ANA & You: History & Current Vision

Nurses General Nursing

Published

ANA WEB SITE: http://www.nursingworld.org/

HISTORICAL SKETCH OF ANA

September 2, 1896. Delegates from 10 alumnae associations met near New York City for the purpose of organizing a national professional association for nurses. 1897. Constitution and bylaws were completed and the Nurses Associated Alumnae of the United States and Canada was organized. 1899.

Name changed to Nurses Associated Alumnae of the United States. April 18, 1901. The incorporation of the Nurses Associated Alumnae of the United States completed and filed in Albany, New York. 1911.

Name changed to American Nurses Association. May 3, 1917. Incorporated in the District of Columbia. January 19, 1920. Incorporation in New York State annulled. July 1, 1982.

The American Nurses Association became a federation of constituent state nurses associations. March, 2000. Upon conferment of constituent member status on the Federal Nurses Association by the ANA Board of Directors, ANA became a federation of constituent member associations rather than a federation of constituent state nurses associations. Published by American Nurses Association Copyright © 2000

View the Centennial history of the association here: http://www.nursingworld.org/centenn/index.htm

CERTIFICATE OF INCORPORATION AMERICAN NURSES ASSOCIATION

We, the undersigned, a majority of whom are residents of the District of Columbia, desiring to avail ourselves of the provisions of Section 599, et sequitur, of the Code of Laws of the District of Columbia, do hereby certify as follows:

The name or title by which this Society shall be known is AMERICAN NURSES ASSOCIATION.

The term for which it is organized shall be perpetual.

The purposes of this corporation are and shall be to promote the professional and educational advancement of nurses in every proper way; to elevate the standard of nursing education; to establish and maintain a code of ethics among nurses; to distribute relief among such nurses as may become ill, disabled, or destitute; to disseminate information on the subject of nursing by publications in official periodicals or otherwise; to bring into communication with each other various nurses and associations and federations of nurses throughout the United States of America; and to succeed to all rights and property held by the American Nurses Association as a corporation duly incorporated under and by virtue of the laws of the District of Columbia.

The number of its trustees for the first year of its existence shall be thirteen.

IN WITNESS WHEREOF, the undersigned Jane A. Delano, a resident of the District of Columbia, and Georgia M. Nevins, a resident of the District of Columbia, and Clara D. Noyes, a resident of the District of Columbia, and Annie W. Goodrich, a resident of the City of New York, and Sara E. Sly, a resident of Birmingham, Michigan, have hereto set our hands and seals this 28th day of April, 1917.

JANE A. DELANO (Seal)

GEORGIA M. NEVINS (Seal)

CLARA D. NOYES (Seal)

ANNIE W. GOODRICH (Seal)

SARAH E. SLY (Seal)

STATE OF PENNSYLVANIA,PHILADELPHIA COUNTY SS:- Personally appeared before me, a Notary Public in and for the Commonwealth of Pennsylvania, Jane A. Delano, Georgia M. Nevins, Annie W. Goodrich, Clara D. Noyes, and Sara E. Sly, who are personally well known to me to be the individuals who signed the foregoing and annexed certificate of incorporation and acknowledged the same to be their act and deed.Given under my hand and notarial seal this 28th day of April, 1917. ROSE MARIE KELLY

(Notarial Seal)

Notary Public

Commission expires 19 Jan., 1919

ARTICLE I Name, Purposes, and Functions

Section 1. Name

The name of this association shall be the American Nurses Association, hereinafter referred to as ANA.

Section 2. Purposes

The purposes of ANA shall be to--

work for the improvement of health standards and the availability of health care services for all people, and

foster high standards of nursing, and

stimulate and promote the professional development of nurses and advance their economic and general welfare.

These purposes shall be unrestricted by lifestyle, nationality, race, religion, or sexual orientation.

