I've seen that phrase a lot, and I really don't understand it. I'm not being snarky here...I sincerely don't get what that means.For example, working with difficult people and noncompliant patients is not something taught in nursing schools, so it's NOT a textbook thing...not taught in lecture, but it certainly comes up in clinicals. It's mainly the real world of nursing, but we might have seen it on the floors during our education. Therefore, there is no "vs." about it.Is it because in "textbook" nursing, the assumption is that every patient is compliant, every role does their job without question, and when you get on the floor, those assumptions no longer apply?That's really the only thing I can come up with.I guess my question comes from nursing friends who said to me after I did an FB post that I got a job, "Forget everything you learned in school. You're in the real world now." I use what I learned in school every single day: pharmacology, assessment, pathophys. When I have questions about nursing judgement, my basis for those questions is what I learned in school, although school didn't teach me everything, of course, which is the reason I'm asking the questions in the first place.How do you define that phrase? What do you really mean when you say it?