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  MNA Members and Massachusetts Nurses Respond to ANA Smear Campaign Against MNA & its Intended Disaffiliation

(Editor's Note: MNA is divided into five geographic regions called districts. District 5, encompassing Greater Boston and much of Eastern Massachusetts, is the most populous. Its Board of Directors constitutes the focal point of pro-ANA sentiment within Massachusetts. Following the changes effected at the December 1st MNA Board meeting, it issued venomous and untrue letters to the membership of District 5 and to the MNA Board of Directors, and expanded on those false accusations in the January issue of District 5's quarterly newsletter Contact. These attacks formed part of the reason for the MNA's eventual decision to countersue, and they generated vigorous rebuttals, primarily from leaders and members of the various collective bargaining units within District 5.)

January 12, 2001

Ms. Theresa A. Downey, Ph.D., RN, C.I.C.

President, District 5, MNA
57 Providence Highway
Norwood, MA 02062

Dear Ms. Downey and members of the District 5 Board of Directors:

As chairperson of the MNA Committee at the Brigham and Women's Hospital, I represent the 2000 nurses covered under our collective bargaining agreement. I write this letter on their behalf, and represent the views of a majority of those nurses.

We were upset and outraged over your December 18, 2000 letter to the members of District 5. The actions taken at the December meeting of the MNA board of directors were legal and appropriate. There has been no derailment of our professional organization. The new leaders who assumed office on December 1, 2000, did so following the voluntary resignation of their predecessors. Furthermore, the MNA bylaws were strictly followed with regard to filling vacant seats for officers and board members.

As one of the members of the Board of Directors who voted to continue efforts to disaffiliate from the American Nurses Association, I did so at the request of my constituents.

You, the officers and board members of District 5, have the responsibility to respond to the directives of the constituents of District 5. It is my belief that a majority of those members, including those at the Brigham and Women's Hospital, are in support of the continued effort to disaffiliate from the American Nurses Association.

Therefore, on behalf of the nurses at BWH, I respectfully request that the District 5 Board of Directors work cooperatively with the MNA leadership in support of efforts to disaffiliate. We have been continually disappointed in ANA's failure to respond to the needs of staff nurses in this time of health care turmoil. Furthermore, we believe that continuing our affiliation with the ANA will threaten our collective bargaining rights, and create a situation where bargaining units may face a desertification challenge.

The nurses within the BWH bargaining unit are in support of a special meeting to reconsider the disaffiliation bylaw amendments, and believe that monies spent by MNA toward that effort are appropriate and warranted.

The letters from District 5, containing harsh words and attacks aimed at the MNA leadership, are not in keeping with the views and wishes of most District 5 members. These attacks must cease. Furthermore, the leaders of District 5 must stop using District funds to work against the wishes of the membership. The vast majority of nurses within the district - nurses in bargaining units - support an independent MNA. The District 5 leaders who represent those nurses must also support an independent MNA.

Sincerely,
Barbara Norton, RN
Chairperson, MNA Bargaining Unit
Brigham & Women's Hospital







TAKING BACK OUR PROFESSION
by Deb Rigiero, RN
cochair, Saint Vincent Hospital Bargaining Unit
vicepresident, MNA District 2

It is time we take back our profession! The historic date we do this will be March 24, 2001, when the MNA votes to disaffiliate from the ANA.

When I say take back it implies that something was lost. I have been a registered nurse for almost 19 years and I say we have lost important pieces of our profession. Not only have we lost them but they have been given away. Important parts of our profession have been given away by an ANA that is projecting itself as the national voice of nurses. The ANA is not the voice of the bedside nurse. They are a management-dominated organization who's own President is a nurse administrator of a San Francisco Hospital. How can the ANA be the voice for both the bedside nurse and the healthcare corporation? They can not. We are paying 1.2 million dollars a year to an organization that is the voice of corporate healthcare packaged under the guise of a national nurse's voice.