Section 3.Functions

The functions of ANA shall be to-

establish standards of nursing practice, nursing education, and nursing services.

establish a code of ethical conduct for nurses.

ensure a system of credentialing in nursing.

initiate and influence legislation, governmental programs, national health policy, and international health policy.

support systematic study, evaluation, and research in nursing.

serve as the central agency for the collection, analysis, and dissemination of information relevant to nursing.

promote and protect the economic and general welfare of nurses.

provide leadership in national and international nursing.

provide for the professional development of nurses.

conduct an affirmative action program.

ensure a collective bargaining program for nurses.

provide services to constituent members.

maintain communication with constituent members through official publications.

assume an active role as consumer advocate.

represent and speak for the nursing profession with allied health groups, national and international organizations, governmental bodies, and the public.

protect and promote the advancement of human rights related to health care and nursing

ARTICLE II Membership

Section 1.Composition

ANA shall be composed of state nurses associations, multi-state nurses associations, United States of America nurses overseas associations, and a federal nurses association composed of registered nurses whose employers are members of the Federal Nursing Services Council, limited to membership of the active component of the U.S. Army, Navy and Air Force, and uniformed Public Health Service nurses, hereinafter referred to as constituent members

Section 2. Qualifications

A constituent member is an association that-

is composed of individual members and may include organizational members has articles of incorporation and bylaws that govern its individual members and regulate its affairs.

has stated and demonstrated purposes and functions congruent with those of ANA.

provides that each of its individual members has been granted a license to practice as a registered nurse in at least one state, territory, or possession of the United States and does not have a license under suspension or revocation in any state, or has completed a nursing education program qualifying the individual to take the state-recognized examination for registered nurse licensure as a first-time writer.

may, in accord with its policies and procedures, include in its membership the impaired nurse, in recovery, who has surrendered a license to practice.

provides that each of its organizational members or affiliates-

has a mission and purpose harmonious with the constituent member.

has a governing body composed of a majority of registered nurses. This shall not preclude the participation of organizations of associate nurses. The rights and privileges of the organizational members or affiliates shall be determined by and limited to participation in the constituent member.

with the exception of a federal nurses association, serves a geographic area such as a state, territory, or possession of the United States, any combination thereof, foreign country, or region of the world, where there is no other recognized constituent member.

maintains a membership that meets the qualifications in these bylaws, unrestricted by consideration of age, color, creed, disability, gender, health status, lifestyle, nationality, race, religion, or sexual orientation.

is not delinquent in paying dues to ANA.

Section 3. Responsibilities

The bylaws of each constituent member shall--

provide for the obligation of the constituent member to pay dues to ANA in accordance with policies adopted by the ANA House of Delegates.

provide for individual members of the constituent to elect delegates and alternates to the ANA House of Delegates according to provisions of these bylaws.

protect individual members' right to participate in the constituent member.

specify the obligations of individual members.

provide for disciplinary action and an appeal procedure for individual members pursuant to common parliamentary and statutory law.

provide for the recognition of disciplinary action taken by any constituent member against its individual member.

provide for official recognition of constituent associations of the constituent member.

provide that additional dues shall not be required from nor refunded to individual members transferring from another constituent member if the individual member has made full payment of dues.

Each constituent member shall-- apprise individual members of the constituent of their right to--

receive a membership card and The American Nurse.

be a candidate for ANA elective and appointive positions in accordance with these bylaws.

participate in the election of constituent member delegates to the ANA House of Delegates in accordance with these bylaws.

attend the meetings of the ANA House of Delegates, the convention, and other unrestricted ANA activities.

attend the congress of the International Council of Nurses.

Require that individual members of the constituent member abide by the Code for Nurses.

submit current bylaws and proposed amendments for review by ANA.

comply with contractual agreements and statements of understanding between the constituent member and ANA.

Section 4. Rights

Each constituent member shall be entitled to:

display a certificate of membership in ANA.

distribution of The American Nurse to its individual members.

hold voting seats in the ANA House of Delegates.

submit proposals for consideration by ANA.

submit the names of nominees for ANA elective and appointive positions in accordance with provisions of these bylaws.

a fair hearing before any disciplinary action is taken.

hold a voting seat in the Constituent Assembly.

other rights as provided under common parliamentary and statutory law.

Further Bylaws can be viewed at: http://www.nursingworld.org/member2.htm

Summary of the activities at the 2000 Biennial convention:

The ANA 2000 House of Delegates agreed to:

1.Promote the use of ANA Principles for Nurse Staffing in health care agencies and educational institutions.

2.Develop and disseminate a public position paper which clearly and unequivocally states that the status of nurse staffing in the U.S. represents a public health crisis.

3.Develop a comprehensive strategy that positions registered nurses to safeguard quality care based on the recommendations of the ANA Principles for Nurse Staffing which calls for:

a.Involvement of direct care registered nurses in the decision making on staffing levels

b.Development of a product that addresses the definitions, assumptions, and methodologies of staffing and reaffirms that safe staffing is inherent in the judgement of the individual nurse.

