Tag: Homework Solution

  • [Solved] NEED ASSISGNMENT 10/29/2025. THIS IS 2 ASSISGNMENTS..NO PLAGARISM.

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    THIS IS 2 ASSIGNMENT. NEED ASSISIGNMENT FOR EACH OPTION BELOW read or listen to the presentation and write 2-3 paragraphs about 2 take home points from this presentation. Upload this to the extra credit drop box. Each topic is worth 2 points. You may earn a maximum of 10 extra credit points. The dro…

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    Assignment Prompt & Instructions

    THIS IS 2 ASSIGNMENT. NEED ASSISIGNMENT FOR EACH OPTION BELOW
    read or listen to the presentation and write 2-3 paragraphs about 2 take home points from this presentation. Upload this to the extra credit drop box.
    Each topic is worth 2 points. You may earn a maximum of 10 extra credit points. The drop box allows you to upload more than one item.
    **Module 4 Unit B**
    1. EBB podcast on membrane sweeping
    2. EBB podcast on mechanical cervical ripening

  • [Solved] week 9

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    instructions and readings attached – ## week9.pdf – ## 511Excerpt.pdf – TurningtheTablesText.pdf **## week9.pdf** Answer the following questions 1. Have you had personal negotiations experience in which you either did or did not adequately prepare? Explain. 2. You will be leading collective bargai…

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    Assignment Prompt & Instructions

    instructions and readings attached

    – ## week9.pdf

    – ## 511Excerpt.pdf

    – TurningtheTablesText.pdf

    **## week9.pdf**

    Answer the following questions

    1. Have you had personal negotiations experience in which you either did or did not
    adequately prepare? Explain.

    2. You will be leading collective bargaining for a union of nursing home workers at a
    large nursing home in San Francisco. Please tell us the first three (most
    important) steps you will take. Why are these the most important?

    3. Based on this week’s lecture and readings etc., compare the approaches to
    bargaining preparation. Are there differences? Explain.

    Reference:
    https://mronline.org/2014/04/05/rachleff050414-html-2/

    [https://mronline.org/2014/04/05/rachleff050414-html-2/](https://mronline.org/2014/04/05/rachleff050414-html-2/)

    **## 511Excerpt.pdf**

    Cornell University Press
    ILR Press

    Chapter Title: The Negotiations Process and Strikes

    Book Title: An Introduction to U.S. Collective Bargaining and Labor Relations
    Book Author(s): Harry C. Katz, Thomas A. Kochan and Alexander J. S. Colvin
    Published by: Cornell University Press, ILR Press. (2017)
    Stable URL: http://www.jstor.org/stable/10.7591/j.ctt1vjqr3z.13

    JSTOR is a not-for-profit service that helps scholars, researchers, and students discover, use, and build upon a wide

    range of content in a trusted digital archive. We use information technology and tools to increase productivity and

    facilitate new forms of scholarship. For more information about JSTOR, please contact support@jstor.org.

    Your use of the JSTOR archive indicates your acceptance of the Terms & Conditions of Use, available at

    http://about.jstor.org/terms

    Cornell University Press, ILR Press are collaborating with JSTOR to digitize, preserve and
    extend access to An Introduction to U.S. Collective Bargaining and Labor Relations

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    200 Part III. The Functional Level of Labor Relations

    Thus, management has tried to shift away from factors such as wages in the
    industry or increases in the cost of living and toward the fi rm ’ s ability to pay.

    Internal Comparisons
    Every negotiation is carefully watched by a fi rm ’ s other employees. Management
    must consider how a wage settlement might infl uence the expectations and
    demands of other employees in the fi rm regardless of whether those employees
    are represented by unions. Management, for example, often considers whether
    wage increases for unionized hourly workers will lead to pay increases for supervisors
    and other white-collar employees outside the bargaining unit. One reason manage-
    ment give pay increases to white-collar employees is such increases weaken these
    employees’ potential attraction to unionization.

    The Dynamics of Management ’ s Decision-Making Process
    So far we have painted a rather static picture of management ’ s decision making.
    Yet the actual process of decision making over the course of a bargaining cycle
    (from the pre-negotiation planning stage to the signing of the fi nal agreement)
    is a dynamic one. The process is replete with ambiguities over who has the
    authority to set policies, confl icts among decision makers over the appropriate
    weight to be attached to different goals, and power struggles among competing
    decision makers.

    The process by which management establishes bargaining strategies involves
    extensive intraorganizational bargaining that is every bit as intense as the bargaining
    between the union and management. Because the successful resolution of internal
    differences is a prerequisite to a smoothly functioning bargaining process, it is
    important to understand how fi rms prepare for negotiations.

    To provide a more complete picture of how management prepares for collective
    bargaining, Box 8.2 describes a typical case. This fi rm is preparing to negotiate
    a contract with the major bargaining unit in its largest manufacturing facility.
    The contract traditionally sets the pattern for the economic settlements with
    several smaller units at other locations.

    Before negotiations (or very early in negotiations), the labor relations staff tries
    to predict as closely as possible what it will take to get a settlement. But ultimately
    the staff is ready at all times to revise its estimates based on new or better information
    about the union ’ s position as the negotiations proceed.

    The case in Box 8.2 illustrates the diversity of interests that exists in the different
    levels of any modern company. It shows that the development of a company
    strategy for negotiations is a highly political process, one in which the different
    goals of various groups must ultimately be accommodated. Although the labor
    relations staff serves as a key participant in the development of the strategy, the
    concerns of operating management, fi nancial staff, and other interest groups in
    the corporation are also integral to any fi nal decision.

    It is interesting to examine how preparations for traditional negotiations compare
    to preparation for an interest-based bargaining process. Box 8.3 draws on the
    experiences of the same fi rm as it prepared for a recent round of interest-based

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    Diane Frey

    Start Here

    Diane Frey

    Diane Frey

    The Negotiations Process and Strikes 201

    BOX 8.2
    Management ’ s Preparations for Negotiations in a Typical Firm

    Stage One: Input from the Plants

    The fi rst step in the process of preparing for negotiations takes place at the
    plant level. 7 The plant labor relations staff holds meetings with plant supervisors
    to discuss problems they have experienced in administering the existing
    contract. From these discussions, the staff compiles a list of suggested contract
    changes. At the same time, the staff also conducts a systematic review of
    the grievances that have arisen under the current contract and collects
    information on local labor market conditions and on the wages in other
    fi rms in the community.

    The staff then holds a meeting with the plant manager, who raises the
    industrial relations problems the company has confronted in the plant. The
    concerns of management are classifi ed into two groups: contractual problems
    and problems that should be addressed outside the negotiating process.
    In addition, the staff asks the plant manager to rank suggested contract
    changes based on their potential for making a signifi cant improvement in
    plant operations.

    Stage Two: Input from Higher Levels of the Firm

    Next, a series of meetings is held at the division level that involves the
    division labor relations staff, operations managers at the division level, and
    the corporate labor relations director and staff. From time to time, outside
    industrial relations consultants sit in on these division-level meetings. Here
    the concerns of the various plants are evaluated against two criteria: (1) the
    operational benefi ts expected from proposed contract changes; and (2) the
    likelihood that the desired changes can be achieved in the negotiations
    process.

    The corporate labor relations staff plays a vital role in these division-level
    discussions, since the expected benefi ts of different contractual changes can
    be a matter of dispute across the various plants. In addition, the division
    labor relations staff is responsible for carefully examining the contract language
    that exists in the various local agreements for inconsistencies or problems
    that could be removed by clauses that refl ect corporate labor relations
    preferences. Sometimes the plant labor relations representatives object to
    changes suggested at the division level because they do not correspond to
    the priorities of the plant offi cials and because the existing “discrepancies”
    may be serving a useful purpose in the plant.

    The corporate labor relations staff works closely with the vice-president
    for fi nance to develop wage targets. Information on plant labor costs,
    corporate earnings, and the long-term fi nancial prospects of the company
    and the industry are built into the wage target the corporate staff ultimately
    recommends.

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    202 Part III. The Functional Level of Labor Relations

    Stage Three: Input from Research

    A research subgroup in the labor relations staff of the company also conducts
    background research that is used in management ’ s preparations for negotiations.
    At least a year and a half before the opening of formal negotiations, the
    research staff begins to prepare the background information necessary for
    developing the company ’ s proposals.

    The researchers use a database on the demographic characteristics of
    employees and analyze personnel statistics such as turnover, absentee, and
    grievance rates. They also monitor internal union developments, specifi cally
    resolutions the union has passed at its conventions, union publications, and
    union leaders’ statements about the upcoming negotiations. In addition, they
    survey plant managers for their views on their relations with the union and
    the problems they would like to see addressed in the negotiations. The staff
    also consults plant labor relations staff members to obtain their suggestions.
    This fi rm probably invests more resources and assigns more authority for
    bargaining preparation to its research staff than do most other corporations.

    The research staff is ultimately responsible for putting together a summary
    report that goes to the vice-president of industrial relations and the corporate
    director of compensation. These executives then work with the manager
    of the research and planning department to develop targets for bargaining.

    Stage Four: Final Preparations

    The fi nal step in management ’ s preparation for negotiations is a meeting
    that includes the corporate labor relations staff, the chief executive offi cer,
    and the board of directors. At this meeting, the corporate labor relations
    director presents the proposed wage targets and other proposed contract
    changes for board approval and states the reasons for seeking the proposed
    changes. Sometimes this meeting does not take place until after the fi rst
    negotiations session with the union. The industrial relations director might
    prefer to wait until then because it may be useful to hear from the union
    before he or she makes a fi nal recommendation to top management. This
    helps the industrial relations director identify the relative importance the
    union is likely to give to pay issues and the intensity of the union ’ s concern
    about other areas of the contract.

    One labor relations director described to us how he presents his recom-
    mendation to top management in this way:

    I always number my proposed target settlements as proposed settlement target
    number 1. Someone once asked me what that meant. I said that this is what I
    think it will take to get a settlement but I number it because I may have to
    come back to you at some point with my proposed settlement number 2 or
    even my proposed settlement number 3, et cetera.