If you read the latest edition of The American Nurse there was an article discussing how to solve the nursing shortage. This article advocates to the shifting of work away from the registered nurse and giving more training and authority to unlicensed personnel. This would further remove the RN from the bedside.

The bedside nurse is accountable for a work environment in which they have little control. It is time for us to take control, to say NO to unsafe staffing, dangerous work environments, and a lower standard of patient care. It is time we leave the moderate path of the ANA and take the path of action! The moderate path has given away our work and settled for a lower standard of patient care. Now is the time to break free from the ball and chain of the ANA! Now is the time when we need to unite with nurses with the same standards and professional beliefs! Now is the time to take control of our profession!

At the last MNA convention in November, an over whelming majority of 62% voted to disaffiliate with the ANA. We needed 66%. We were 4% shy of freeing ourselves from the ANA's talons and gaining the true voice of nursing. Every vote does count! We need you there so the minority does not dictate to the majority.
Join us at Mechanics Hall in Worcester at 1:00 PM, March 24, 2001 to take back our profession by voting to disaffiliate from the ANA.

February 24, 2000

TO: The American Nurse

As an ANA/MNA member I would like to respond to both the recent ANA survey and the most recent edition of The American Nurse. The results of the ANA survey on nurses working conditions are no surprise to any nurse who has provided direct patient care in the last 15 years. Much of the findings of that survey actually echo what nurses have said for the last 100 years.

The survey found that thousands of nurses feel "discouraged" and "saddened" by their inability to deliver safe, quality care due to inadequate staffing and supply of RN's. My first question is, why the findings did not reflect outrage? Outrage that patients are not receiving basic care in American hospitals? Outrage that patients are not only being denied compassion and human dignity in our hospitals and nursing homes, but that they are dying and being injured unnecessarily? Outrage that ANA proposed staffing legislation turns out to be another moderate proposal and dressed up position statement which considers industry needs? Outrage that nursing leaders have stayed silent and polite for so long?

Nurses also reported that they felt "powerless to effect change necessary for safe, quality care." Isn't this what nurses claim we, as a profession, do? This is particularly sad when the findings are reported in a survey conducted by the American Nurses Association. Why are member nurses feeling "powerless" when they are paying ANA millions of dollars a year to be their voice in the nation's capital?

Does ANA believe that nurses will feel more empowered when they realize that ANA has launched a smear campaign against one of it's constituent members? The American Nurse has just sent almost an entire edition across the country which attempts to smear Massachusetts nurses by painting us as maniacal and "abhorrent"...pictures of Karen Daley included. Did The American Nurse attempt to speak with the MNA Board of Directors, Executive Director, or President? Of course not. The goal is not to seek truth, but to manipulate MNA/ANA nurses with emotional hysteria. No wonder nurses feel "powerless."

In addition to an expensive and well orchestrated campaign of fear and intimidation against a member state, ANA is sending a message to all constituent members that, should they differ with a future ANA or UAN policy or philosophy, they too will be the subject of such an attack. Unfortunately, after June they will not be able to choose independence.

Sandy Ellis RN
MNA District 2


February 11, 2001
The American Nurse
taneditor@ana.org

Dear Editor,

After reading The American Nurse, I am left feeling embarrassed that such patronizing and inflammatory "reporting" can be found in any nursing publication. The American Nurse sounds as if its target audience is elementary school children, not a population of mostly 40 something women. Nursing has always suffered from the misogynist's view that we are all undereducated, emotional, hormone driven, ‘caring' females who cannot actually think. The American Nurse columns discussing the situation in Massachusetts could be used to support that notion.

Apparently The American Nurse is churning out tabloid "journalism" to their readers to reinforce ANA's transparent agenda, which appears to clearly be to marginalize nurses who do not agree with ANA, and generate contempt toward them. ANA president Mary Foley states that Massachusetts nurses have joined California nurses who "have been sowing the seeds of ‘disunity' among nurses across the country and leaving their own members adrift ..." It is always wise to review a little history before making such statements. Over TWENTY ONE years ago Bea Coleman, a New York State RN, sowed some "disunity seeds" too when she wrote in a major nursing journal;

"... nurses are disenchanted with the American Nurse's Association. If it was doing a good job ... which it isn't ... nurses would not be turning to other ‘unions' for representation."

