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Taking it to the streets…

Anne Daniels, President
NZNO Tōpūtanga Tapuhi Kaitiaki o Aotearoa

As I write NZNO Te Whatu Ora members are taking our fight for safe staffing and fair, equitable pay to the streets, in rolling strikes around the nation. We are fighting the good fight for every NZNO member, everywhere, and all those we care for.

Our actions are not taken lightly. We know that we stand in the breech to halt the tide of misinformation and political doublespeak that is demeaning to our membership. Decisions are being made behind closed doors about us, without us.

We know that our patients, families and communities are being put in harm’s way with the constant cuts, redundancies and regionalisation rationalisations being made in a context where the almighty dollar rules.

But my hope, our hope is in the people who stand beside us, walk with us, in burgeoning numbers, as we take our fight to the streets of this land, countering the sound bites that state “there are no cuts”, “there is no CCDM pause”, “there is no more funding”, and last but not least “nurses pay equity has blown Te Whatu Ora’s budget” when it is patently too low to meet the needs of our people.

Despite the chaos reigning in the political landscape, NZNO members are shining a light of truth, integrity, and solidarity on the direction we are taking.  We are not tolerating any breeches to our contracts and inherent conditions of work. We are striking and visible to the public on the streets. We are taking our fight to the courts. We are sharing our stand for the health and well-being for all through our members’ experiences in the media. We have a growing presence in the hearts and minds of the people of Aotearoa, reflecting the power engendered in our activism and solidarity.

Christmas is a time of hope and the New Year a time for realisation of those hopes. We cannot and will not fail because many depend on us to succeed. We can do this, together.


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A year of chaos

Kerri Nuku, Kaiwhakahaere
NZNO Tōpūtanga Tapuhi Kaitiaki o Aotearoa

As another year draws to a close I am reminded of the whakatauaki, Ka mua,ka muri – walking backwards into the future. It suggests that time is a continuum, with the past present and the future connected and where learning from the past can help inform future actions.

Having just completed the national Te Whatu Ora strike for safe staffing and fair pay, further questions being raised in the media about the health budget, I wonder what learnings we can take from 2024.

The year has been fraught with (among other issues) conflicting messages, their lack of proper communication and consultation and a legacy of destruction.

At the start of the year there was a general acceptance among nurses and Te Whatu Ora that there were approximately 4000 nurse vacancies across the sector – a fact acknowledged in the build up to the 2023 elections. By March the cracks began to surface with Budget issues announced blaming over recruitment of personnel, especially nurses as the significant contributor to budget blow out. Te Whatu Ora were instructed to collectively save $105 million by July using ‘cost containment’ methods including banning double shifts, pressure to take leave, non-replacement of sick staff and wiping unfilled roles.

All the while offering reassurance to the public that none of the cost saving methods will impact the level of care patients receive. Despite reassuring messages patients were impacted and the health professional alike all expressed serious concerns about burn out, fatigue and staffing pressures.

Then the announcement of a recruitment freeze for non-patient-facing hospital roles followed together with the hiring limited places available for the mid-year intake of new graduate nurses. We were told in the nine months from June 2023 to March 2024, 2886 nurses were recruited. There was no mention of retirements in an aging workforce, resignations and nurses migrating overseas, especially to Australia.

In June NZNO released accessed information under the Official Information Act (OIA), Te Whatu Ora data showed more than a quarter of nursing shifts were below target staffing numbers, and some wards operated below safe staffing levels nearly all of the time. NZNO did not receive responses from Te Whatu Ora, something wasn’t adding up ,how can we reassure the public of quality health care when Te Whatu Ora data identified nursing shifts were understaffed.

Then it seemed to make alittle more sense , the Commissioner is reported as saying “there are too many nurses for the budget ’’while the CEO of Te Whatu Ora acknowledges the new 3000 nurses are needed for patient safety. So what and who sets the budget -are we working for determining what quality of care looks like to meet the needs of the community and staff accordingly or are be setting a budget based on funding cuts and recruiting the nurses to fit the budget.

