Unionizing to Compel Systems Changes
Although recognizing that the nursing shortage is due to the interaction of many factors, Needleman and Buerhaus (2003) have concluded that resolution of the crisis must begin with systems-level change of the environment in which health care is provided. Gelinas and Bohlen (2002) have reached similar conclusions. Stating that "leaders must take systemic action" to promote a safer, more satisfying health care environment, they provide many suggestions for improving the culture, leadership, work design, and human resource processes (Gelinas & Bohlen, p. 11). "Only by changing the way that hospitals deliver, compensate and value the work of caring, can leaders eliminate the deficiencies embedded in the system" (p. 43)