The trends of unions in the hospitals have been on the increase after the enactment of the Labor Relations Act in 1974 (Phil, 2007). This Act covers unpaid employees in the hospitals. Also unions are increasing because policymakers have put a lot of pressure on hospitals to recognize unions. The hospital confronts union formation by coming up strategies that encourage workers to appreciate a working environment that is free of unions (Panitch Swartz, 2003). The departments which are likely to be affected include that of cleaners, caterers and orderlies. The hospital deals with unions by giving workers what they deserve. It involves good pay, engaging them in decision making and providing the required support while executing their mandate among many other issues (Phil, 2007).