Biennial Report

In this biennial report, we are proud to share with you some of our biggest accomplishments of the past two years.

Between 2023 and 2025, WSNA grew our membership and impact.

We made great gains in our contracts and strengthened our ties with local labor leaders and our national union, AFT. We shined a bright light on the youth mental health crisis, gained justice for internationally-experienced nurses, increased our political impact, and had the most well-attended Union Leadership Conference in our history.

We produced continuing education materials, webinars, and several resources on the issues facing nursing today — safe staffing, workplace violence, meal and rest breaks, mandatory overtime, PTSD, health equity, and self-care. We increased engagement with members through a popular monthly newsletter and were an integral part of working with student nurses and the Washington State Nurses Foundation.

This report looks at major accomplishments toward our strategic priorities:

• Champion safe staffing
• Strengthen our political presence and impact
• Increase organizational vitality and growth
• Increase engagement and involvement in the Washington labor movement
• Advance a culture of inclusivity in nursing

Congratulations to all of us for moving our profession forward and the successes of the past two years. We are now stronger than ever.

WSNA will use innovative modalities to educate on staffing laws and prepare nurses to speak publicly to inform communities on the importance of safe staffing. We will strengthen contract language on staffing and address the links between unsafe staffing and workplace violence. We will collect and analyze data to identify the successes of and barriers to implementation of the 2023 staffing law.

Safe staffing as a principle does not stand alone. It is linked to patient safety, worker/workplace safety, adequate meal and rest breaks, overtime protections, and the well-being of healthcare workers. WSNA is a leader in efforts to achieve safety and quality-care delivery.

We have worked collaboratively to move safe staffing forward and to educate nurses on new laws, including safe staffing, meal and rest breaks, mandatory overtime protections, and presumptive eligibility for post-traumatic stress disorder.

While we have made great progress, there is more to be done.

• Our 2025 Convention includes panel discussions on safe staffing and workplace violence prevention, in addition to an expert speaker on workplace incivility.
• WSNA authored a dozen Info to Go sheets for members about laws on safe staffing, meal and rest breaks, mandatory overtime, and PTSD. Find these materials, presentations, and more listed on wsna.org under Nursing Practice or Safe Staffing.

2023 staffing law

• In August 2023, WSNA named two members to the Hospital Staffing Advisory Committee, which advises the Department of Health and the Department of Labor & Industries on many elements of the 2023 Safe Staffing Law. The WSNA members are Executive Director David Keepnews and Duncan Camacho, a nurse at PeaceHealth Southwest in Vancouver. Our alternates are Dawn Marick, also from PeaceHealth Southwest, and WSNA Lead Nurse Representative Barb Friesen.
• WSNA’s Director of Nursing Practice Gloria Brigham worked closely with her counterpart at the Washington State Hospital Association (WSHA) and our coalition partners — SEIU 1199NW and UFCW 3000 — to provide education and resources related to these laws.
• WSNA and WSHA collaborated in developing the Washington Hospital Staffing Committee Charter Template to support the structure and function of hospital staffing committees as required by state law. The template was approved by coalition members in April 2024. Find this resource on wsna.org under Nursing Practice or Safe Staffing.
• WSNA and WSHA facilitated three roundtable discussions for co-chairs of hospital staffing committees to learn more about the current state of committees — what is going well, opportunities for improvement, and resources/education to support continued growth. The roundtables, held in February and March 2025, were attended by 50 hospital staffing committee co-chairs.
• WSNA and WSHA worked together to produce and record an educational overview of the 2023 Safe Staffing Law explaining key information about the law. The PowerPoint presentation was finalized and approved by coalition members in February 2024. In August 2024, WSNA launched “2023 Hospital Staffing Law,” an online learning module worth 1.0 contact hours that provides in-depth learning to WSNA members on key elements of the law. Find this resource at cne.wsna.org.

Post-traumatic stress disorder

• WSNA partnered with state Sen. Annette Cleveland (D-Vancouver), a former hospital administrator and chair of the Senate Health Care Committee, to pass a bill (SB 5454) in 2023 that allows nurses to file claims for PTSD based on work exposure. The law, effective Jan. 1, 2024, establishes a presumptive eligibility standard for nurses suffering from PTSD, facilitating access to care and workers’ compensation benefits.
• WSNA hosted a presentation from Labor & Industries to inform members about the new law. Find this resource under Nursing Practice.
• In addition, WSNA published an article in The Washington Nurse on how a WSNA nurse representative was the impetus for this bill, as well as an article on how nurses can make a claim.

