California's Nurse-to-patient Ratio Law -- Update - page 2

As predicted by many, California's nurse-to-patient ratio law (also known as AB394) may not go into effect after all. Bowing to the serve nursing shortage in the State and at the suggestion of both... Read More

  1. by   -jt
    <You'll notice that my thread "why not union" has had no definitive opposing views except for the ones that you offered.
    They must believe what the hospitals tell them.>

    Yes very interesting. I hadnt noticed that. I'll have to check back in on this thread in a few days & see what other responses you get. Im on my way to Philadelphia right now for the 2nd annual convention of the United American Nurses - the new national RN labor union. I think Ill ask a few of my fellow delegates from around the country for their thoughts on this later this evening.
  2. by   -jt
    <you will see nothing unreasonable in the way of "demands". Why won't these people see "the light". >

    you mean the administrators? they see it - theyre just trying to block it out - like a vampire does at sunrise - because to look directly at the light would mean loss of power & control.

    If you mean why wont the nurses see the light - maybe because fear can be a potent paralyzing & blinding agent.
  3. by   Peeps Mcarthur
    If you mean why wont the nurses see the light - maybe because fear can be a potent paralyzing & blinding agent
    I think it's just easier to ....................well, take the easy way out.

    No change
    Same routine
    Nm's pretend to like you
    Suits give you a cookie voucher once a year that your too understaffed to use and tell you they wish they could give you a raise but it's just not in the budget(since they got a real good one)
  4. by   tonicareer
    who thinks the nursing shortage is a hoax? i know the teacher shortage is a hoax. is the public being lied to?
  5. by   fiestynurse
    Nursing Shortage a Hoax?! I don't think so. It has been looming for quite awhile. Many think the nursing shortage of the early 80s never really went away. I became a nurse in 1978 and I can remember whole hospital units shutting down because of lack of nurses. That crisis was temporarily remedied with the development of 2 yr ADN programs and the hiring of more unlicensed workers. Expect the current nursing situation to get worse over the next 10 years. We have an increase demand for nurses and an aging nursing population. The average age of a nurse is 45.
  6. by   Peeps Mcarthur
    You have a demand that's true, but the supply is more than adequate.

    There are PLENTY of licensed nurses..........just not enough that will put up with management's shennanigans.

    The shortage is a hoax, and the hospital system wants you to believe that they would not have to treat nurses this way...............if they only were able to hire more staff.

    Poor suits ........They just can't imagine what is driving those licensed nurses away

  7. by   SandyLV

    I think I"ll just become a waitress.....

    I'll have to deal with big time jerks.....but at least they'll be drunk and you can kick them out at the end of the night.....:chuckle
  8. by   Peeps Mcarthur
    Same deal if you go ER duty.

    No tips though
  9. by   fedupnurse
    How about a salary cap for these grossly overpaid executives??? That'll provide enough money to staff appropriately. If they had done that all along, we wouldn't be in this mess now!! Perhaps they should figure out how much money they have spent on these consultants that destroy working environments!! I am so sick and tired of hearing these millionaires say "we don't have enough money in the budget to...". If they were paid a reasonable salary, they would!
    I am off my soapbox now!
  10. by   Jay Levan
    Originally posted by Gomer
    Darn if I can answer your questions...I don't belong (and never will) to a union. Maybe you can find the answer(s) on the CNA website. (That's where I got my information)
    surely you jest,? you profer advice and opine that Unions aren't any help, but are unwilling to leave enough contact info( e-mail, private messaging?) Not very convicted are you (G)et (O)ut (O)f (M)y (E)mergency (R)oom??
  11. by   Peeps Mcarthur
    Ya know, I really expected some nurses or outside observers to pipe in with a news article to go with a personal experience or something that would show a reason NOT to go union.

    So far the promanagement types have not posted ANYTHING on my "why not union" thread.

    When there is silence on one side of an argument, someone has usualy just won it.
  12. by   -jt
    excerpt from the website of the American Nurses Assoc:

    <<The American Nurses Association (ANA) promotes representation of nurses by Constituent Member Nurses Associations (CMAs) - also known as state nurses associations (SNAs) - because the implementation of nursing practice depends a great deal on the environment in which nurses practice and the quality of work life. As the health care industry continues to change, and hospitals restructure the delivery of care in response to that change, it is more important than ever that the collective voice of nurses is heard. There is no better vehicle for making that happen than collective bargaining through your professional association. Nurses representing nurses enhance quality nursing care.