Clearly disenchantment with the American Nurses Association has spanned decades and involves more than California and Massachusetts nurses. How many RN's belong to ANA? Well, out of 2.6 million RN's - approximately 2.4 million do not!

References to the MNA board decisions on December 1st were called "unbecoming to nurses." Mary Foley recently wrote to all Massachusetts nurses reminding us, "this is not how nurses conduct themselves across the country." This sounds as if we are being ordered back to our roots in Victorian nursing when only white "ladies" were accepted into the profession, and into the ANA. Would Mary Foley consider the actions of visionaries like Susan B. Anthony, Elizabeth Stanton, Gloria Steinham, Betty Friedan, and Rosa Parks unbecoming and unlady like "conduct" too?

Peg Barry's hysterical and breathless ranting about hundreds of helpless adults not being "allowed" to hear from ANA; being "told we should not meet or speak directly with ANA"; and being "blocked" from access to ANA (combined with the bespectacled, grand motherly photo added by The American Nurse) leaves an indelible image of victimization of the elderly. Over 1000 nurses were present on November 9th who could truthfully say this is pure bunk.

As much as it pains me to say this, I was appalled too at Karen Daley's column. It was a stilted, and rather pious, column previously printed in an MNA district newsletter which also displayed Karen's photo. However this time in The American Nurse, a very subtle change was added to the column.
Reference to Karen's needle stick injury had been added.

As an I.V. infusion nurse who works with HIV infected individuals the Boston community, I know all too well the tragedy that AIDS is. All of my patients have contracted HIV via various routes. All are tragic stories which also evoke fear and compassion. Karen's very personal story of contracting HIV in her work as a nurse has torn at my heart, and the hearts of every nurse in this country who empathize with her since she went public. However, Karen's loyal support of ANA and the issues in Massachusetts do not involve her HIV status. Nor should they.
This very subtle alteration in The American Nurse version of the column, appears a gratuitous attempt by ANA to exploit Karen's very personal tragedy and shamelessly garner sympathy from your readers to support ANA's position. It is difficult for me to believe otherwise, as The American Nurse reaches a much larger audience than an MNA district newsletter. And it is precisely the garnered sympathy for Karen which helped move the needle stick legislation into law. No doubt it can be strategically used again as a cunning means to influence the emotions of nurses across the nation in order to meet ANA's goal to prevent another state disaffiliation.

For any individual or professional healthcare organization to exploit and capitalize on a personal tragic story to advance its own political self interest defies decency. As registered nurses, and as a profession of healthcare providers, I feel we are all diminished by your publication.

Staff Nurse
Somerville, Massachusetts

Smearing Nurses

"We are living in a time and a society where language is used to cover up more than it is to reveal."- Professor David Gil, Brandeis University.

Smear campaigns. Fear campaigns. They are an ugly reflection of contemporary American culture. Often they are used in political power struggles where the battle cannot be won with the truth. The goal is to confuse people and distract them from the factual information or rational debate which would threaten those whose goal is to win at all costs. So the smear campaign is launched; its mission is to evoke outrage, anger, indignation, and fear in those uninformed on the real issues at hand. It is a well known tactic among those vying for power. Smear/fear campaigns are ugly, and are designed to evoke such visceral emotional responses (e.g., sympathy) so that people find it more difficult to engage their ability to reason.

