Subject: The Push-Pull Of AI In The Healthcare Workplace: Addressing Nursing Concerns Before Unions Do: LRI INK

May 23, 2024

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The Push-Pull Of AI In The Healthcare Workplace: Addressing Nursing Concerns Before Unions Do

by Kimberly Ricci

For many workers, the Artificial Intelligence rollout is a source of tension over how the technology could impact their employment. We are also only starting to see how some unions and employers are negotiating upon AI.

 

In the healthcare industry, AI might be particularly messy. Some reports indicate that hospitals have tested 1,500+ different platforms over five years. You can only imagine how much trial and error has occurred and added to nurses’ stressed-out work environments, which have grown more chaotic since the pandemic began. How bad is that situation?

 

The Journal of Nursing Regulation reported that over 200,000 RNs started to leave the profession annually in 2022. The Bureau of Labor Statistics also predicts the number of vacant job openings for RNs will average 193,100 annually through 2030. That issue worsens when nursing unions call for strikes to protest staffing shortages, a vicious cycle resulting in 1,208 days out since 2020. 

Source: LRIRightnow

 

It’s no wonder that hospital executives are turning to AI to fill some gaps, and we recently discussed whether AI nursing “bots” could help or harm the nursing profession. Naturally, unions have also pounced on AI like any other hot-button issue, and National Nurses United published survey results of 2,300 members, which – if accurate – suggest fuel for unions: 

  • 60% of the surveyed nurses don’t trust their employers to deploy AI, with patient safety at the forefront of concerns.

  • 50% of respondents revealed that their employers use AI to assess the severity of patient illness; 69% of this group said that AI’s conclusions did not match their own judgment.

  • 48% said that A.I. Handoffs during shift changes included errors, underscoring the value of “direct nurse-to-nurse communication.”

  • 29% of respondents were not allowed to modify AI’s categorical assessments, and 40% could not adjust scores on “individualized needs” for patients.

 

Kaiser Permanente nurses feel so strongly about these issues that they have been protesting in San Francisco over the potential dangers of AI and risks to patient safety. The lesson here? Healthcare employers should expect AI to be a significant future bargaining issue. 

 

Further reading: In this op-ed from former RN Kari Cotton of Rapid AI software, Cotton declares that “nurses are not fundamentally opposed” to AI, but they worry that their concerns will be ignored. Additionally, execs must trust nurses’ judgment and not diminish their decision-making calls. Employers should further stress that AI is not meant to replace nurses and that their workplace contributions are invaluable. 

 

Another side of the AI coin: Healthcare organizations are also beginning to explore AI resources to crack down on workplace violence. At a Texas hospital, AI-based monitoring software can detect firearms within seconds of brandishing a weapon. In Nebraska, a similar system caught 1,000+ weapons brought into an ER waiting room.

 

Conclusion: Clearly, there are scenarios where AI can save lives in the healthcare workplace. Yet it’s always worth mulling over how unions will twist an issue for their own benefit – and remember that when considering how far to lean into AI to ease nursing workloads.

 

10 Strikes In 10 Days: A Not-So-Great Situation For A Great Outdoors Retailer

by Kimberly Ricci

REI, as an outdoor equipment and clothing retailer and co-op, advocates for sustainable business practices and has attracted idealistic workers through its espoused values. Yet, like Starbucks, REI has become a target within the group of several progressive companies that have been regular union targets in the last couple of years.

 

In early 2022, workers at a Manhattan REI store first unionized, and employees at ten other stores have since pulled the company into the union vortex. Employees in Santa Cruz joined the  REI Union this month as part of the United Food and Commercial Workers International Union (UFCW). Some REI stores are also unionized through the Retail, Wholesale, and Department Store Union (RWDSU), a subsidiary of the UFCW. 

 

No first contract yet: As we have illustrated in detail, first contracts frequently take over a year to hammer out, so this is not an unusual situation in that regard. Still, REI’s union woes have grown over the past two years as the union and co-op failed to reach an agreement. In typical fashion, the union claimed bad-faith bargaining by the co-op while launching a petition to attempt to gain shoppers’ signatures in solidarity.

 

Borrowing a page from Workers United: This is where the “10 Strikes In 10 Days” plan enters the picture. The REI Union mimicked the #RedCupRebellion initiative launched by Starbucks Workers United over the past few years on Nov. 16, the coffeehouse giant’s biggest sales day. That now translates into ten during the REI’s Annual Anniversary Sale from May 17-27. Those who rally demand that the co-op “commit to reaching a union contract by the end of 2024.”