4.Develop workplace advocacy and collective bargaining strategies that help registered nurses to address concerns about inappropriate staffing and unsafe care.

5.Promote the establishment and use of upwardly adjustable, minimal nurse-patient levels based on nursing assessment of patients' acuity, which may serve as a safety net when staffing tools are misused and /or ineffective.

6.Promote the development of a logical system for assigning severity level or risk category based on nursing assessment by the direct care Registered Nurse, current expert knowledge and recommendations from specialty nursing organizations.

7.Seek funding and promote research on the relationship between staffing and patient outcomes in collaboration with other organizations.

8.Advocate for mandatory reporting of nursing-sensitive structure, process and outcome indicators in order to monitor the adequacy of staffing in all health care facilities.

9.Advocate for federal and state legislation and regulatory guidelines that address the sufficiency of nurse staffing.

10.Identify limits, criteria and conditions to guide the appropriate utilization of registered nurses caring for their primary population or in floating off their primary unit.

11.Promote the wide dissemination and use of Assignment Despite Objection (ADO) forms as a tool to assist staff nurses.

12.Opposing the Use of Mandatory Overtime as a Staffing Solution

Link to complete HOD activity: http://www.nursingworld.org/about/summary/00hodact.htm

Next Convention June 27 - July 2, 2002, Philadelphia,PA

(Yes,I will be there and help PSNA host the event.)

ANA Member Benefits Guide & Membership application link: http://www.nursingworld.org/member2.htm

American Nurses Association Political Action Committee (ANA-PAC)

The American Nurses Association Political Action Committee (ANA-PAC) is working to ensure that nurses have the best representation possible in the United States Congress. ANA had significant legislative and political gains in the 105th Congress. Legislation was enacted to provide direct Medicare reimbursement to all nurse practitioners and clinical nurse specialists, the Community Nursing Organization demonstration project was reauthorized, and we achieved significant increases in funding for the Nurse Education Act programs and the National Institute of Nursing Research.

Through the commitment of ANA-PAC and the PAC Board of Trustees, all three nurses were reelected to the United States House of Representatives. Those nurses are Representatives Lois Capps, RN (D-CA), Carolyn McCarthy, LPN (D-NY) and Eddie Bernice Johnson, RN (D-TX). ANA-PAC also endorsed 252 candidates for Federal office in the 1998 general election (204 Democrats and 47 Republicans). An extraordinary 88 percent of those endorsed candidates were elected to the 106th Congress. This success rate is the best in ANA-PAC's 26-year history.

WHO CAN CONTRIBUTE TO ANA-PAC?

Only members of the State Nurses Associations and their families may be solicited for contributions.

WHAT IS THE AVERAGE CONTRIBUTION TO ANA-PAC?

While we have many high donors to the ANA-PAC, the average contribution is $42/year.

DOES ANA-PAC ENDORSE BOTH DEMOCRATS AND REPUBLICANS?

ANA-PAC endorses Democrats and Republicans. We are a bi-partisan PAC and work directly with both national parities to recruit and support candidates. It's not about Republicans and Democrats, but who will advocate for nurses and nursing's issues on Capitol Hill as we go into the New Millennium.

HOW DOES THE PAC DECIDE WHO TO ENDORSE?

The ANA-PAC considers input from several sources when making the decision to endorse a Member of Congress, a challenger, or a candidate in an open seat race.

Full info can be found at: http://www.nursingworld.org/gova/federal/anapac/gpacfaq.htm

Any specific questions, just post & I'll respond.

[This message has been edited by NRSKarenRN (edited April 17, 2001).]

Originally posted by wildtime88:

individual travel expenses/reimbursements, perks, benefits, and possible bonuses?

I am a staff nurse and a member of the ANA. I pay $47 a month to my state association in union dues - from which $85 a year goes to the ANA. I am also an elected officer of the Nurses Executive Council of my bargaining unit at my hospital & participated in the Nurses Legislative Day that my state association held at our Capitol last month. It cost me $325 in travel & hotel room. I was fully reimbursed every penny. Had I purchased food, other than the free meals that were provided, I would have been reimbursed for that too. For this trip, the reimbursement limit was $500. Our association is very careful about how it spends our money. I do not begrudge NYSNA or the ANA their nice offices, travel reimbursements, other "perks" or anything else. They are not out vacationing on some archipelago with our money. They are working hard for us & it's money well spent. In fact, purchasing our own building for NYSNA operations is something we are very proud of having been able to do. Nobody has free reign with our money. I see how the nurse reps have to watch every penny they spend & account for it & always have to go with the least expensive way because it will be scrutinized. They have limits on what they can spend. I feel a little sorry for our nurse reps. Most of the staff RNs they represent in NYC earn higher salaries than the nurse reps who negotiate those salaries for us.

