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Nursing might save her, but at what cost?

Quinn McConnell is nearly finished with nursing school, and ready to begin her new adult life with a solid career and financial stability to boot. Her boyfriend isn’t perfect, but neither is anything else in her life, and she’s made peace with that, or so she thinks. But things change when she begins her emergency room rotation during her final semester: a handsome but irritating and arrogant doctor drives her crazy, a nursing preceptor with a heart of gold becomes her closest friend, and a surprising event has her questioning first impressions and the line between love and hate. Quinn will have to tackle her demons and the grim realities of the nursing profession if she has any hope of surviving her new career, and truly moving on from the horrors of her past.

Readers will root for Quinn through her hardest days as she pursues her happy ending, with romance and humor balancing out the heartbreak and despair of her mental health struggles, the trauma of the emergency room, and the sometimes bleak nature of modern healthcare. Content may be disturbing to some readers, please check content warnings.

Love, PRN is perfect for fans of The Pitt & Grey’s Anatomy.

368 pages, Kindle Edition

Published April 5, 2025

621 people are currently reading
1719 people want to read

About the author

Cadence Rush

2 books23 followers
Cadence Rush writes romance with heart and heat. Her debut medical romance series, Hearts of Midtown Hospital, was crafted from her ER nursing experience and is beloved by readers obsessed with The Pitt and Grey’s Anatomy. When she’s not writing or reading, she enjoys spending time in nature, and daydreaming about projects she’s not supposed to be working on.

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5 stars
343 (25%)
4 stars
418 (30%)
3 stars
425 (30%)
2 stars
154 (11%)
1 star
31 (2%)
Displaying 1 - 30 of 115 reviews
Profile Image for Cadence Rush.
Author 2 books23 followers
November 11, 2025
Because this was my first book and I endured the most difficult years of my life in order to write it, and poured a bit of my soul into the pages, I allowed myself to review it.😂 (Also, because I had so much self-doubt about writing, I never thought I would publish it but here we are…)

This book was born from years of anxiety, insomnia, and a touch of PTSD as a nursing student and later ER nurse. I wanted to write my mental health struggles into a fictional nurse character that experienced similar feelings and had to learn how to heal herself, because I couldn’t figure out how to move past the obstacles in my own life at the time. Also, before going into nursing, I had NO IDEA how hard it would be on me mentally and emotionally, and I had to write the struggles into a book because I’d never read a medical drama that was accurate to the real-life struggles of healthcare workers. Writing this book was cathartic, and I’m so glad that so many nurses and healthcare workers have reached out to tell me how validating it was to see themselves in a book. The romance reader in me saw an opportunity for an enemies-to-lovers slow burn doctor nurse romance, and the story truly came to life after the romance developed.

Thank you for going on this journey with me, I hope you love these characters as much as I do.

Update (11/11/2025): if you haven’t read the bonus epilogue yet, go check it out on KU or with the paperback, it’ll give an idea about my future plans for the series ☺️
Profile Image for Gracie McCullars.
6 reviews
November 11, 2025
As a nurse the medical lingo was very accurate and fun but it almost was too much medical content and less banter between the main two characters? I also thought it took forever for the two to even start flirting. It was super drawn out to me, but it was an easy read
Profile Image for Jem.
3 reviews
Did Not Finish
March 19, 2026
Felt like I was at work the whole time!! May try to come back to it when I’m not traumatised
Profile Image for Morgan Goldfinch.
13 reviews
March 2, 2026
Fastest I’ve read a book in a while. But I’m a SUCKER for a hot doctor 😏
Profile Image for ruthsbooked.
176 reviews1 follower
April 5, 2026
I wanted a cutesy medical romance but maybe it was too much medical lingo? it made me feel like I’m on a shift and doing my ACLS training as opposed to reading about two people getting to know each other and falling in love 😭 I finished it but I literally couldn’t rate it higher than a 1, esp with that ending? the fmc is so problematic 😩
Profile Image for Laura Kelly.
2 reviews
February 9, 2026
Such a cute book. Written by a nurse herself, the medical lingo was great! Such an easy, quick romance book to get you out of a slump. Definitely a book I would recommend.
Profile Image for Emma Zimdars.
13 reviews
December 27, 2025
god i love getting my greedy lil paws on a easy romance book. such a great side of medicine/mental health/romance. love love love!!!
Profile Image for Lauryn.
80 reviews
February 23, 2026
i love the first 1/2 or maybe 3/4 of this book. it fell flat for me on the actual romance part? idk there wasn’t much of the book where they were finally together and it just lacked substance/i felt like there wasn’t really an ending.

i loved that this was written by a nurse tho and the anxiety surround being a student/the job is so real. i will say it was very relatable in that sense
Profile Image for Isabelle Grillo.
44 reviews
December 16, 2025
The twist being he pays off her loans… c’mon. I also think his loan gift was a tax write off. Non-profit LOL.
Quinn is annoying and Soren is a patronizing individual. I need to know their age gap. That being said he does sound perfect but he’s too emotional.

