The recent contract settlement between the Minnesota Nurse Association (MNA) and Twin Cities and Twin Ports hospitals was a crucial first step towards better staffing in hospitals. The agreement, which followed a three-day strike by nurses, includes provisions that will improve working conditions and staffing levels for some 15,000 Minnesota nurses.
The strike was sparked by nurses' concerns about staffing levels and working conditions since the start of the pandemic. Nurses argued that these issues were putting patients at risk and demanded that the hospital systems address them.
But the time to make those concerns known did not come until this year. The MNA contracts expired on June 1st, 2022, and after months of negotiations, the hospitals would not budge.
Even though the hospitals say they are not colluding on wage proposals (in fact, this is illegal), all hospitals were standing firm on nearly-identical proposals, refusing reasonable pay hikes, refusing to keep stockpiles of PPE for another pandemic, and refusing to address staffing issues.
In response, the MNA called for a three-day strike in September. During this time, hospitals flew in agency nurses from around the country, putting them up in hotels, buying them meals, and giving patient ratios far below what staff nurses usually see.
The striking nurses were joined by supporters from other unions and community organizations, who rallied together to show their solidarity and support. The picketers received an outpouring of support from patients and their families, who honked their car horns and brought them water and snacks.
After three days of picketing, hospitals brought staff nurses back in, but made few, if any, changes to their proposals. The nurses went back to the polls and voted to strike a second time, this time for three weeks, and this time during the holidays.
Within days of this strike vote, hospitals knew they could not afford to pay agency nurses for such a long period of time. Those with ears to the ground also say that other departments in these hospitals, such as pharmacy, were concerned that strike nurses were of poor quality. Or, at least, they were unfamiliar with the workflows of the local hospitals. This would only increase bottlenecking issues the packed health systems already faced.
Of course, this goes to show how important retaining a core staff of nurses is. Any hospital worker knows that nurses are the switchboard that make patients’ care possible. They provide order in a sea of bureaucratic red tape and varying departments, all struggling with their own internal issues.
So the hospitals settled, offering better staffing language. This is a critical step towards improving patient care, as nurses who are overworked and understaffed are more likely to make mistakes and provide suboptimal care.
Though hospitals accused the nurses of being selfish in asking for pay increases, they were the ones who offered a more than doubling of initial pay offers. Nurses will receive a 17%-18% pay increase over three years. This concession appears to be a way to placate nurses who would still have struck for better staffing.
The settlement is a major victory for the striking nurses and the MNA. It's also a win for patients, who will benefit from improved staffing levels and working conditions for nurses. And it's a testament to the power of organized labor and collective action.
Overall, the Minnesota Nurse Association contract settlement is a major step forward for nurses and patients alike. It shows that when nurses stand together and advocate for their rights and the rights of their patients, they can achieve real and meaningful change. And it sets a powerful precedent for other nurses and their unions to follow as they continue to fight for better staffing and working conditions in hospitals across the country.
Organizing and solidarity can make a difference. The nurses are the ones who hold the hospital together, and they are the ones who have the power. They have the power everywhere, but in Minnesota, they demanded recognition for it, and got it. Others must learn that they will only get that recognition when they demand it.