting characters, are portrayed as individuals whom anyone could see out in public and they are all very well..." Read more

"...There are quite a few secondary characters that add perspective and spice to the story as well and I think each one presented a point of view and..." Read more

"...Shocking moments. Overall this will be a memorable book with great characters...." Read more

"Excellent character development, difficult subject written artfully. Favorite book I read in 2024. Sticking with me." Read more

570 customers mention "Reading pace"560 positive10 negative

Customers find the book engaging and captivating. They say it keeps their attention throughout, drawing them into the characters' experiences and allowing them to reflect on themselves. The book is described as honest, inspiring, and memorable.

"...Jodi Picoult’s SMALL GREAT THINGS. This book is so riveting as it strikes a chord...." Read more

"...and varied characters that keep me conflicted and engaged until the last page...." Read more

"...It has a somewhat complex story that will keep you turning the pages. I enjoyed reading this book. Rating: 4 Stars...." Read more

"...This is time well spent." Read more

478 customers mention "Realistic"378 positive100 negative

Customers enjoy the realistic story and characters. They find the plot compelling and the narrative enjoyable. The book is based on a true story, and readers appreciate its honesty and straightforward presentation of truths.

"...She is not claiming to be an expert. She based it on a true story...." Read more

"...It felt very realistic and authentic and helped ground the story with facts and methods inside what can otherwise be very emotional...." Read more

"...It is sad, poignant, though-provoking, touching, gripping and compelling. Without a doubt, this book will be on my favorites shelf...." Read more

"...I felt that the voices of these three narrators were often unrealistic, thus my mediocre rating of this book...." Read more

SMALL GREAT THINGS by Jodi Picoult is another book with which ...
4 out of 5 stars
SMALL GREAT THINGS by Jodi Picoult is another book with which ...
SMALL GREAT THINGS by Jodi Picoult is another book with which I have a love-hate relationship. I don't even know where to begin with what I want to say about this new book. I realize that this is a book that has racism/inequality--well, inequity--as its main focus/purpose/point/plot. It is what Jodi has been talking about in her interviews and statements about SMALL GREAT THINGS. It is in everything I'm reading about the book. It is the focus of just about single review I have read so far of the book.But for me, SMALL GREAT THINGS is not a story about race. For me, this is a story about child loss--the devastation of child loss for ALL involved: the mom, the dad, the nurse(s), other health care staff, grandparents, and on and on the list goes. Losing Davis is certainly incredibly difficult for Brit and Turk, the parents.Brit is so incredibly devastated, she never recovers from the horror of the loss of her Precious.Turk deals with the loss the only way he knows how: with hate.Ruth is the consummate professional, attempting to over-ride her hurt at being mistreated in order to do what is best for the innocent in her care; when that falls apart, she grieves his loss as only one who fights for the life of another is able to grieve.The rest of the hospital staff is able to get on with their lives and put the death of Davis in whatever place health professionals do when a patient doesn't make it. They do their jobs.No one deals with the loss of this tiny, 3-day old baby in a so-called "typical" manner.As someone who has experienced child loss myself (3 times), "typical" grieving is an oxymoron. There truly is NO "typical" grieving when it comes to the death of a baby--for anyone involved. What makes the grief that much more difficult to deal with is are the words--the insensitive words spoken in a vain attempt to comfort the bereaved.Brit experienced such, but not one person cared enough to focus on her and what she may have needed. Not even her husband who supposedly so desperately wanted to help her through her time of grief. SMALL GREAT THINGS makes me angrier than I can possibly say for the sake of Brit--the Mommy who went into the hospital with a baby in her womb only to come out of the hospital with empty arms--the WORST, most WRONG thing that can ever happen to ANY parent.Yes, Brit is a White Supremacist who demands that black Ruth be taken off the care of her son, but like Ruth's color, that is NO reason to make Brit suffer even more than she already was. Casting blame didn't do Brit any good. It only fueled her hatred and intensified her grief.Ruth loses her job and is dragged through the gutter all because those involved want SOMEONE to blame--to pay for--something that makes absolutely no sense whatsoever.I'm here to tell you that the blame game only causes more problems and continues the hurt and devastation. I blamed my husband for our loss for a very long time. It almost ruined our marriage. It almost led me to do something similar to what Brit does. It fueled my rage and gave me something to hang on to since I didn't have my baby to hold in my arms. But in the long run, all I got out of it was a lot of physical and mental health issues--that I will probably have to deal with the rest of my life.The grief will ALWAYS be there, but forgiveness is freedom. Blaming wraps the blamer tight in shackles and imprisons him/her worse than grief ever will.My compassion goes out to Ruth, of course it does. I want Ruth vindicated with every fiber of my being.But my real heart goes to Brit, the mom who is ignored and misunderstood as well as mistreated.SMALL GREAT THINGS by Jodi Picoult is another story that demonstrates the truth that we, as a society, have NO IDEA what to do with mothers who are not mothers with physical, live children in her arms. We treat these mothers even worse than we treat women like Ruth. Do you realize that there isn't even a name for parents (men or women) who suffer the excrutiating loss of a baby/child???So Jodi, in spite of the fact that I am fan of yours, have been a fan, and always will be a fan, I want "justice" for Brit more than for Ruth in SMALL GREAT THINGS.Originally posted in my blog: [...]
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Top reviews from the United States