The burning platform is what about the other parts of the sector , the impact on rural communities where staffing and funding is impacting of the quality and accessibility of services to these communities, or how about nurses in Primary care and community how well are they supported to cope.

As we walk into 2025, I can only encourage the Minister to stop talking to the sector and talk to the nurses, health care workers and tauira we are all in healthcare to make a difference that I am sure of.

We can’t continue to walk confidently into the future without a comprehensive long term workforce plan designed by those with real knowledge of the issues.


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‘Hearts and Minds’

Anne Daniels, President
NZNO Tōpūtanga Tapuhi Kaitiaki o Aotearoa

‘Hearts and minds’ is a concept occasionally expressed in the resolution of war, insurgency, and other conflicts in which one side seeks to prevail not by the use of superior force, but by making emotional or intellectual appeals to sway supporters of the other side. The use of the term ‘hearts and minds’ reference a method of bringing a so-called subjugated population on side.

The term was widely used by the British who were intent on sanitising the experience of fighting wars of decolonisation. The British systematically hid evidence of their counterinsurgency campaigns in a bid to mislead. The ACT party is using a similar strategy, using misinformation to galvanise sympathy and support for their Treaty Principles Bill, a strategy that has been torn to shreds by many including Kennedy Warne  in his New Zealand Geographic critical piece A Matter of Principles.

As I write, possibly the largest uprising of tāngata whenua and citizens of this land are voting with their feet as they join a nationwide hikoi towards parliament grounds. Why? The foundation of this nation is being disrupted in the halls of government with an overt attack on the constitutional status of te Triiti o Waitangi to remove its effect in law and limit Māori rights and Crown obligations. This will undermine social cohesion by strengthening discrimination and racism. It will increase  the divide of social determinants of health experienced by Māori, and those who have not rather than have. This will directly negatively affect the health and well-being of Māori and an increasingly impoverished population. As such, it is the business of our NZNO members, to stand up and advocate for those we care for. The time for political neutrality is well past.

Disruption, by this Coalition government, is evident everywhere you look. For example, the expectation that the health system will be there to take care of us, when and where we need it. We all know that that is no longer true. We have shifted from the pre 1990s, where the public and primary health care system were free for all New Zealanders, to an increasingly user pays system that is blocking access to timely health care for many, resulting in increasing acuity and emergency department presentations, long wait times, and for some avoidable harm and death as outlined in this story by The Hui.

The lack of resource to prioritise patient safety is becoming an alarming pattern, for all to see.  A ‘pause’ on Care Capacity Demand Management (CCDM) data collection, at Te Whatu Ora, is a case in point as it has a direct effect on knowing if there is a need for more nurses to be recruited to a specific unit, or if a particular shift is under target and there are not enough nurses on duty to provide safe care. How can Te Whatu Ora rationalise this ‘pause’in terms of patient safety? All fingers point to saving money rather than saving lives. If you don’t know how many more nurses you need to recruit, you don’t need to be accountable to recruit them, nor pay them once recruited. If you don’t know the required full time equivalent (FTE) nurses you need on any one shift (with the right knowledge, skills and experience), then you don’t have to fill the gaps, and you don’t have to pay the wages.

The pause on CCDM data collection has galvinised our NZNO members working in Te Whatu Ora to overwhelmingly vote to strike. There has been a mindshift within our membership. Gone is the polite waiting for the employer, who historically drag their feet in negotiations, to eventually come to the table with an offer. NZNO members are very angry. We are sick and tired of doing more with less. Being told that they must meet unrealistic expectations of a Government who has set health targets that cannot ever be met in an under resourced and grossly underfunded system has pushed us past our limits of tolerance. We suffer when our patients suffer. On 3 December, our members too, will vote with their feet.

We are not the only ones. About 35,000 people protested against the proposed changes to the Dunedin Hospital rebuild business case. Thousands more protested in the recent Council of Trade Unions (CTU) ‘Fight Back Together’ campaign to keep workers’ rights. And now an estimated 50,000 are walking to Parliament to fight for te Tiriti o Watangi. Instead of division through disruption, the opposite is true. The groundswell of change, ‘in the hearts and minds’ of the people are reflected in those who have never protested before but are now. Maranga Mai! We are rising up together. The power will always be with the people, the many, not the few. We will overcome.