I liked Sam but I feel like she needed more involvement in the book.

Idk this book was kinda dumb, I didn’t hate it but there was a lot of her crashing out in the ER and it’s like you’re not the first person to work in an ER girl.

Read this with Julia
This entire review has been hidden because of spoilers.
Profile Image for an6ra.
236 reviews
April 24, 2026
I love how realistic the nursing job felt. It truly made me feel like I was at the hospital 😆. The medical part and plot of the book is amazing. It truly captivated me. On the other hand, the romance part felt a bit rushed for me. It almost went from 0 to 100 real quick. I would've loved to see a bit of the slowburn between them 🤷‍♀️
Profile Image for Amy Lauren.
43 reviews
April 25, 2026
okaaaaay not my thing. i was hoping for more of a smutty screwing around the hospital vibe. plus i’m also a nurse but not a FEELINGS feelings nurse so this did make me cringe quite a bit. (not a BAD book just not for me)
Profile Image for Sydney Sheppard.
27 reviews
February 26, 2026
actually shocked how much I loved this read. it was niche as it’s an ER romance but it actually brought me back to starting as a new grad nurse and the mental health toll it can take. Such a good book to break my reading slump ⭐️⭐️⭐️⭐️⭐️
Profile Image for Aimee.
23 reviews
April 27, 2026
So boring, literally felt like I was on placement… where was the romance?
Profile Image for Ella.
10 reviews1 follower
September 18, 2025
Listen up! This book is amazing and I have actually never related to a character more!! The main character is a nursing student turned new grad nurse in the ER and she captures the anxiety, stress and overthinking that comes with being a healthcare student learning things for the first time. Reading this while being a student myself was so captivating. I also just finished a rotation in the ER and I have to say… those ER docs got something about them 😉 I’ll find my Soren one day (please god I’m begging 🙏🏼) if you work in the medical field this is a MUST read… accurate, thrilling medicine and a beautiful romance 💘
Profile Image for Sarah.
340 reviews3 followers
June 30, 2025
First off, I wish Goodreads allowed me to give this book a ten star rating, because out of the 60+ books I’ve read so far in 2025, this book rightfully deserves its rating of my top three favorite books! When I tell you I LOVED this book, I absolutely LOVED it, like loved it to the point that I tried to slow down my reading pace, because I didn’t want the book to end. If you’re someone that likes medical romance, or likes Grey’s Anatomy, likes a slow burn, or just likes romance books, then you will fall in love with this book like I did! This book offers a glimpse into the struggles and the courage it takes to work in the medical field and this book gives hope that there is still life to live, even in the midst of grief. I love that this books shows how the main character Quinn harnesses her resiliency and navigates through some really difficult obstacles that life has dealt her. The chemistry between the FMC and MMC is soooo good and such a dreamy slow burn. I don’t want to give too much away, but I can assure you this, the moment you start reading this book, you won’t want to stop, and it will become your new favorite book like it did for me! I am looking forward to reading the next book in the series- brb, I’m going to go build a Time Machine, so I can zoom to the release date of book two, because I can’t wait to read more of these beloved characters!! I’m so glad I found this wonderful author Cadence Rush on Tik Tok!!
Profile Image for Caitlin.
16 reviews
January 3, 2026
If 3.5 stars was an option, that's what I would rate this book. I loved the idea of each chapter heading being a month of Quinn's year, walking us through her transition from nursing student to nurse and the challenges she faces along the way. The healthcare things happening in the book were very accurate and that's what made it a mostly enjoyable read for me.

The part I find lacking overall is the romance. Apparently, she thinks he has it out for her in the beginning but I struggled with even seeing that in these scenes. When she talks about how he's her enemy, I was confused because we barely get anymore scenes of them working together.

