 | |
| Founded | 1903 |
|---|---|
| Headquarters | Oakland, California, U.S. |
| Location | |
Members | 100,000 (2018) [1] |
Key people |
|
| Affiliations | National Nurses United (AFL–CIO) |
| Website | www |
The California Nurses Association/National Nurses Organizing Committee (CNA/NNOC), an affiliate of National Nurses United, is a labor union and professional association of registered nurses in the United States. Since 2018, CNA/NNOC has been led by Executive Director Bonnie Castillo, RN. [2] [1]
California has the only legislatively mandated nurse-to-patient ratios in the country. [3] In December 2020, during the fall/winter COVID-19 pandemic surge, governor Gavin Newsom gave all hospitals a temporary waiver from those mandates, which allowed hospitals, for example, to have ICU nurses care for three patients rather than two. [3] [4] The union protested against these waivers, saying that the staffing shortages are the fault of the hospitals, who should have anticipated the surge of cases and increased staff ahead of time. [3] : 1 [4] : 1 The union also stated that they felt that this temporary measure would not be temporary, but that the pandemic would be used as a reason to permanently revoke the staffing ratio requirements. [3] [4] : 1 The expedited waivers ended February 2021, and the union claimed victory. [5]
A California Field Poll in April 2008 found that CNA has the highest favorable rating among all groups, politicians, and institutions involved in public policy debates over health care reform in the state. [6]
On May 9, 2008, the Public Broadcasting Service television show with Bill Moyers featured a segment on CNA/NNOC describing a campaign conducted by the organization saying all Americans should be entitled to the same level of care available to Vice President Dick Cheney and members of Congress.
The growing achievements of CNA and NNU received much national attention in 2010. A profile of CNA and DeMoro in Business Week , July 22, 2010, noted, "Under DeMoro, the union threw itself into the broader fight for patients' rights in the face of consolidation in hospital chains and insurers. The NNU simply takes that fight national, says DeMoro." The Washington Post , November 20, 2010 described "an aggressive strategy by a national nurses union, experts say: Its members are growing in numbers, and they have not been afraid to walk picket lines." The San Francisco Chronicle, in an article headlined, "Nurses union becomes potent political force," November 24, 2010, wrote, "The Oakland-based California Nurses Association has made its mark by delivering some powerful political punches with a combination of entertaining theater and savvy strategizing."
The California Nurses Association was formed in 1903 as the California State Nurses Association.
CNA was the first nurses union in the U.S. to win collective bargaining contracts for nurses when Shirley Carew Titus [7] advocated for agreements with the East Bay Hospital Conference for minimum salaries, time-and-a-half pay for overtime, shift differentials for night and weekend work, a 40-hour work week, paid holidays, vacations, and sick leave, and employer-paid health insurance.
According to CNA/NNU, in 2004 CNA formed a national affiliate, the National Nurses Organizing Committee (NNOC), which was joined by nurses associations from multiple states over the next several years. [8]
In April 2008, the CNA/NNOC clashed with SEIU over an agreement between SEIU and Catholic Healthcare Partners of Ohio. CNA/NNOC labeled the election a "sham." SEIU and Catholic Healthcare Partners cancelled the election for 8,000 workers in 9 Ohio hospitals on whether to have SEIU representation. NNOC contends that the agreement fits SEIU's pattern of forging controversial agreements with employers that sacrifice public protections and workplace standards in exchange for more members. [9] The conflict continued until March, 2009, when CNA/NNOC and SEIU announced that the unions would cooperate to organize hospital employees, with nurses joining the nurses union and other hospital staff joining the SEIU. [10]
On February 18, 2009, CNA/NNOC announced that it is joining with two other nurses unions, the Massachusetts Nurses Association and the United American Nurses, to create a 150,000-member union. The organization is called National Nurses United [11] and is affiliated with the AFL–CIO. Deborah Burger, co-president of CNA/NNOC said that the new group is intended to give registered nurses a national voice and more organizing strength. [12]
On January 3, 2013, the CNA joined forces with the National Union of Healthcare Workers (NUHW) to form a new union, NUHW-CNA. Part of the motivation regarding the affiliation was the 2013 election for 43.000 Kaiser service and tech workers represented at the time by CNA rival, SEIU UHW. Despite CNA support, SEIU UHW won the election and the partnership between CNA and NUHW eventually ended. [13]
Service Employees International Union (SEIU) is a labor union representing almost 1.9 million workers in over 100 occupations in the United States and Canada. SEIU is focused on organizing workers in three sectors: healthcare, including hospital, home care and nursing home workers; public services ; and property services.
Andrew L. Stern is the former president of the Service Employees International Union, and now serves as its President Emeritus.
MountainView Hospital & Medical Center is a for-profit hospital owned by the Hospital Corporation of America and operated by Sunrise Healthcare System. The 420-bed hospital is located in Las Vegas, Nevada.
University Hospital of Wales (UHW), also known as the Heath Hospital, is a 1,080-bed hospital in the Heath district of Cardiff, Wales. It is a teaching hospital of Cardiff University School of Medicine. Construction started in 1963, and the official opening took place in 1971. It was Europe's first fully integrated hospital and medical school, at a cost of £22 million. It is the third largest university hospital in the UK, and the largest hospital in Wales. The hospital was previously managed by Cardiff & Vale NHS Trust. In 2009 the Trust was dissolved and the hospital is now managed by Cardiff and Vale University Health Board.
