2016
DOI: 10.1177/0019793916644251
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Nurse Unions and Patient Outcomes

Abstract: The authors estimate the impact of nurse unions on health care quality using patient-discharge data and the universe of hospital unionization in California between 1996 and 2005. They find that hospitals with a successful union election outperform hospitals with a failed election in 12 of 13 potentially nurse-sensitive patient outcomes. Hospitals were more likely to have a unionization attempt if they were of declining quality, as measured by patient outcomes. When such differential trends are accounted for, u… Show more

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Cited by 20 publications
(18 citation statements)
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“…has replaced unionization as a means of advocating for worker interests (Kleiner 2013). 1 For nurse unions, it is important to resolve tensions between unionization and professionalization because research has associated nurse unionization with improvements in health outcomes such as lower mortality rates (Seago and Ash 2002) and fewer hospital-acquired illnesses (Dube et al 2016). Moreover, research has associated overly burdensome registered nurse (RN) workloads with poor health outcomes (Aiken et al 2012;Cook et al 2012).…”
mentioning
confidence: 99%
“…has replaced unionization as a means of advocating for worker interests (Kleiner 2013). 1 For nurse unions, it is important to resolve tensions between unionization and professionalization because research has associated nurse unionization with improvements in health outcomes such as lower mortality rates (Seago and Ash 2002) and fewer hospital-acquired illnesses (Dube et al 2016). Moreover, research has associated overly burdensome registered nurse (RN) workloads with poor health outcomes (Aiken et al 2012;Cook et al 2012).…”
mentioning
confidence: 99%
“…Several studies have used methods including the difference-in-difference approach and regression discontinuity analysis to identify union effects. See, e.g.,DiNardo and Lee (2004),Lee and Mas (2012), Frandsen (2013, 2014,Dube, Kaplan, and Thompson (2014),Sojourner et al (2014), andHart and Sojourner (2015).5 SeeSchmitz (2005) and Alder, Lagakos, and Ohanian (2015) on the potential effects of unions on firms and the economy. These effects are likely to be amplified when unions are concentrated in larger and more productive manufacturing plants.6 Taschereau-Dumouchel (2015) analyzed the welfare effects of this threat Farber (2005).…”
mentioning
confidence: 99%
“…On the other hand, international unions of nurses have always followed the demands of nurses 1 . The participants' experiences showed the connection of diplomacy with international organizations and the subsequent use of their support to increase the bargaining power of domestic unions.…”
Section: Discussionmentioning
confidence: 99%
“…In the past 30 years, the healthcare system has witnessed a steady increase in membership. The healthcare labor has prioritized membership in trade unions and professional organizations to achieve their rights despite the increased membership dues, showing the effectiveness of such organizations and individuals' trust in the professional organizations in the health system 1,2 . Nurses are an important part of the healthcare system and predominantly involved in direct patient care.…”
Section: Introductionmentioning
confidence: 99%