 

Back to reality: Sadly, REI was not immune to a year when retail sales dipped overall due to inflation. The co-op did not shy away from this situation while reporting 2023 financial results that included a 2.4% decrease in revenue and a $311 million net loss attributed to three factors, including “REI's commitment to continue investing in hourly employee pay.” 

 

In a further move to return to profitability, REI laid off 357 workers in January, mainly at corporate headquarters and warehouses. 

 

This has not gone over well with the REI Union, for which supporters asserted that they “feel singled out” after being disciplined over tardiness through “performance improvement plans.” The union claims that these workers were targeted for their activism. It would be fair to interpret the situation as REI buttoning up loose threads where possible to provide the best customer service to shore up the co-op and survive for the long haul.


What the union refuses to admit: In attempting to force REI into a contract, no matter how unreasonable the demands, the REI Union could be lining the company up for more financial hurt, which would likely lead to more layoffs. Afterward – and as with the ongoing fallout from UPS negotiations – expect the union brass to shrug its shoulders and dodge member questions while dashing to “catch a plane. It’s the “Union Way”.

Navigating The Cannabis Industry’s Unique Concerns: What’s Coming Next From The Left Of Boom Show

by Kimberly Ricci

Cannabis can provide relief, whether medicinal or recreational, to those who choose to partake. What is less relaxing, however, is running the business side of an industry that makes it possible for consumers to chill out. Unique concerns exist for employers whose retail workers, growers, and producers could be – and are being – solicited for third-party representation. Oh yes, plenty of interested unions wait in the wings. 


On an upcoming episode of The Left Of Boom Show, we invited some in-house guests – LRI chief-of-staff Danine Clay and labor consultant Amber Glesener – to candidly discuss their experiences with workers in the cannabis industry. They will address labor-specific wrinkles within an industry that faces many challenging issues:

  • Federally, this industry is not legal but must follow federal labor law.

  • Rapidly changing laws across state lines adds further complications. This includes states that require or encourage companies to adopt a neutral stance through so-called Labor Peace Agreements during organizing campaigns. 

  • Cannabis workers fall into both the retail and agricultural sectors, which present different potential workplace concerns.

  • Taxation of this industry has reached a nearly prohibitive level, leaving little financial wiggle room. Therefore, losing a union election could tip the balance from profitable to unsustainable.

  • Cannabis is not only an attractive union target but also a testing ground for the Cemex framework which makes it easier for workers to unionize.  

A game-changing prospect for this industry compounds these daunting realities: reclassification.


This week, the Biden administration submitted a proposed rule to the Federal Register to shift marijuana from a Schedule I drug to a far less dangerous category, Schedule III. This wouldn’t precisely legalize cannabis, and there’s no guarantee that this rule would survive the 60-day comment period and lengthy approval process. If the rule goes into effect, some existing restrictions on the industry could go poof. This could further grow the industry, making it more lucrative and a bigger union target. 


In our new podcast episode, Danine and Amber address these issues and more concerns about this rapidly evolving industry. Their invaluable perspective on cannabis workers’ concerns and how unions operate in this space makes for a heck of a podcast episode. They also identify future trends for this industry and share their observations for the benefit of companies hoping to stave off union activity. They know how to address labor issues and nip them in the bud proactively.


Before we close and hand this subject over to Danine and Amber, here are a few recent developments in this industry:

  • Curaleaf workers want a decertification vote at an Illinois dispensary. 

  • Wyld cannabis gummies workers rejected the UFCW in an election at a manufacturing plant. However, the NLRB is considering a claim that a union activist was illegally fired, which could lead to the board overturning the election and forcing Wyld into union bargaining via Cemex. The NLRB also recently ruled that an INSA cannabis dispensary in Boston must bargain with a union that lost an election.

  • Eaze Cannabis averted a strike at 11 California locations represented by the UFCW.

  • Workers at a Massachusetts-based cannabis cultivation facility voted to decertify the UFCW. Mere weeks after their decision to oust the union, these workers already received raises and stock options. 

The future of this industry is wide open, so please join us in discussing what is to come.

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About Labor Relations INK

Labor Relations INK is published weekly and is edited by Labor Relations Institute, Inc. Feel free to pass this newsletter on to anyone you think might enjoy it. New subscribers can sign up by visiting here.


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Contributing editors for this issue: Greg Kittinger, Michael VanDervort, and Kimberly Ricci.


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About Labor Relations Institute

LRI exists to help our clients thrive and become extraordinary workplaces. We improve the lives of working people by strengthening relationships with their leaders and each other. For over 41 years, LRI has led the labor and employee relations industry, driven by our core values and our proven process, the LRI Way.

 

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