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    204 Part III. The Functional Level of Labor Relations

    We still had discipline at the table. We had chief spokespersons. In fact,
    we got very upset and disappointed when at one point the process broke
    down. When we started talking about overtime, we had already done some
    joint staff work looking at some pilot programs we had started in a couple
    of settings to let the union handle how overtime is distributed. This is
    always a big problem and headache for management, and [it is] a costly
    issue. The staff had pretty much agreed privately to extend the pilot approach
    to the whole bargaining unit, but when the issue came up for discussion,
    the manufacturing representative on our team said: “We ’ d never agree to
    that!” We read him the riot act later in private for springing this on us, but
    it essentially killed discussion of this issue, and we never did get the job
    done on this issue.

    As we got into the tough economic issues, bargaining took on more
    traditional features. These were very tough and the union leaders needed
    to be able to demonstrate to their constituents [that] they squeezed us as
    hard as they could to get the best deal possible. We understood this.

    Still, there was better communications, and we never worked past 8 p.m.

    bargaining. While much of the background research and information gathering
    is similar, some of this is done jointly with the union. In this case, the problem-
    solving processes that had been put in place in the company-union relationship
    at the workplace provided the foundation for taking a problem-solving approach
    to negotiations.

    UNIONS’ AND WORKERS’ PREPARATIONS FOR
    NEGOTIATIONS

    This section reviews the common procedures unions and workers follow during
    the negotiation of a collective bargaining contract. This material parallels the
    discussion of the procedures used by management in preparing for negotiations
    described above.

    The Role of the Union Negotiating Committee
    The union is represented by a negotiating committee in negotiations with manage-
    ment. The makeup of the union negotiating committee varies across unions,
    although it typically includes some union offi cers, support staff (such as members
    of the local or the national union ’ s research staff or both), and elected worker
    representatives. Often the leaders of the union ’ s negotiating committee are the
    highest elected offi cers of the union that is covered by the collective bargaining
    agreement under negotiation. Some unions, such as local construction, hotel and
    restaurant, or trucking unions, tend to rely on hired business agents to lead their
    negotiations.

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    Diane Frey

    Diane Frey

    The Negotiations Process and Strikes 205

    The negotiating committee will meet several times before the start of negotia-
    tions to formulate the union ’ s list of demands and to begin to establish expecta-
    tions about what the union can win in negotiations. Before these meetings,
    the negotiating committee will solicit demands from union members, either
    directly through meetings called to discuss the upcoming negotiations or through
    polls. In the UAW, for example, elected representatives from the local unions
    meet in a convention and vote on bargaining resolutions during preparations for
    companywide bargaining. The UAW leadership also consults union members
    during the negotiation of plant contracts that supplement the companywide
    agreements.

    A union negotiating committee typically also receives information and
    advice from the national union ’ s research staff during its preparations for
    bargaining. The information provided frequently covers the fi nancial perfor-
    mance of the company, forecasts the future performance of the company and
    the economy, and summarizes recent settlements in other unions or the pay
    improvements unorganized workers in the same city, fi rm, or industry have
    received.

    Some unions, such as the Air Line Pilots Association (ALPA), do extensive
    research and analysis of economic developments in their industry and of the
    fi nancial situation of each company. Prior to entering negotiations, the ALPA
    research staff conducts extensive briefi ngs with the bargaining committee of an
    airline and in some cases, such as at Continental Airlines, meets with company
    representatives to compare fi nancial data and analysis. It is not uncommon for
    union and company research staff to share information with each other if for no
    other reason than to avoid debates over some of the basic facts each side needs
    to prepare their team for negotiations.

    Many unions now use surveys, focus groups, and/or direct interviews with
    rank-and-fi le members to gather information about their concerns and their priorities
    for negotiations. This serves as a two-way communications process. It both provides
    data on the priorities of rank-and-fi le members and begins to engage the rank
    and fi le in the negotiations process by informing them of some of the issues that
    may come up.

    Acquisition of Strike Authorization If an Impasse
    Is Reached
    If the union comes to an impasse with management during the negotiations and
    is considering going on strike over unresolved disputes, two steps occur. In local
    contract negotiations, the union ’ s constitution typically requires the local to seek
    strike authorization from the national union. Strike approval is an important
    process because, among other things, it enables striking workers to receive strike
    benefi ts from the national union ’ s strike fund.

    A union considering a strike will also typically poll its members. The strike
    vote serves a dual purpose: it tells the union leadership whether the union ’ s
    members support such an action and it helps rally the workers around the purpose
    of the strike.

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    Diane Frey

    Diane Frey

    206 Part III. The Functional Level of Labor Relations

    Contract Ratifi cation
    When an agreement is reached between the union ’ s negotiating committee and
    management ’ s representatives, the union proceeds through its contract ratifi cation
    procedures. Here there is much variation in the exact procedures unions use.
    The fi rst step some unions take is to send a proposed agreement to a council
    made up of lower-level union offi cers. This council includes local union offi cers
    when a companywide agreement is negotiated (as in the steel and auto industries).
    Union constitutions typically also require that the workers covered by a negotiated
    agreement vote on any proposed settlement.

    There are some notable exceptions to the normal pattern of union members
    voting on proposed contracts. But in the usual case, workers must approve contract
    settlements, often by majority vote. This sort of voting is an example of participatory
    democracy in this critical aspect of union decision making.

    The Role of Union Leaders in Shaping Strategies
    The actual bargaining demands of unions refl ect more than just an averaging of
    their members’ preferences. Several factors combine to produce the complex
    process by which union leaders arrive at their bargaining objectives.

    First, in addition to considering the preferences of their members, union leaders
    must evaluate how likely it is that objectives can be attained. Unrealistic goals
    must be discarded during pre-negotiation planning sessions or early on in
    negotiations.

    Second, union leaders must take into account the varying political infl uence
    of subgroups within the union. Older or more skilled workers, for example, may
    be more politically infl uential than other members. Thus, the objectives leaders
    ultimately select may refl ect some workers’ goals more than others.

    Third, union leaders must also be concerned about the long-term survival of
    the union and must take steps to preserve those interests. However, there is always
    the risk that union leaders will emphasize union security at the expense of
    member preferences.

    Finally, a central job for union leaders, like all leaders, is to lead! Union leaders
    must weigh strategic options, make decisions, and secure the ongoing support of
    their members for the decisions they make.

    One of the keys to union leadership is effective internal communication. Union
    leaders need regular upward communication from the rank and fi le and from
    local union offi cers. Effective union leadership also requires that decision makers
    communicate their activities and decisions back to the members. Unions use such
    techniques as opinion surveys, satellite hookups, television advertising, and the
    Internet to communicate with their members. Indeed, the Internet is becoming
    a key resource in bargaining today. Union leaders are learning that they must
    develop the skill to use this tool to communicate with members, for it is certain
    that rival groups in the union will have those skills. In one case, ALPA found
    that the tentative wage agreement it had reached with Delta Airlines was criticized
    on a rival group ’ s website before the union team could even describe its terms
    to union members! Thus, the means of communication in unions and the role

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    Diane Frey

    Diane Frey

    The Negotiations Process and Strikes 207

    of communications in negotiations in general are changing rapidly in the age of
    the Internet.

    THE CYCLE OF TRADITIONAL NEGOTIATIONS

    Negotiations often proceed through a cycle in which the four subprocesses of
    bargaining emerge and interrelate. 8 A typical cycle for a traditional negotiations
    process is described below.

    The Early Stages
    In the initial stage of a traditional negotiation, the parties present their opening
    proposals. This stage often involves a larger number of people than will be involved
    in the negotiations of the fi nal agreement. The union, for example, may bring
    in representatives from various interest groups and several levels of the union
    hierarchy. These people participate in developing the initial proposals and later
    become involved in securing ratifi cation of any agreement. The involvement of
    all these different representatives can smooth the process of intraorganizational
    bargaining in the union.

    The union then presents proposals that cover the entire range of its concerns.
    Some of the proposals will be of critical importance and will be at the heart of
    the discussions as the strike deadline approaches. Some are important but may
    be traded off at the last minute. Some may be translated into more specifi c
    demands at a later stage of bargaining or may be issues to which the union will
    assign a high priority in some future round of negotiations. Other issues are of
    low priority and will be dropped as negotiations proceed into the serious decision-
    making stages.

    The Presentation of a Laundry List
    The union ’ s presentation of a laundry list of issues serves several purposes. It
    allows union leaders to recognize different interest groups by at least mentioning
    their proposals. Some unrealistic demands will be aired, the problems underlying
    these demands can be explored, and the employer can then reject these demands.
    This process takes the pressure off union offi cers who might otherwise appear to
    have arbitrarily nixed some group ’ s pet proposal. In a laundry list, either side also
    could introduce issues that it hopes will be pursued in future negotiations.

    Presenting a long list of proposals and infl ated demands as a fi rst step might
    also be a useful way to camoufl age the real priorities of the union. Or a long list
    of proposals could be helpful in integrative bargaining by facilitating trades across
    issues.

    Behavior of the Employer in the Early Phase
    The behavior of employers at the outset of bargaining varies considerably. Some
    employers will present a set of proposals to counterbalance the union demands.
    Other employers will receive the union demands and promise a response at a
    future negotiating session. Many management representatives prefer to delay

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    Diane Frey

    Diane Frey

    **TurningtheTablesText.pdf**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/turningthetablestext-pdf)

    **TurningtheTablesText.pdf**

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    **## week9.pdf**

    Answer the following questions

    1. Have you had personal negotiations experience in which you either did or did not
    adequately prepare? Explain.

    2. You will be leading collective bargaining for a union of nursing home workers at a
    large nursing home in San Francisco. Please tell us the first three (most
    important) steps you will take. Why are these the most important?

    3. Based on this week’s lecture and readings etc., compare the approaches to
    bargaining preparation. Are there differences? Explain.

