The California Nurses Association was formed in 1903 as the California State Nurses Association. CNA was the first nurses union in the U.S. to win collective bargaining contracts for nurses when
Shirley Carew Titus advocated for agreements with the East Bay Hospital Conference for minimum salaries,
time-and-a-half pay for overtime, shift differentials for night and weekend work, a 40-hour work week, paid holidays, vacations, and sick leave, and employer-paid health insurance. According to CNA/NNU, in 2004 CNA formed a national affiliate, the National Nurses Organizing Committee (NNOC), which was joined by nurses associations from multiple states over the next several years. In April 2008, the CNA/NNOC clashed with
SEIU over an agreement between SEIU and Catholic Healthcare Partners of Ohio. CNA/NNOC labeled the election a "sham." SEIU and Catholic Healthcare Partners cancelled the election for 8,000 workers in 9 Ohio hospitals on whether to have SEIU representation. NNOC contends that the agreement fits SEIU's pattern of forging controversial agreements with employers that sacrifice public protections and workplace standards in exchange for more members. The conflict continued until March, 2009, when CNA/NNOC and SEIU announced that the unions would cooperate to organize hospital employees, with nurses joining the nurses union and other hospital staff joining the SEIU.
National Nurses United established On February 18, 2009, CNA/NNOC announced that it is joining with two other nurses unions, the
Massachusetts Nurses Association and the
United American Nurses, to create a 150,000-member union. The organization is called
National Nurses United and is affiliated with the
AFL–CIO. Deborah Burger, co-president of CNA/NNOC said that the new group is intended to give registered nurses a national voice and more organizing strength. On January 3, 2013, the CNA joined forces with the
National Union of Healthcare Workers (NUHW) to form a new union, NUHW-CNA. Part of the motivation regarding the affiliation was the 2013 election for 43.000 Kaiser service and tech workers represented at the time by CNA rival,
SEIU UHW. Despite CNA support, SEIU UHW won the election and the partnership between CNA and NUHW eventually ended. ==Executive Directors==