Use attached PPT. 150-200 words.
Based on the information in the Collective Bargaining Presentation, please respond to the following prompts: (1) List the reasons you would or would not want to be in a union. (2) Would you fell differently about unions if you were a manager? (3) What influences you most about our desire to join or reject unions.
Collective Bargaining/ Unionization
Learning Objectives
Identify major legislation that has impacted the ability of nurses to unionize
Identify factors that influence whether nurses join unions
Describe the relationships between national economic prosperity, the existence of nursing shortages and surpluses, and the unionization rates of nurses
Identify the largest unions representing health-care employees and nurses in particular
Identify the steps necessary to start a union
Debate philosophically the potential conflicts inherent in having a professional organization also serve as a collective bargaining agent
Reflect on whether going on strike can be viewed as an ethically appropriate action for professional nurses
Explore labor laws regarding overtime and working conditions present in the state in which he or she lives or will seek employment
Explain how equal employment legislation has affected employment and hiring practices
Describe current legislation that seeks to eliminate gender-based differences
Identify how the Civil Rights Act, the Americans with Disabilities Act, and the Age Discrimination and Employment Act have attempted to reduce discrimination in the workplace
Identify the purpose of the Occupational Safety and Health Act (OSHA)
Identify strategies for eliminating sexual harassment in the workplace
Underlined is done!!
Collective bargaining video
https://youtu.be/5ulJqK3KxEE
Terminology associated with unions and collective bargaining
Agency shop: Also called an open shop. Employees are not required to join the union.
Arbitration: Terminal step in the grievance procedure where a third party reviews the grievance, completes fact finding, and reaches a decision. Always indicates the involvement of a third party. Arbitration may be voluntary on the part of management and labor or imposed by the government in a compulsory arbitration.
Collective bargaining: Relations between employers, acting through their management representatives, and organized labor
Grievance: Perception on the part of a union member that management has failed in some way to meet the terms of the labor agreement
Lockout: Closing a place of business by management in the course of a labor dispute for the purpose of forcing employees to accept management terms
National Labor Relations Board (NLRB): Labor board formed to implement the Wagner Act. Its two major functions are
(a) determine who should be the official bargaining unit when a new unit is formed and who should be in the unit
(b) adjudicate unfair labor charges.
Union shop: Also called a closed shop. All employees are required to join the union and pay dues.
What Is Collective Bargaining?
A process in which working people, through their unions, negotiate contracts with their employers to determine their terms of employment
Chapter 22, examines the leadership roles and management functions necessary to create a climate in which unionization and employment legislation are compatible with organizational goals.
Like the video stated it including things like pay, benefits, hours, job leave, job health and safety policies, ways to balance work and family, and more.
When Managers are not understanding, it causes the staff to find support in other places. Like a Unions.
Many facilities are implementing shared governance it involve nurses in decision making. The concept of shared governance can be a concern to unions representing nurses for purposes of collective bargaining since collective bargaining is also thought to be a governance model.
Legislation that led to unionization in health care.
1935: National Labor Act/Wagner Act: gave unions rights for organizing which resulted in rapid union growth
1947: Taft-Hartley Amendment: Returned some of the power back to management.
Resulted in more equal balance of power between unions and management
1962: Kennedy Executive Order: Amended the Wagner Act to allow public employees to
join unions
1974: Amendments to Wagner Act: Allowed non profit organizations to join unions
1989: National Labor Relations Board ruling: Allowed nurses to form their own
separate bargaining unit.
From 1962 through 1989, slow but steady increases occurred in the numbers of nurses represented by collective bargaining agents.
The important consequence of the decision by the National Labor Relations Board ruling that affected nurses, was that they were free to organize themselves and not to be organized by existing unions
Nursing Unions
California Nurses Association (CNA)
United American Nurses (UAN)
The Service Employees International Union (SEIU)
National Nurses United (NNU)
In 1946, the American Nurses Association (ANA) House of Delegates unanimously approved a resolution that formally initiated the journey of RNs down the road of collective bargaining.
In 2007, the American Nurses Association informed the UAN and CNA that they would not be renewing their affiliation agreement.