    Reference:
    https://mronline.org/2014/04/05/rachleff050414-html-2/

    [https://mronline.org/2014/04/05/rachleff050414-html-2/](https://mronline.org/2014/04/05/rachleff050414-html-2/)

    **## 511Excerpt.pdf**

    Cornell University Press
    ILR Press

    Chapter Title: The Negotiations Process and Strikes

    Book Title: An Introduction to U.S. Collective Bargaining and Labor Relations
    Book Author(s): Harry C. Katz, Thomas A. Kochan and Alexander J. S. Colvin
    Published by: Cornell University Press, ILR Press. (2017)
    Stable URL: http://www.jstor.org/stable/10.7591/j.ctt1vjqr3z.13

    JSTOR is a not-for-profit service that helps scholars, researchers, and students discover, use, and build upon a wide

    range of content in a trusted digital archive. We use information technology and tools to increase productivity and

    facilitate new forms of scholarship. For more information about JSTOR, please contact support@jstor.org.

    Your use of the JSTOR archive indicates your acceptance of the Terms & Conditions of Use, available at

    http://about.jstor.org/terms

    Cornell University Press, ILR Press are collaborating with JSTOR to digitize, preserve and
    extend access to An Introduction to U.S. Collective Bargaining and Labor Relations

    This content downloaded from 130.212.18.96 on Tue, 19 Jun 2018 14:02:03 UTC
    All use subject to http://about.jstor.org/terms

    200 Part III. The Functional Level of Labor Relations

    Thus, management has tried to shift away from factors such as wages in the
    industry or increases in the cost of living and toward the fi rm ’ s ability to pay.

    Internal Comparisons
    Every negotiation is carefully watched by a fi rm ’ s other employees. Management
    must consider how a wage settlement might infl uence the expectations and
    demands of other employees in the fi rm regardless of whether those employees
    are represented by unions. Management, for example, often considers whether
    wage increases for unionized hourly workers will lead to pay increases for supervisors
    and other white-collar employees outside the bargaining unit. One reason manage-
    ment give pay increases to white-collar employees is such increases weaken these
    employees’ potential attraction to unionization.

    The Dynamics of Management ’ s Decision-Making Process
    So far we have painted a rather static picture of management ’ s decision making.
    Yet the actual process of decision making over the course of a bargaining cycle
    (from the pre-negotiation planning stage to the signing of the fi nal agreement)
    is a dynamic one. The process is replete with ambiguities over who has the
    authority to set policies, confl icts among decision makers over the appropriate
    weight to be attached to different goals, and power struggles among competing
    decision makers.

    The process by which management establishes bargaining strategies involves
    extensive intraorganizational bargaining that is every bit as intense as the bargaining
    between the union and management. Because the successful resolution of internal
    differences is a prerequisite to a smoothly functioning bargaining process, it is
    important to understand how fi rms prepare for negotiations.

    To provide a more complete picture of how management prepares for collective
    bargaining, Box 8.2 describes a typical case. This fi rm is preparing to negotiate
    a contract with the major bargaining unit in its largest manufacturing facility.
    The contract traditionally sets the pattern for the economic settlements with
    several smaller units at other locations.

    Before negotiations (or very early in negotiations), the labor relations staff tries
    to predict as closely as possible what it will take to get a settlement. But ultimately
    the staff is ready at all times to revise its estimates based on new or better information
    about the union ’ s position as the negotiations proceed.

    The case in Box 8.2 illustrates the diversity of interests that exists in the different
    levels of any modern company. It shows that the development of a company
    strategy for negotiations is a highly political process, one in which the different
    goals of various groups must ultimately be accommodated. Although the labor
    relations staff serves as a key participant in the development of the strategy, the
    concerns of operating management, fi nancial staff, and other interest groups in
    the corporation are also integral to any fi nal decision.

    It is interesting to examine how preparations for traditional negotiations compare
    to preparation for an interest-based bargaining process. Box 8.3 draws on the
    experiences of the same fi rm as it prepared for a recent round of interest-based

    This content downloaded from 130.212.18.96 on Tue, 19 Jun 2018 14:02:03 UTC
    All use subject to http://about.jstor.org/terms

    Diane Frey

    Start Here

    Diane Frey

    Diane Frey

    The Negotiations Process and Strikes 201

    BOX 8.2
    Management ’ s Preparations for Negotiations in a Typical Firm

    Stage One: Input from the Plants

    The fi rst step in the process of preparing for negotiations takes place at the
    plant level. 7 The plant labor relations staff holds meetings with plant supervisors
    to discuss problems they have experienced in administering the existing
    contract. From these discussions, the staff compiles a list of suggested contract
    changes. At the same time, the staff also conducts a systematic review of
    the grievances that have arisen under the current contract and collects
    information on local labor market conditions and on the wages in other
    fi rms in the community.

    The staff then holds a meeting with the plant manager, who raises the
    industrial relations problems the company has confronted in the plant. The
    concerns of management are classifi ed into two groups: contractual problems
    and problems that should be addressed outside the negotiating process.
    In addition, the staff asks the plant manager to rank suggested contract
    changes based on their potential for making a signifi cant improvement in
    plant operations.

    Stage Two: Input from Higher Levels of the Firm

    Next, a series of meetings is held at the division level that involves the
    division labor relations staff, operations managers at the division level, and
    the corporate labor relations director and staff. From time to time, outside
    industrial relations consultants sit in on these division-level meetings. Here
    the concerns of the various plants are evaluated against two criteria: (1) the
    operational benefi ts expected from proposed contract changes; and (2) the
    likelihood that the desired changes can be achieved in the negotiations
    process.

    The corporate labor relations staff plays a vital role in these division-level
    discussions, since the expected benefi ts of different contractual changes can
    be a matter of dispute across the various plants. In addition, the division
    labor relations staff is responsible for carefully examining the contract language
    that exists in the various local agreements for inconsistencies or problems
    that could be removed by clauses that refl ect corporate labor relations
    preferences. Sometimes the plant labor relations representatives object to
    changes suggested at the division level because they do not correspond to
    the priorities of the plant offi cials and because the existing “discrepancies”
    may be serving a useful purpose in the plant.

    The corporate labor relations staff works closely with the vice-president
    for fi nance to develop wage targets. Information on plant labor costs,
    corporate earnings, and the long-term fi nancial prospects of the company
    and the industry are built into the wage target the corporate staff ultimately
    recommends.

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    202 Part III. The Functional Level of Labor Relations

    Stage Three: Input from Research

    A research subgroup in the labor relations staff of the company also conducts
    background research that is used in management ’ s preparations for negotiations.
    At least a year and a half before the opening of formal negotiations, the
    research staff begins to prepare the background information necessary for
    developing the company ’ s proposals.

    The researchers use a database on the demographic characteristics of
    employees and analyze personnel statistics such as turnover, absentee, and
    grievance rates. They also monitor internal union developments, specifi cally
    resolutions the union has passed at its conventions, union publications, and
    union leaders’ statements about the upcoming negotiations. In addition, they
    survey plant managers for their views on their relations with the union and
    the problems they would like to see addressed in the negotiations. The staff
    also consults plant labor relations staff members to obtain their suggestions.
    This fi rm probably invests more resources and assigns more authority for
    bargaining preparation to its research staff than do most other corporations.

    The research staff is ultimately responsible for putting together a summary
    report that goes to the vice-president of industrial relations and the corporate
    director of compensation. These executives then work with the manager
    of the research and planning department to develop targets for bargaining.

    Stage Four: Final Preparations

    The fi nal step in management ’ s preparation for negotiations is a meeting
    that includes the corporate labor relations staff, the chief executive offi cer,
    and the board of directors. At this meeting, the corporate labor relations
    director presents the proposed wage targets and other proposed contract
    changes for board approval and states the reasons for seeking the proposed
    changes. Sometimes this meeting does not take place until after the fi rst
    negotiations session with the union. The industrial relations director might
    prefer to wait until then because it may be useful to hear from the union
    before he or she makes a fi nal recommendation to top management. This
    helps the industrial relations director identify the relative importance the
    union is likely to give to pay issues and the intensity of the union ’ s concern
    about other areas of the contract.

    One labor relations director described to us how he presents his recom-
    mendation to top management in this way:

    I always number my proposed target settlements as proposed settlement target
    number 1. Someone once asked me what that meant. I said that this is what I
    think it will take to get a settlement but I number it because I may have to
    come back to you at some point with my proposed settlement number 2 or
    even my proposed settlement number 3, et cetera.

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    204 Part III. The Functional Level of Labor Relations

    We still had discipline at the table. We had chief spokespersons. In fact,
    we got very upset and disappointed when at one point the process broke
    down. When we started talking about overtime, we had already done some
    joint staff work looking at some pilot programs we had started in a couple
    of settings to let the union handle how overtime is distributed. This is
    always a big problem and headache for management, and [it is] a costly
    issue. The staff had pretty much agreed privately to extend the pilot approach
    to the whole bargaining unit, but when the issue came up for discussion,
    the manufacturing representative on our team said: “We ’ d never agree to
    that!” We read him the riot act later in private for springing this on us, but
    it essentially killed discussion of this issue, and we never did get the job
    done on this issue.

    As we got into the tough economic issues, bargaining took on more
    traditional features. These were very tough and the union leaders needed
    to be able to demonstrate to their constituents [that] they squeezed us as
    hard as they could to get the best deal possible. We understood this.

    Still, there was better communications, and we never worked past 8 p.m.

    bargaining. While much of the background research and information gathering
    is similar, some of this is done jointly with the union. In this case, the problem-
    solving processes that had been put in place in the company-union relationship
    at the workplace provided the foundation for taking a problem-solving approach
    to negotiations.

    UNIONS’ AND WORKERS’ PREPARATIONS FOR
    NEGOTIATIONS

    This section reviews the common procedures unions and workers follow during
    the negotiation of a collective bargaining contract. This material parallels the
    discussion of the procedures used by management in preparing for negotiations
    described above.