Then, once she decides she should do therapy so they can be together, they just don't speak during those times? And when she decides she deserves love, they fall in love instantaneously? Maybe we're supposed to infer that they're speaking sometimes in the gaps of the months, but I think it really took away from seeing them actually fall in love.

I am looking forward to the next book in this series, should the author decide to write it. Her writing was great, and I think she depicted anxiety in the healthcare system very fairly. Here's to seeing what she comes up with next.
This entire review has been hidden because of spoilers.
Profile Image for Jenna Bowen.
80 reviews
January 17, 2026
3.25

This was fine? I enjoyed the beginning but I think the actual romance was very rushed. I could have seen this continuing as a good workplace slow burn but it turned into a rushed romance with no chemistry.

Overall, I enjoyed the medical situations (I do agree there were kind of a lot and they weren’t always completely necessary) and I enjoyed the grief journey. There were also quite a few editing errors. I wish I’d kept track of how many run on sentences there were but here’s two good examples:

“My grades were decent enough, and I honestly didn’t care about them anymore because by this point as long as I completed my practicum and didn’t completely bail on my exams I’d graduate, and that got me one step closer to taking my boards and actually working, instead of adding on to my debt with each passing day.”

“My mind continued to race—horrible what-ifs about my mother and sister, unhelpful reminders of things that were due for class, worries that I had just ruined all chances of me working in the ER today by crossing Slater and upsetting my preceptor, the reminder that I had a mountain of debt to pay off—but I pretended to be asleep when Liam came to bed sometime later that night.”
Profile Image for Caroline.
14 reviews
April 16, 2026
I don't usually leave bad reviews and I'm usually a finish what I start type of reader. This is the exception. I've not read any other Cadence Rush books but lets just say I hope they are not like this one.
I work in healthcare, and usually I'm all for a medical romance which is why I picked this up in the first place. I made it to 61% through based on my kindle percent before I gave up. I feel like I'm back in school trying to read through all the medical jargon. Not only that but the amount of description this book has about every single incident is beyond what's needed. For example there were at least 3 pages worth of how this girl had to poop in the presence of a man. Like all the smells and feelings. Like I would've been okay with a paragraph at most, like I GET IT you don't want to poop around him. Or how we had to have a description about how he smelled like pine everytime she brushed passed this guy.
We get it girl for real.
This is my first DNF for 2026. I wish this was better.
25 reviews1 follower
December 10, 2025
ok as someone who works in the medical field i was apprehensive about this book. often times it can be too cheesy or cliche, sex in the hallways etc. I gave it a shot on a whim and boy was I HAPILY surprised.

Cadence did such an amazing job of portraying not only the ER environment but also everything that comes with being a healthcare worker, let alone an ER worker. I felt like I was talking to my friends during a shift when I read this; like Quinn was my friend. Cadence delved into so many aspects of healthcare and mental health but somehow managed to wrap it up into a beautiful, longing, romance book. I will absolutely recommend this to anyone i know!

The only reason that I did 4 stars as opposed to 5 was because I felt like the mental health aspect was a little rushed? not sure if that was the right word but I know I am a little more judgmental with mental health representation based on my own experiences.
3 reviews1 follower
January 22, 2026
This book was eh in my opinion. I wanted to like it more than I did. As a nurse, the nursing content was relatable which was nice to feel seen with a character. However, sometimes the overuse of nursing/medical terms felt cringey and forced.

For the relationship between Soren and Quinn, this was way too predictable, not believable, and written poorly IMO. One second he corrects her in a code and the next their in love? Their relationship also felt superficial and based a lot on sex. Also why the heck is she scolding him after all of a sudden at the end of the book he pays off 30k of her loans? Was the author trying to fill more pages? And lets be real if you’re a young new grad dating a crazy rich attending with family business assets, you’re not gonna start that kind of a fight over him relieving all your financial burden. Their relationship was just weirdly written and focused too much on intimacy.

I wanted to like this a lot more than I did.


This entire review has been hidden because of spoilers.
4 reviews
November 22, 2025
If you’re a fan of medical dramas and romances, you’ll enjoy this book. I’m a huge Greys Anatomy fan, and who doesn’t like a hot (and mouthy) doctor? This slow burn burns hot when it gets going.

But more than the romance, I adored Quinn.