Kia kaha!


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Health Justice – The mana of our mokopuna

Kerri Nuku, Kaiwhakahaere
NZNO Tōpūtanga Tapuhi Kaitiaki o Aotearoa

This week, reports came out of tamariki in Ōpōtiki left alone after armed police raided their homes and arrested their parents. A kuia and her daughter-in-law strip searched for no clear reason. Other tamariki were left at school with nobody to collect them.

The police minister vehemently denies it, but Māori parents know all too well that these stories aren’t made up. Too many of us have too many similar stories to believe otherwise.

No mokopuna should ever have to go through the trauma of seeing their parents arrested to then be left to suffer alone. 

This Government’s ‘tough on crime’ approach is not only ineffective but is also producing a new generation of traumatised tamariki and rangatahi. 

Dame Whina Cooper said, “Take care of our children. Take care of what they hear. Take care of what they see. For how the children grow, so will the shape of Aotearoa.” 

That couldn’t be more relevant than now. 

How we treat tamariki and rangatahi, and especially how we treat the mokopuna of those we believe to have done social harm, is one of the most significant reflections of the moral sensibility of a society. 

And how do we see Māori, African American, Palestinian, Aboriginal and First Nations tamariki and rangatahi being treated? They are criminalised, put into abusive state care, and traumatised through over-policing and an injustice system. 

This all reflects pure dehumanisation. It shows a racist ruling class that believes that it is ok to trample on the mana of mokopuna. More than that, it shows a government whose definition of justice causes further intergenerational trauma through force and fear.

It is a dark week, where the Treaty Principles Bill has been introduced early in a cowardly attempt to avoid the mass hīkoi happening down the motu. 

In this darkness, there are so many lies spread about who should make decisions and what equality means. After all, the Treaty Principles Bill says, in essence, that the colonial government can do what it likes irrespective of what actually works for tangata whenua – like boot camps or Oranga Tamaraiki. 

That’s why it’s important to remember that contrary to whatever the Government will try to have you believe, Te Tiriti o Waitangi is all about justice. It’s about hapū and iwi doing what they know best to make the world safe and prosperous for their whānau and mokopuna. Part of that is dealing with social harm through our own tikanga.

As health workers we must think more broadly about health justice broadly, we see the physical, emotional, and mental toll of racism, colonialism and dispossession first hand. 

So, to re-focus us we need to return again to the words of Whina Cooper.

“Take care of our children… For how the children grow, so will the shape of Aotearoa.” 

What shape do we wish to see? Can’t we see that how we care for our children is how we care for our future? Don’t we wish for justness that upholds the mana of our mokopuna? 

I know what kind of Aotearoa I believe in. It is own time to be courageous and shape Aotearoa.


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(Un)Intended consequences

Anne Daniels, President
NZNO Tōpūtanga Tapuhi Kaitiaki o Aotearoa

Unintended consequences are outcomes of a purposeful action that are not  planned or foreseen. The concept provides a useful tool for explaining complexities resulting from government policy and law. For the less serious matters, it can be laid alongside Murphy’s law as a way to view outcomes that perhaps should have been seen as self-evident. For more serious matters, it provides a perfect lens through which to view and analyse complex reactions and the impact of change. As a case in point, one could ask if there are any (un)intended consequences regarding the current Coalition Government’s position on the Dunedin hospital rebuild?

Unintended consequences can be seen as intended if they are driven by the need for an immediate solution, a need so urgent that the decision to ignore outcomes is deliberate such as the strong and repeated evidence that Dunedin must have a tertiary level care hospital to support not only the Otago region but the whole of the South Island. There are currently only two, the other being Christchurch Hospital.

There is also the concept of a “self-fulfilling prophecy” which describes a false definition of the situation evoking a new behaviour which makes the originally false conception come true such as misinformation through the use of specific language that negates and hides the truth. An example of this is the Government saying the Dunedin hospital rebuild will happen suggesting we will get the tertiary level care hospital that is needed for the whole South Island but offering a secondary level hospital instead.