    The Role of the Union Negotiating Committee
    The union is represented by a negotiating committee in negotiations with manage-
    ment. The makeup of the union negotiating committee varies across unions,
    although it typically includes some union offi cers, support staff (such as members
    of the local or the national union ’ s research staff or both), and elected worker
    representatives. Often the leaders of the union ’ s negotiating committee are the
    highest elected offi cers of the union that is covered by the collective bargaining
    agreement under negotiation. Some unions, such as local construction, hotel and
    restaurant, or trucking unions, tend to rely on hired business agents to lead their
    negotiations.

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    The Negotiations Process and Strikes 205

    The negotiating committee will meet several times before the start of negotia-
    tions to formulate the union ’ s list of demands and to begin to establish expecta-
    tions about what the union can win in negotiations. Before these meetings,
    the negotiating committee will solicit demands from union members, either
    directly through meetings called to discuss the upcoming negotiations or through
    polls. In the UAW, for example, elected representatives from the local unions
    meet in a convention and vote on bargaining resolutions during preparations for
    companywide bargaining. The UAW leadership also consults union members
    during the negotiation of plant contracts that supplement the companywide
    agreements.

    A union negotiating committee typically also receives information and
    advice from the national union ’ s research staff during its preparations for
    bargaining. The information provided frequently covers the fi nancial perfor-
    mance of the company, forecasts the future performance of the company and
    the economy, and summarizes recent settlements in other unions or the pay
    improvements unorganized workers in the same city, fi rm, or industry have
    received.

    Some unions, such as the Air Line Pilots Association (ALPA), do extensive
    research and analysis of economic developments in their industry and of the
    fi nancial situation of each company. Prior to entering negotiations, the ALPA
    research staff conducts extensive briefi ngs with the bargaining committee of an
    airline and in some cases, such as at Continental Airlines, meets with company
    representatives to compare fi nancial data and analysis. It is not uncommon for
    union and company research staff to share information with each other if for no
    other reason than to avoid debates over some of the basic facts each side needs
    to prepare their team for negotiations.

    Many unions now use surveys, focus groups, and/or direct interviews with
    rank-and-fi le members to gather information about their concerns and their priorities
    for negotiations. This serves as a two-way communications process. It both provides
    data on the priorities of rank-and-fi le members and begins to engage the rank
    and fi le in the negotiations process by informing them of some of the issues that
    may come up.

    Acquisition of Strike Authorization If an Impasse
    Is Reached
    If the union comes to an impasse with management during the negotiations and
    is considering going on strike over unresolved disputes, two steps occur. In local
    contract negotiations, the union ’ s constitution typically requires the local to seek
    strike authorization from the national union. Strike approval is an important
    process because, among other things, it enables striking workers to receive strike
    benefi ts from the national union ’ s strike fund.

    A union considering a strike will also typically poll its members. The strike
    vote serves a dual purpose: it tells the union leadership whether the union ’ s
    members support such an action and it helps rally the workers around the purpose
    of the strike.

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    206 Part III. The Functional Level of Labor Relations

    Contract Ratifi cation
    When an agreement is reached between the union ’ s negotiating committee and
    management ’ s representatives, the union proceeds through its contract ratifi cation
    procedures. Here there is much variation in the exact procedures unions use.
    The fi rst step some unions take is to send a proposed agreement to a council
    made up of lower-level union offi cers. This council includes local union offi cers
    when a companywide agreement is negotiated (as in the steel and auto industries).
    Union constitutions typically also require that the workers covered by a negotiated
    agreement vote on any proposed settlement.

    There are some notable exceptions to the normal pattern of union members
    voting on proposed contracts. But in the usual case, workers must approve contract
    settlements, often by majority vote. This sort of voting is an example of participatory
    democracy in this critical aspect of union decision making.

    The Role of Union Leaders in Shaping Strategies
    The actual bargaining demands of unions refl ect more than just an averaging of
    their members’ preferences. Several factors combine to produce the complex
    process by which union leaders arrive at their bargaining objectives.

    First, in addition to considering the preferences of their members, union leaders
    must evaluate how likely it is that objectives can be attained. Unrealistic goals
    must be discarded during pre-negotiation planning sessions or early on in
    negotiations.

    Second, union leaders must take into account the varying political infl uence
    of subgroups within the union. Older or more skilled workers, for example, may
    be more politically infl uential than other members. Thus, the objectives leaders
    ultimately select may refl ect some workers’ goals more than others.

    Third, union leaders must also be concerned about the long-term survival of
    the union and must take steps to preserve those interests. However, there is always
    the risk that union leaders will emphasize union security at the expense of
    member preferences.

    Finally, a central job for union leaders, like all leaders, is to lead! Union leaders
    must weigh strategic options, make decisions, and secure the ongoing support of
    their members for the decisions they make.

    One of the keys to union leadership is effective internal communication. Union
    leaders need regular upward communication from the rank and fi le and from
    local union offi cers. Effective union leadership also requires that decision makers
    communicate their activities and decisions back to the members. Unions use such
    techniques as opinion surveys, satellite hookups, television advertising, and the
    Internet to communicate with their members. Indeed, the Internet is becoming
    a key resource in bargaining today. Union leaders are learning that they must
    develop the skill to use this tool to communicate with members, for it is certain
    that rival groups in the union will have those skills. In one case, ALPA found
    that the tentative wage agreement it had reached with Delta Airlines was criticized
    on a rival group ’ s website before the union team could even describe its terms
    to union members! Thus, the means of communication in unions and the role

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    The Negotiations Process and Strikes 207

    of communications in negotiations in general are changing rapidly in the age of
    the Internet.

    THE CYCLE OF TRADITIONAL NEGOTIATIONS

    Negotiations often proceed through a cycle in which the four subprocesses of
    bargaining emerge and interrelate. 8 A typical cycle for a traditional negotiations
    process is described below.

    The Early Stages
    In the initial stage of a traditional negotiation, the parties present their opening
    proposals. This stage often involves a larger number of people than will be involved
    in the negotiations of the fi nal agreement. The union, for example, may bring
    in representatives from various interest groups and several levels of the union
    hierarchy. These people participate in developing the initial proposals and later
    become involved in securing ratifi cation of any agreement. The involvement of
    all these different representatives can smooth the process of intraorganizational
    bargaining in the union.

    The union then presents proposals that cover the entire range of its concerns.
    Some of the proposals will be of critical importance and will be at the heart of
    the discussions as the strike deadline approaches. Some are important but may
    be traded off at the last minute. Some may be translated into more specifi c
    demands at a later stage of bargaining or may be issues to which the union will
    assign a high priority in some future round of negotiations. Other issues are of
    low priority and will be dropped as negotiations proceed into the serious decision-
    making stages.

    The Presentation of a Laundry List
    The union ’ s presentation of a laundry list of issues serves several purposes. It
    allows union leaders to recognize different interest groups by at least mentioning
    their proposals. Some unrealistic demands will be aired, the problems underlying
    these demands can be explored, and the employer can then reject these demands.
    This process takes the pressure off union offi cers who might otherwise appear to
    have arbitrarily nixed some group ’ s pet proposal. In a laundry list, either side also
    could introduce issues that it hopes will be pursued in future negotiations.

    Presenting a long list of proposals and infl ated demands as a fi rst step might
    also be a useful way to camoufl age the real priorities of the union. Or a long list
    of proposals could be helpful in integrative bargaining by facilitating trades across
    issues.

    Behavior of the Employer in the Early Phase
    The behavior of employers at the outset of bargaining varies considerably. Some
    employers will present a set of proposals to counterbalance the union demands.
    Other employers will receive the union demands and promise a response at a
    future negotiating session. Many management representatives prefer to delay

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    **TurningtheTablesText.pdf**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/turningthetablestext-pdf)

    **## week9.pdf**

    Answer the following questions

    1. Have you had personal negotiations experience in which you either did or did not
    adequately prepare? Explain.

    2. You will be leading collective bargaining for a union of nursing home workers at a
    large nursing home in San Francisco. Please tell us the first three (most
    important) steps you will take. Why are these the most important?

    3. Based on this week’s lecture and readings etc., compare the approaches to
    bargaining preparation. Are there differences? Explain.

    Reference:
    https://mronline.org/2014/04/05/rachleff050414-html-2/

    [https://mronline.org/2014/04/05/rachleff050414-html-2/](https://mronline.org/2014/04/05/rachleff050414-html-2/)

    **## 511Excerpt.pdf**

    Cornell University Press
    ILR Press

    Chapter Title: The Negotiations Process and Strikes

    Book Title: An Introduction to U.S. Collective Bargaining and Labor Relations
    Book Author(s): Harry C. Katz, Thomas A. Kochan and Alexander J. S. Colvin
    Published by: Cornell University Press, ILR Press. (2017)
    Stable URL: http://www.jstor.org/stable/10.7591/j.ctt1vjqr3z.13

    JSTOR is a not-for-profit service that helps scholars, researchers, and students discover, use, and build upon a wide

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    Cornell University Press, ILR Press are collaborating with JSTOR to digitize, preserve and
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    200 Part III. The Functional Level of Labor Relations

    Thus, management has tried to shift away from factors such as wages in the
    industry or increases in the cost of living and toward the fi rm ’ s ability to pay.

    Internal Comparisons
    Every negotiation is carefully watched by a fi rm ’ s other employees. Management
    must consider how a wage settlement might infl uence the expectations and
    demands of other employees in the fi rm regardless of whether those employees
    are represented by unions. Management, for example, often considers whether
    wage increases for unionized hourly workers will lead to pay increases for supervisors
    and other white-collar employees outside the bargaining unit. One reason manage-
    ment give pay increases to white-collar employees is such increases weaken these
    employees’ potential attraction to unionization.

    The Dynamics of Management ’ s Decision-Making Process
    So far we have painted a rather static picture of management ’ s decision making.
    Yet the actual process of decision making over the course of a bargaining cycle
    (from the pre-negotiation planning stage to the signing of the fi nal agreement)
    is a dynamic one. The process is replete with ambiguities over who has the
    authority to set policies, confl icts among decision makers over the appropriate
    weight to be attached to different goals, and power struggles among competing
    decision makers.