Workplace violence

• WSNA published an article on the “Essentials of Workplace Violence Prevention” in The Washington Nurse eligible for one continuing nursing education contact hour. This included guidance on responding when injured on the job. This article is available on cne.wsna.org for contact hour credit.
• WSNA created a workplace violence bundle on the learning management system that groups all WSNA workplace violence CNE education in one place.
• In June 2024, WSNA hosted a “To Report or Not to Report: Considerations if You Become a Victim of Workplace Violence” webinar for 1.5 CNE contact hours. This content was later re-released as a 1.75 CNE module on the learning management system.
• In November and December 2023, WSNA received widespread local and national news coverage highlighting the staffing crisis on the Psychiatry and Behavioral Medicine Unit of Seattle Children’s Hospital. Nurses and other staff experienced injuries and police were called to help. WSNA also filed a complaint with the Department of Occupational Safety & Health (DOSH), citing the ongoing pattern of violence and the hospital’s failure to provide a safe working environment, and DOSH cited the hospital. These efforts led to better staffing, more security, and greater awareness of the youth mental health crisis.
• In November 2023, WSNA nurses at Virginia Mason Medical Center negotiated a first-of-its-kind pilot program for weapons detection systems and mandatory visitor registration. This became permanent in January 2025. Building on this success, nurses at St. Joseph Medical Center in Tacoma secured a program with a weapons detector in the emergency room.
• Following these victories, CommonSpirit, the parent corporation of Virginia Mason and St. Joseph Tacoma, announced in January 2025 that the company was implementing a visitor management system across all 137 hospitals and making significant steps toward implementing weapons detection systemwide. CommonSpirit employs around 45,000 nurses across the system, meaning the safety improvements secured by our WSNA siblings at Virginia Mason and St. Joseph’s will make workplaces safer for tens of thousands of other healthcare workers.

Meal, rest breaks, overtime

• WSNA hosted a staff in-service presentation by Carl Backen of the Department of Labor & Industries in July 2024 that included a review of regulations related to meal breaks, rest breaks, and overtime protections.
• In March 2025, WSNA reported on hospitals’ compliance with the meal and rest breaks law implemented in July 2024. Our story in The Washington Nurse was based on the first required quarterly reports from hospitals on meal and rest breaks provided to the Department of Labor & Industries. While data from L&I stated that nearly all hospitals achieved 80% compliance, a survey included in the article found that members were still struggling to get their breaks. More than 250 people took the survey.

Other

• In August 2024, WSNA hosted practice consultants from the Washington State Board of Nursing for a webinar presentation on “RN-LPN Scope of Practice,” with 1.0 contact hours available.
• For self-care, we created a popular webinar in February 2025 on the benefits of aromatherapy. At our conventions in 2023 and 2025, we included speakers on how to keep yourself emotionally healthy.

WSNA will increase member involvement in political and legislative activities to build nurses’ power. We will advocate for public policy that improves nursing practice, nurses’ working conditions, and workplace safety while supporting efforts to improve access to safe, quality, and equitable care. We will strive to increase resources available to the WSNA Political Action Committee and facilitate members’ access to policy makers, engaging key legislators and other stakeholders. We will work to have more nurses elected and appointed to public office.

WSNA has grown its political presence and impact in several ways. We have greatly increased the power of the WSNA Political Action Committee (WSNA PAC) by growing our base of recurring contributors. We have developed relationships with the new governor, new attorney general, and new insurance commissioner, as well as dozens of newly elected legislators while reinforcing our relationships with incumbent lawmakers. Our annual Lobby Day is a popular annual event invigorated with guest speakers.

