The conclusion of this research shows that due to how nurses in particular view their working environment there have been many nursing shortages in the past but due to the various new powerful changes that have taken place that grant nurses more control of that environment the trend in nursing is starting to shift to one of a normalcy.
Within the field of nursing in the health care environment, for years there has been an abundance of staffing shortages in this area. This has been due to low pay, long hours, and inequality in the working environment. However, with the powerful idea of a form of a union among nurses this has changed the outlook for this field immensely. CNA's, Nurses assistances, LPN's and Registered nurses have all gone through a number of changes due to the various issues that have taken place through the years. For instance, the view of the Nurse's Unions that shows what the most common reasons are for organized labor to walk off the job and strike are wage related and the employment environment. The shortage of nurses has occurred due to the high demands that have been placed on them for years but for which now they are and have not wanted to put up with any longer. Therefore, this explains why there has been such a trend in the nursing area for years now.
The very profound reasons for nurse's strikes are wages, benefits, and patient care demands. In California, the marathon contract dispute between Kaiser Permanente and the California Nurses Association (CNA) alleges bad-faith bargaining, poor quality of care, understaffing of licensed beds and improper closures of facilities. In 1997, the union issued daily press releases alleging poor quality of care and cited daily instances in which Kaiser sacrificed patient welfare to save money (Sherer, 1998). Due to this situation from in the late 90's, the nurses staged six one-day long strikes up until the contract expired in January 1997. The issues include not only wages, but the fight for "the clout they (the nurses) wanted in setting and enforcing standards" (Sherer, 1998). In today's era, nurses from LPN's, to C.N.A's want to be equal team members in reviewing and evaluating whether acuity systems and classification methods are effective. Typically, these systems are used to determine staffing levels and if inaccurate, working conditions could be not only poor, but also dangerous. C.N.A's are organizing politically in California as well and in the last half of the 90's it was shown that they did score a in the California Assembly with a bill that, if signed into law would mandate minimum nurse-to-patient ratios (Sherer, 1998).
In August, 1999, the tight healthcare labor market along with nurses' frustration at hospitals where they worked had allowed the C.N.A. to make strong gains through areas of organizing and collective bargaining (Moore, 1999). This made definite changes in this field of nursing care and in fact has contributed to the current trends today. Furthermore, on August 23, the C.N.A. won a 20% pay increase over three years, plus the provisions on the