    The process by which management establishes bargaining strategies involves
    extensive intraorganizational bargaining that is every bit as intense as the bargaining
    between the union and management. Because the successful resolution of internal
    differences is a prerequisite to a smoothly functioning bargaining process, it is
    important to understand how fi rms prepare for negotiations.

    To provide a more complete picture of how management prepares for collective
    bargaining, Box 8.2 describes a typical case. This fi rm is preparing to negotiate
    a contract with the major bargaining unit in its largest manufacturing facility.
    The contract traditionally sets the pattern for the economic settlements with
    several smaller units at other locations.

    Before negotiations (or very early in negotiations), the labor relations staff tries
    to predict as closely as possible what it will take to get a settlement. But ultimately
    the staff is ready at all times to revise its estimates based on new or better information
    about the union ’ s position as the negotiations proceed.

    The case in Box 8.2 illustrates the diversity of interests that exists in the different
    levels of any modern company. It shows that the development of a company
    strategy for negotiations is a highly political process, one in which the different
    goals of various groups must ultimately be accommodated. Although the labor
    relations staff serves as a key participant in the development of the strategy, the
    concerns of operating management, fi nancial staff, and other interest groups in
    the corporation are also integral to any fi nal decision.

    It is interesting to examine how preparations for traditional negotiations compare
    to preparation for an interest-based bargaining process. Box 8.3 draws on the
    experiences of the same fi rm as it prepared for a recent round of interest-based

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    Start Here

    Diane Frey

    Diane Frey

    The Negotiations Process and Strikes 201

    BOX 8.2
    Management ’ s Preparations for Negotiations in a Typical Firm

    Stage One: Input from the Plants

    The fi rst step in the process of preparing for negotiations takes place at the
    plant level. 7 The plant labor relations staff holds meetings with plant supervisors
    to discuss problems they have experienced in administering the existing
    contract. From these discussions, the staff compiles a list of suggested contract
    changes. At the same time, the staff also conducts a systematic review of
    the grievances that have arisen under the current contract and collects
    information on local labor market conditions and on the wages in other
    fi rms in the community.

    The staff then holds a meeting with the plant manager, who raises the
    industrial relations problems the company has confronted in the plant. The
    concerns of management are classifi ed into two groups: contractual problems
    and problems that should be addressed outside the negotiating process.
    In addition, the staff asks the plant manager to rank suggested contract
    changes based on their potential for making a signifi cant improvement in
    plant operations.

    Stage Two: Input from Higher Levels of the Firm

    Next, a series of meetings is held at the division level that involves the
    division labor relations staff, operations managers at the division level, and
    the corporate labor relations director and staff. From time to time, outside
    industrial relations consultants sit in on these division-level meetings. Here
    the concerns of the various plants are evaluated against two criteria: (1) the
    operational benefi ts expected from proposed contract changes; and (2) the
    likelihood that the desired changes can be achieved in the negotiations
    process.

    The corporate labor relations staff plays a vital role in these division-level
    discussions, since the expected benefi ts of different contractual changes can
    be a matter of dispute across the various plants. In addition, the division
    labor relations staff is responsible for carefully examining the contract language
    that exists in the various local agreements for inconsistencies or problems
    that could be removed by clauses that refl ect corporate labor relations
    preferences. Sometimes the plant labor relations representatives object to
    changes suggested at the division level because they do not correspond to
    the priorities of the plant offi cials and because the existing “discrepancies”
    may be serving a useful purpose in the plant.

    The corporate labor relations staff works closely with the vice-president
    for fi nance to develop wage targets. Information on plant labor costs,
    corporate earnings, and the long-term fi nancial prospects of the company
    and the industry are built into the wage target the corporate staff ultimately
    recommends.

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    202 Part III. The Functional Level of Labor Relations

    Stage Three: Input from Research

    A research subgroup in the labor relations staff of the company also conducts
    background research that is used in management ’ s preparations for negotiations.
    At least a year and a half before the opening of formal negotiations, the
    research staff begins to prepare the background information necessary for
    developing the company ’ s proposals.

    The researchers use a database on the demographic characteristics of
    employees and analyze personnel statistics such as turnover, absentee, and
    grievance rates. They also monitor internal union developments, specifi cally
    resolutions the union has passed at its conventions, union publications, and
    union leaders’ statements about the upcoming negotiations. In addition, they
    survey plant managers for their views on their relations with the union and
    the problems they would like to see addressed in the negotiations. The staff
    also consults plant labor relations staff members to obtain their suggestions.
    This fi rm probably invests more resources and assigns more authority for
    bargaining preparation to its research staff than do most other corporations.

    The research staff is ultimately responsible for putting together a summary
    report that goes to the vice-president of industrial relations and the corporate
    director of compensation. These executives then work with the manager
    of the research and planning department to develop targets for bargaining.

    Stage Four: Final Preparations

    The fi nal step in management ’ s preparation for negotiations is a meeting
    that includes the corporate labor relations staff, the chief executive offi cer,
    and the board of directors. At this meeting, the corporate labor relations
    director presents the proposed wage targets and other proposed contract
    changes for board approval and states the reasons for seeking the proposed
    changes. Sometimes this meeting does not take place until after the fi rst
    negotiations session with the union. The industrial relations director might
    prefer to wait until then because it may be useful to hear from the union
    before he or she makes a fi nal recommendation to top management. This
    helps the industrial relations director identify the relative importance the
    union is likely to give to pay issues and the intensity of the union ’ s concern
    about other areas of the contract.

    One labor relations director described to us how he presents his recom-
    mendation to top management in this way:

    I always number my proposed target settlements as proposed settlement target
    number 1. Someone once asked me what that meant. I said that this is what I
    think it will take to get a settlement but I number it because I may have to
    come back to you at some point with my proposed settlement number 2 or
    even my proposed settlement number 3, et cetera.

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    204 Part III. The Functional Level of Labor Relations

    We still had discipline at the table. We had chief spokespersons. In fact,
    we got very upset and disappointed when at one point the process broke
    down. When we started talking about overtime, we had already done some
    joint staff work looking at some pilot programs we had started in a couple
    of settings to let the union handle how overtime is distributed. This is
    always a big problem and headache for management, and [it is] a costly
    issue. The staff had pretty much agreed privately to extend the pilot approach
    to the whole bargaining unit, but when the issue came up for discussion,
    the manufacturing representative on our team said: “We ’ d never agree to
    that!” We read him the riot act later in private for springing this on us, but
    it essentially killed discussion of this issue, and we never did get the job
    done on this issue.

    As we got into the tough economic issues, bargaining took on more
    traditional features. These were very tough and the union leaders needed
    to be able to demonstrate to their constituents [that] they squeezed us as
    hard as they could to get the best deal possible. We understood this.

    Still, there was better communications, and we never worked past 8 p.m.

    bargaining. While much of the background research and information gathering
    is similar, some of this is done jointly with the union. In this case, the problem-
    solving processes that had been put in place in the company-union relationship
    at the workplace provided the foundation for taking a problem-solving approach
    to negotiations.

    UNIONS’ AND WORKERS’ PREPARATIONS FOR
    NEGOTIATIONS

    This section reviews the common procedures unions and workers follow during
    the negotiation of a collective bargaining contract. This material parallels the
    discussion of the procedures used by management in preparing for negotiations
    described above.

    The Role of the Union Negotiating Committee
    The union is represented by a negotiating committee in negotiations with manage-
    ment. The makeup of the union negotiating committee varies across unions,
    although it typically includes some union offi cers, support staff (such as members
    of the local or the national union ’ s research staff or both), and elected worker
    representatives. Often the leaders of the union ’ s negotiating committee are the
    highest elected offi cers of the union that is covered by the collective bargaining
    agreement under negotiation. Some unions, such as local construction, hotel and
    restaurant, or trucking unions, tend to rely on hired business agents to lead their
    negotiations.

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    The Negotiations Process and Strikes 205

    The negotiating committee will meet several times before the start of negotia-
    tions to formulate the union ’ s list of demands and to begin to establish expecta-
    tions about what the union can win in negotiations. Before these meetings,
    the negotiating committee will solicit demands from union members, either
    directly through meetings called to discuss the upcoming negotiations or through
    polls. In the UAW, for example, elected representatives from the local unions
    meet in a convention and vote on bargaining resolutions during preparations for
    companywide bargaining. The UAW leadership also consults union members
    during the negotiation of plant contracts that supplement the companywide
    agreements.

    A union negotiating committee typically also receives information and
    advice from the national union ’ s research staff during its preparations for
    bargaining. The information provided frequently covers the fi nancial perfor-
    mance of the company, forecasts the future performance of the company and
    the economy, and summarizes recent settlements in other unions or the pay
    improvements unorganized workers in the same city, fi rm, or industry have
    received.

    Some unions, such as the Air Line Pilots Association (ALPA), do extensive
    research and analysis of economic developments in their industry and of the
    fi nancial situation of each company. Prior to entering negotiations, the ALPA
    research staff conducts extensive briefi ngs with the bargaining committee of an
    airline and in some cases, such as at Continental Airlines, meets with company
    representatives to compare fi nancial data and analysis. It is not uncommon for
    union and company research staff to share information with each other if for no
    other reason than to avoid debates over some of the basic facts each side needs
    to prepare their team for negotiations.

    Many unions now use surveys, focus groups, and/or direct interviews with
    rank-and-fi le members to gather information about their concerns and their priorities
    for negotiations. This serves as a two-way communications process. It both provides
    data on the priorities of rank-and-fi le members and begins to engage the rank
    and fi le in the negotiations process by informing them of some of the issues that
    may come up.

    Acquisition of Strike Authorization If an Impasse
    Is Reached
    If the union comes to an impasse with management during the negotiations and
    is considering going on strike over unresolved disputes, two steps occur. In local
    contract negotiations, the union ’ s constitution typically requires the local to seek
    strike authorization from the national union. Strike approval is an important
    process because, among other things, it enables striking workers to receive strike
    benefi ts from the national union ’ s strike fund.

    A union considering a strike will also typically poll its members. The strike
    vote serves a dual purpose: it tells the union leadership whether the union ’ s
    members support such an action and it helps rally the workers around the purpose
    of the strike.