• The WSNA PAC has grown by 800% from May 2023 through March 2025, by increasing the number of recurring donors from 20 in May 2023 to more than 160 in March 2025.
• WSNA union members at some facilities now can opt in to donating to the WSNA PAC by payroll deduction when they join as members of WSNA due to bargaining teams leaning into the importance of a robust PAC.
• We rolled out a program called “PAC Champions” to engage nurses to encourage other nurses on the importance of PAC donations. We now have 13 PAC champions and growing.
• We created tote bags for members that say “Build Nurse Power” to help promote WSNA PAC. We also have limited edition PAC Champion travel mugs for the first 50 nurses who volunteer to become PAC Champions.
• During the 2024 election season, the WSNA PAC endorsed 89 candidates — four in statewide positions and the remainder in state legislative races (two endorsed candidates in these state legislative races were nurses). The PAC contributed $15,800 to 53 of the candidates.
• We have made it easier for nurses and nursing students to learn how to advocate to their legislators by putting our Introduction to Legislative Advocacy (formerly known as Advocacy Camp) presentation online. Now, anyone can watch for free. The presentation is updated at the beginning of the state legislative session every January.
• WSNA has supported and pushed for several public policy issues over the biennium including safe staffing, the prevention of workplace violence, an oversight process for mergers and acquisitions in healthcare, unemployment insurance for striking or locked out workers, and more. For more details, see End of Session reports.
• 2023 was a big legislative year for WSNA with the passing of the Safe Staffing Law and the PTSD eligibility bill.
• In 2024, WSNA had four legislative priorities led by partner organizations which WSNA supported: ARNP parity, lifting the property tax cap, a standing order for medication for school nurses, and Keep Our Care Act relating to oversight of mergers and acquisitions. One bill passed — allowing school nurses to administer the emergency medication epinephrine or epinephrine injectors.
• During the 2025 legislative session, WSNA had five legislative priorities: preventing workplace violence in healthcare settings, oversight of mergers and acquisitions, unemployment insurance for striking workers, providing mentors for novice nurses, and ARNP reimbursement. (Session was still going at the time of this report.)

In the 2025 legislative session nurses rallied in opposition to a bill (HB 1220) that would have created an exemption for felony assault on healthcare workers when an assault is carried out by someone detained or pending an evaluation for detention for behavioral health disorders. More than 500 nurses in just 24 hours responded to an action alert in opposition to this bill and emailed their representatives asking them to not support it. This level of legislative engagement is unprecedented in recent WSNA history. This bill was ultimately not brought forward to the full house for a vote and did not continue any further.

• WSNA is part of the United Labor Lobby, a coalition of union lobbyists and advocates in Washington state who collaborate to advance pro-worker policies. Members meet regularly at the Washington State Labor Council’s Olympia office during the legislative session to share updates on bills and issues, strategize, and support each other’s efforts.
• WSNA’s annual Lobby Day event in Olympia had an estimated 75 attendees in 2024 and 85 attendees in 2025. We have received positive feedback from participants on overall organization of the event, presentation of helpful information, and overall enjoyment.
• WSNA participates in the Washington State Labor Council’s Committee on Political Education (COPE), where we engage in the process of endorsing various candidates running for office. Candidates endorsed at this meeting can point to their support from the Washington state labor movement.
• In the 2024 elections, the WSNA Board of Directors voted to endorse Kamala Harris for president of the United States. WSNA emphasized the critical implications of the election for nursing, healthcare, and labor, stating that remaining neutral would contradict our role as patient advocates. This marked the first presidential endorsement in WSNA’s 121-year history.

WSNA will foster a culture of transparency while optimizing resources, effective use of staff, and financial stewardship. We will increase our financial and operational efficiency, enhancing financial performance to ensure long-term sustainability and growth. We will focus on continued membership expansion through organizing, recruitment, and retention while developing leaders with a particular focus on historically underrepresented groups.

WSNA grew significantly in the biennium. As hospitals resumed hiring post-pandemic, WSNA nurse reps, organizers, and local unit officers introduced newly hired nurses to WSNA and reached out to experienced nurses to emphasize the importance of membership. They have been successful in bringing new members in and increasing density of local units throughout the state. Our success in winning strong contracts and our advocacy in Olympia in Olympia are active pulls.

