The setting is a 100-bed nursing home facility which employs about 135 employees and none of them are currently unionized.

Analyze the expected effect of the act in terms of cost, quality, access and the provision of services.
February 23, 2020
Summarize the recommendations of your selected article. Discuss ethical considerations
February 23, 2020

The setting is a 100-bed nursing home facility which employs about 135 employees and none of them are currently unionized.

The setting is a 100-bed nursing home facility which employs about 135 employees and none of them are currently unionized.

The setting is a 100-bed nursing home facility which employs about 135 employees and none of them are currently unionized. About one quarter of these employees are either administrators or supervisors and cannot be unionized. There has been significant turnover in leadership at the facility in recent years which has resulted in changing rules and procedures for all staff. Management staff that has remained thinks that they have done everything they can to keep employees happy. They even held a company barbeque last summer for everyone. They say that their hands are tied because the revenue streams for the facility have decreased because of cutbacks in reimbursement from Medicare and Medicaid, and private payers are also starting to negotiate lower rates. The nurses are increasingly being asked to work double shifts and patient care is starting to suffer. Wage increases have been non-existent or minimal. Supervisors appear to be ill-trained and are grouchy with everyone. The free bus passes employees used to get as a benefit have been revoked. One of the nursing staff decided she was fed up and is now trying to organize her colleagues under a union


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