    Collective Bargaining Is Your Right!

    As a professional nurse you have a big stake in the quality of health care your patients receive. As an employee, you deserve a fair wage and good working conditions. You can have a real voice in all of these issues as a member of a collective bargaining unit of your state nurses association (SNA).

    It is illegal for an employer to interfere with an employee's right to organize. As a professional employee you have a legal right to:

    * Organize with your colleagues to elect your SNA as your bargaining representative and to bargain collectively with your employer.

    * Negotiate your economic and professional concerns through the collective bargaining process.

    * Obtain a written agreement between your employer and your bargaining representative.

    Is Collective Bargaining Professional? Collective Bargaining is a Professional Imperative!.

    One of the primary responsibilities of all professional nurses is to advocate for safe quality care for patients. Steps nurses can take to insure quality patient care include:

    * Participate in workplace decisions affecting nursing care.

    * Acquire the resources needed to perform your job effectively.

    * Safeguard the standards of practice set by the profession.

    * Protect employment rights and secure terms and conditions of employment to attract and retain qualified personnel.

    Advocating for quality care is becoming increasingly difficult for nurses in today's environment of restructuring and mergers, where cost often comes before quality care. Many nurses find that working collectively, through a contract, to ensure a voice in the workplace is one of the most effective ways to protect themselves, their profession, and their patients.

    Collective bargaining is the most effective way you and your nurse colleagues can protect patients from inadequate and unsafe care.

    Collective bargaining IS professional.
    Nurses have a legal right to use the collective bargaining process to protect their professionalism.........>>
  13. by   -jt
    <I really expected some nurses or outside observers to pipe in with a news article to go with a personal experience or something that would show a reason NOT to go union.>

    you dont see that because no such article exists. In fact, a recent article in the Journal Of Nursing Administration, of all places, made headlines because it revealed findings of a study that indicates that pts have better outcomes in hospitals where the nurses were a union. So even nurse executives had to recognize that nursing unions are good thing. Imagine that!

    <<REPORT: May 2002

    RN Unions Improve Patient Outcomes

    New Study Finds Heart-Attack Patients in Unionized Hospitals Have Lower Mortality Rate
    by Anne Schott

    Are RN unions good for patients - as most New York State Nurses Association members believe? Or do they foster a harmful, adversarial relationship - as management frequently claims?

    Two researchers, Jean Ann Seago and Michael Ash, have just published what may be the first serious attempt to answer those questions.

    Their most significant finding was that hospitals in California with RN unions have 5.7% lower mortality rates for acute myocardial infarction (AMI) than hospitals without an RN union.

    This result, based on data from 343 acute care hospitals in California, took into account patient characteristics like age, gender, type of MI, and chronic disease. It also controlled for organizational characteristics like number of beds, AMI-related discharges, cardiac services, staff hours, and RN wages.

    The article, "Registered Nurse Unions and Patient Outcomes," appears in the March 2002 issue of the Journal of Nursing Administration.

    How Do Unions Affect Care?
    In examining how unionization may affect patient outcomes, the authors consider several factors:
    Unions may improve the quality of care by negotiating increased RN staffing levels, which have been shown to improve care. They may affect the way nursing care is delivered by facilitating better RN-MD communication and strengthening what is known as nursing's "voice." They may raise wages, thereby decreasing turnover, which could improve patient care.

    Although the authors did not establish a clear causal relationship between these factors and improved patient outcomes, they reported, "There is something beyond wages and number of hours in union hospitals that predicts better outcomes. Perhaps having an RN union promotes stability in staff, autonomy, collaboration with MDs and practice decisions that have been described as having a positive influence on the work environment and on patient outcomes."

    This study is part of a growing body of work that connects RNs and various characteristics of their work environment with patient outcomes. If, as this study shows, RN unions improve patient care, there is enormous opportunity for improvement in the healthcare system. In California, where the study was done, only 35 % of hospitals have RN unions. Nationwide only 16.9% of the RN workforce is unionized.>>>>>>>>
    (as reported in the newsletter of the New York State Nurses Association May 2002)
    Last edit by -jt on Jun 30, '02