  • Reviewed in the United States on October 16, 2016
    About 12 years ago, I was introduced to Jodi Picoult's novels and, once I started reading them, I couldn't stop! I purchased all of her novels that were published at the time and quickly devoured them because I felt they were some of the most well-written, amazing books I had ever read. I remember giving many of my family members her books as gifts and they ended up enjoying them as well. A couple years after I started reading her books, I had one of the most exciting days of my life at the time when I met Jodi Picoult in person! I was pretty much hyperventilating when I met her and I loved listening to her talk about her books. I met her a couple other times after that and would actually skip going with everyone to sporting events just so I could hear her talk. Now, many years later, I have many of her books signed and I've read and loved all of her books, some more than others. I've found as she has grown as an author, her books become more thoughtful, her characters more complex, and the storylines told from multiple characters are woven together so well that, by the end of the novel, my jaw is hanging on the ground.

    "If I cannot do great things, I can do small things in a great way."

    The above quotation by Reverend Dr. Martin Luther King, Jr. was the inspiration for the title of this novel and I feel it is very appropriate given the subject matter and story within the pages of this novel. "Small Great Things" is the story of Ruth Jefferson, a veteran labor and delivery nurse at a hospital in New Haven, Connecticut. Ruth worked hard to get to where she is and her boss and coworkers consider her to be the best and most knowledgeable nurse on staff. One day she is performing her job when she is told she is no longer able to provide care for a newborn because the parents are white supremacists and she is African American. The next day, the baby goes into cardiac arrest when she is alone with him in the nursery. Within just a few moments, she wrestles over if she should follow her boss's orders or fulfill her duty as a nurse to help care for the newborn.

    As always with Jodi Picoult's novels, "Small Great Things" is told from multiple viewpoints which help make this an extremely complex and deeply-layered novel. This novel is told from three viewpoints: Ruth, Turke Bauer, the white supremacist father, and Kennedy McQuarrie, a public defender who has never taken a case like this. These protagonists, as well as the supporting characters, are portrayed as individuals whom anyone could see out in public and they are all very well-developed. We see them as they go about their everyday business both at work and at home, as they experience highs and lows, and as they are confronted with one another. As a former English Literature major, I love analyzing novels and "Small Great Things" was great to do just that and I enjoyed seeing the brilliant character development and the thought processes within these three main characters.

    In summary, I loved this novel and had a hard time putting it down. Many of the chapters end in cliffhangers and I simply couldn't stop reading! Jodi Picoult is a wonderful storyteller and one of my favorite authors. I've enjoyed all of her books, some more than others, and I would rate "Small Great Things" up there as one of my favorites. I feel she tackles the topic of race well and paints beautiful portraits of all the individuals involved. This novel has been a work-in-progress for Jodi Picoult for about two decades as she put extensive research into it and wanted to make sure she portrayed her characters as accurately as possible. If you decide to read this novel, which I very highly recommend, I suggest reading the Author's Note at the end because she describes the development of this novel. Jodi Picoult's novels are always extremely well-researched, intelligently-written, and very thought-provoking and "Small Great Things" is an amazing work of fiction that deserves to be read.
    24 people found this helpful
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  • Reviewed in the United States on October 20, 2016
    Gripping. Powerful. A story that needs to be told. From two different perspectives. One that is almost unbearable to read. Actually, both are very difficult to read, but in different ways. One character's life makes you think not only of her outlook but forces you to truly take an introspective look. From another's viewpoint as well as how you look at the world. While you are reading it, it is hard to imagine that it was written by a white, female author. Jodi Picoult’s SMALL GREAT THINGS. This book is so riveting as it strikes a chord. Given the state of race relations in our country, the story is all the more haunting. To say that the issue of racial inequality has actually taken a turn for the worse, would be an understatement. The disparity in everyday life. I found myself doubting things that I have said, whom I may have inadvertently hurt or offended with no malicious intent. Reading this book made me sick to my stomach. But, I read on. It is important. Picoult is trying to get a message across. Please don't misunderstand, I was enthralled by the book. The story is passionate, intense, and portrays a deep struggle, which you want to read.