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    Diane Frey

    206 Part III. The Functional Level of Labor Relations

    Contract Ratifi cation
    When an agreement is reached between the union ’ s negotiating committee and
    management ’ s representatives, the union proceeds through its contract ratifi cation
    procedures. Here there is much variation in the exact procedures unions use.
    The fi rst step some unions take is to send a proposed agreement to a council
    made up of lower-level union offi cers. This council includes local union offi cers
    when a companywide agreement is negotiated (as in the steel and auto industries).
    Union constitutions typically also require that the workers covered by a negotiated
    agreement vote on any proposed settlement.

    There are some notable exceptions to the normal pattern of union members
    voting on proposed contracts. But in the usual case, workers must approve contract
    settlements, often by majority vote. This sort of voting is an example of participatory
    democracy in this critical aspect of union decision making.

    The Role of Union Leaders in Shaping Strategies
    The actual bargaining demands of unions refl ect more than just an averaging of
    their members’ preferences. Several factors combine to produce the complex
    process by which union leaders arrive at their bargaining objectives.

    First, in addition to considering the preferences of their members, union leaders
    must evaluate how likely it is that objectives can be attained. Unrealistic goals
    must be discarded during pre-negotiation planning sessions or early on in
    negotiations.

    Second, union leaders must take into account the varying political infl uence
    of subgroups within the union. Older or more skilled workers, for example, may
    be more politically infl uential than other members. Thus, the objectives leaders
    ultimately select may refl ect some workers’ goals more than others.

    Third, union leaders must also be concerned about the long-term survival of
    the union and must take steps to preserve those interests. However, there is always
    the risk that union leaders will emphasize union security at the expense of
    member preferences.

    Finally, a central job for union leaders, like all leaders, is to lead! Union leaders
    must weigh strategic options, make decisions, and secure the ongoing support of
    their members for the decisions they make.

    One of the keys to union leadership is effective internal communication. Union
    leaders need regular upward communication from the rank and fi le and from
    local union offi cers. Effective union leadership also requires that decision makers
    communicate their activities and decisions back to the members. Unions use such
    techniques as opinion surveys, satellite hookups, television advertising, and the
    Internet to communicate with their members. Indeed, the Internet is becoming
    a key resource in bargaining today. Union leaders are learning that they must
    develop the skill to use this tool to communicate with members, for it is certain
    that rival groups in the union will have those skills. In one case, ALPA found
    that the tentative wage agreement it had reached with Delta Airlines was criticized
    on a rival group ’ s website before the union team could even describe its terms
    to union members! Thus, the means of communication in unions and the role

    This content downloaded from 130.212.18.96 on Tue, 19 Jun 2018 14:02:03 UTC
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    Diane Frey

    Diane Frey

    The Negotiations Process and Strikes 207

    of communications in negotiations in general are changing rapidly in the age of
    the Internet.

    THE CYCLE OF TRADITIONAL NEGOTIATIONS

    Negotiations often proceed through a cycle in which the four subprocesses of
    bargaining emerge and interrelate. 8 A typical cycle for a traditional negotiations
    process is described below.

    The Early Stages
    In the initial stage of a traditional negotiation, the parties present their opening
    proposals. This stage often involves a larger number of people than will be involved
    in the negotiations of the fi nal agreement. The union, for example, may bring
    in representatives from various interest groups and several levels of the union
    hierarchy. These people participate in developing the initial proposals and later
    become involved in securing ratifi cation of any agreement. The involvement of
    all these different representatives can smooth the process of intraorganizational
    bargaining in the union.

    The union then presents proposals that cover the entire range of its concerns.
    Some of the proposals will be of critical importance and will be at the heart of
    the discussions as the strike deadline approaches. Some are important but may
    be traded off at the last minute. Some may be translated into more specifi c
    demands at a later stage of bargaining or may be issues to which the union will
    assign a high priority in some future round of negotiations. Other issues are of
    low priority and will be dropped as negotiations proceed into the serious decision-
    making stages.

    The Presentation of a Laundry List
    The union ’ s presentation of a laundry list of issues serves several purposes. It
    allows union leaders to recognize different interest groups by at least mentioning
    their proposals. Some unrealistic demands will be aired, the problems underlying
    these demands can be explored, and the employer can then reject these demands.
    This process takes the pressure off union offi cers who might otherwise appear to
    have arbitrarily nixed some group ’ s pet proposal. In a laundry list, either side also
    could introduce issues that it hopes will be pursued in future negotiations.

    Presenting a long list of proposals and infl ated demands as a fi rst step might
    also be a useful way to camoufl age the real priorities of the union. Or a long list
    of proposals could be helpful in integrative bargaining by facilitating trades across
    issues.

    Behavior of the Employer in the Early Phase
    The behavior of employers at the outset of bargaining varies considerably. Some
    employers will present a set of proposals to counterbalance the union demands.
    Other employers will receive the union demands and promise a response at a
    future negotiating session. Many management representatives prefer to delay

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    Diane Frey

    Diane Frey

    **TurningtheTablesText.pdf**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/turningthetablestext-pdf)

    – 1
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    – 3

  • [Solved] MGMT 230

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    I'll post the question to you Use the book for reference ### Management: Leading & Collaborating in the Competitive World ISBN: 9781265385811 By: Thomas Bateman

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    I'll post the question to you
    Use the book for reference
    ### Management: Leading & Collaborating in the Competitive World
    ISBN: 9781265385811
    By: Thomas Bateman

  • [Solved] NUR502W2Hema

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    – ## Module2Discussion2.docx **## Module2Discussion2.docx** **Hematopoietic:** J.D. is a 37 years old white woman who presents to her gynecologist complaining of a 2-month history of intermenstrual bleeding, menorrhagia, increased urinary frequency, mild incontinence, extreme fatigue, and weakness. …

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    – ## Module2Discussion2.docx

    **## Module2Discussion2.docx**

    **Hematopoietic:** J.D. is a 37 years old white woman who presents to her gynecologist complaining of a 2-month history of intermenstrual bleeding, menorrhagia, increased urinary frequency, mild incontinence, extreme fatigue, and weakness. Her menstrual period occurs every 28 days and lately there have been 6 days of heavy flow and cramping. She denies abdominal distension, back-ache, and constipation. She has not had her usual energy levels since before her last pregnancy.

    **Past Medical History (PMH):**

    · Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.

    **Case Study Questions**

    1. Name the contributing factors on J.D that might put her at risk to develop iron deficiency anemia.

    2. Within the case study, describe the reasons why J.D. might be presenting constipation and or dehydration.

    3. Why Vitamin B12 and folic acid are important on the erythropoiesis? What abnormalities their deficiency might cause on the red blood cells?

    4. The gynecologist is suspecting that J.D. might be experiencing iron deficiency anemia.
    In order to support the diagnosis, list and describe the clinical symptoms that J.D. might have positive for Iron deficiency anemia.

    5. If the patient is diagnosed with iron deficiency anemia, what do you expect to find as signs of this type of anemia? List and describe.

    6. Labs results came back for the patient. Hb 10.2 g/dL; Hct 30.8%; Ferritin 9 ng/dL; red blood cells are smaller and paler in color than normal. Research list and describe for appropriate recommendations and treatments for J.D.

    **## Module2Discussion2.docx**

    **Hematopoietic:** J.D. is a 37 years old white woman who presents to her gynecologist complaining of a 2-month history of intermenstrual bleeding, menorrhagia, increased urinary frequency, mild incontinence, extreme fatigue, and weakness. Her menstrual period occurs every 28 days and lately there have been 6 days of heavy flow and cramping. She denies abdominal distension, back-ache, and constipation. She has not had her usual energy levels since before her last pregnancy.

    **Past Medical History (PMH):**

    · Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.

    **Case Study Questions**

    1. Name the contributing factors on J.D that might put her at risk to develop iron deficiency anemia.

    2. Within the case study, describe the reasons why J.D. might be presenting constipation and or dehydration.

    3. Why Vitamin B12 and folic acid are important on the erythropoiesis? What abnormalities their deficiency might cause on the red blood cells?

    4. The gynecologist is suspecting that J.D. might be experiencing iron deficiency anemia.
    In order to support the diagnosis, list and describe the clinical symptoms that J.D. might have positive for Iron deficiency anemia.

    5. If the patient is diagnosed with iron deficiency anemia, what do you expect to find as signs of this type of anemia? List and describe.

    6. Labs results came back for the patient. Hb 10.2 g/dL; Hct 30.8%; Ferritin 9 ng/dL; red blood cells are smaller and paler in color than normal. Research list and describe for appropriate recommendations and treatments for J.D.

