

"This stunning new novel is Jodi Picoult at her finest--complete with unflinching insights, richly layered characters, and a page-turning plot with a gripping moral dilemma at its heart. 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 Jodi Picoult's Leaving Time "A riveting drama."--Us Weekly "[A] moving tale."--People "A fast-paced, surprise-ending mystery."--USA Today "Poignant. an entertaining story about parental love, friendship, loss."--The Washington Post"--
"A woman and her husband admitted to a hospital to have a baby requests that their nurse be reassigned - they are white supremacists and don't want Ruth, who is black, to touch their baby. The hospital complies, but the baby later goes into cardiac distress when Ruth is on duty. She hesitates before rushing in to perform CPR. When her indecision ends in tragedy, Ruth finds herself on trial, represented by a white public defender who warns against bringing race into a courtroom. As the two come to develop a truer understanding of each other's lives, they begin to doubt the beliefs they each hold most dear"--
A glimpse inside

The novel exposes how racism is not just overt hatred, but also embedded in everyday interactions and institutional decisions. Ruth Jefferson’s experience as a Black nurse—sidelined at the request of white supremacist parents—illustrates how prejudice can be quietly sanctioned by organizations and individuals who believe themselves to be neutral. Picoult uses Ruth’s story to highlight the subtle, pervasive nature of bias, forcing both characters and readers to recognize the many forms racism can take.
Through Kennedy McQuarrie, Ruth’s white public defender, Picoult explores the limits of good intentions. Kennedy’s initial reluctance to discuss race in court reflects a broader societal discomfort with acknowledging privilege. The novel interrogates how privilege allows some people to ignore or minimize the realities others face daily, and how genuine allyship requires uncomfortable self-examination and the willingness to listen.
Ratings at a glance
- 1Everyday Racism and Systemic Bias
- 2Privilege and Blind Spots
- 3Moral Dilemmas and Personal Responsibility
- 4The Complexity of Identity
- 5Empathy as a Path to Change
Popular quotes from Small Great Things
“You don't love someone because they're perfect, you love them in spite of the fact that they're not.”
“Justice will not be served until those who are unaffected are as outraged as those who are.”
“What if the things that make you a good parent are the same things that might get you killed?”