[Canary in the Coal Mine: Reflections on the Current Global Wave of Nursing Strikes]

A worldwide wave of nurse strikes has erupted. Labor strikes represent a last resort measure and are a powerful means for nurses to fight back against adverse working conditions such as heavy workloads, unfair pay, and unsafe staffing conditions that not only affect patient care outcomes but also economic growth and social political stability. Despite the pandemic placing most nurses under extremely stressful conditions for an extended period of time, nurses remained on duty to cope with the changing circumstances while continuing to provide high-quality care. Overwhelmed nurses worldwide are the "canary in the coal mine", with the current strikes sounding the alarm about the urgent need to increase investments in our fragile health system. In this article, the concept underlying labor strikes is outlined, the potential impacts of strike actions are presented, the status quo of nursing practice in Taiwan is discussed, and the readiness of nursing professional organizations for industrial action is considered. We call on the government to invest further in healthcare to both stimulate economic growth and give more respect, value, protect and identity to nurses through fairer pay and better working conditions.