Following this, in 2009, the union and professional organization of registered nurses was officially formalized. This organization is the National Nurses United (NNU), and it is an outgrowth of the merger of California Nurses Association, the Massachusetts Nursing Association, and the United American Nurses (the former UAN)
Quick Facts
The Service Employees International Union (SEIU) is a large union in the healthcare industry representing 85,000 nurses in 21 states and an additional 900,000 LPN’s/LVN’s, doctors, lab techs, nursing home workers and home care workers to name a few (2016)
Unions increase during high employment time and decreases during economic recession and layoffs
https://www.seiu.org/about
Today SEIU has 2-million members
Union Representation of Nurses
In 2012, just over 18% of the nation’s registered nurses (RNs) belonged to unions, down from almost 20% in 2008. Not only did the proportion of unionized nurses drop in those 4 years, so did the actual number, despite the total number of nurses increasing by about 70,000.
The numbers declined further in 2014, with only 17% of RNs and 10.7% of licensed practical nurses (LPNs)/licensed vocational nurses (LVNs) being unionized. Still, nurses are roughly twice as likely to be in a union as are other workers.
Union-Organizing Strategies
Meetings (both group and one-on-one)
Leaflets and brochures
Pressure on the hospital corporation through media and community contacts
Political pressure of regional legislators and local lawmakers
Corporate campaign strategies
Activism of local employees
Using lawsuits
Bringing pressure from financiers
Technology
Steps to establishing a union
Demonstrate an adequate level of desire for unionization among the employees
NLRB requires 30% of employees to sign an interest card for an election of unionization to occur
Most unions require 60-70% of employees to sign interest cards
Have an election where the employees such as RN’s vote on their desire for unionization
50% of the employees plus one of the petitioned units must vote for unionization in order to be recognized
No representation: the voters do not want the union
Decertification: 30% of eligible employees in bargaining unit initiate a petition asking to no longer be in the union
Managers role during union organizing
NRLA provides union protections only to employees, so supervisors (nurse managers) have no right to form or participate in a union
Managers who are not employed in a unionized health-care organization should anticipate that one or more unions may attempt to organize their nurses within the next few years
Prohibited acts from managers are:
Threatening employees
Interrogating employees
Promising employees rewards for cessation of union activity
Spying on employees
Leadership Roles and Management Functions
DISPLAY 22.1 Leadership Roles and Management Functions Associated With Collective Bargaining, Unionization, and Employment Laws
Leadership Roles
Is self-aware regarding personal attitudes and values regarding collective bargaining and employment laws
Recognizes and accepts reasons why people seek unionization
Creates a work environment that is sensitive to employee needs, thereby reducing the need for unionization
Maintains an accommodating or cooperative approach when dealing with unions and employment legislation
Is a role model for fairness
Is nondiscriminatory in all personal and professional actions
Examines the work environment periodically to ensure that it is supportive for all members regardless of gender, race, age, disability, or sexual orientation
Confronts and addresses immediately sexual harassment in adopting a zero tolerance approach to the problem
Embraces the intent of laws barring discrimination and providing equal opportunity
Management Functions
Understands and appropriately implements union contracts
Administers personnel policies fairly and consistently
Works cooperatively with the personnel department and top-level administration when dealing with union activity
Promotes worker identification with management
Investigates immediately and fully all complaints regarding violations of the collective bargaining contract and takes appropriate action
Creates opportunities for subordinates to have input into organizational decision making to discourage unionization
Is alert for discriminatory employment practices in the workplace and intervenes immediately when problems exist
Ensures that the unit or department meets state licensing regulations
Understands and follows labor and employment laws that relate to the manager’s sphere of influence and organization responsibilities
Ensures that the work environment is safe
Works closely with human resource management to assure the organization is in compliance with employment legislation mandates
Management perspectives of the unions
Oppose the union with union busting techniques
Have employees campaign against union
Blackmail
Discredit the union
Manager perspectives FOR the unions
First- and middle-level managers usually have little to do with negotiating the labor contract
The middle-level manager has the greatest impact on the quality of the relationship that develops between labor and management
Leader-managers must be able to see collective bargaining and employment legislation from four perspectives:
The organization
The worker
General historical and societal
Personal
Managers who can gain this perspective will better understand HOW management and employees can work together despite unionization and employment legislation. Many industrialized countries have adopted an attitude of acceptance and tolerance for the difficulties that may occur in managing under these influences. However, in the United States, many organizations view these forces with at least some resentment.
What do you think?
Do you think management should not interfere with the right of a union member to distribute literature? Why or why not?