Originally posted by Hardknox:

If ANA is the answer to our problems, how come California and Massachusetts have disaffilliated?

oh that makes a lot of sense. 2 groups chose to disaffiliate for their own agendas & that means the ANA is worthless? lol. ok... so following that logic....if leaving the ANA is the answer, then how come the other 52 consituent members remain affiliated?

PS

California is STILL in the ANA. Only California's bedside nurses left it & now have an affiliation with the Steelworkers Union.

Originally posted by wildtime88:

Level2Trauma,If you can not handle the possible truth and wish to blindly follow any organization with out asking questions, then that is your choice. [Q]

as members we dont have to ask the question. the answer is provided to us every year. We each receive the financial statement breakdowns in the mail.

And you can get more info from the website or just call them up.

Originally posted by wildtime88:

In a way it might be the best thing for the nursing profession for the ANA to just go away and a new and improved or dedicated hospital nurses association to be formed. .

well thats not going to happen so the alternative is you may just have to ignore us. New nurse associations can be formed by whoever wants to form them but that does not mean that the ANA is going to cease to exist.

Feel free to join whatever association you want to create. There are 2 million non-ANA nurses out there so the grapes are ripe for picking. Create your association, organize the unorganized & leave the rest of us alone. It would be nice if people stopped wasting so much time, effort & energy complaining & critisizing, rather just ignored the group they dont like & started at least doing something to fix the problems theyre griping about. Just go & do it. What does the ANA have to do with it? Who's stopping you from making whatever association you want to make? Start in the South. Maybe even Texas. Most of those nurses dont belong to the ANA so you wont even have to deal with raiding state associations to build up your membership numbers. Many of those nurses need education on becoming active & united & you could provide a needed service. So why waste time here complaining about the "deficiencies" of the ANA. Forget the ANA. Get up & get moving. Put your money where your mouth is & do it better.

How about you just act like we dont exist. Make a new one or just join the association of your choice & get busy. Pretend we're not here. Forget about what we're doing & do what you want to do however you want to do it. Maybe some day our group & whatever group you create can work together on something for the common good like the ANA & CNA have in the recent past, or like the ANA & the AFL-CIO are now. But dont expect us to give up what we're doing & disappear just because youve shown up on the scene.

Originally posted by wildtime88:

I agree that a fair salary should be paid even up to 50,000 dollars a year for the ANA chair person. I also agree that her travel, lodging, and meals should be paid for while traveling on business, but only couch airline fair, a modest room and not a suite, and modest meal costs. I do not believe a luxury rental car should be included [q]

I think the president of my association should have a room of large enough size so that work can be done. And since she is traveling for my business, business class is fine with me. She has to eat while she is working & reasonable meal allowances for the duration should be no problem with anyone. Not only should she have a car at her disposal in the cities she travels to on our business, she should also have a driver (chauffeur!) who knows his way around & is available at a moments notice. And fyi, I do not think offering the president or any other official of the ANA $50K/yr - a salary that is well below the starting salary of a new grad ADN ANA member in NYC - could be called "a fair salary" for the work they do as leaders of our national professional association. And since Im the one who is a member, I get to have the last word on it all with my vote. ; )

Originally posted by natalie:

Since 93% of America's nurses have never joined the ANA, exactly where do all you naysayers expect ANA's powerbase to come from?

I'll say it again. There are 2.6 MILLION RN's in this country. There are 180 THOUSAND members of the ANA.

yet even still, the ANA IS powerful & has accomplished so much. In spite of the fact that it consists of only 7% of the nations nurses, it has the recognition & respect in Washington DC & with the powers-that-be & is considered THE voice of the nursing profession on the national level. And it gets the job done. Just look at what happened the day the ANAs online staffing survey was released recently - over 100 TV News stations immediately reported on it & its been in the news repeatedly since then. Thats just one example of how when the ANA speaks, the powers-that-be pay attention.