Currently, Dunedin Hospital provides tertiary level care (see primary, secondary, tertiary, and quaternary care). It’s services support all primary and secondary health and regional hospital services within the Otago region which has increasing demand as it grows as a vibrant and growing tourist mecca. Dunedin Hospital also provides a myriad of high-level specialist care services to meet the patient need throughout the South Island. And, as identified in the original 2021 business case, one of the key drivers for change is  Otago’s high older population who are more likely to experience health challenges such as stroke (70% of strokes occur in patients 65 or older), heart attack (60% of MI occur in patients 65 or older), abdominal aortic aneurysm (triple A), or trauma (over 40% of people over the age 65 experience trauma and are more likely to die than younger people).

Why is this important?

If the Government gets its way and the level of tertiary care is reduced, what will this mean for patients? We all know TIME is brain/heart muscle and we have heard of the golden hour in trauma care. Acute care is usually time-sensitive and can result in death or long-term disability if the person does not quickly receive the care they need. Further, advanced trauma care can only be provided by Level III intensive care units and Emergency Departments, of which Dunedin Hospital is one of two in the South Island.

Reducing capability and capacity of the “new build” will also reduce the level of care and the ability of the Otago Medical School to provide the level of clinical placements it needs to continue to attract students. This in turn will impact the economic outcomes of the city and region. Fewer services mean fewer health care professionals and support staff, and poor if not tragic outcomes for the people who need tertiary care services. Lastly, the impact on demand for the Christchurch Hospital tertiary level care (if it is the last one standing) will be monumental.

On 23 October 2024, the Council of Trade Unions led a nationwide revolt against “the most anti-worker government in decades, who are attacking rights of workers and the right to publicly funded health care that meets the need of the people over their lifetimes”. Thousands of people stopped work, as was their right, and made it clear to the Coalition Government that when workers have their backs against the wall, they will fight back, and win. The Dunedin hospital rebuild is not a regional issue, it belongs to all of New Zealand. it will set a precedent for this Government, to continue to divide, rule, and dismantle. But together, we are fighting back, and we will win.

To be a part of the change you want to see, please sign and share the petition to build (Dunedin Hospital) it once, build it right..

You can sign the petition here


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There are benefits to sharing power with one million Māori

Kerri Nuku, Kaiwhakahaere
NZNO Tōpūtanga Tapuhi Kaitiaki o Aotearoa

It’s not unusual in any political cycle that indigenous people are used as political fodder. Internationally, nationally and regionally, indigenous people are blamed for increasing violence, homelessness, poverty and draining state resources particularly in justice, welfare and health.

It becomes easy for ordinary people to believe this because the perpetrators of lawlessness and violence, relentlessly splashed all over the media, are disproportionately images of people of colour. At the heart of these political games are people, children and mokopuna who are already prejudged by parts of society because they look a certain way or are born into a particular class of people.

Shifting the burden of responsibility is easier to do because it is harder to admit that we have failed as a country and we have failed to support our indigenous people.

In Aotearoa, a year into the Coalition Government, attacks on workers, unemployed and Māori are clear to see. From the Treaty Principles Bill and the Māori Wards referenda to the scrapping of Fair Pay Agreements, benefit sanctions, and the war on health and safety legislation, this is a right-wing Government bent on stoking racism, eroding worker rights, and helping the rich get richer.

The assault on our rights is overwhelming, but it has also heightened the consciousness of those who want a more just world. Yet, though we say it all the time, we have to acknowledge that even though this coalition is absolutely terrifying and hateful, no Government of the past few decades has made truly transformative change that benefits the health of our people.

We can’t wait for more promises from politicians or experts to tell us what we already know. We know what it would take to be truly valued in the work we do, and we know what it would mean to live in a society that upholds equity, human rights and Te Tiriti o Waitangi.

We all know what Māori health inequities look like.

As nurses, we know Māori are unlikely to live as long as non-Māori. We also know that by the time many Māori reach the hospital, their illness is advanced and sadly, the clock already began ticking for them before we even triaged them.

