Royal College of Nursing members in Guernsey will be allowed to take part in an ballot over strike action.
It follows a year long dispute and failed discussions between the union and the States over pay.
The news comes after nurses had been protesting on the steps of the States building over their latest pay offer.
The last proposal had offered all workers a 5% pay rise, with another 5% increase to the majority of nurses the following year. However, the Royal College of Nursing said it was an insulting offer.
Following the failed pay offer, members of the Royal College of Nursing voted as to whether they should start proceedings that could lead to industrial action.
If action is to go ahead, it would be the first time in history that the Royal College of Nurses have been on strike.