Its really incredible when you look at it... that this organization which has only 7% of the profession supporting it has been able to do so much & be the powerhouse that it is. And it says something about the strength of its membership.

I think much of the nay-sayers criticism comes from jealousy.

Non-members may like to say that the ANA does not represent them but it does... everytime our leadership goes before a US Senate panel or speaks to a TV news reporter or media journalist & tells them about our working conditions, our workplace safety risks, our mass exodus out of the profession, it IS speaking for all nurses - not just the dues-paying members. And when our leadership is writing legislation & lobbys Congress to improve our working conditions, to protect us from retaliation for reporting pt safety concerns, to force our employers to purchase risk-free needle devices, to provide safe & adequate lifting equipment & safe staffing guidelines, to eliminate mandatory overtime, to allow reimbursement for Nurse Anesthetists, to allow AP RNs to become OR First Assistants etc, it is doing so for ALL nurses - not just ANA members. And when their legislations on our behalf are made into law, the laws cover & apply to ALL 2.6 million nurses - not just the 180,000 who supported the fight. And ALL nurses benefit, not just you & me & the others who paid to fund the effort. ALL nurses.

So yes, even though they actually have only 180,000 dues-paying members making it work, the ANA actually DOES represent & speak for ALL 2.6 million nurses in this country.

ps

besides the free subscriptions & everything else already listed as "perks", for our $85/yr dues we get all of the above & much much more. We get the benefits of the American Nurses Association working for us.

If anyone doesnt know what that means, check out the website.

Specializes in Vents, Telemetry, Home Care, Home infusion.

Thanks, Christina. You so elequently stated my feelings always much better than I could ever do myself.

Julie (JT)your response to each of wildtimes points is right on the mark.

Tim, Level 2 and Jenny: glad to know others are working on the professions behalf. I would like to post more than I do, but fibromyalgia of the forearms has sigificanly flared and btwn writing at work, cut n paste from ANA sites...best I can do.

The wheel doesn't need reinvention, just a little strengthening, spit and polish.

[This message has been edited by NRSKarenRN (edited April 21, 2001).]

jt,

I also believe it's pretty amazing what ANA has done over the years, given the pathetic lack of membership.

I think a good part of the wrath towards ANA is directed from nurses who work in states with very weak nursing associations. Or states that have had particularly deplorable nurse/patient ratios, as California. It's too bad ANA, as a national voice, was targeted, instead of the state association.

Disaffiliation is not the solution. Working towards a strong state association is perhaps the answer. Although in some states, like Florida, it is mindboggling as to how these staff nurses can take back their state association or change the socio-political environment of a state that hates unions.

State by state strength will make ANA strong. Not the other way around.

I am a dues paying, but not very active ANA member and my renewal right now sits on my bill pile. Sooner or later I will suck up the bucks and send them in because ANA is the only general nursing representative. It is disappointing to me that ANA doesn't represent 40 or even 50 percent of nursing but it is not going to for a variety of reasons. Some nurses will put their money and their time into specialty nursing organizations (ACCN, ENA). Some nurses are in it to make a living and raise their families and they see those dues as one more expense they don't need. They may also see political issues as far removed from them. This laid back attitude has always diluted the potential strength of nursing. Some nurses adamantly oppose the ANA, as we have seen here. But, Wildtime, I cannot accept your theses that a nursing organization that doesn't represent a majority of nurses is not authentic. Should we wait to be "authentic" to have a voice? *peep* Would a fledgling organization that you would start have an authentic voice? Should it wait to have one before it speaks?

Organization change can occur from forces without or within. I hope dissenters can tell me that they have been within before they bash. ANA's not perfect. Though ANA has long worn the mantle of union and professional organization, more nurses than ever are wanting true union representation and so that has been a new role for them to adapt. When I saw notices that even in house docs are looking into union organization, I knew we were at the doorway of a new era. Sounds like CNA's problems are related to growing pains and ALL organizations have growing pains.

I think dissent has some responsibilities. You know, Wildtime, you are the person that made the claim that ANA spends irresponsibly. Go support your claim. As a lukewarm ANA member, I have never particularly questioned their expenditures and like most ANA posters, I see balance statements and such all of the time. As a CM, I called my ANA state level staff and got information, in a few minutes conversation, that helped one of my clients and it was because Teri knew systems, who to talk to, what phrases to use to maximize impact. I got bang for my buck from an ANA staffer that has actually spread out and impacted other CM kids that my group served. Some might have said that the networking we pay Teri to do is wasted, is silly but it turned into a care level decision for me. I've also called Teri and gotten information from her mouth that I didn't like. That's pretty real life, too. This woman doesn't know me from beans but she takes my calls because _I am a nurse_. They don't even ask if I am a dues paying member.