There is one common question I’m often asked by non-Māori members and colleagues, who like me are sick of seeing so many tangata whenua die of things that could have been prevented or treated if caught earlier.

That question is: “what’s the best way to address Māori health inequities”?

In my view, the answer does not lie in the medical or the clinical.

The answer lies in sharing power (and responsibility) with Māori at all levels from the boardroom table to the frontline, backline and sidelines, inside and outside our union.

The Māori population is now at its highest – one million – and at the rate my whanau, hapu and iwi are going, it will only rise.

From the people of Ngai Tahu in the South Island to the people of Ngapuhi at the top of the North Island, Māori want the genuine partnership guaranteed to them in Te Tiriti o Waitangi. They want to be in control of their own destiny, they want mana motuhake.

Māori have proved they can fix themselves when power, and that includes resources and spaces, are shared with them and when they are not micromanaged.

In the 1980s, the Māori language had almost become extinct until Māori created the kōhanga reo movement. Forty years later, the language has been saved – tens of thousands of Māori are speaking it. And hundreds of thousands of non-Māori are benefiting too.

At NZNO, we are still on the journey of sharing power, resources and spaces with Māori. The position I hold is a clear example that we have started that journey. But it must not stop there.

We must let Māori fix themselves. Tangata Tiriti or non-Māori in Aotearoa can do that by sharing power, resources, spaces with Māori at every level of our mahi.

Sometimes that means tangata Tiriti stepping aside to let Māori talk rather than talk for them.

What’s good for Māori, can only be good for this nation because when the most disadvantaged in our society are empowered, everyone in that society benefits.


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Heads stuck in the sand

Anne Daniels, President
NZNO Tōpūtanga Tapuhi Kaitiaki o Aotearoa

Putting ones’ head in the sand is a well-known idiom that suggests that you are ignoring or avoiding something challenging. It alludes to the idea that the ostrich put its head in the sand to ignore danger when, in actual fact, the ostrich was turning the eggs it had laid in a hole in the sand.

The current coalition government is doing both. It is ignoring the realities of the underfunded, under-resourced health system and looking after its own interests.

The Coalition Government is “not responding, or debating, just trying to rewrite history – trying to put a positive spin on a Budget that doesn’t add up …despite significant cuts to the health and other budgets,” Labour MP Kieran McAnulty recently told Parliament.

For those of us who work in the health system, we know unsafe nurse staffing has been exacerbated by this Government’s obsession with cutting costs.

There is a myriad of examples of this truth despite all statements to the contrary:

These truths and many others are being ignored by the current Government and those who are responsible for the health and wellbeing of carers and the cared for.
Minister of Health Dr Shane Reti was the opening speaker at last week’s NZNO Annual General Meeting.

In introducing Dr Reti, I asked him to have a direct conversation with the NZNO delegates – who represent you, our 62,000 members – about the underfunding and unsafe staffing realities they face every day. Instead, he told us we had to do more with less to meet his health targets within existing resourcing.  He then left before any conversation could be had.

Despite the ‘head in the sand’ approach by those who govern, our story must be one of hope, not despair and told to those who will listen and act, the people, our people.

The first day of bargaining for the Te Whatu Ora collective contract, covering 35,000 of our members, began on Wednesday. One of our most important claims to address the nurse and midwife workforce crisis, is nurse patient ratios that are culturally appropriate (2024 Claims – Maranga Mai (nzno.org.nz).

We know the problems, but we also know the solutions. Nurse and patient outcomes improve when nurse to patient ratio legislation (underpinned by a fit for purpose Care Capacity Demand Management system) is implemented. The evidence is strong and irrefutable:

Our Tōpūtanga Topuhi Kaitiaki o Aotearoa/NZNO Maranga Mai! strategy calls for “every member, everywhere to act”. 

If we want change, then we all need to use the power of the biggest health union in the country to make the change happen.

When the call for all NZNO members goes out to stand up and fight back, to stand on the picket line, to march in the protest, to stop doing overtime or extra shifts, to go on strike, to act – we must all be there.