Nurses, like most people, are vulnerable to the tactics of a misinformation campaign. Clinical nursing is exhausting and nurses often admit it is impossible to keep up with the political issues which impact their profession. And nursing's written history is a history of labor exploitation and domination. Yet, registered nurses have remained the backbone of the multibillion dollar American healthcare industry for over 100 years. Richard U. Miller, Ph.D. may have said it best when he summarized this observation of nursing:

"Social beliefs that women should be submissive, supportive, and obedient are intertwined with the norms of the profession, which emphasize selfless devotion to duty, first priority to patients, and rejection of economic gain over professional commitment." - Richard U. Miller, Ph.D.

That submissiveness, supportiveness and obedience are still viewed as the "norms of the profession" of nursing are painfully evident even today. Hospital executive and ANA president Mary Foley, and UAN chair Cheryl Johnson, recently crafted a letter which attacked the MNA Board of Directors stating: "this is not the way nurses conduct themselves across the country." One can hardly imagine such an admonishment being sent out to members of the medical, engineering, or legal professions. If it were not a commonly held belief that the majority of working nurses are so uninformed and unable to employ critical thinking and reasoning, Mary Foley would never have stooped so low. Appealing to the soft and gooey heart of nurses to manipulate them is successful ... and hospital executives know that.

Employing smoke screen tactics and fear mongering, Mary Foley refers to the MNA board saying, "this is a threat from within. A small but vocal minority wants to break apart the nursing community and sow discord and division ..." Has she not read the numerous valid reasons MNA has clearly articulated at eleven town meetings and which have been published in the Mass Nurse, the Advocate, on the MNA web site, as well as the Boston Globe? Can any reasonable person entertain the idea that the MNA board of directors (all of whom are over 40 years old) and the 670+ nurses who voted to leave ANA have nothing better to do with our lives than sit around and plot the destruction of nursing? They go on, "If some had their way, we would have battle after battle within the state nurses associations and within ANA." If who had their way? I for one, certainly do not have the desire or the energy for "battle after battle" in nursing. Enough already!

That letter was only one of the many vile, vicious and blatantly untrue creations manufactured and published recently by the ANA, and a group of ANA supporters, in an attempt to demonize the issue and distract from the intense national scrutiny ANA is now under for an embarrassing and humiliating track record. And to lead uninformed nurses to believe something sinister is afoot.
When nurses find themselves unable to think rationally, when they are paralyzed by anger, outrage, or sympathy after reading sensationalized propaganda filled with emotionally loaded language, it would be wise to start looking for what or whom is threatened. When the issue at hand calls for a critical examination of the issues, but you're only reading vicious attacks and hearing sentimental pleas for unquestioning "unity" (submissive obedience) and "professionalism" (supportiveness) it's time to start asking questions and seeking answers.

Did the ANA board of directors not also just replace their executive director, David Hennage? Why is ANA now attacking the MNA board of directors for exercising their legally authorized judgment to do the same? Why are frivolous law suites being generated against the current MNA board of directors rather than the Pro-ANA board members who resigned and walked out of MNA abandoning their responsibility, and violating their legal obligation to the MNA members who voted them into office? Why all the emotionally loaded propaganda? ANA has assured a place for any MNA member who wants to stay with ANA. Why does ANA not simply honor their state member and allow us to leave peacefully, or just publish a list of what they have accomplished for nurses across America? Why does ANA not simply inform MNA members what they have received from ANA for the $12 million paid out over the last decade while healthcare and nursing crashed around our ankles?

Why? Because this is a smear campaign directed at Massachusetts - who has a record as one of the most successful state nursing organizations in the country. One that will be recorded in nursing history. Tragically, it is a smear campaign launched by the management dominated American Nurses Association because we will not be "submissive," "supportive," and "obedient" to their direction. Launched because MNA nurses are choosing autonomy and the desire to free ourselves from paternal oversight in determining our future.

Because if Massachusetts leaves (and joins the other 2 million RN's who do
not belong to the American Nurses Association) ANA will lose a precious $1.2
million annually. But greater yet, we will prove once again, like California,
that nurses can indeed be autonomous professionals. And, unfortunately, "This
is not the way nurses conduct themselves.

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