She has been actively involved with the MNA for nearly twenty years, and has been a key player in all of its important advocacy and legislative initiatives—from safe staffing to single-payer healthcare. Karen has also served as the MNA Board’s secretary and on its Cabinet for Labor Relations as both chair and vice chair. In addition, she was the co-chair of the MNA’s Statewide Campaign for Safe Care, the chairperson of the MNA’s Nursing Shortage Task Force, and a founding member of the Task Force on Workplace Violence.