Some New York hospitals are not adequately staffing nurses, according to a new report.

The New York State Nurses Association report showed between January and October 2024, hospitals failed to staff intensive care units and critical care patients at the state-mandated ratio more than 50% of the time. The report also said most hospitals do not publicly post staffing ratios as state law requires.

Margret Franks, a registered nurse at Vassar Hospital in Poughkeepsie, said it greatly affects patient care.

"We were regularly coming into a shift where we had eight patients when we were only supposed to have five, with one nurse at six on a 36-bed unit," Franks outlined. "Eight patients means out of every hour that you're there you can only give seven and a half minutes worth of care to that patient in your shift."

She argued it is impossible to provide good patient care and do everything a nurse has to in a given shift. While one recommendation is hiring more and retaining nurses, it is not so simple. Reports have shown labor expenses at New York hospitals grew 36% since 2019. While 2024 is the second year they declined, it is still double what they were in 2019.

Other report recommendations included the Department of Health increasing transparency so people see a hospital's actual staffing levels, enforcing safe staffing levels and expanding nurse recruitment and retention.

Franks stressed the issues outlined in the report exist beyond her workplace.

"This is not a problem that's exclusive to the Hudson Valley where I work," Franks pointed out. "It's not a problem that's even exclusive to New York State, it's nationwide. The reason for this is because you have these corporations coming in, taking over health care systems, and they're all using the same playbook."

Many studies have shown the ongoing nursing shortage is only set to continue due to many factors. Chief among them is the high stress nurses face in their work. Franks feels the shortage is not about people not wanting to enter the profession. Instead, she said it is about nurses wanting better work environments.

"Each facility has to create the kind of work environment somebody would want to willingly go into and work," Franks asserted. "It's not that the nurses who are not at the bedside right now don't want to work, it's just that they don't want to work in the situations that have been created by the facilities."


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As President Donald Trump abandons a promise the U.S. made in Paris nearly a decade ago, organized workers across Colorado are joining forces to address a climate emergency which, according to global scientific consensus, threatens the very biosphere needed to sustain life as we know it.

Nate Bernstein, executive director of Climate Jobs Colorado, said today's economy is not working for all Coloradans. He believes ramping up clean energy production can help reduce income and racial inequality.

"As of 2018, we had the highest gap in equality and wealth in over 100 years," Bernstein pointed out. "One way that we can help bridge that gap is by creating good solid union jobs across the state of Colorado."

Trump has issued executive orders to achieve energy dominance by increasing production of oil, gas and coal. When burned, the fossil fuels release greenhouse gasses into the atmosphere. More than two centuries of industrial pollution has led to rising global temperatures and an increase in catastrophic events including massive wildfires, flooding, prolonged drought and polar vortexes.

Bernstein noted a worker-centered roadmap created in partnership with Cornell University would expand opportunities for high-paying careers to all Coloradans, including workers in rural parts of the state where coal-fired power plants are set to retire as cheaper energy sources come online.

"We know that workers that work in those facilities have the skill set and/or can be trained to operate stable energy like geothermal and other sources," Bernstein explained.

The coalition includes the Amalgamated Transit Union, Colorado AFL-CIO, Colorado Building and Construction Trades Council and International Brotherhood of Electrical Workers. Bernstein added they are working on a bill to end a 1943 law requiring a second, supermajority election to form a union.

"We're continuing to build the coalition to make sure that the laws enacted at the Capitol continue to be favorable for working people as well as the environment," Bernstein emphasized. "All while assuring that we close the gap on racial and economic inequity within our state."


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The Service Employees International Union is joining the AFL-CIO, a move both groups said will make it easier for more workers to unionize.

SEIU is the nation's largest union of health care workers, janitors and security officers, among others. Combined with the AFL-CIO, a federation of more than 60 national and international labor unions, the group now has 15 million members.

Alan Dubinsky, communications director for SEIU Local 49, representing Oregon and Southwest Washington, said the two unions have a history of working together and they share many of the same values.

"We want to unite people across class lines no matter where they live, no matter the color of their skin, who they love, so we can stand up to billionaire interest and corporate greed," Dubinsky explained.

Research shows although only one in 10 workers is currently part of a union, more than 60 million people said they would join a union if they could. In a statement, the AFL-CIO said it will fight for new rules to strengthen the rights of workers to organize and collectively bargain.

Recent polls showed unions have near record-high favorability, with 67% of Americans approving of them. Last year had some major wins for labor, including The United Auto Workers, unions representing airline workers, and several Hollywood entertainment unions. Dubinsky noted rights for workers cannot be won alone.

"As working people, we all want the same things," Dubinsky contended. "We want jobs that are going to pay us enough to live. We want accessible, affordable, quality health care for ourselves, for our loved ones. "

When workers organize, research shows wages increase and working conditions improve. In 2024, petitions to form or join a union more than doubled from the previous year.

After five days of Oregon's largest health-care strike, including the state's first doctors' work stoppage, Providence Health announced it is ready to return to the bargaining table. The Oregon Nurses Association is calling for competitive wages and resolution of what it calls systemic, unsafe staffing issues.

Kathy Keane, a nurse at Providence St. Vincent Medical Center who has been on the picket line, said Providence needs to focus on recruiting and retaining skilled staff.

"I want to work with the best of the best. And when we are the lowest-paid caregivers in the Portland metro area, it's hard to argue why people should come here and stay here long-term," she explained.

Providence said it is ready to return to the bargaining table, thanks in part to what it calls an "unprecedented number" of union nurses who have chosen not to strike. Earlier this week, Providence filed an unfair-labor-practice complaint, saying the nurses' association unlawfully delayed bargaining by refusing to meet and not responding to proposals in a timely manner.

A recent poll conducted by the Oregon Nurses Association found more than 90% of patients reported a negative experience with Providence, and support the strike.

Laura Wadlin, a Providence patient since she was a kid, said has had many discouraging experiences with rushed providers.

"Every time I go back, my fears are only confirmed, so that really reinforces the inclination not to even try," she said.

Keane and other union members are also concerned about acuity, or the level of care that a patient needs based on how sick they are. Keane said she wants nursing assignments tailored more towards patient need, rather than focusing on a staff-to-patient ratio, and said this issue is not unique to St. Vincent.

"This is something that system-wide we've seen issues with, so we know that systemic issues need systemic change, and that's really what we're working towards," she continued.

Providence said it is committed to following Oregon's staffing law, and is taking acuity into account. The nurses' association says 305 unsafe staffing complaints were filed against Providence in 2024.