10.2190/QND7-VXWP-3GE5-5FQ6 QND7VXWP3GE55FQ6 135 NURSE STAFFING ISSUES: FROM CONFLICT TO COLLABORATION 135 147 20031029 20031029 20031029 20031029 QND7VXWP3GE55FQ6.pdf http://baywood.metapress.com/link.asp?target=contribution&id=QND7VXWP3GE55FQ6 2 BENJAMIN WOLKINSON, PH D DAVID HAMES, PH D CATHERINE LUNDY Michigan State University, East Lansing University of Nevada, Las Vegas Michigan State University, East Lansing The proliferation of managed care, the growth of for-profit hospitals, and other factors have dramatically changed the face of health care in the United States. Hospitals have responded to these competitive pressures by reducing the size of their nursing staffs and reengineering nurses' jobs to reduce costs. For nurses, these efforts have engendered significant concerns regarding job security, inadequate staffing, and excessive workloads. In this study, relevant contract provisions were analyzed to determine how nursing unions have used the collective bargaining process to resist hospitals' efforts to reduce staffing levels and reengineer jobs. Suggestions for union and hospital negotiators are discussed. H. Davidson, P. Folcarelli, S. Crawford, L. Duprat, and J. Clifford, The Effects of Health Care Reforms on Job Satisfaction and Voluntary Turnover among Hospital-Based Nurses, Medical Care, 35:6, pp. 634-645, 1997. N. Pindus and A. Greiner, Effects of Health Care Industry Changes on Health Care Workers and Quality of Patient Care: Summary of the Literature and Research, The Urban Institute, Washington, D.C., 1997. Dimension Health Corporation and the Professional State Associates, Collective Bargaining Agreement (December 1, 1991-November 30, 1993). Presbyterian Hospital and the New York State Nurses Association, Collective Bargaining Agreement (January 1, 1999-December 31, 2000). Kaiser Foundation Hospitals and the Oregon Federation of Nurses and Health Care Professionals, Local 5017, AFT-FNHP, Collective Bargaining Agreement (July 2, 1996-March 31, 2000). American Red Cross, Southeastern Michigan, and Michigan Council of Nurses and Health Care Professionals, SEIU Local 79, Collective Bargaining Agreement (August 12, 1993-July 31, 1996). Community Health Center of Branch County, Coldwater, Michigan and Staff Council of Nurses of Branch County, Collective Bargaining Agreement (March 1, 1993-December 31, 1995). Cook County and the Illinois Nurses Association, Collective Bargaining Agreement (December 1, 1991-November 30, 1993). Regents of the University of Michigan and the Michigan Nurses Association, Collective Bargaining Agreement (December 3, 1997-June 30, 2000). Liberty Medical Center and the Professional Staff Nurses Association, Collective Bargaining Agreement (July 1, 1991-June 30, 1993). Marquette General Hospital and the Michigan Nurses Association, Collective Bargaining Agreement (August 1, 1997-January 31, 2001). Riverside Osteopathic Hospital and Michigan Council of Nurses and Health Care Professionals, Local 79, SEIU, Collective Bargaining Agreement (March 7, 1996-March 6, 1999). Sparrow Hospital and the Michigan Nurses Association, Collective Bargaining Agreement (November 1, 1994-October 31, 1997. Los Angeles County Hospital Clinics and Local 610, SEIU, information supplied by Valentina Judge, SEIU Research Department, November 3, 1999. Mercy Hospital of Buffalo and the Communications Workers of America, Collective Bargaining Agreement (June 4, 1994-June 3, 1997). B. Hirsch and D. MacPherson, Union Membership and Earnings Data Book, The Bureau of National Affairs, Washington, D.C., 1999. Board of Trustees of Lansing General Hospital, Osteopathic, and Office & Professional Employees International Union, Local 459, Collective Bargaining Agreement (January 1, 1991-December 31, 1993). P. Clark, D. Clark, D. Day, and D. Shea, The Impact of Health Care Reform on Workplace Climate in Hospitals: Implications for Union Organizing, paper presented at the 51st annual meeting of the Industrial Relations Research Association, 1999. C. Engel, Health Services Industry: Still a Job Machine? Monthly Labor Review, pp. 3-14, March 1999. Institute of Medicine, Nursing Staff in Hospitals and Nursing Homes: Is It Adequate? National Academy Press, Washington, D.C., 1996.