With too many patients and too few colleagues, nurses say they are overwhelmed and more prone to mistakes.
Hospitals in Oregon, Montana, California, New York and elsewhere laid off workers and scaled back services this summer.
The hospital says its nurses wanted out of the union, but the Oregon Nurses Association disagrees.
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The vote to overturn a union-negotiated deal for 1,600 nurses could have major ripple effects beyond the Portland hospital — one of three in Oregon where nurses have authorized a strike.