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NEW YORK — <\/span>New York City\u2019s largest nursing strike in decades<\/a> is poised to end after more than 4,000 nurses seeking better staffing and job security at NewYork-Presbyterian reached a tentative contract agreement with management early Friday.<\/p>\n The New York State Nurses Association said union negotiators and administrators at the last of three major hospital systems hit by the more than monthlong walkout approved a tentative deal but did not disclose details.<\/p>\n The proposal now goes to union members for a vote. If ratified, nurses would return to work as early as next week.<\/p>\n \u201cWe are pleased to have reached a tentative settlement with NYSNA, through the mediator, that reflects our tremendous respect for our nurses \u2014 the settlement is still subject to ratification,\u201d NewYork-Presbyterian spokesperson Angela Karafazli said in a statement.<\/p>\n The roughly 4,200 nurses at NewYork-Presbyterian had been the last remaining on the picket line during bitterly cold temperatures<\/a> in what their union said was the largest and longest walkout of nurses in the city\u2019s history. <\/p>\n \u201cFor a month and a half, through some of the harshest weather this city has seen in years, nurses at NYP showed this city that they won\u2019t make any compromises to patient care,\u201d NYSNA president Nancy Hagans said. \u201cThe wins of our private sector nurses will improve care for patients, and their perseverance and endurance have shown people worldwide the power of NYSNA nurses.\u201d<\/p>\n Some 10,500 nurses in the Mount Sinai and Montefiore hospitals ratified new three-year contracts<\/a> on Feb. 11. The union said the Montefiore and Mount Sinai deals included pay raises of more than 12% over three years. <\/p>\n That deal also maintained nurses\u2019 health benefits with no additional out-of-pocket costs and included new protections against workplace violence, particularly for transgender and immigrant nurses and patients, and introduced safeguards against the use of artificial intelligence in hospitals. <\/p>\n NewYork-Presbyterian nurses rejected the proposals in the Feb. 11 deal.<\/p>\n The strike began Jan. 12 at three of the city\u2019s largest and most prestigious private health systems. <\/p>\n Hospitals hired legions of temporary nurses to fill in staffing gaps during a demanding flu season<\/a>, raising concerns<\/a> among some of the hospital system\u2019s most vulnerable patients and their families. <\/p>\n During a bumpy, contentious negotiation, hospitals complained the union\u2019s demands were unreasonable and exorbitant. Nurses countered that top hospital executives make millions of dollars a year<\/a> while saddling nurses with unmanageable workloads.<\/p>\n An arbitrator this month awarded nearly $400,000 to some nurses at NewYork-Presbyterian\u2019s Morgan Stanley Children\u2019s Hospital for having to work while short-staffed in 2023 and 2024, the union said, heralding the decision as evidence of the problems that prompted the strike. NewYork-Presbyterian responded that \u201csafe staffing is always a priority\u201d and that it has hired hundreds of nurses in the last three years. <\/p>\n The strike did not affect every hospital in the NewYork-Presbyterian, Mount Sinai and Montefiore systems, and nurses at city-run hospitals did not participate. Other private hospitals also reached last-minute deals with the union.<\/p>\n ___<\/p>\n Associated Press reporters Jennifer Peltz in New York and Bruce Shipkowski in Trenton, New Jersey, contributed.<\/p>\n<\/div>\n