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Johns Hopkins nurses issued a series of damming reports they say reveals why a union is needed to improve patient safety and community commitment


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TAYA GRAHAM: This is Taya Graham reporting for The Real News Network in Baltimore City, Maryland.

Johns Hopkins Hospital is under heavy criticism today as registered nurses have gathered to talk about the challenges they face in forming a union and their need for a safe work environment. These nurses say that Hopkins Hospital has not only not delivered on its promises of support to the surrounding community, but that they also have engaged in intense anti-labor efforts.

SPEAKER: Workers should be able to choose to join a union, free from management intimidation, harassment or interference.

TAYA GRAHAM: The struggle to unionize nurses at Johns Hopkins Hospital took on a new urgency today as a group of healthcare workers gathered at a town hall to not only demand better working conditions, but to demonstrate their concerns reach far beyond the labor dispute.

SPEAKER: This report, which we worked very hard on, serves to illuminate the gap between the reality and reputation. Our work in exposing the patient care conditions is an extension of our work at the bedside. Nurses are advocates for our patients. For many of us, nursing isn’t just a job, it’s a calling, so the care of our patients is our highest priority.

TAYA GRAHAM: And effects the lives of patients and the health of the community, the efforts to organize nurses at the powerful Baltimore institution, and the state’s top private employer, has been met with stiff resistance. Hopkins even hired a high-profile union busting law firm, Littler Mendelson, to fight back.

SPEAKER: Unfathomable that some of the emails that come out to the nurses are blatant lies and untruths, as you could say. Saying things like, “Well,
that nurse who started things, he must work for the union.” I’m like, “No, I’ve met his wife and dog, and he doesn’t work for the union.” And saying, “Well, we did this. Why do we need the union now?”

TAYA GRAHAM: And have made it so difficult for nurses to communicate, they filed a complaint with the National Labor Relations Board in April.

But the theme of today’s gathering was focused on a series of reports that illuminate how working conditions can impact patient care.

The report highlights how a low patient to nurse ratio leads to dangerous conditions, and how high turnover means less experienced nurses are involved in critical care; and also how Hopkins benefits more from the taxpayers of Baltimore than it invests in the community. A focus nurses say show how critical their efforts are to fixing problems that effect everyone.

SPEAKER: An example for you is that we work with patients who are on continuous dialysis. Those patients are on a dialysis machine 24/7 because they’re so sick that they cannot survive intermittent dialysis. The national standard is that those patients should have a one to one ratio, one nurse for one patient, because the machines are very sensitive, they alarm. And if there’s a delay in care in solving the alarm, a patient can lose an entire unit of blood. What’s happening right now is that those patients are paired in the ICU at Johns Hopkins, throughout all of the ICUs. The result of that is that patients are regularly losing whole units of blood. And these are patients who already have a need for blood, as compared
to your regular healthy person.

SPEAKER: In the emergency room, and I’ll be discussing later, there are patients that have waited 18 hours to get care, there are patients that have bled, cardiac arrested, et cetera, while waiting to be cared for in the emergency department.

TAYA GRAHAM: We asked Johns Hopkins for a response, and they gave us a written statement.

“On behalf of the nurses, faculty and staff at The Johns Hopkins Hospital, we are proud of the high quality and compassionate care we provide and the contributions we make every day for our community. We are proud of our many efforts to help our city succeed and its residents thrive. Johns Hopkins supports the community in hundreds of ways.”

But the push to unionize appears to be gaining key political support.

SPEAKER: You are the ones who constantly worry about patients, even when you’ve gone home. You’re the ones who wish you could, in a way, work a 24 hour shift sometimes because you really want, you’re worried about that patient and how they will make it.

TAYA GRAHAM: On hand for the town hall as Congressman Elijah Cummings, the chair of the powerful Congressional Oversight Committee. He spoke about his respect for nurses after a six month hospitalization for a heart condition.

