[This just over my MNA Newscan List and I just had to post it here! JONA is the Journal of Nursing Administration, and who would have thought that ANY administration would support- or publish an artical backing better hours and wages for nurses? It just tickles my funny bone!]
Patients with heart trouble would be wise to seek care at a hospital with a nurses union according to a recent study of the impact of nurses unions and the mortality rate for patients with acute
myocardial infarction (AMI, the medical terminology
for heart attack).
The study, which was published in the March issue of JONA (Journal of Nursing Administration), studied hospitals in California and found that
hospitals with a nurse's union had a "significantly predicted lower risk-adjusted AMI mortality."
The study's authors, Jean Ann Seago, PhD, RN and Michael Ash, PhD, concluded that "this study demonstrates that there is a positive relationship between patient outcomes and RN unions."
"Thirty-five percent of hospitals in California have RN unions. The significant finding in this study is that hospitals in California with RN unions have 5.7% lower mortality rates for AMI after accounting for patient age, gender, type of MI, chronic diseases and several organizational characteristics. This result includes controls for number of beds, AMI-related discharges, cardiac services, staff hours and wages.
In discussing how unions impact the quality of patient care, the authors stated, "unions may impact the quality of care by negotiating increased
staffing levels...that improve patient outcomes. Alternatively, unions may affect the organization nursing staff or the way nursing care is delivered
in a fashion that facilitates RN-MD communication. This is the 'voice' function of unions...Yet another possible mechanism by which unions can
improve care is by raising wages, thereby decreasing turnover, which may improve patient care."
The authors conclude, "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 the patient outcomes."