The SEIU United Healthcare Workers West (SEIU-UHW) is a statewide local union of the Service Employees International Union in California in the United States. In 2020, it had 97,000 members, down from nearly 150,000 in 2013.
A nursing shortage occurs when the demand for nursing professionals, such as Registered Nurses (RNs), exceeds the supply locally—within a healthcare facility—nationally or globally. It can be measured, for instance, when the nurse-to-patient ratio, the nurse-to-population ratio, the number of job openings necessitates a higher number of nurses than currently available, or the current number of nurses is above a certain age where retirement becomes an option and plays a factor in staffing making the workforce in a higher need of nurses. The nursing shortage is global according to 2022 World Health Organization fact sheet.
PIH Health Good Samaritan Hospital is a hospital in Los Angeles, California. The hospital has 408 beds. In 2019 Good Samaritan joined the PIH Health network.
The Pennsylvania Association of Staff Nurses and Allied Professionals (PASNAP) is a labor union in Pennsylvania that represents about 8,300 nurses and allied health professionals.
Healthcare-NOW! is a non-profit grassroots coalition in support of the single-payer health care movement for the United States. Healthcare-NOW!'s stated goal is to implement the Medicare for All Act.
SEIU Member Activists for Reform Today (SMART) is a national organization of rank-and-file union members working for the democratic reform of the Service Employees International Union (SEIU). SEIU primarily represents workers in the public sector, healthcare industry, and property services. Today it is America's largest and fastest growing union with 2 million members, many of whom are minorities, immigrants, and women.
National Union of Healthcare Workers (NUHW) is an independent, democratic labor union based in Oakland, California, that represents 15,000 healthcare workers in California. It was formed in 2009 after a split with the SEIU United Healthcare Workers West.
Mary Kay Henry is an American labor union activist who was elected International President of the Service Employees International Union (SEIU) on May 8, 2010. She is the first woman to lead the union. While serving with the union in California, she helped pioneer SEIU's use of card check agreements, non-traditional collective bargaining agreements, comprehensive campaigns, and system-wide health care organizing strategies. Henry was included on Time's 100 Most Influential People of 2020.
National Nurses United (NNU) is the largest organization of registered nurses in the United States. With more than 225,000 members, it is the farthest-reaching union and professional association of registered nurses in the U.S. Founded in 2009 through the merging of the California Nurses Association/National Nurses Organizing Committee, the United American Nurses, and the Massachusetts Nurses Association, the NNU focuses on amplifying the voice of direct care RNs and patients in national policy. The union's policy positions include the enactment of safe nurse-to-patient ratios, patient advocacy rights at the Executive and State level, and legislation for single-payer health care to secure "quality healthcare for all, as a human right." The organization's goal is to "organize all direct care RNs into a single organization capable of exercising influence over the healthcare industry, governments, and employers."
The SEIU Healthcare 1199NW strike of 2014 was a 24-hour strike called by the Service Employees Union healthcare Local 1199NW. The strike was begun on Tuesday, November 18, 2014, at 7:00 A.M. There were 1,100 workers at two Pierce County hospitals operated by CHI Franciscan Health in Tacoma who participated in the strike event. The two hospitals are St. Joseph Medical Center in Tacoma and St. Clare Hospital in Lakewood. Nurse assistants, licensed practical nurses, unit secretaries, dietary workers, housekeepers, sterile processors, technical workers and other services of the two hospitals walked off the job to participate in the strike. The strike did not include nurses and doctors. The union members were demanding CHI Franciscan Health to improve wages, improve on health care, improve on their charity care policy, and end unfair labor practices.
RoseAnn DeMoro is the former executive director of National Nurses United and the California Nurses Association/National Nurses Organizing Committee and a former national vice president and executive board member of the AFL–CIO.
Bonnie Castillo is the executive director of National Nurses United and of the California Nurses Association/National Nurses Organizing Committee. Castillo also held the positions of CNA/NNOC director of government relations and NNU director of health and safety. She has been with CNA/NNOC for almost two decades in a number of capacities, working her way up into the leadership of the organization from her early days as a registered nurse member who helped to unionize her facility, to staff and then lead organizer, to a director, and now to her current position as executive director. Castillo was named to the Time 100 list of the most influential people in the world for the year 2020. In January 2021, Castillo was named to The Nation's annual honor roll, which recognizes progressive activists and leaders who helped keep hope alive and set the groundwork for transformational change in 2021.
The 2020 University of Illinois Hospital strikes were the result of a breakdown in contract negotiations between labor unions and hospital management over salaries, staffing levels, and access to personal protective equipment.
The impact of the COVID-19 pandemic on hospitals became severe for some hospital systems of the United States in the spring of 2020, a few months after the COVID-19 pandemic began. Some had started to run out of beds, along with having shortages of nurses and doctors. By November 2020, with 13 million cases so far, hospitals throughout the country had been overwhelmed with record numbers of COVID-19 patients. Nursing students had to fill in on an emergency basis, and field hospitals were set up to handle the overflow.
Proposition 29 is a California ballot proposition that appeared on the general election on November 8, 2022 that would require staffing, reporting, ownership disclosure, and closing requirements including:
The state is asking nurses to take care of more patients simultaneously than they normally would, watering down what many nurses and their unions consider their most sacrosanct job protection: a law existing only in California that puts legal restrictions on the nurse-to-patient ratio.
California Gov. Gavin Newsom announced the state was expediting approval of emergency staffing waivers that allow hospitals to increase the number of patients a nurse is responsible for caring for in a given unit. For intensive care units, a single nurse could go from taking care of two patients to taking care of three.
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