Ask the WOC Nurse - Advice Column

Should CWOCN positions be unionized?

Giving a specific “yes” or “no” answer to this question is not an easy task because there is no right answer currently. Over the years, studies have been conducted to discover if unionizing nurses in general is beneficial to the nurses, patients and facilities. The answers were inconclusive and sometimes contradictory. It may be helpful to look at some of the pros and cons of unionizing to determine if this is a viable option for certified wound, ostomy and continence (WOC) nurses. To be sure, the advantages of belonging to a union are numerous. Members have guaranteed wages, pay increases, no mandatory overtime and have job security. Workplace safety is generally improved by the increase in nurse to patient ratio and enhanced standards and protocols for both staff and patient safety. These are just a few of the most significant perks in belonging to a union. But there is the other side of the coin as well…the cons. In my opinion there are three major concerns when answering this question: mandatory striking, advancement based on seniority rather than performance skills and knowledge, and fees and dues associated with membership. The first two of these knocks at the heart of any nurse. The patient remains our primary interest and concern; and in both mandatory strikes and promotion based on seniority instead of skills and knowledge base, the care and welfare of the patients may be greatly hindered. This in and of itself influences balancing the pro and cons of joining a union. In addition, the costs encountered when joining and continuing membership in a union are most often automatically deducted from your paycheck. Like many other organizations, union dues increase over time. This additional expense needs to be considered. The pros and cons listed here are a few, but important ones that need to be part of the decision process. Should CWOC nurses unionize? That question can only be answered after thoughtful consideration and honest communication with those who are encouraging or offering membership in a union.

Sincerely, The WOC Nurse

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