Kapiolani nurses have been in contract negotiations since September of 2023. Nurses have been attempting to address unsafe patient safety concerns with safe nurse to patient ratios and strong staffing language. Nurses have advocated for the filling of the roughly 100 vacant RN positions with competent, experienced nurses. Instead, Kapiolani management pays out of state, traveling nurses, rather than attracting permanent nurses that live and work in Hawaii. HPH has refused to accept our common sense solutions, instead choosing profit over patient safety by purposely understaffing the hospital to save money, which puts the patients at risk.