• Our membership grew from 15,818 in March 2023 to 18,937 in March 2025. WSNA now represents over 21,000 nurses for collective bargaining — the largest we have even been.
• Our biennial Union Leadership Conference had record attendance, and we outgrew our venue in Chelan. The 2026 conference will be held at the Wenatchee Convention Center.
• In 2023, we welcomed a new local unit when nurses at the Mares Campus of Confluence Health (formerly Wenatchee Valley Hospital) voted in WSNA to represent them.
• We also welcomed new groups of nurses at several other WSNA-represented hospitals: PeaceHealth Saint Joseph Bellingham – palliative care; VMFH Saint Joseph Tacoma – lactation consultants; Confluence Central Washington Hospital – infusion and nurse navigators; MultiCare Mary Bridge – NICU per diems; PeaceHealth Southwest – infusion nurses, UW Medicine Montlake and Northwest – nurse care coordinators; Virginia Mason – wound ostomy nurses.
• Over the last two years, WSNA-represented nurses secured 26 successor contracts across every part of the state. Those contracts paved the way for better conditions at work, better patient care, and better lives outside of work. Each contract breakthrough helped lay the foundation for the next. When one WSNA local unit succeeds, it builds power for all nurses.
• After WSNA issued the first strike notice to management in decades, nurses at Virginia Mason Franciscan Health St. Joseph Medical Center in Tacoma secured an historic contract in December 2024. One especially noteworthy provision creates a required number of break nurses. This requires 26 nurses whose only assignment will be caring for patients so the assigned nurse can take an uninterrupted break.
• After 19 bargaining sessions, an informational picket and a workplace safety complaint filed with the Department of Labor and Industry, nurses at Virginia Mason Medical Center in Seattle negotiated a powerful contract in November 2023. Nurses secured significant wage increases, improved staffing language, and workplace violence protections, including the first weapons detectors in the 137-hospital system.
• Nurses at PeaceHealth Southwest in Vancouver, backed by strong community support, secured significant pay increases and workplace improvements in May 2024. One provision that nurses fought for was stronger charge nurse language that includes incentives to place the most qualified nurses on charge, a new training program, a hiring process that gives nurses a voice in charge nurse selection, and a $4 per hour premium for charge nurses.
• Within hours after voting to authorize a strike, nurses at MultiCare Good Samaritan Hospital in Puyallup secured a new contract in June 2023 that included double-digit raises, ratification bonuses and improved language for staffing.
• WSNA, as a home for all nurses, is working on expanding our numbers of individual members — nurses not represented by WSNA for collective bargaining. We created a two-minute marketing video titled “We’ve had your back since 1908.” The video was shown at a nurses’ fair at McChord Air Force Base.
• We published a detailed timeline of WSNA’s accomplishments since 1908 in The Washington Nurse. The 11-page timeline is a great resource and can be reprinted as a stand-alone piece.
• In March 2025, WSNA received full re-accreditation as an Accredited Provider of Continuing Nursing Education by the American Nursing Credentialing Center Commission on Accreditation. This full accreditation allows WSNA to continue to provide CNE contact hours for its educational offerings through July 2029.
• To better support the learning needs of WSNA members, the WSNA Learning Management System will undergo a site refresh in summer 2025.
• WSNA provides in-kind and staff support to the Nursing Students of Washington State, the state constituent of the National Student Nurses Association. After nearly folding during the COVID-19 pandemic, NSWS rebounded strongly, doubling membership just this year. Appointed state consultants are WSNA Education Director Megan Kilpatrick and Yakima Valley College Director of Nursing Wendy Blakely. The 2025 NSWS Convention will be held at the Greater Tacoma Convention Center on May 3 right after WSNA’s convention.

Building on nurses’ collective power as the most trusted profession, WSNA will strengthen collaboration with our labor partners and foster connections with central labor councils. We will work to increase members’ understanding of the labor movement and WSNA’s role in it.

As consolidation and profit-seeking further squeeze healthcare and the U.S. economy, it is more important than ever for all working people to act in solidarity. Over the last two years, WSNA has continued to deepen ties with the labor movement in Washington state and through our national union, AFT. Our members, by linking with labor partners, have a stronger voice for our profession and patients.