We will win when we rise up together. Maranga Mai!


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Where there’s smoke, there’s fire

Kerri Nuku, Kaiwhakahaere
Tōpūtanga Tapuhi Kaitiaki o Aotearoa NZNO

Recent days and indeed months have been intense for nurses with the actions of Te Whatu Ora leaving us stunned, but mostly nurses are angry. In the last six months or so, Te Whatu Ora has consistently made statements about the need to cut costs and spend within their budgets. Just last week, they announce a hiring freeze on non-patient facing roles. Staff told us Te Whatu Ora regions were asked to collectively save $105 million by July using “cost containment”.

This week, news was leaked to us from members that they were not matching graduates into their nursing workforce. It was then revealed they are restricting the employment of graduate nurses again due to budget constraints. But this time, they have come out and publicly claimed NZNO is spreading “untruths” and misinformation. Sad comment given their lack of communication and consultation and an unwillingness to commit to how many would actually be recruited within Te Whatu Ora and how many they would attempt to place in primary health and Aged Care where rarely are there the support mechanisms that graduate nurses need. All round a major mess.

Well, if the past six months are anything to go by, where there is smoke there’s definitely fire! A lot of leaks have across from the government, and they’ve never been refuted. Their modus operandi is always denial, but they never disprove the claims which turn out to true.

Last week, the Government announced there was a surplus of 2000 FTEs and this was done with no prior discussion with the unions. How could there be such a dramatic change when a month prior we were saying that there’s about 4800 nurse shortages. When Te Whatu Ora’s own information accessed under the Official Information Act reported many of the wards across the country reported staff below targets – targets set by Te Whatu ora itself. While the report validated what members were themselves feeling they also knew that the chronic short staffing could increase incidents of adverse events, near misses or care rationing and in some cases patient mortality increases with exposure to increased numbers of shifts where there is understaffing. 

This should not come as a surprise as it’s symptomatic of a system that’s been struggling for so long. The problem has always been no long-term workforce planning. We have always advocated for growing our domestic workforce. Te Whatu Ora has provided up to 80% of the placements for the NETP and NESP. They have the established support, preceptors and infrastructure to support the programme and they don’t have to struggle with the pay challenges that they face in the funded sector.

In a profession that has been fraught with shortages, working extra time and has nursing students struggled during their three years to the extent that some are living in their cars to survive.

On the subject of students, following this latest debacle some have come to me and asked: “How much for a passport? Australia is taking graduates!” They are unhappy and this means we are losing our future workforce.

My belief is that we should be focused on the issues at hand and not slinging mud. We don’t need nurses fighting nurses while Rome burns. Unity is strength and we should be holding on to this, clear up the differences and move forward for the benefit of our whānau, tamariki and communities as a whole.

Kia kaha! I would like to wish our members a happy Matariki or Ngā mihi o Matariki, te tau hou Māori


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Maranga Mai! – A hikoi

All over the country, thousands of us from various backgrounds and cultures connected on Budget Day embracing a call to stand up and hikoi against injustice and be a part of the change we want to see.

The national call for action to tāngata whenua and tāngata te Tiriti was heard by Māori and non-Māori underpinned by a growing understanding that “we are the ones that make the country’s wheels turn”. We are the workers who produce much of the country’s GDP. When we stop, the country stops.

There is huge power in the people who stand up and hikoi together. We are not only heard, but we are seen. It reminds me of a song called ‘Stand Up, sung by an incredible singer, Cynthia Erivo…

I’m gonna stand up
Take my people with me
Together we are going
To a brand new home
Far across the river
Do you hear freedom calling?
Calling me to answer
Gonna keep on keepin’ on

Doing what is morally right in a regime that sets the rules to privilege the few, not the many, takes courage. It also is founded on a belief that by standing up against an immoral tide of ‘policy bonfires’ that can only harm, not heal or help solve the health systems decades of political unwillingness to meet the ensuring challenges, that change will and must happen.

