Professional nurses in unions: Working together pays off

Breda, Karen Lucas

doi:10.1016/s8755-7223(97)80010-5

Cited by 16 publications

(10 citation statements)

References 13 publications

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“…Because some literature 31,32 indicates that union status is associated with higher RN salaries, we questioned whether the higher income of the nurses was the mechanism by which union status influenced satisfaction. To test whether this was an important mediator of satisfaction, we estimated probit regressions that omitted income but included union.…”

Section: Resultsmentioning

confidence: 99%

“…Demographic variables included in the analyses were marital status, age, ethnicity, overall income, and sex. [30][31][32][33] Analyses Measures of central tendency and bivariate correlations were calculated. We used t tests to estimate mean differences in the variables for 2004 and 2008 (Table 1), union and not union (Table 2), and satisfied or not satisfied (Table 3).…”

Section: Variablesmentioning

confidence: 99%

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Hospital RN Job Satisfaction and Nurse Unions

Seago

Spetz

Ash

et al. 2011

JONA: The Journal of Nursing Administration

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The objective of the study was to examine whether unionization is associated with job satisfaction among RNs in the United States using nationally representative surveys of RNs. Factors that predict job satisfaction for RNs in healthcare continue to be of great concern to nurse administrators and managers because job satisfaction remains an important aspect of nurse retention. In addition, the notion of having unions for RNs has also gained prominence on the national stage. The relationship between RN job satisfaction and having an RN union has rarely been studied, but in 2 studies, a paradox was found; hospitals with RN unions had higher job dissatisfaction but greater retention. This study will test the relationship between having an RN union and job satisfaction with data that are both more recent and nationally representative. We analyze the public-use data from the 2004 and 2008 National Sample Surveys of Registered Nurses. In both 2004 and 2008, union representation was negatively associated with job satisfaction, although this relationship was not statistically significant in 2008. Some nurse administrators and executives would not be surprised by this finding. However, although union nurses may express more dissatisfaction, they may also be more vocal and less fearful about voicing concerns. If managers can harness this ability of the nurses to be articulate and outspoken, working with unions and union nurses can be productive and satisfying.

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Section: Resultsmentioning

confidence: 99%

Section: Variablesmentioning

confidence: 99%

Hospital RN Job Satisfaction and Nurse Unions

Seago

Spetz

Ash

et al. 2011

JONA: The Journal of Nursing Administration

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“…Beyond issues of power, shared governance models make good clinical sense. Research (Preuss, 1999) has shown that they lead to improved nurse staffing ratios, which have a positive impact on the quality of patient care (Aiken, Clarke, Sloane, Sochalski, & Silber, 2002); better hospital financial performance (Preuss, 1999); and greater accountability, increased staff empowerment, and personal growth (Breda, 1997;Erickson, Hamilton, Jones, & Ditomassi, 2003;Larkin, Cierpial, Stack, Morrison, & Griffith, 2008). Research on Magnet hospitals (Kramer & Schmalenburg, 2003) found that the highest staff nurse ownership of practice issues and outcomes occurred where there were visible, viable, and recognized structures devoted to nursing control over practice.…”

Section: Shared Governancementioning

confidence: 99%

“…Although some believe that collective bargaining interferes with employers’ management rights to control and direct their workforce (Archibald, ), unions are competing aggressively and successfully for new members in health care. Unions claim success with many collective bargaining efforts focused on better wages, staffing levels, floating, mandatory overtime, and benefits for nurses (Albro, ; Breda, ; Chapman et al., ; Clark & Clark, , ; Gaus, ). Commins () suggested that NNU's recent success may be a result of nurses’ belief that “nobody else in a position of power and influence is looking out for them” (p. 1).…”

Section: The Unsettled Landscapementioning

confidence: 99%

Convergence: How Nursing Unions and Magnet are Advancing Nursing

Johnson

Billingsley

2014

Nurs Forum

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“…There are indications in the literature that some R.N. 's view union activity as unprofessional (Breda 1997) and believe that managers and unions are normally adversarial (Breda 1997;Flarey, Yoder, and Barabas 1992). Unionization is associated with declining employee morale and job satisfaction (American Organization of Nurse Executives 1994; Sherer 1994; Harper, Motwani, and Subramanian 1994).…”

Section: Formal and Informal Communicationmentioning

confidence: 99%

The Effect of Registered Nurses' Unions on Heart-Attack Mortality

Ash¹,

Seago²

2004

ILR Review

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Although hospital work organization affects patient outcomes and in some states registered nurses (R.N.'s) are increasingly forming unions, the relationship between R.N. unions and patient outcomes has received little attention. This study examines the relationship between R.N. unionization and the mortality rate for acute myocardial infarction (AMI), or heart attack, in acute-care hospitals in California. After controlling for patient and hospital characteristics, the authors find that hospitals with unionized R.N.'s have 5.5% lower heartattack mortality than do non-union hospitals. This result remains substantively unchanged when the analysis accounts for possible selection bias-specifically, the possibility that unionized hospitals have certain important but unobservable characteristics, independent of unionization, that affect patient care. During a lengthy and acrimonious dispute with the KaiserPermanente healthcare corporation, the California Nurses Association (CNA), a labor union for registered nurses (R.N.'s), mounted a public relations campaign with the mes-sage that changes in the work of R.N.'s and other healthcare workers jeopardize patient safety and negatively influence patient outcomes (Sherer 1994). Kaiser Permanente, of course, denied the charges.

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Professional nurses in unions: Working together pays off

Cited by 16 publications

References 13 publications

Hospital RN Job Satisfaction and Nurse Unions

Hospital RN Job Satisfaction and Nurse Unions

Convergence: How Nursing Unions and Magnet are Advancing Nursing

The Effect of Registered Nurses' Unions on Heart-Attack Mortality

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