Small Great Things by Jodi Picoult Book Summary
Discover a comprehensive summary and insightful review of "Small Great Things" by Jodi Picoult. Explore key themes, character analysis, and thought-provoking insights that reveal the powerful messages within this gripping novel. Perfect for readers seeking a deeper understanding of the story's impact and relevance.
Michel Fisher
July 11, 2025
Genres: Adult, Adult Fiction, Audiobook, Book Club, Contemporary, Drama, Fiction, Literary Fiction, Race, Realistic Fiction
Small Great Things Book Summary
Jodi Picoult's "Small Great Things" tackles the complex realities of racial prejudice and systemic inequality through the gripping story of Ruth Jefferson, an African American labor and delivery nurse who faces a career-ending crisis when white supremacist parents demand she not touch their newborn. This powerful novel explores themes of privilege, justice, and moral courage as Ruth fights legal battles while confronting uncomfortable truths about race in America. Picoult masterfully weaves multiple perspectives to create a thought-provoking narrative that challenges readers to examine their own unconscious biases and consider what it truly means to do the right thing.
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Small Great Things by Jodi Picoult - Introduction
I had no idea how deeply a single moment of silence could speak volumes about race and privilege until I read Small Great Things by Jodi Picoult. There’s this scene where silence isn’t just quiet—it’s a loud, uncomfortable space that forces you to confront your own biases. Honestly, it made me rethink how often I might have been complicit just by not speaking up.
I picked up this book initially because I’d heard it was a powerful mix of contemporary fiction and realistic drama that tackles race head-on, but I didn’t expect it to hit so close to home. It’s not just about the big headlines or obvious injustices—Picoult digs into the subtle, everyday moments that shape how we see each other.
If you’re someone who’s ever felt unsure about how to talk about race or wanted to understand different perspectives without feeling defensive, this book is for you. It’s a literary fiction gem that’s perfect for book clubs or anyone who loves stories that make you think and feel deeply. Plus, at 510 pages, it’s a commitment, but the audiobook version makes it easier to get through, especially if you’re juggling a busy schedule.
So, if you want a story that’s both gripping and thoughtful, that challenges your assumptions while delivering a compelling drama, give Small Great Things a try. I promise, it’ll stay with you long after you finish.
What is Small Great Things About?

"Small Great Things" by Jodi Picoult explores the complexities of race, privilege, and justice through the story of an African American nurse who faces a moral dilemma after being forbidden to care for a newborn due to the parents' prejudices. The book's main message emphasizes the importance of empathy and understanding in overcoming societal biases and personal prejudices. Key concepts include the impact of systemic racism on individuals, the significance of personal choice in the face of injustice, and the transformative power of compassion and connection across cultural divides.
About Book Author - Jodi Picoult
It's a real pleasure to introduce our next speaker.
Jodi Picoult didn't start out as the writer many of us first encountered through works like My Sister's Keeper or The Storyteller. Her journey to writing Small Great Things was truly born from a profound need to confront and understand the uncomfortable truths about race and privilege, a topic she felt compelled to explore. What's interesting about Jodi Picoult, and something not everyone knows, is her early experience teaching; it wasn't just about literature, but about observing human interaction and the seeds of empathy. She possesses a remarkable gift for inhabiting diverse perspectives, making readers feel the raw emotions of her characters. For Small Great Things, her approach was deeply immersive:
- She didn't just research; she listened – to former white supremacists, and to women of color navigating a biased healthcare system. This deep, personal engagement with the subject, this commitment to authentic voices, is precisely why she can guide us through such challenging yet crucial conversations.
More Books To Find
Small Great Things - Book Overview
It's about a Black nurse, Ruth, who faces a life-altering situation when a white couple's baby dies during her care, leading to a trial that exposes deep-seated racial tensions. At its core, the book tackles prejudice and justice, exploring how our biases shape our actions and the consequences that follow.