Nurses/midwives/health care assistants have huge courage. They demonstrate that every day they go to work to care in a very unsafe, under resourced, understaffed (see the recent OIA findings) healthcare work environment. Recently, a message was personally delivered to the Chief People Officer of Te Whatu Ora, Andrew Slater from delegates of our union.

This was in response to Te Whatu Ora’s leadership deciding to put the budget before the health and wellbeing of patients and the nurses who care for them in a cost containment exercise. Many nurses, midwives and health care assistants shared their feelings about their fears that chronic understaffing combined with a demand to reduce costs by slashing overtime, sick leave cover, and double shifts would harm their patients. Further nurses felt that this would increase the poor morale and drive senior nurses, with all their expertise and commitment to doing the impossible every day, to hikoi, to walk, to leave.

Andrew Slater’s response on RNZ was that it was up to the clinical managers to make that decision, despite the fact that Te Whatu Ora leadership has demanded it of them. Talk about not taking any responsibility. Decisions made by others, about us, without us, often make us take responsibility for something that is not of our making.

But without us, without the 60,000 plus NZNO members, the health system, in all sectors, would immediately halt. That is our power.

We are the largest health workforce. Doctors number about 1,800. Who is at the bedside? Nurses? But are they? Nurses and nursing are often made invisible when politicians and nurse employers talk about “which of the six sickest patients will get the five most closely monitored beds”. Do beds monitor the patients? Do cars go to see the patients in their homes? No. Nurses do the monitoring, the seeing, the caring, the being with, the critical thinking, the decision making, communicating, advocating, negotiating, facilitating, and making a system work for their patients under impossible conditions. When we stand up together and hikoi together, our power is palpable and can move mountains. Our hikoi will start soon in the form of a bus tour throughout the country, encouraging our own members and their communities to stand up with us so that we can realise Ratio Justice through culturally safe nurse patient ratio legislation for all. Together, we stand up at our coming He Tipua – Ratio Justice conference to continue our journey from “a spiritual place, growing without restraint into a desired state of being”. Freed to care. Proud to Nurse!


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Our voices must be heard

Kerri Nuku, Kaiwhakahaere
Tōpūtanga Tapuhi Kaitiaki o Aotearoa NZNO

These are interesting times we live in. At a recent convention I attended I was asked a very interesting question about the power of a voice on global health. My response was a simple but one that rings true through the mists of time. “Throughout history the power of the voice can inspire people and make them brave, or it can diminish people by the language and the tone of voice.”

The voices of many historical figures – both good and bad – have left indelible marks on humanity and its impact on nurses has been no different! Over our history, we’ve largely been silenced by the dominant forces within the system.

So, the big question is how do nurses get that voice we long for in order to tell our story when that the voice has been stripped away from us through legislation, through policies and practice in many situations? Now more than ever it’s important that our stories be heard. One such example is the OIA NZNO obtained from Te Whatu Ora. This provides a platform for us to inform the data when it comes to getting the truth out there. This can be done by our union lending support to our nurses by giving them the courage to regain that confidence and strength. We need to protect them in a quite hostile environment where it’s not okay for nurses to speak out.

Many of our legislative decision-makers only put forward only a medical view.  Pae Ora for example looks at having doctors as part of those decision-making groups. Nurses are excluded. It raises the question again about why the voices of nurses are silenced. Is it because of the more historically subservient role that nurses play? It’s the stereotypical approach and still a hangover from the old ways! It used to be that women should be seen and heard, in many ways that archaic attitude still exists. This marginalisation is only worse if you’re Māori or another minority group.

It’s taken a few brave women to really challenge the status quo and we need to support them. The way forward is to look at what leadership looks like within nursing. And those nurses that are speaking out have got to see that there’s a group of people around them, and not just a few individuals popping up. It is the responsibility of the union to support and promote the freedom of a voice, and to protect the interests of nurses that speak out.

Through our struggles we’ve always got to be optimistic for change because our purpose in life right is to make it easy for the people coming behind us. It does take some solid action and solidarity and that’s why our Ratio Justice bus tour requires more than just a few people to turn up, but we need crowds present who need to make their voices heard loudly and clearly.