Nurses and Collective Bargaining:
Basic Facts and Considerations

How the Bargaining Process Works

Employee interest in unions has always met with fierce resistance from employers in all industries. Within the healthcare industry, opponents of unions argue that they create internal struggles which detract from a hospital's mission to provide high quality service to patients. However, there is concrete evidence that collective bargaining, when used effectively, actually facilitates delivery of the best care and services. For collective bargaining to occur, eligible employees must select a bargaining agent like Michigan Nurses Association, usually by secret ballot election. The following information provides a basic overview of how collective bargaining works in the private sector.

The Legal Framework for Collective Bargaining

The National Labor Relations Act of 1935

“Over the years, there has been considerable debate over the composition of bargaining units in the healthcare industry.”

The National Labor Relations Act (NLRA), amended by the Labor Management Relations Act (Taft-Hartley Act), is the federal agency governing labor relations in the private sector. Section 7 of the NLRA states that employees have the right to self-organize; to form, join, or assist labor organizations; and to bargain collectively through representatives of their own choosing.

Since enactment of the National Labor Relations Act in 1935, nurses and other employees of private, for-profit healthcare institutions have been protected in their right to organize for collective bargaining purposes. Under the provisions of the Act, as amended in 1974 (Health Care Amendments), employees of voluntary, not-for-profit health care institutions also were granted the same rights and protections.

Over the years, there has been considerable debate over the composition of bargaining units in the healthcare industry. After much deliberation, the National Labor Relations Board (NLRB) issued rules in 1989 on unit composition.

Under the rules, eight units (including one limited in its composition to registered nurses) were deemed appropriate. As expected, employer opposition to the NLRB's rulemaking resulted in litigation challenging and delaying the implementation of this ruling However, in April 1991, the U.S. Supreme Court unanimously upheld the National Labor Relations Board's rule-making authority. This ruling is regarded as a significant victory in support of the workplace rights of nurses.

Organizing a Union

It would be extremely difficult for one person to organize an entire hospital nursing staff. Consequently, it is important to identify a core group of nurses who share common issues and concerns and who are supportive of organizing. If possible, this group should be representative of different shifts and practice areas and be well known and respected by the nursing staff and other per-sonnel. These nurses will assume initial responsibility for personally soliciting other supporters and stimulating general interest in organizing activities.

The nature and extent of nurses' issues and concerns are key factors in determining the degree of support for an organizing campaign. Oftentimes, professional and personal concerns are stronger motivating forces for organizing than economic considerations. To conduct an effective campaign, there needs to be a broad base of issues and concerns common to nurses in various departments and units and on different shifts.

Research

Before launching a campaign, it is important to know as much as possible about the history, structure, organization, finances and administration of the hospital as well as other rules and regulations as well as an accurate picture of the treatment of nurses in all areas of the facility with regard to wages, benefits and employment practices. Planning an organizing campaign should include:

a) selection of an organizing committee,
b) identification of major campaign issues,
c) delineation of specific organizing activities with a projected timetable,
d) development of specific strategies for countering employer tactics, and
e) determination of a system for keeping lines of communication open with nurses.

Structure

In the early stages, attention should focus on the organizing campaign. Once there is a strong indication of support (close to filing a petition for a representation election or during a pre-election campaign), it is time to move toward a more permanent structure and a more formal relationship with MNA. This phase of the process involves the adoption of bylaws and the election of officers.

Recognition

An employer's formal recognition or NLRB certification of a representative of the majority of the unit is necessary before the process of negotiating a bar-gaining agreement can begin. To seek voluntary recognition by the employer, a public petition must be signed by a majority of nurses. The larger the majority, the better. More than likely, an employer will refuse to voluntarily recognize the bargaining unit of nurses and its designated representative. When this occurs, it is necessary to establish majority status through a representation election conducted by the National Labor Relations Board.

To file a petition for a representation election, the public petition must be signed by at least 30 percent of the nurses in the proposed unit. However, it is advised that a petition not be filed with the regional NLRB office until signatures have been obtained from a clear and substantial majority, excluding supervisors and managers.

Upon receipt of a petition, the regional director of the NLRB will attempt to reach agreement between the employer and the union/Michigan Nurses Association on several issues, including the definition and scope of the proposed unit. In the event that agreement is not reached, a hearing may be scheduled.

Election

After the pre-election issues have been determined, the NLRB will set the date for an election by mutual agreement of the two parties (employer and MNA). After the NLRB has set the date of the election, copies of the Board's official Notice of Election will be posted at the employer's facility in places where notices to employees are normally posted. This notice will include the date, hours and places of the election; payroll period for voter eligibility; description of the voting unit; a sample of the ballot; and general rules as to the conduct of the election.

If the majority of voting nurses (50 percent plus one) select MNA, it will be certified by the NLRB as the exclusive bargaining agent. The employer is then required to recognize this agent and to bargain in good faith for a collective bargaining agreement. If a majority of voting nurses opposes representation, the Board will certify these results; a tie is considered a loss.

Negotiating a Contract

Once the NLRB has certified MNA as the exclusive bargaining representative, the next step is for the bargaining unit to elect a negotiating committee and to request the employer to start contract negotiations.

