Do Nurses Need Unions? The Case For and Against Joining One

Unions win pay rises and protect nurses at hearings. Critics say they politicise nursing. Should you join?

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1–2 minutes

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Edited by Joshua Adebanjo, RN

Group of nurses listening at a workplace meeting

In some countries, most nurses belong to a union. In others, nurses are discouraged or banned from joining. With strikes and pay disputes everywhere this year, many new nurses are asking whether it is worth paying the fees.

The question: Should every nurse join a union or professional body?

The case for

  • Collective bargaining wins better pay, staffing and conditions.
  • Unions provide legal support and representation at disciplinary or regulator hearings.
  • They give nurses a voice in health policy.
  • Many offer indemnity, education and welfare support.

The case against

  • Fees can be expensive for newly qualified and part-time nurses.
  • Some nurses disagree with their union’s political positions.
  • Strike decisions may not reflect every member’s view.
  • Some employers already offer good protection and representation.

What the evidence says

Studies in several countries have found that unionised workplaces tend to have better pay and benefits, and some research in nursing has linked unionised hospitals with better staffing. Effects vary between countries and health systems.

The bottom line

For most nurses, the protection alone, especially representation if a complaint is made against you, is a strong reason to join something. Which body, and how active you are, is a personal choice.

Where do you stand? Tell us in the comments. We read every one, and the best answers may feature in a follow-up article.

Joshua Ibukunoluwa Adebanjo

Founder & Editor-in-Chief

Joshua Ibukunoluwa Adebanjo

RN, RM, RPHN, BNSc (Obafemi Awolowo University)

Joshua is a registered nurse, midwife and public health nurse with clinical experience at Obafemi Awolowo University Teaching Hospitals Complex. He founded Nursing Media Network to give nurses worldwide trustworthy news, career guidance and a stronger public voice, and leads its editorial direction.

Full profile · Editorial policy · joshuadebanjo.com

Health information on Nursing Media Network is for education and does not replace advice from your own nurse or healthcare provider.

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