• In September 2024, the Labor Executive Council, WSNA’s statewide union-elected governing body for collective bargaining, adopted a plan to fully affiliate all WSNA local units with their local Central Labor Councils (CLCs) over the next three years. Central Labor Councils are the grassroots of the union movement. They mobilize union members to advance working people’s interests at the local and regional level and to support one another’s fights. Affiliation means our local units can send delegates to their local CLC meetings, vote on CLC initiatives, network with other union leaders, and have a voice in local policy issues. It also provides opportunities to mobilize the rest of the labor movement behind WSNA’s contract campaigns and organizing drives.
• Prior to the Labor Executive Council adopting the CLC affiliation plan, just 18 of 48 WSNA local units were members of their Central Labor Councils. Now, all WSNA local units are full members of their CLC, and WSNA union members are eligible to participate in CLC programs and actions.
• To ensure that every WSNA local unit can fully affiliate with and integrate into their CLC, the Labor Executive Council moved to invest from its discretionary budget to pay affiliation per capita fees for every local unit. Before this, WSNA local units were each responsible to pay their own per capita dues to join a CLC, which for many was a barrier to fully integrating into their local labor community through CLC membership.
• Local units affiliated with their CLCs have seen the benefits, especially in turning out broad labor support for their campaigns, such as the informational picket lines at Virginia Mason, Good Samaritan, Seattle Children’s, St. Joseph Tacoma, and PeaceHealth Southwest. When WSNA protested the closure of the children’s mental health unit at Providence Sacred Heart Medical Center in Spokane, other union members and CLC leaders were there in support. In some CLCs, WSNA members hold elected leadership positions.
• Each local unit is now eligible to select and begin sending delegates to represent the local unit at their CLC. Over the course of the next three years, the Labor Executive Council will increase its financial commitment so that by January 2027 WSNA local units will be full participating partners in the labor movement at the national, state, and local levels.

• In February 2023, WSNA Executive Director David Keepnews was reappointed as a vice president of the Washington State Labor Council (WSLC), AFL-CIO, our state’s federation of unions that sets priorities for the Washington state labor movement and works to advocate for and advance the interests of working people throughout the state.
• In July 2024, Keepnews was elected as a national vice president of AFT, joining the Executive Council of our national union. In October 2024, Keepnews wrote an editorial for The Washington Nurse on why affiliating with AFT is one of the best decisions WSNA ever made.
• As a member of the WSLC’s United Labor Lobby, WSNA has played an important role in championing important legislative drives in Olympia, such as legislation to allow striking workers to access unemployment benefits. WSNA has strongly supported this legislation, and we look forward to the day when it is signed into law.
• WSNA has also partnered with other statewide healthcare unions, UFCW 3000 and SEIU 1199NW, to ensure full implementation of safe staffing and meal and rest break laws, build connections with other workers in our facilities, and fight for our common priorities. Our three unions work together in the Washington Safe+Healthy coalition to advance safe staffing. We are also working in coalition to support one another as we each bargain for new contracts with Providence Health facilities throughout the state.
• We actively supported our siblings in the Oregon Nurses Association in their historic 46-day strike against Providence facilities in their state, with members and staff participating in picket lines and contributing to their strike fund.
• We continue to expand our collaboration with AFT-Washington, which represents faculty and staff in community and technical colleges throughout the state. We joined with AFT-WA at an AFT rally in Yakima in October 2024, welcoming AFT President Randi Weingarten and Executive Vice-President Evelyn DeJesus, who were touring the country to get out the vote in the 2024 elections. WSNA joined with AFT-WA in supporting an AFT National Day of Action on March 4, 2025, by holding an action in Lynnwood to oppose federal cuts in education and Medicaid. WSNA and AFT-WA also participated in the Seattle “Hands Off” protest on April 5, 2025.

WSNA will boldly embrace our commitment to antiracism. We will strive to reduce systemic racism and to achieve a more diverse nursing workforce that reflects the communities we serve. We will develop and engage internal affinity groups while strengthening and expanding our ties with specialty and labor organizations advocating for diversity, equity, inclusivity, belonging, and justice.

In light of recent attacks on efforts to advance diversity, equity, and inclusion, WSNA is more committed than ever to our goal for a more just and equitable world. We made historic gains in labor contracts to end discrimination against internationally experienced nurses. We continue to negotiate for recognition of Juneteenth as a holiday in contracts. And we have created several resources on health equity. We stand up to injustice and promote a culture of inclusivity in everything we do.