  • [Solved] Case brief

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    I need you to write me a case brief of the international vs the state of washing case. below i attached the text of the case and i also attached the sample on how you should write the case brief. \ INTERNATIONALSHOECO.v.WASHINGTON326U.S.3101945FindLaw.pdf](https://www.sweetstudy.com/files/internati…

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    I need you to write me a case brief of the international vs the state of washing case.
    below i attached the text of the case and i also attached the sample on how you should write the case brief.
    \
    INTERNATIONALSHOECO.v.WASHINGTON326U.S.3101945FindLaw.pdf](https://www.sweetstudy.com/files/internationalshoeco-v-washington326u-s-3101945findlaw-pdf "INTERNATIONALSHOECO.v.WASHINGTON326U.S.3101945FindLaw.pdf")
    \
    Brownv.BoardofEducationCaseBriefExample.pdf](https://www.sweetstudy.com/files/brownv-boardofeducationcasebriefexample-pdf "Brownv.BoardofEducationCaseBriefExample.pdf")

  • [Solved] Personal view of human nature

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    Answer the question I believe at birth people are born

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    Answer the question I believe at birth people are born

  • [Solved] Testing to Find Differences Between Groups

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    One of the more challenging aspects of data analysis is determining which statistical tests to run (given the circumstances) and performing the statistical software steps correctly. There are several types of decision trees you can use to select a statistical test, but we will look at just one type …

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    One of the more challenging aspects of data analysis is determining which statistical tests to run (given the circumstances) and performing the statistical software steps correctly. There are several types of decision trees you can use to select a statistical test, but we will look at just one type in this assignment.
    At the most fundamental level, statistical tests are usually chosen according to:
    – The nature of the data you have collected to answer the research question in your study (nominal, ordinal, or interval/ratio).
    – The number of samples being analyzed for a given variable (often described by groupings).
    – What you wish the test to do (find differences between samples/groups, explore relationships between variables, make predictions using different variables).
    Before choosing a test for interval/ratio data, there is one final characteristic of the data that must be determined, which is whether the data is "normally" distributed. If the data distribution violates the assumption of normality, a nonparametric equivalent test must be selected for the analysis.
    There are many other issues that can influence the analytical technique (sample size, variability of the data, inter-relatedness of the variables, et cetera), but these challenges are for another time, another course.
    ## **Preparation**
    You are encouraged to review the _t_-test and ANOVA materials from previous weeks. Then, examine How to Choose a Statistical Test and the test-selection tutorials linked in the Resources to determine which statistical test is most likely to be appropriate for your data type.
    ## **Instructions**
    Use the Framingham study data set to perform and interpret statistical tests that answer the following research questions. Then, provide a written analysis of your results.
    Q1- Smoking and total cholesterol: First, test the normal distribution assumption and select the appropriate statistical analysis path. Next, compare smokers and nonsmokers (variable: cursmoke1) in the Framingham study to determine whether there was a significant difference in baseline cholesterol levels (variable: totchol1).
    Q2- BMI categories and baseline glucose levels: First, without testing for the assumption of a normal distribution of data, test for the equality of variances and select the appropriate statistical analysis path. Then, use the categorical variable BMI, which has four BMI categories (variable:
    bmiCat1) to compare baseline glucose levels (variable: glucose1) to determine if there is a significant difference across these four BMI categories.
    Q3- Smoking and heart rate: First, test the normal distribution assumption and select the appropriate statistical analysis path. Next, determine whether there is a significant difference in baseline heart rate (variable: heartrte1) between smokers and nonsmokers.
    ### **Written Analysis Format and Length**
    Format your analysis using APA style.
    – An APA Style Paper Tutorial is provided to help you in writing and formatting your analysis.
    – Your analysis should be 2–3 pages long, not including the title and references pages.
    **Note:** The requirements outlined below correspond to the grading criteria in the rubric. Be sure that your statistical analysis addresses each point, at a minimum. You may also want to read the Testing to Find Differences Between Groups rubric to understand better how each criterion will be assessed.
    – Perform the appropriate statistical tests (based on the assumption test).
    – Provide your rationale for test selection.
    – Interpret the results of your statistical tests ( _t_ tests, ANOVA) for each research question.
    – Consider associated caveats and limitations.
    – Determine the practical, public health-related implications of your statistical tests' results ( _t_ tests, ANOVA).
    – What evidence do you have that validates your conclusions?
    – Write clearly and concisely, using correct grammar, mechanics, and APA formatting.
    – Write for an academic audience, using appropriate statistical terminology, style, and form.
    – Express your main points and conclusions coherently.
    – Proofread your writing to minimize errors that could distract readers and make it more difficult for them to focus on the substance of your statistical analysis.
    ## **Submission Instructions**
    – Include the test results and associated graphics in your written analysis (copied from the output and pasted into a Word document).
    – Submit both the Word document and the .jasp file that shows your analyses and output for this assignment. Make sure you save your .jasp file after running your analyses to ensure you are uploading your output.
    ## **Resources**
    **Use this file for this week's assignment.** [Framingham Week 4 [XLSX]](https://courseroom.capella.edu/courses/50611/files/9838124/download)
    – [Framingham Heart Study Longitudinal Data Documentation [PDF]](https://courseroom.capella.edu/courses/50611/files/9838098/download).
    – [APA Style Paper Tutorial [DOCX]Links to an external site.](https://lat.strategiced.com/redirect?linkid=4243).
    – [Choosing the Right Statistical Test](http://media.capella.edu/CourseMedia/NHS8070/ChoosingRightStatisticalTest/NHS8070_Choosing.asp).
    – [Statistical Tests](http://media.capella.edu/CourseMedia/PSYC4600/StatisticalTests/wrapper.asp#tab1).
    – [Framingham Study [ZIP]](https://courseroom.capella.edu/courses/50611/files/9838117/download).
    – [How to Choose a Statistical Test [PPTX].](https://courseroom.capella.edu/courses/50611/files/9838108/download)

  • [Solved] mind map

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  • [Solved] peer discussion

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    – ## PEERSRESPOND6675WEEK9.docx **## PEERSRESPOND6675WEEK9.docx** Daniel G Prescribing for Older Adults: Major Depressive Disorder (MDD) in Older Adults FDA-Approved Drug Sertraline, a selective serotonin reuptake inhibitor (SSRI), is an FDA-approved first-line option for MDD in older adults. Resear…

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    – ## PEERSRESPOND6675WEEK9.docx

    **## PEERSRESPOND6675WEEK9.docx**

    Daniel G

    Prescribing for Older Adults: Major Depressive Disorder (MDD) in Older Adults

    FDA-Approved Drug

    Sertraline, a selective serotonin reuptake inhibitor (SSRI), is an FDA-approved first-line option for MDD in older adults.  Research shows that sertraline has the best safety profile for potential drug–drug interaction with older adults’ medications compared to tricyclics and monoamine oxidase inhibitors (MAOIs) and is well tolerated when started low and titrated slowly (Jaros et al., 2024).

    Off-Label Drug

    For treatment-resistant cases or severe/refractory depression, the off-label use of repeated intravenous ketamine infusion (or clinic-administered ketamine protocols) a rapid-acting antidepressant strategy can be used.  While, evidence for older adults is limited, early studies and pilot data suggest potential benefits with attention to cardiovascular, cognitive, and urinary risks (Srifuengfung et al., 2023).

    Non-Pharmacological Intervention

    Problem-Solving Therapy (PST) for late life depression, including home-based or case-management and PST adaptations, has demonstrated consistent randomized controlled trial evidence for reduction of depressive symptoms and improvement of functioning in older adults, even those with executive dysfunction and limited access to services (Shang et al., 2023).

    Risk Assessment to Inform Treatment Decisions

    In older adult populations, a structured risk assessment is necessary before any pharmacological treatment is begun. The risk assessment should include, first, comorbidity & organ function screening, which should review cardiac history, blood pressure control, orthostatic hypotension, renal and hepatic function, and urinary symptoms. (Older adults have decreased renal/hepatic clearance and higher sensitivity to adverse effects) (Malhi et al., 2023). Second, medication reconciliation and drug-drug interactions should be done since, older adults are frequently on multiple agents (polypharmacy). Third, baseline cognition, orthostasis, and fall risk (antidepressants and rapid-acting agents can affect balance, blood pressure, or cognition) should also be assessed. Fourth, for ketamine, pre-treatment cardiovascular assessment should be done given transient hypertension and tachycardia reported with ketamine infusions. Finally, suicide risk assessment should be carried out and urgent referral or higher level of care if imminent risk (Malhi et al., 2023).

    Risks and Benefits

    Sertraline

    Benefits: It is well-studied in older adults; generally favorable tolerability; lower anticholinergic and cardiotoxic effects than TCAs; effective for depressive symptoms and anxiety comorbidity (Jaros et al., 2024).

    Risks: It can lead to gastrointestinal upset, hyponatremia (SIADH) particularly in the elderly, increased bleeding risk with concomitant anticoagulants/NSAIDs, possible sexual side effects, and potential for drug–drug interactions (Jaros et al., 2024).

    IV Ketamine

    Benefits: Compared with treatment resistant depression, many experience quicker antidepressant effects (hours to days) as well as reduction in suicidal ideation especially when other methods slow down. There is credible and increasing supportive literature on its use for older adults under close supervision (Srifuengfung et al., 2023).

    Risks: Transient hypertension and tachycardia during dosing, dissociative and perceptual disturbances, potential cognitive effects, urinary adverse effects with repeated exposure, potential for misuse/abuse, and incomplete long-term safety data in geriatric populations (Srifuengfung et al., 2023).

    Clinical Practice Guidelines and Justification

    Primary care and psychiatric guidance commonly recommend SSRIs such as sertraline or escitalopram as first-line agents in older adults because of tolerability and evidence base; sources supporting these recommendations include AAFP reviews and geriatric psychiatry reviews (Jaros et al., 2024). This justifies selecting sertraline as a first-line pharmacologic option. IV racemic ketamine remains an off-label option and is supported by growing but still limited evidence in older adults; specialty consultation, risk-benefit discussion, and facility-level monitoring protocols are recommended before use (Srifuengfung et al., 2023).

    KELLY E L

    Bipolar Disorder in Pregnancy

    FDA-Approved Pharmacotherapy

         Lamotrigine is an FDA-approved mood stabilizer commonly used for maintenance treatment in bipolar disorder and is considered one of the safest options during pregnancy (Jin, 2022). Lamotrigine is particularly effective for those patients with a higher prevalence of depressive episodes, and is effective during pregnancy and postpartum to prevent relapse of symptoms (Hasser et al., 2024).

    Off-Label Pharmacotherapy

         A medication that may be used off-label in bipolar disorder is sertraline. It has been established to be largely safe to use in pregnancy (Singh & Deep, 2022). It is particularly used in bipolar depression, when mood stabilizers are contraindicated or poorly tolerated.

    Nonpharmacologic Intervention

         Nonpharmacologic interventions that can be used during pregnancy for bipolar disorder include cognitive behavioral therapy (CBT), interpersonal and social rhythm therapy, and light therapy (Bhat, n.d).

