A five-day strike in California and Hawaii by thousands of unionized Kaiser Permanente registered nurses and other health professionals continued for a third day Thursday amid contract negotiations, but Kaiser officials said affected facilities will remain open with some adjustments.

Workers represented by the United Nurses Associations of California/Union of Health Care Professionals began picketing at 7 a.m. Tuesday at locations across the region.

Participating workers include registered nurses, pharmacists, nurse anesthetists, nurse practitioners, midwives, physician assistants, rehab therapists, speech language pathologists, dietitians and other specialty health-care professionals, according to the union.

“Our colleagues are leaving for better working conditions and pay — an average

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