• In December 2023, WSNA released “Moving Forward: Diversity, Inclusion, and Justice in Nursing in Washington State,” a 22-page workbook designed to help nurses create a more equitable practice. This resource offers reflections on the profession’s history and guidance toward anti-racist nursing practices. The primary author is Meghan Eagen-Torkko, PhD, CNM, ARNP, FACNM University of Washington Bothell and Public Health – Seattle & King County. Contributing authors (listed alphabetically) include Gloria Brigham, EdD, MN, RN; Chuck Cumiskey, MBA, BSN, RN; David Keepnews, PhD, JD, RN, FAAN; Yuting Lin, PhD, RN; Rachel Wang Martinez, MHA, BSN, RN-BC; Mikey Anne O’Sullivan, MSN, RN; and Jamilia Sherls, DNP, MPH, RN, CDP, CP.
• At the 2023 Washington State Nurses Convention, WSNA featured a diversity, equity, and inclusion panel that discussed WSNA’s white paper and workbook on DEI.
• In 2023, WSNA adopted a resolution on the Rights of Internationally Educated Nurses that underscored our commitment to fostering an inclusive and equitable working environment for all nurses. We resolved to advocate for fair and ethical recruitment practices and fair credit for nurses’ prior nursing experience abroad. We also resolved to collaborate with nursing organizations representing various nationalities to collectively advocate for the rights of all nurses, irrespective of their country of origin or education. WSNA also successfully introduced similar resolutions to the conventions of the Washington State Labor Council and AFT.
• In December 2024, WSNA sought justice for internationally experienced nurses at St. Joseph Medical Center in Tacoma and won. The new contract language eliminated a longstanding policy at hospitals to credit nurses with prior experience in other countries for only half their experience. We published the story, ‘We Finally Feel Seen,’ on this victory in the February 2025 edition of The Washington Nurse. The American Nurses Association plans to highlight this story during Nurses Week in May 2025. In February 2025, WSNA secured the same contract language at St. Clare Hospital in Lakewood.
• WSNA held a free health equity webinar in November 2024 with Dr. Danica Sumpter, PhD, RN, a nurse educator. Dr. Sumpter’s presentation, “Building Health Equity for All,” addressed implicit bias training and strategies for integrating health equity principles into nursing practice. The webinar fulfilled the Washington Board of Nursing’s continuing competency requirements for health equity continuing education. The course is now available as a free online course for members with 1.5 contact hours upon completion of the evaluation and post-test. More than 90 members attended the webinar.
• WSNA created a health equity bundle on its Learning Management System, where all CNE courses relating to health equity can be accessed.
• Dr. Albert Munanga, DrBH, MSN, MBA, RN, HC, authored an article for The Washington Nurse in December 2024 on the health equity education requirements for nurses in Washington state. The article also emphasized the importance of understanding health equity, which acknowledges that individuals have different needs and face diverse barriers to health.
• WSNA advocated for recognizing Juneteenth as a holiday in new contracts, reflecting its commitment to honoring the significance of this day in American history.
• WSNA is an active partner of the Washington Center for Nursing (WCN) and has two representatives on the WCN Board — Labor Executive Council Chair Edna Cortez and WSNA Executive Director David Keepnews. Nursing workforce diversity and health equity are major priorities for WCN, which has conducted a mentorship program for diverse nursing faculty, convened a BIPOC Nurses Coalition, and will be holding a Health Equity Conference in May.
• In 2023, WSNA honored Monica McLemore, PhD, MPH, RN, with the Nurse Researcher Award, acknowledging her as a change agent leading the nation in conducting equitable nursing research. WSNA published Dr. McLemore’s acceptance speech for this award, in which she challenged the nursing community to engage in uncomfortable conversations necessary for achieving health equity and to reimagine the future of healthcare.
• Two minority nursing organizations — the Mary Mahoney Professional Nurses Organization and the Pacific Northwest Chinese Nurses Association — are WSNA organizational affiliates.
• WSNA Labor Executive Council Chair Edna Cortez is an active member of the Asian Pacific American Labor Alliance.
• In February 2024, WSNA highlighted the establishment of the Washington State Chapter of the National Association of Hispanic Nurses (WA-NAHN) in The Washington Nurse. This statewide chapter envisions a robust support network for Latinx nurses across Washington.
• In December 2024, WSNA conducted a half-day training on diversity, equity, inclusion, and belonging for all staff.
• WSNA’s 2025 convention will include a two-part session on “Understanding Health Equity in the Context of 2025,” presented by Dr. McLemore. Participation in both parts of the presentation will meet Washington state’s new licensure renewal requirement for health equity continuing education. Members will also consider a resolution reaffirming WSNA’s commitment to diversity, equity, and inclusion, introduced by the WSNA Labor Executive Council and Board of Directors.