    Risk Assessment

         To inform treatment decisions for a pregnant patient with bipolar disorder, it is recommended to use a comprehensive perinatal psychiatric risk assessment that includes suicide risk, risk of relapse, and medication teratogenicity. The Edinburgh Postnatal Depression Scale (EPDS) screens for perinatal depression but also flags bipolar symptoms when scores are high and atypical (Bradley et al., 2025). The recommendation is to utilize this tool at the initial prenatal visit, third trimester, and postpartum. Additional tools include the C-SSRS to assess suicidal ideation and behavior, and should be used for any patient with mood instability during pregnancy (Bhat, n.d). To guide medication decisions during pregnancy or lactation, providers must weigh the risks of untreated psychiatric illness against potential harms like birth defects and neurodevelopmental issues. While each case is unique, experts generally agree that continuing medication often offers greater benefits, especially for patients with a history of severe illness.

    Risks and Benefits of Lamotrigine

         Lamotrigine is generally considered safe for use during pregnancy in patients with bipolar disorder, particularly when used as monotherapy, and has not been associated

    with a significant increase in major congenital malformations (The Organization of Teratology Information Specialists, 2025). However, its clearance increases during pregnancy, which may reduce serum levels and heighten relapse risk, making therapeutic drug monitoring essential (Nonacs, 2021). While early concerns about neural tube defects existed, more recent data suggest minimal teratogenic risk when lamotrigine is used alone.

    Risks and Benefits of Sertraline

         Sertraline, a selective serotonin reuptake inhibitor (SSRI), is commonly prescribed during pregnancy due to its relatively low teratogenic risk. A large population-based study found no significant association between sertraline use in early pregnancy and major birth defects, supporting its safety when used as monotherapy (Anderson et al., 2020). Although SSRIs may be linked to neonatal adaptation syndrome, characterized by transient symptoms such as jitteriness or respiratory distress, these effects are typically mild and self-limiting.

    Clinical Practice Guidelines

         There are clinical practice guidelines for bipolar disorder by the Veterans’ Administration (VA). In regards to sertraline, recommendation number 14 states that there is insufficient evidence for or against using sertraline, but the research results indicate little to no effectiveness, and a risk of switching to mania (Department of Veterans Affairs, 2023). The VA suggests against lamotrigine as monotherapy for the prevention of recurrence of mania, but recommends it for the prevention of recurrence of bipolar depressive episodes (2023). These recommendations are not specific to pregnancy, but it does list specific recommendations specific to pregnancy that include valproate, carbamazepine, and topiramate in women of childbearing potential, and continuing lithium low-dose in women who are or may become pregnant (Department of Veterans Affairs, 2023).

    Respond to at least two of your colleagues on 2 different days who selected different disorders. Propose an alternative on-label, off-label, or nonpharmacological treatment for the disorders. Justify your suggestions with at least two references to the literature.

    **## PEERSRESPOND6675WEEK9.docx**

    Daniel G

    Prescribing for Older Adults: Major Depressive Disorder (MDD) in Older Adults

    FDA-Approved Drug

    Sertraline, a selective serotonin reuptake inhibitor (SSRI), is an FDA-approved first-line option for MDD in older adults.  Research shows that sertraline has the best safety profile for potential drug–drug interaction with older adults’ medications compared to tricyclics and monoamine oxidase inhibitors (MAOIs) and is well tolerated when started low and titrated slowly (Jaros et al., 2024).

    Off-Label Drug

    For treatment-resistant cases or severe/refractory depression, the off-label use of repeated intravenous ketamine infusion (or clinic-administered ketamine protocols) a rapid-acting antidepressant strategy can be used.  While, evidence for older adults is limited, early studies and pilot data suggest potential benefits with attention to cardiovascular, cognitive, and urinary risks (Srifuengfung et al., 2023).

    Non-Pharmacological Intervention

    Problem-Solving Therapy (PST) for late life depression, including home-based or case-management and PST adaptations, has demonstrated consistent randomized controlled trial evidence for reduction of depressive symptoms and improvement of functioning in older adults, even those with executive dysfunction and limited access to services (Shang et al., 2023).

    Risk Assessment to Inform Treatment Decisions

    In older adult populations, a structured risk assessment is necessary before any pharmacological treatment is begun. The risk assessment should include, first, comorbidity & organ function screening, which should review cardiac history, blood pressure control, orthostatic hypotension, renal and hepatic function, and urinary symptoms. (Older adults have decreased renal/hepatic clearance and higher sensitivity to adverse effects) (Malhi et al., 2023). Second, medication reconciliation and drug-drug interactions should be done since, older adults are frequently on multiple agents (polypharmacy). Third, baseline cognition, orthostasis, and fall risk (antidepressants and rapid-acting agents can affect balance, blood pressure, or cognition) should also be assessed. Fourth, for ketamine, pre-treatment cardiovascular assessment should be done given transient hypertension and tachycardia reported with ketamine infusions. Finally, suicide risk assessment should be carried out and urgent referral or higher level of care if imminent risk (Malhi et al., 2023).

    Risks and Benefits

    Sertraline

    Benefits: It is well-studied in older adults; generally favorable tolerability; lower anticholinergic and cardiotoxic effects than TCAs; effective for depressive symptoms and anxiety comorbidity (Jaros et al., 2024).

    Risks: It can lead to gastrointestinal upset, hyponatremia (SIADH) particularly in the elderly, increased bleeding risk with concomitant anticoagulants/NSAIDs, possible sexual side effects, and potential for drug–drug interactions (Jaros et al., 2024).

    IV Ketamine

    Benefits: Compared with treatment resistant depression, many experience quicker antidepressant effects (hours to days) as well as reduction in suicidal ideation especially when other methods slow down. There is credible and increasing supportive literature on its use for older adults under close supervision (Srifuengfung et al., 2023).

    Risks: Transient hypertension and tachycardia during dosing, dissociative and perceptual disturbances, potential cognitive effects, urinary adverse effects with repeated exposure, potential for misuse/abuse, and incomplete long-term safety data in geriatric populations (Srifuengfung et al., 2023).

    Clinical Practice Guidelines and Justification

    Primary care and psychiatric guidance commonly recommend SSRIs such as sertraline or escitalopram as first-line agents in older adults because of tolerability and evidence base; sources supporting these recommendations include AAFP reviews and geriatric psychiatry reviews (Jaros et al., 2024). This justifies selecting sertraline as a first-line pharmacologic option. IV racemic ketamine remains an off-label option and is supported by growing but still limited evidence in older adults; specialty consultation, risk-benefit discussion, and facility-level monitoring protocols are recommended before use (Srifuengfung et al., 2023).

    KELLY E L

    Bipolar Disorder in Pregnancy

    FDA-Approved Pharmacotherapy

         Lamotrigine is an FDA-approved mood stabilizer commonly used for maintenance treatment in bipolar disorder and is considered one of the safest options during pregnancy (Jin, 2022). Lamotrigine is particularly effective for those patients with a higher prevalence of depressive episodes, and is effective during pregnancy and postpartum to prevent relapse of symptoms (Hasser et al., 2024).

    Off-Label Pharmacotherapy

         A medication that may be used off-label in bipolar disorder is sertraline. It has been established to be largely safe to use in pregnancy (Singh & Deep, 2022). It is particularly used in bipolar depression, when mood stabilizers are contraindicated or poorly tolerated.

    Nonpharmacologic Intervention

         Nonpharmacologic interventions that can be used during pregnancy for bipolar disorder include cognitive behavioral therapy (CBT), interpersonal and social rhythm therapy, and light therapy (Bhat, n.d).

    Risk Assessment

         To inform treatment decisions for a pregnant patient with bipolar disorder, it is recommended to use a comprehensive perinatal psychiatric risk assessment that includes suicide risk, risk of relapse, and medication teratogenicity. The Edinburgh Postnatal Depression Scale (EPDS) screens for perinatal depression but also flags bipolar symptoms when scores are high and atypical (Bradley et al., 2025). The recommendation is to utilize this tool at the initial prenatal visit, third trimester, and postpartum. Additional tools include the C-SSRS to assess suicidal ideation and behavior, and should be used for any patient with mood instability during pregnancy (Bhat, n.d). To guide medication decisions during pregnancy or lactation, providers must weigh the risks of untreated psychiatric illness against potential harms like birth defects and neurodevelopmental issues. While each case is unique, experts generally agree that continuing medication often offers greater benefits, especially for patients with a history of severe illness.

    Risks and Benefits of Lamotrigine

         Lamotrigine is generally considered safe for use during pregnancy in patients with bipolar disorder, particularly when used as monotherapy, and has not been associated

    with a significant increase in major congenital malformations (The Organization of Teratology Information Specialists, 2025). However, its clearance increases during pregnancy, which may reduce serum levels and heighten relapse risk, making therapeutic drug monitoring essential (Nonacs, 2021). While early concerns about neural tube defects existed, more recent data suggest minimal teratogenic risk when lamotrigine is used alone.

    Risks and Benefits of Sertraline

         Sertraline, a selective serotonin reuptake inhibitor (SSRI), is commonly prescribed during pregnancy due to its relatively low teratogenic risk. A large population-based study found no significant association between sertraline use in early pregnancy and major birth defects, supporting its safety when used as monotherapy (Anderson et al., 2020). Although SSRIs may be linked to neonatal adaptation syndrome, characterized by transient symptoms such as jitteriness or respiratory distress, these effects are typically mild and self-limiting.

    Clinical Practice Guidelines

         There are clinical practice guidelines for bipolar disorder by the Veterans’ Administration (VA). In regards to sertraline, recommendation number 14 states that there is insufficient evidence for or against using sertraline, but the research results indicate little to no effectiveness, and a risk of switching to mania (Department of Veterans Affairs, 2023). The VA suggests against lamotrigine as monotherapy for the prevention of recurrence of mania, but recommends it for the prevention of recurrence of bipolar depressive episodes (2023). These recommendations are not specific to pregnancy, but it does list specific recommendations specific to pregnancy that include valproate, carbamazepine, and topiramate in women of childbearing potential, and continuing lithium low-dose in women who are or may become pregnant (Department of Veterans Affairs, 2023).

    Respond to at least two of your colleagues on 2 different days who selected different disorders. Propose an alternative on-label, off-label, or nonpharmacological treatment for the disorders. Justify your suggestions with at least two references to the literature.