Management cannot interfere with the right of employees to unionize, but the distribution of literature in immediate patient care areas is forbidden.
Effective Labor & Management Relations
Before the 1950s, labor–management relations were turbulent
History books are filled with battles, strikes, mass-picketing scenes, and brutal treatment by management and employees.
Over the last 30 years, employers and unions have substantially improved their relationships
Evidence is growing that contemporary management has come to accept the reality that unions are here to stay
Likewise, unions have come to accept the fact that there are times when organizations are not healthy enough to survive aggressive union demands
Integrating Leadership Skills and Management
If the organization is not unionized, the manager must use the leadership skills of communication, fairness, and shared decision making to ensure that employees do not feel unionization is necessary. The integrated leader-manager is a role model for fairness, knows unit employees well, and sincerely seeks to meet their needs.
When making decisions that deal with unions and employment legislation, the effective leader-manager always seeks to do what is just. Additionally, he or she seeks appropriate assistance before finalizing decisions that involve sensitive legal or contractual issues. By using these leadership skills, the manager becomes fairer in personnel management, develops increased self-awareness, and develops an understanding of the average individual’s need to seek unionization and of the necessity for employment legislation.
The effective manager maintains the required amount of staffing and ensures a safe working environment. The rights of the organization and the employee are protected as the manager uses personnel policies in a nondiscriminatory and consistent manner.
Civil Rights Act of 1964
Laid the foundation for equal employment in the United States
It prohibits discrimination based on factors unrelated to job qualifications and it promotes employment based on ability and merit. The areas of discrimination specifically mentioned are race, color, religion, sex, and national origin.
In health-care organizations, when discrimination has been found (such as unequal pay for men and women in nursing assistant jobs), financial awards in class action suits have been extraordinarily high.
This act was strengthened by President Lyndon Johnson’s Executive Order 11246 in 1965 and Executive Order 11375 in 1967. These executive orders sought to correct past injustices. Because the government believed that some groups had a long history of being discriminated
Age Discrimination and
Employment Act
Enacted by Congress in 1967, the purpose of the Age Discrimination in Employment Act (ADEA) was to promote the employment of older people based on their ability rather than age.
In early 1978, the ADEA was amended to increase the protected age to 70 years.
In 1987, Congress voted to remove even this age restriction except in certain job categories.
Although some people are alarmed by the removal of mandatory age retirements, trends continue toward earlier retirement.
Some people are alarmed by the removal of mandatory age retirements, trends continue toward earlier retirement. Reversal of this trend may have serious consequences for some organizations. In particular, it could have a significant impact on organizations that are labor intensive, particularly if those labor-intensive organizations also have demanding physical requirements such as those in nursing.
State Health Facilities Licencing Boards
In addition to health and safety requirements, many state boards have regulations regarding staffing requirements.
It is the ultimate responsibility of top-level management to meet the requirements for state licensing. However, all managers are responsible for knowing and meeting the regulations that apply to their unit or department.
For example, if the manager of an ICU has a state staffing level that mandates 12 hours of nursing care per patient per day and requires that the ratio of RNs to other staff be 2:1, then the supervisor is obligated to staff at that level or greater. If, during times of short staffing, supervisors are unable to meet this level of staffing, they must communicate this to the upper level management so that there can be a joint resolution.
Eliminating Sexual Harassment in Workplace
An “unwelcome sexual advances, requests for sexual favors, and other verbal or physical conduct of a sexual nature when submission to or rejection of this conduct explicitly or implicitly affects an individual’s employment; unreasonably interferes with an individual’s work performance; or creates an intimidating, hostile, or offensive work environment”
Indeed, health-care organizations must be alert to sexual harassment and intervene immediately when it is suspected, regardless of the perpetrator.
Nurses must take appropriate action when they witness the harassment of others or when they themselves are the targets of such offenses. When one person makes another uncomfortable in the workplace by the use of sexual innuendos or jokes or invades another’s personal space, this behavior should be recognized and confronted as sexual harassment. Unfortunately, underreporting of the problem is common
Why nurses join unions
To increase their input into organizational decision making
To eliminate discrimination and favoritism
Because of a social need to be accepted
Because they are required to do so as part of employment (Closed shop)
Because they believe it will improve patient outcomes and quality of care
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Why nurses do not join unions
Belief that unions promote the welfare state and oppose the American system of free enterprise
A need to demonstrate individualism
A belief that professional should not unionize
An identification with management’s viewpoint
Fear of employer reprisal
Fear of lost income associated with a strike or walkout
Learning Exercise
St. Chris Nurses Deserve Parental Leave, Safe Staffing.