She is so real in all of the best ways, she’s troubled, messy, but she’s relatable. I’ve been Quinn at times, even without being a nurse. Her struggles with trauma are handled with delicacy, but pulls no punches. Healing takes work, and you’re rooting for Quinn with every difficult step she takes. This book gets into the grit of being a nurse in an ER setting, and I feel I can emphasize with those profession more than before I picked up the book.

The found family element is strong, and beautiful. This is a world so well-crafted it feels like you can LIVE there. I can’t wait to read more from this author.

(And really hoping Sam gets a book!)
Profile Image for Rebecca A.
41 reviews
February 17, 2026
This was an enjoyable read overall. I really appreciated the insight into the realities of nursing school and the emotional toll of working in the emergency room. The mental health representation felt honest and raw, and you could tell the author wanted to show the heavier side of healthcare.

That said, I would have loved more focus on Quinn and the romance itself. It felt like about 70% of the book centred around anxiety and internal struggles, which, while important, sometimes overshadowed the relationship development. I was hoping for more scenes that built them up as a couple and showed their connection growing.

The spice also didn’t happen until well over halfway through the book, which made the romantic payoff feel a little delayed.

Overall, it was a solid, okay read with strong emotional themes, but not one I’d personally reread.
Profile Image for Sarah Signore.
18 reviews
April 7, 2026
2.75 ⭐️

Very mixed feelings about this book. On one hand I really enjoyed reading Quinn’s experience as a new nurse. The first year as a nurse is humbling and so challenging. As someone going through that herself, I appreciated the representation and how Quinn’s experience wasn’t picture perfect. I also liked reading about her journey with therapy and how it showcased the emotional demand that nurses face.

On the other hand the romance was lacking tremendously. I didn’t really feel the spark between the two main characters. It felt kind of drawn out and then rushed at the end. I could tell the book was supposed to be workplace rivalry to lovers trope but that would be generous. Also they never even addressed how he is technically her supervisor?!?! like hello hi. The characters just lacked depth and i felt like we were missing a lot from all the supporting characters.
Profile Image for Jessie.
2 reviews
September 1, 2025
As an ICU nurse a lot of this hit home. Quinn felt very relatable with her pre and post shift anxiety. The part where she had a panic attack after her patient died and she was in there not 20 minutes prior made me cry. I had a patient who herniated 15 minutes after I left her room to call the doctor and grab her pain meds. Candace understood me and the job and did a beautiful job describing what work is like. The romance is silly and cute. I only have to criticize the ending it felt so rushed it was almost a double third ending break. I thought we would have our happy ending after Quinn’s therapy but then ANOTHER break when slater payed her tuition feel like the last few chapters could have been left out.
This entire review has been hidden because of spoilers.
11 reviews
April 14, 2025
I really liked this book, it was very well written especially for a debut novel. The medical aspect was incredibly realistic clearly coming from author experience! I loved Quinn working on and through her trauma, i hope she finds herself a nice low stress office job in a med spa or something ;-) the spice was fantastic i only wish there was more! I will say while i understood Quinn’s motivations i really hate a third act breakup. Thankfully the resolution was quite quick and if im not mistaken there’s definitely room for a book 2 following a different relationship from the ER. Overall i would absolutely recommend this book if you love a good spicy medical drama
This entire review has been hidden because of spoilers.
6 reviews
December 18, 2025
Literally loved it so much and not even because of the romance, romance was fine but kind of slow. But maybe slow is okay? I loved the accurately depicted nursing language and a real life perspective on what it is to be a nurse. As I am going into nursing school this was the perfect read for expectations, knowledge and understanding. Proud of Quinn for overcoming trauma, finding her place in the world and emphasizing the importance of safe and patient love. Only thing that didn’t sit right with me was her getting upset at MMC for paying off her student loans and almost breaking up with him over that, but I understand she has different boundaries.
Profile Image for Karina Brenchley.
25 reviews1 follower
February 23, 2026
I don’t know what it is but I love medical romances! I found the medical cases and doses interesting. I think it’s awesome the author is a Nurse! What a woman of many talents. Saving lives and making us fall or fictional men. I can’t wait for the second book in the series to be released I’m hoping it’s Sam and Henry’s story! this book is pretty accurate (as a CNA and volunteer in the ER, and Have shadowed and ER night doc multiple times). As someone who works in healthcare the fmc was very relatable with her struggles navigating life and working in healthcare. Lowkey manifesting I find my own Dr boyfriend after this.

Displaying 1 - 30 of 115 reviews