Jodi Picoult wrote it to challenge readers to confront their own beliefs and assumptions about race and privilege. She wants us to see how systemic racism isn't just a historical issue; it's something that affects real lives today.
What sets this book apart is its structure. It’s told from three perspectives—Ruth, the couple, and the lawyer—which allows you to see the complexity of the situation from different angles. It’s like watching a movie where you get to see the motivations behind every character’s actions, making it much more nuanced than typical narratives on racism.
One story that really stuck with me is when Ruth reflects on her mother’s teachings about being Black in America. She recalls how her mother would tell her to always be twice as good to get half as far. This simple yet powerful moment encapsulates the weight of expectation and the harsh realities of racial inequality, leaving a lasting impression on how I view societal challenges.
Key Insights of Small Great Things
Exploration of Racism: The novel delves deeply into the complexities of racism in America, showcasing how it permeates everyday life and affects individuals' interactions and perceptions. It highlights the systemic nature of prejudice** and its impact on personal relationships.
Character Development: The three main characters—Ruth, a Black labor and delivery nurse; Turk, a white supremacist; and Kennedy, a white public defender—offer diverse perspectives on race and privilege. Their growth throughout the story emphasizes the importance of understanding and confronting one's own biases.
Moral Dilemmas: The book presents challenging ethical questions, particularly regarding justice and accountability. Readers are forced to grapple with the implications of Ruth's situation and the societal structures that influence the legal system, prompting reflection on what constitutes true justice.
Empathy and Connection: A central theme is the necessity of empathy in bridging divides. As characters confront their own prejudices, the narrative encourages readers to seek understanding and connection with those who are different from them, fostering a sense of shared humanity.
Impact of Narrative Structure: The use of multiple viewpoints enhances the storytelling, allowing for a richer understanding of each character's motivations and struggles. This technique underscores the complexity of the issues at hand and invites readers to engage with the material on a deeper level, ultimately driving home the message that every story matters.
Who Should Read This Book
"Small Great Things" by Jodi Picoult is a must-read for anyone interested in exploring complex themes of race, justice, and empathy. It speaks to readers who are passionate about social issues and those seeking to understand different perspectives on prejudice and privilege. This book is particularly impactful for individuals in the fields of social work, law, and education, as it challenges them to reflect on their biases and the systemic injustices present in society. Additionally, anyone who enjoys thought-provoking narratives that spark meaningful conversations will find this novel both engaging and enlightening.
Read If You Are
- Interested in exploring complex moral dilemmas and social justice issues.
- Seeking a thought-provoking narrative that challenges perspectives on race and privilege.
- A fan of character-driven stories that delve into human emotions and relationships.
Skip If You Are
- not interested in exploring complex themes of race and justice
- prefer straightforward narratives without emotional depth
- uncomfortable with challenging moral dilemmas and societal issues
Important Takeaways from this Book
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Engage in Active Listening: Spend at least 10 minutes today in a conversation where you focus solely on listening without interrupting. This matters because it fosters deeper connections and understanding. Consider the other person's perspective and emotions to enhance empathy.
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Challenge Your Biases: Identify one stereotype or bias you hold and research its origins. Understanding your biases is crucial for personal growth and promoting inclusivity. Make sure to approach this with an open mind and a willingness to learn.
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Speak Up Against Injustice: When you witness a microaggression or unfair treatment, take a moment to address it calmly. This action is essential for creating a more equitable environment. Be prepared for potential discomfort, but remember that your voice can inspire change.
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Practice Empathy Daily: Each day, choose one person to empathize with by putting yourself in their shoes. This practice enhances your emotional intelligence and strengthens relationships. Start small; it could be a colleague or even a family member.
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Volunteer for a Local Organization: Find a community organization that supports marginalized groups and dedicate a few hours this week to help. This action matters because it directly contributes to positive change and builds community ties. Research local options online and choose one that resonates with you.
