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Labor Unions And Nursing




In the 1950s the number of strikes dropped sharply, as the relationships between unions and employers became more predictable. The 1960s saw a rise in public employee strikes (teachers, transit workers and other local government workers) and in 1970, the wildcat strike of 180,000 postal workers became the largest public employee walkout in U.S. history. Declining strike volume during the 1970s and 1980s are attributed to recession, as strikes are less common with economic downturn, conservative political climate and declining union membership. During this time striking union workers were commonly replaced by non-union “scabs”. This was evident by the firing and replacement of striking air traffic controllers (PATCO) by President Reagan in the 1980s. Nurse’s Unions The most common reason for organized labor to walk off the job and strike are wage-related issues.


Common reasons for nurses to strike are wage, benefits and patient care demands. In California, the marathon contract dispute between Kaiser Permanente and the California Nurses Association (CNA) alleges bad-faith bargaining, poor quality of care, understaffing of licensed beds and improper closures of facilities.



In 1997, the union issued daily press releases alleging poor quality of care and cited daily instances in which Kaiser sacrificed patient welfare to save money. (Sherer, 1998) The nurses have staged six one-day long strikes since the contract expired in January 1997. The issues include not only wages, but the fight for “the clout they (nurses) want in setting and enforcing standards”. (Sherer, 1998) They also want to be equal team members in reviewing and evaluating whether acuity systems and classification methods are effective. Typically, these systems are used to determine staffing levels and if inaccurate, working conditions could be not only poor, but also dangerous. CNA is organizing politically as well in California, scoring a victory in the California Assembly with a bill that, if signed into law would mandate minimum nurse-to-patient ratios. (Sherer, 1998) In August, 1999, the tight healthcare labor market along with nurses’ frustration at hospitals where they work have allowed the CNA to make strong gains in organizing and collective bargaining. (Moore, 1999) On August 23, the CNA won a 20% pay increase over three years, plus the provisions on the joint staffing/patient acuity committees at four Columbia HCA hospitals in California. After the months of negotiation, the nurses’ vote to authorize CNA to serve notice to strike lead to the settlement. Gary Chaison, a professor of industrial relations at Clark University in Worcester, Massachusetts, states “I don’t think there’s a major union in the United States that isn’t in one way or another approaching the health care sector.” (Greene, 1998) Recent changes in healthcare have subjected nurses to the effects of cost cutting, shuffled duties and reorganization, not to mention a chronic nursing shortage. Just 17% of the nation’s 2.2 million RNs belong to unions, and labor groups are looking to nursing to boost their dwindling ranks. Two AFL-CIO affiliated unions actively pursuing nurses are the Service Employees International Union (SEIU) and the United Food and Commercial Workers Union (UFCW).


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