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Chapter 18. Collective Bargaining: Traditional and Non-Traditional Approaches. The Evolution of Collective Bargaining in Nursing. 1940s—Nurses subject to arbitrary schedules, uncompensated overtime, no health or pension benefits, and no sick or personal time

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chapter 18

Chapter 18

Collective Bargaining: Traditional and Non-Traditional Approaches

the evolution of collective bargaining in nursing
The Evolution of Collective Bargaining in Nursing
  • 1940s—Nurses subject to arbitrary schedules, uncompensated overtime, no health or pension benefits, and no sick or personal time
  • 1946—ANA approves resolution leading to collective bargaining
  • Many unions compete for right to represent nurses
  • 1980s—National Labor Relations Board stopped approving all-RN bargaining units
  • Legal battle between ANA and American Hospital Association
who represents collective bargaining in nursing
Who Represents Collective Bargaining in Nursing?
  • Nontraditional process is referred to as Interest Based Bargaining (IBB)
  • Center for American Nurses (CAN)
  • Associate Organizational Member (AOM)
  • United American Nurses (UAN)
can and uan what are the common issues
CAN and UAN—What Are the Common Issues?
  • Staffing issues
  • Professional performance
  • Objection to an assignment
  • Concept of shared governance
  • Health hazards
  • Clinical or career ladder
  • Negotiations
is there a place for collective bargaining in nursing
Is There a Place for Collective Bargaining in Nursing?
  • Administrators and nursing supervisors fail to recognize and address nurses’ individual and collective needs
  • Many nurses support collective bargaining in the workplace as a way to control their practice by redistributing power within the health care organization
nurse participation in collective bargaining
Nurse Participation in Collective Bargaining
  • Collective bargaining for nurses usually occurs in states where there is also significant union activity
  • 80% of nurses belong to no association and have no professional affiliation
  • ANA’s efforts to address workplace concerns will result in larger membership numbers
where does collective bargaining begin
Where Does Collective Bargaining Begin?
  • Nurses in private sector are guaranteed legal protection, as stated in National Labor Relations Act, if they seek collective bargaining agent
  • Your employer may choose to bargain in good faith
  • Your employer may appeal requests for representation to the National Labor Relations Board (NLRB)
what can a contract do
What Can a Contract Do?
  • Wages
  • Job security versus career security
  • Seniority rights
  • Resolution of grievances
  • Arbitration
what are the elements of a sound contract
What Are the Elements of a Sound Contract?
  • Membership
  • Retirement  
  • Access to health care benefits
  • Family-leave policies
  • Scheduling of work hours
  • Addressing staffing issues
how can nurses control their own practice
How Can Nurses Control Their Own Practice?
  • Improve professional practice of nurses and nursing assistants
  • Recommend ways and means to improve patient care
  • Make recommendations to hospital management when, for example, a critical nurse staffing shortage exists
  • Identify and recommend elimination of hazards in workplace
  • Nurse practice committees
  • Strikes and other labor disputes