BISMARCK, N.D. -- North Dakota has seen a vote that hasn't taken place in the state for quite some time: a union-approved contract in health care.

This week, nurses at St. Alexius Health Bismarck Medical Center ratified a labor agreement with the hospital's parent company. It comes after these workers became the only unionized nurses in the state. They're represented by the Minnesota Nurses Association, which works in multiple states.

Association member Angie Grosz, who works at the hospital, said it's the culmination of several years of standing in solidarity with her fellow nurses to create some history.

"It's the first hospital in North Dakota with a nurse's union," she said, "and now the first hospital working under a contract."

North Dakota is not viewed as a union-rich state, and nurses have said that's underscored by having an out-of-state labor group supporting them. MNA has said the deal was struck after more than 20 negotiating sessions that centered on staffing, workplace-violence protections, and a defined wage scale. It's believed to be the first such contract in the state in more than 40 years.

The Minnesota Nurses Association said it hopes these changes will help retain more registered nurses in Bismarck. Not only will this benefit staff members, Grosz said, but also the people they care for.

"This has really created a great opportunity to for nurses to have a stronger say in their workplace and in the care that they can provide to their patients," she said.

In a statement released after the deal was first reached, the hospital's parent company, Catholic Health Initiatives, said it was happy to finalize an agreement. It added that it appreciated working with the nurses to continue to provide top-quality care to the community.

According to the Bureau of Labor Statistics, North Dakota has the second-fewest number of unionized workers in the country, at just under 18,000.

The agreement announcement from MNA is online at mnnurses.org, and the company statement is at chistalexiushealth.org.


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State officials in Maine said they are working to expand the number of registered apprenticeship programs to help counter a persistent worker shortage.

The state hopes to add 75,000 workers to the economy over the next five years by growing career pathways in clean energy, health care, and construction.

Joan Dolan, director of apprenticeship and strategic partnerships for the Maine Department of Labor, said the number of available programs has doubled over the past few years and all are currently full.

"There is huge interest and huge need," Dolan observed. "We've been working hard for years to expand our programming and it's really started to take hold and take off."

Dolan said 90% of apprentices who complete their programs are still working for their employer a year after graduation. Studies show they'll earn at least $300,000 more over their lifetimes compared to their peers.

The majority of apprentices in Maine are in the construction industry as federal dollars continue to boost the clean energy sector. The state has worked to recruit more women into the trade along with a growing number of new Mainers. Dolan pointed out even high schoolers are taking advantage, including in the town of Skowhegan, where a group of students is earning income and skills through electrical apprenticeships after class.

"We also have developed bank teller apprenticeship programs," Dolan explained. "There's banks right in the school, so the kids are getting high school graduation credit as well as earning a paycheck and learning a job skill."

Dolan stressed apprenticeships offer lucrative career pathways for students not interested in attending college or for the many rural students who simply cannot afford it. She added anyone can become an apprentice as long as they're at least 16 years old and are committed to furthering their education both in the classroom and on the job.


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Ohio is among the many states where a majority of workers lack access to paid family leave. A new report by Groundwork Ohio finds three in four Ohioans are employed in jobs without the possibility of paid family leave. This means many parents of young children face difficult choices between work and family. Even other conservative states, like Florida and Texas, have developed voluntary systems allowing private market benefits.

Lynanne Gutierrez, president and CEO of Groundwork Ohio, said the need for policies that support families and their workforce participation has never been clearer.

"There is currently a mismatch in policy, and the desires of both policymakers and the people of Ohio, when it comes to both the needs of their young children and families and the workforce," she explained.

The report was supported by grant funding from the Annie E. Casey Foundation. While some people may take advantage of accrued vacation or short-term disability benefits, access to these options remains uneven. Nationwide, only about half of full-time employees have short-term disability benefits, and only one in five part-time employees.

The report also highlights the economic and developmental stakes for young children in families without paid leave. Research shows that nearly 23% of new mothers in the U.S. return to work within 10 days of giving birth, driven by financial need and limited options that support newborn care. Gutierrez stresses the impact on childhood development when families lack adequate support.

"We know that one in four children under the age of five across the state of Ohio live in poverty; they're among our most vulnerable. And so, the more support we can get to children and families in that unique period of time really sets a foundation for their lifelong success," she continued.

Ohio is one of 29 states without a state-administered paid family leave law, but public support for a national policy is high. The report says 94% of Democrats, 83% of Independents, and 74% of Republicans favor a federal paid family leave policy.


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Researchers at Colorado State University have been able to link the economic stress experienced by 78% of Americans living paycheck to paycheck, to behavior that is bad for workers and company bottom lines.

Keaton Fletcher, assistant professor of industrial organizational psychology at Colorado State University and the report's co-author, said people who supervise other workers, at all management levels, are unleashing their economic frustrations on their direct reports.

"When they feel financially stressed, they are more likely to be abusive, berating or belittling, demeaning, sometimes yelling or cursing at subordinates," Fletcher outlined.

The findings, published in the Journal of Occupational Health Psychology, showed financial stress is experienced by bosses regardless of their salary levels, and men are more likely than women to be abusive toward subordinates. The research was done in collaboration with the Anderson School of Management at the University of New Mexico.

When bosses cannot pay their bills, Fletcher explained they feel like they are not in control of their lives. Bullying a subordinate is one way to try and regain a sense of personal agency. Gender expectations may also play a role. Fletcher pointed out women are more likely to be punished socially for "aggressive" behavior than men.

"Both men and women feel this lack of control in response to financial stress," Fletcher observed. "The data show that men are more likely to engage in those abusive behaviors when they have this feeling of a lack of control."

Companies tolerating abusive bosses are vulnerable to costly lawsuits and Fletcher added even workers who do not report abuse or sue can hurt a company's bottom line. They are more likely to show up late for work, be less productive, steal or talk badly about the company to other people.

"They are also more likely to quit," Fletcher stressed. "It is so expensive to replace employees. Pretty much across the board, having abusive supervisors just is financially costly to organizations."