From what I've wittnessed, the main reason Maine and Massachuestts nurses have left ANA was that the bedside nurses felt that neither association was fostering their cause and continuing to see worsening economic conditions.
In PA, 3 years ago their was a spilt off of union membership from the parent organization. Many of the bedside nurses wanted direct control over their collective bargaining activities and felt not enough finaces spent on staff nurse representation.
PA nurses without union representation felt that the cost of collective bargaining activites was so large, a disproporinate share was going to that and draining coffers; they had no need for representation as working in a non-unionized setting and that monies should be spent on practice and legislative issues.
My dues at that time were $450.00. and because of my work setting, didn't benefit from collective bargaining end directly (HOWEVER, I felt that this part of our dues WAS important to support nurses who were unable to influence workplace
conditions without union representation). My current dues are $270.00.
PNA- the collective bargaining union, had nurses leave and form other unions. In my area, PSNAP represents the majority of unionized hospital nurses. Exception is MCP which has kept PNA as union. PSNAP affiliated with CNA, Mass and Maine associations so only time will tell if they become a dominate nursing union. SEIU is active in the west and upstate PA.
My concern is that their focus is mostly on bedside nurses. Where does that leave the nurses who do not desire union representation, educators, insurance company nurses, doctors office and clinic nurses, administrators, etc? An organization is only as strong as the MEMBERs who participate in it.
When I went with members of PASNAP to Harrisburg to lobby for Mandatory Overtime protection, 200 nurses (some SEIU Members)out or over 5000 members participated....its the same everywhere in organizations less than 10% have active ongoing participation.