    I imagine some people will be doubters. How could the author possibly understand this situation, even if she is writing fiction. I have read interviews about the depth of research that she put into this book. She is not claiming to be an expert. She based it on a true story. The title comes from a line in a famous speech of Dr. Martin Luther King Jr.’s: If I cannot do great things, I can do small things in a great way.”

    The story is about a nurse, no ordinary nurse, but one who is dedicated and well regarded, with a twenty-year career at the hospital where ‘the incident’ occurs. A husband and wife have just had their first baby. When the nurse comes into their room, to take over the shift of another labor and delivery nurse, upon seeing her, the parents, who are white supremacists, see that she is black and immediately request to see her supervisor, whom they tell, in no uncertain terms, that this woman is not to touch their baby. What unfolds next is a devastating. Both of their lives take a turn neither could have predicted. The story is told from both sides. Heartbreak from the nurse’s and mistrust of everyone she encounters. She has noticed this before or rather, has worked hard to rise above it, but now it is all surfacing and cannot be ignored. The extremely racist man is angered to the point of revenge and his wife is shattered and taken to bed and depression.

    ​Some books make you think. Some books turn you to a fantasy world. Some books make you step outside of yourself and think how others feel. SMALL GREAT THINGS makes you think, step outside of yourself, take another's perspective, and re-think your beliefs, and step outside of the fantasy world you have been living in, where all people are treated equally. It is both disturbing, heartbreaking and enlightening.

    ​I commend Picoult for taking on the writing of a potentially controversial subject and for tackling it with a story that has great depth and feeling.
    557 people found this helpful
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Top reviews from other countries

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  • luciana Murakami
    5.0 out of 5 stars Great novel
    Reviewed in Brazil on July 9, 2022
    Easy and fast reading. Interesting novel
  • Sudhakar kadiyala
    5.0 out of 5 stars Extrordinary
    Reviewed in India on January 4, 2023
    The author role modelled herself into the character of Ruth(Black woman) so much that her every heartbeat, every thought ,action etc was reflected as it goes consciously & subconscious in the mind of a victim.Thanks to my friend for her suggestion and congratulations to Jodi Picoult for a fine writeup.Started seeing greatness in small things. ❤️
  • Enrique Lopez
    5.0 out of 5 stars Small Great Things by Jodi Picoult
    Reviewed in Mexico on December 11, 2020
    "Small Great Things" is an excellent story, magisterially narrated by Jodi Picoult. Unfortunately, racism exists. It has existed since the human being appeared in our planet. The subject is intense, alluring. Through the pages of the book, I lived the drama of the different characters, and understood their motivations, though not always approved them. I am glad I read Jodi Picoult for the first time. I will surely read other books by the author.
    Congratulations to Jodi Picoult !
  • Cliente Amazon
    5.0 out of 5 stars Small Great Things / edizione in lingua inglese
    Reviewed in Italy on August 19, 2022
    Ruth lavora da vent'anni come infermeria del reparto maternità di un ospedale del Connecticut, apprezzata e stimata per la sua competenza e professionalità da superiori e colleghe. Durante uno dei suoi turni, Ruth inizia un check-up di routine su di un neonato, ma dopo pochi minuti le viene detto che i genitori sono suprematisti bianchi e che non vogliono che Ruth, che è afro-americana, tocchi il bambino. L'ospedale accetta la richiesta ( pur sapendo trattarsi di atteggiamento razzista nei suoi confronti) ed assegna Ruth ad un altro paziente. Il giorno dopo però, il neonato va in arresto cardiaco mentre leì è l'unica infermiera presente nella nursery, in quanto la collega è stata chiamata per un'emergenza e le ha chiesto di sostituirla. Che fare? Ruth deve obbedire agli ordini ricevuti o deve intervenire? Non voglio svelare oltre della trama di questo romanzo, avvincente come tutti i romanzi della Picoult, la quale, con incredibile empatia ed intelligenza, affronta temi delicatissimi come la razza, i privilegi dell'essere "bianchi", il pregiudizio, la compassione e non offre risposte facili. Un libro per riflettere e, magari,perchè no, uscirne migliori. Assolutamente consigliato, ovviamente in lingua originale, per apprezzare la scrittura dell'autrice.
  • Its_Amran
    5.0 out of 5 stars Wow!
    Reviewed in the Netherlands on March 19, 2021
    What an amazing read! I haven't read a book in a single sitting for soo long until this book came along. I loved the amazing way in which the author explains racial issues in the US. As a black woman, I could relate to so many situations and feelings that Ruth was experiencing so I was pleasantly surprised to find out at the end of the book that the author is a white woman. I think she did an amazing job not only with Ruth's pov but also Turk's.