Book Review
I picked up "Small Great Things" by Jodi Picoult expecting a thought-provoking exploration of race and justice, and it certainly delivered on that front. The premise—a white couple refusing care for their newborn by a Black nurse—grabbed my attention immediately. However, I found the pacing a bit uneven; the first half felt slow as it built up the characters' backstories, while the second half raced towards a dramatic conclusion.
Picoult's strengths lie in her ability to create complex characters. Ruth, the nurse, is beautifully fleshed out, and her internal struggles resonate deeply. The narrative shifts between Ruth, the mother, and the attorney, showcasing different perspectives that enriched my understanding of the issues at play. I particularly appreciated the detailed courtroom scenes, which felt authentic and engaging.
However, at times, the dialogue felt a bit forced, especially in the more emotional moments. I wanted the characters to feel more organic rather than just vehicles for the themes. Additionally, while the ending was impactful, it felt somewhat rushed compared to the buildup.
In comparison to other Picoult novels like "My Sister's Keeper," this one tackles heavier themes but doesn't quite reach the same emotional depth.
Overall, I think "Small Great Things" is a worthwhile read for those interested in social justice and moral dilemmas. However, if you're looking for a fast-paced thriller or a light read, you might want to skip this one. It's a powerful story that will make you reflect long after you've turned the last page.
Final Thoughts
If I'm being honest, finishing Small Great Things left me with a lot to think about. Jodi Picoult tackles some heavy themes around race, privilege, and morality in such a raw way that it’s hard to shake off. My overall takeaway is that it really challenges you to reflect on your own biases and the impact of choices we make, even the smallest ones.
I'd definitely recommend this if you're someone who enjoys thought-provoking reads that spark deep conversations, especially if you're interested in social justice issues. However, skip this one if you're looking for something light-hearted or purely entertaining; it’s definitely not that kind of book.
The thing that surprised me most was how emotionally invested I became in the characters—each one is so well-developed that their struggles felt deeply personal. Months from now, I think the message about empathy and understanding will stick with me the most.
While I might not read it again right away, I’d definitely recommend the full book over just a summary. My reading experience was intense and enlightening, and I found myself reflecting on it long after I turned the last page.
Frequently Asked Questions
How long does it take to read Small Great Things?
It typically takes around 12 to 15 hours to read "Small Great Things" by Jodi Picoult, which has 510 pages. This estimate may vary based on your reading speed and style. Enjoy the journey through this thought-provoking narrative!
What makes "Small Great Things" different from other books in this genre?
"Small Great Things" stands out due to its deep exploration of race, privilege, and moral dilemmas, intertwined with a compelling narrative. Picoult's unique perspective and character-driven storytelling challenge readers to confront uncomfortable truths, making it a thought-provoking and emotionally resonant experience unlike typical genre offerings.
Who is the target audience for Small Great Things
The target audience for "Small Great Things" includes adult readers interested in thought-provoking fiction that addresses themes of race, prejudice, and morality. It appeals to those who appreciate emotional storytelling and complex characters, as well as readers seeking to engage with contemporary social issues.
Are there any criticisms or limitations of Small Great Things
Some criticisms of "Small Great Things" include its portrayal of race and privilege, with some readers feeling it oversimplifies complex issues. Others argue that the narrative may lean towards melodrama, potentially overshadowing the deeper themes of systemic racism and justice.
What is the main theme of Small Great Things by Jodi Picoult
The main theme of "Small Great Things" by Jodi Picoult revolves around racism, prejudice, and the complexities of moral choices. It explores how personal experiences and societal influences shape our perceptions, emphasizing the importance of empathy and understanding in overcoming deep-seated biases.
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Michel Fisher
Michel Fisher is a passionate fiction enthusiast and book blogger who writes about emotional reads, character-driven stories, and contemporary romance authors that captivate hearts and minds.

Small Great Things
Book Overview
Description
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.
Key Points
Racism impacts lives profoundly
Characters
Publisher
Ballantine Books
First Publish Date
Awards
Audie Award for Multi-Voiced Performance (2017), Goodreads Choice Award Nominee for Fiction (2016)