SPEAKER: And I believe that it’s not just the issues that may exist in Hopkins,
it’s not just Hopkins, but it’s probably a lot of other hospitals too.

TAYA GRAHAM: He said the nurses should have a chance to vote and that the process should be free of interference.

SPEAKER: People may want to discourage you and tell you that you all in the right, the wrong path, you’ve gotta say to yourselves, “This is bigger than me, I have got to do this to help families and my coworkers, and I want to make a difference.”

TAYA GRAHAM: A sentiment echoed by the nurses themselves, who believe their efforts and the help of their patients are intertwined.

SPEAKER: Ultimately, we are asking the community to join with us, so that we can hold Hopkins accountable to the vision that Johns Hopkins laid out for care, to give charity care, to give high quality care to everyone in the community.

TAYA GRAHAM: For full disclosure, National Nurses United has donated to The Real News Network in the past; most recently in 2016.

This is Taya Graham and Stephen Janis reporting for The Real News Network in Baltimore City, Maryland.


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Senior Investigative Reporter & Capitol Hill Correspondent

Taya Graham is an award-winning investigative journalist, documentary filmmaker, and Capitol Hill Correspondent whose work bridges rigorous reporting with deep community impact. As the host of The Police Accountability Report at The Real News Network, she has become a trusted voice for transparency in policing and governance, using a mix of field reporting, data analysis, and citizen storytelling to expose systemic injustices. The show has garnered more than 50 million views across platforms, drawing a national audience to issues of accountability and reform.

Her work spans platforms and audiences, from producing Truth and Reconciliation, the acclaimed WYPR podcast exploring race and justice, to co-directing the award-winning documentaries The Friendliest Town and Tax Broke. Her five-year investigation into Baltimore’s tax incentive system (TIFs and PILOTs) revealed how corporate subsidies perpetuate inequality, sparking legislative action and community advocacy.

In addition to her reporting, Taya played a key role in shaping The Real News Network’s internal policies and labor framework, including helping draft the language around the organization’s AI policy in its collective bargaining agreement. Her work ensured that innovation and worker protections coexist, setting a model for how newsrooms can adopt technology responsibly.

Taya’s career began at The Afro-American Newspaper and Historic Black University Morgan State Radio, where she honed her craft in public service storytelling. She continues to lead with the belief that journalism should not only inform but empower—meeting new audiences where they are and inspiring them to engage in the democratic process.

Senior Investigative Reporter & Capitol Hill Correspondent
Stephen Janis is an award-winning investigative journalist, author, and documentary filmmaker whose work has shaped accountability journalism in Baltimore and beyond. As a Capitol Hill Correspondent and senior reporter at The Real News Network, he continues to uncover the systems behind inequality, corruption, and power while turning complex investigations into stories that inspire reform and public engagement.

His first feature documentary, The Friendliest Town, was distributed by Gravitas Ventures and received an Award of Distinction from The Impact Doc Film Festival and a Humanitarian Award from The Indie Film Fest. He co-created and co-hosts The Police Accountability Report, which has reached more than fifty million viewers on YouTube and helped spark national conversations on policing and transparency. His work has also appeared on Unsolved Mysteries (Netflix), Dead of Night (Investigation Discovery), Relentless (NBC), and Sins of the City (TV One).

Stephen has co-authored several books on policing, corruption, and the roots of violence, including Why Do We Kill: The Pathology of Murder in Baltimore and You Can’t Stop Murder: Truths About Policing in Baltimore and Beyond. He also co-hosts the true crime podcast Land of the Unsolved, which investigates cold cases through a lens of justice and accountability.

Before joining The Real News Network, Stephen worked as an investigative producer for WBFF Fox 45, where his reporting earned three Capital Emmys. Known for embracing technology as a tool for social awareness, he uses data analysis, digital production, and emerging storytelling platforms to connect investigative journalism with younger audiences while maintaining its integrity and depth.

Stephen’s work is grounded in clarity, empathy, and a belief that journalism should not only expose the truth but empower people to act on it.