For the nurses covered under a collective bargaining agreement, the contract outlines the terms and conditions of employment. Topics commonly covered include: employee status, work time, salary and related pay, fringe benefits, discipline, grievance procedure, health and safety, nondiscrimination, inservice education, continuing education, leaves of absence, holidays, management rights, strikes and lockouts, layoffs, retraining and termination. Many contracts also address professional issues. Contracts negotiated by MNA often include language on the role of the nurse, non-nursing duties, staffing, professional practice committees, tuition reimbursement, mandatory overtime and benefits after retirement.

Negotiating Committee

Throughout the organizing process, nurses in the unit will have identified major areas of concern. More than likely, these concerns will form the basis for key contract proposals. The negotiating committee will explore ideas for contract proposals with unit members. With the assistance of the Michigan Nurses Association, the committee will develop written proposals.

Throughout negotiations, the committee should keep bargaining unit members apprised of the progress or lack of progress on contract provisions and seek direction from the membership as needed. When a tentative agreement is reached, the negotiating committee will present the agreement to the membership for ratification (acceptance) or rejection.

Scope of Bargaining

There are usually three broad categories into which negotiations may be classi-fied: mandatory, prohibited and permissive. All three categories are addressed in both public and private sector bargaining. However, the subjects in each category can vary greatly depending on applicable law and judicial interpretation.

Parties are obligated to negotiate on mandatory subjects of bargaining. In the private sector, wages, hours and other terms and conditions of work are considered mandatory subjects. In the public sector, the scope of mandatory subjects of bargaining is often far narrower. Legislatures may decide that certain subjects may not be appropriate for bargaining (prohibited subjects).

In the federal sector, for example, wages -- a mandatory item in the private sector -- is a prohibited subject. One example of a prohibited subject in the private sector is a closed shop cause. It is illegal to negotiate a union security arrangement requiring union membership as a condition of obtaining a job.

The third category, permissive subjects, consists of items that the parties may not insist that negotiations go to impasse over.

Good Faith Bargaining

The National Labor Relations Act requires that parties negotiate in good faith. Both bargaining unit and management representatives must demonstrate a sincere and honest intent to consummate a labor agreement and exhibit reasonableness in their bargaining position, tactics and activities. If either party fails to live up to this bargaining obligation, an unfair labor practice charge may be filed. However, the fact that an impasse is reached does not necessarily show lack of good faith. The National Labor Relations Act does not specifically require that a party must agree to the other's proposal or make a concession to the other. In other words, as long as an employer is willing to discuss mandatory subjects with the bargaining representative at reasonable times and places, the employer is not required to make any compromises.

Dispute Resolution

Should impasse occur in the collective bargaining process, several options exist, including mediation, interest or contract arbitration, mediation-arbitration and fact-finding. These four resolution approaches utilize third parties to either facilitate the negotiation process or to resolve the bargaining differences in a binding matter.

In an effort to minimize work stoppages (strikes), the 1974 Health Care Amendments to the National Labor Relations Act include various negotiation modification procedures for health care facilities. This legislation provides for contract expiration notice, advance strike notices, mandatory mediation and the option of establishing boards of inquiry prior to a work stoppage. In the health care industry, strikes occur less than two percent of the time.

Enforcing the Contract

Once an agreement is ratified by both parties, a contract will be signed by the duly authorized representatives of management and the bargaining unit. Signing the contract, however, does not mean that collective bargaining is suspended until it is time to negotiate a new contract. There remains an everyday need for an agreement on everyday matters. Even with the most carefully written contract and in the best-run institutions, this need exists. The solution to day-to-day difficulties between nurses and their employer is reached through a grievance procedure. A formal plan is established in the contract outlining the channels for adjustment of grievances through progressively higher levels of administration.

Grievance Handling

Nurses and Collective Bargaining: Nurses Representing Nurses

"Protecting nurses and nursing interests requires more than knowledge in labor relations. Nursing expertise is essential. Only with MNA can nurses have both!"

"No one can force a bargaining unit to strike. Only unit members themselves can make such a decision."

From the individual nurse's point of view, grievance handling may well be the most important aspect of collective bargaining since grievances are matters that affect an employee in very personal ways. Thus, the grievance procedure becomes a very significant provision in the contractual agreement. Through the grievance mechanism, the agreement ceases to be a piece of paper and collective bargaining comes alive.

The ideal grievance procedure assures that an employee's complaint is handled fairly, quickly and without fear of reprisal. The essential components should:

  • Provide for consideration of all complaints so that important problems are not ruled out due to technicalities.
  • Provide for simple steps and time limits, as this encourages fixing of responsibility and results in prompt settlement at the lowest possible level.
  • Provide for employee representation at each step so that complaints are presented properly and are assured of a fair hearing.
  • Provide for ultimate decision making by an objective and impartial third party, or, at the very least, examination/review by an independent, neutral party.
  • A key element in a fair grievance procedure is the orderly series of steps, progressing upward through successively higher levels of administration and ending in binding arbitration. Time schedules for handling grievances may vary from contract to contract, but the ultimate objective is to expedite the grievance as quickly as possible

6/19/07

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