What are your thoughts about the situations at St. Christopher’s Hospital?
How do you think this affects the children at this hospital?
Article Link: https://www.inquirer.com/opinion/commentary/st-christopher-hospital-nurses-hannehman-closure-20200210.html
Article: St. Chris nurses deserve parental leave, safe staffing
Article Date: 2/10/20
Amanda is a neonatal at St Christopher’s hospital in Philadelphia has been a nurse for a total of 8 years but has been working at St. Chris for 5 years talks about how she had paid time off to use after she has given birth to her son. Two weeks after she gave birth to a son, her benefits were taken away from her. Amanda said she saved 220 hours of paid time off that was support to last her 12 weeks. Since her paid time off was taken, her husband ( who is a firefighter) has been working extra hours weekly to support the family. Amanda had said that ever since this has happened, she has been worried about using any time off because she was worried she would not be getting paid.
She has stated that Tower Health and Drexel cannot hide the fact that they stole all the time she saved.
In 2016, a group of nurses organized PASNAP that would help support the sick children and nurses at St. Chris, but now the president of Tower Health and Drexel are trying to get rid of that completely. When the group of nurses was trying to speak with the president of Tower and Drexel, they were denied the opportunity to talk with them, which shows that they are more interested in money than the sick patients and nurses. The nurses at St. Chris are working on making their voice heard of getting this matter fixed.
Discussion Questions
Do you think it is necessary to have Collective Bargaining/unionization in Nursing?
Do you feel like there are advantages and disadvantages of Collective Bargaining/unionization in nursing?
When becoming a registered nurse will you join a union or would you not join a union? Why or Why not?
Practice NCLEX Questions
The new nurse on the med surg unit is learning about collective bargaining/ unionization from a nurse who has been working on the unit for 15 years. Which of the following statement by the new nurse would state she understands the teaching?
Collective Bargaining gives nurses a voice for their patients and themselves.
Nurses have no control over Collective Bargaining.
Collective Bargaining does not give nurses a voice to advocate for patients and themselves.
Collective Bargaining allows employers to make new rules for nursing staff.
Answer
A)
Collective Bargaining gives nurses a voice for their patients and themselves.
Practice NCLEX Questions
A nurse on a Med-Surg unit is debating whether or not to join a union. What would be the BEST reason for the nurse to join a union?
A.) To fit in with other nurses on the unit.
B.) To increase power and confidence in one’s self as a nurse.
C.) To help improve one’s nursing skills.
D.) To earn a pay raise
Answer
B.)
To increase power and confidence in one’s self as a nurse.
Practice NCLEX Questions
What are the factors that influence nurses to unionize? (Select all that apply)
Feeling powerless
Job stress/demands
Need to communicate complaints without fear of job loss
Low wages, work environment, job dissatisfaction
Nurse turnover, and workload issues
Answer
A, B, C, D, E
All of them are factors that influence nurses to unionize.
Practice NCLEX Questions
What are the two types of nursing collective action?
Workplace advocacy
Obtain collective bargaining agent
Collective bargaining
Need to know why nurses want collective action
Answer
A, C
The two types of nursing collective action are:
Workplace advocacy and collective bargaining
B & D are process of unionization
A leader displays which qualities?
A.) Leads by example
B.) Has a clear vision
C.) Blames others
D.) Continually grows in their learning
Practice NCLEX Questions
Answer
A,B,D
A leader leads by example, have a clear vision and continually grows in their learning
Reference(s)
Collective Bargaining. (2017). Collective Bargaining: Traditional (Union) and Nontraditional Approaches. clinical gate. Retrieved from https://clinicalgate.com/collective-bargaining-traditional-union-and-nontraditional-approaches/
Gilson, Amanda. (2020). “St. Chris Nurses Deserve Parental Leave, Safe Staffing.” The Philadelphia Inquirer. Retrieved from https://www.inquirer.com/opinion/commentary/st-christopher-hospital-nurses-hannehman-closure-20200210.html
Huston, B. L. (2017). Leadership Roles and Management Functions in Nursing. Philadelphia: Wolters Kluwer Health.
SEIU. (2020). Service Employees International Union. https://www.seiu.org/about