BTW, I think ANA did (and maybe belatedly) pick up the issue of the bedside nursing patient to staff ratio issue the first and brought it to the forefront. Do you remember their pamphlet years ago which asked patients if they had a nurse at their bedside? That was the beginning of a media campaign that started to raise consumer awareness. You may notice that the problem persists. Many difficult issues persist and evolve over decades (witness the entry into practice issue). If you were waiting for Beverly Malone in a Fairy Godmother costume to wave her wand and erase the bedside care issue, then it's not a surprise that you're disappointed. This is a deeply ingrained and difficult problem to solve and it will take persistence and micro victories. Indeed ANA like organizations can be like "Mating Elephants" (takes place at a high level, accompanied by a lot of noise, takes two years to get any results). This will be true if the micro-victories occur because of ANA or the Wildtime Radical Nursing Organization (or even those two organizations in conjunction).

I appreciate Karen's synopsis of our history here because knowing where we came from often tells us why we are going where we are going. In the here and now, nurses need some voice and they even need dissenters. Wildtime, if you use your energy in a constructive fashion, in 20 years every nurse will know your real name. Do it within or without of ANA. I believe you advocate a work slow down? Go ahead organize. Do it. But don't be surprised if you find yourself suffering from some of the same organizational problems as ANA (like calling for dues that some think are excessive). It's always an individual surprise when "they" and "those people" becomes "me". Complaining and identifying problems that are or are not ours to solve may be the easiest part of the process. The real work comes with rolling up your sleeves, identifying the solutions, and staying with the process. ANA has been willing to continue to ride problems. I appreciate that and it is one of the reasons I send them my money, year after year. Also, like it or not, ANA does things for you, Wildtime, that you have benefitted from without a penny expenditure on your part. I'm glad that their lobbyist watches along side the Board of Nursing's when ever someone wants to dink with the nurse practice act. I'm glad some ANA lobbyist is tapping legislators on the shoulder and talking to them about student loans for new nurses. Some of these folks may come along and share the burden where you work. I'm glad that ANA was the vocal voice against Patient Care Associates displacing nurses. I'm glad that ANA lobbied for research dollars to document the state of bedside nursing because that is a language some folks talk.

Wildtime and friends, it is not that dissent cannot be spoken but please, please let's have some gentility. And let go of the notion that these solutions are simple or that change should occur because it is best or right. Fundamentally, we agree, but that is fairyland thinking. Expect the process to be imperfect. Life is imperfect. Engage yourself in life and celebrate the process. I worry that the anger and cynicism of some posters on this board will consume them.

Many of the pro-ANA forces here have felt anger and turned their anger into action. Not the fist-slamming action of the rude comment, but the thoughtful dialogue. As I frequently say to my 9 year old son, "When you are shouting at me, all I hear is adrenalin." Work through ANA, another organization, one of your own creating but work toward change. You know fundamentally we all agree on that: There's gotta be some change here, for our patients and for us.

Grant me the serenity to accept the things I cannot change, Courage to change those I can and Wisdom to know the difference.

Molly, that was beautiful.

A direct quote from allnurses.com news article regarding ANA applauding Nurse Reinvestment Act: "The American Nurses Association is the only full-service

professional organization representing the nation's nearly 2.7

million Registered Nurses through its 54 constituent associations.

ANA advances the nursing profession by fostering high standards of

nursing practice, promoting the economic and general welfare of

nurses in the workplace, projecting a positive and realistic view of

nursing, and by lobbying the Congress and regulatory agencies on

health care issues affecting nurses and the public."

Can anyone come up with any verified evidence to support this rhetoric? Work conditions over the past 10+ years have "gone to the dogs". Hello... This is why there is a shortage. People are running from poor work environments, and encouraging young people to avoid the nursing profession altogether!!

This rhetoric on this subject, actually, has become boring and likened to banging heads against a wall--- check out the following debates:

https://allnurses.com/bb/Forum1/HTML/002364.html

https://allnurses.com/bb/Forum1/HTML/002393.html

https://allnurses.com/bb/Forum1/HTML/002392.html

There really is nothing more to say.

--Cheers

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