Hawai’i Nursing Colleges, Degrees & Licenses
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“Working as a nurse in Hawaii differs from anywhere else in the United States, including Alaska. The remoteness and separation from the mainstream US culture become apparent after moving beyond tourism as each island has its traditions and heritage.”
John Farnsworth, BSN, Cofounder of No Ordinary Path
Nurses are critical healthcare professionals. Nurses are often on the front lines of providing quality care and health guidance to diverse patient populations. Though many would describe nursing as a job or a career, many nurses themselves are apt to describe their profession as a calling.
The state of Hawai’i is an archipelago situated in the midst of the planet’s largest ocean. Its geographic isolation and location allowed it to develop a distinctive culture and history. Yet despite its unique characteristics, Hawai’i is experiencing challenges in its healthcare system, which are common in many other parts of the United States.
In recent years, Hawai’i has been experiencing a nursing workforce shortage. Several factors have contributed to this particular crisis. The primary factors are insufficient staffing, inadequate investment in nursing education, the enduring impact of Covid-19, an ongoing demographic shift, and the retention of local talent.
The Hawai’i Department of Commerce and Consumer Affairs notes that between 2019 and mid-year 2021, nearly 5,000 nurses left the profession, with the total active workforce shrinking from 33,410 in 2019 to approximately 28,500.
Hawai’i is also not immune to the demographic transition occurring in the Mainland United States. The US Census Bureau projects that by 2030, approximately one-quarter of Hawai’i’s population will be at least 60 years of age. This demographic shift will necessitate an increased focus on geriatric care services. Though people are living longer lives than ever before, what that also implies is that many people will be living a longer period of time with at least one chronic illness.
Finally, there is the issue of local talent retention. As in many states, retaining locally cultivated professional talent is an issue in Hawai’i. Because Hawai’i has a culture and history quite distinct from the Mainland, retaining local talent well trained in the population’s cultural traditions, expectations and needs is a critical issue. The need for culturally competent care can make it difficult for nurses trained elsewhere in the States to integrate into the local workforce easily. Retention of nurses who have local training, experience, and personal roots in Hawai’i is thus critical. It is not unusual for some university programs to feature a training pipeline prioritizing admission for students who completed their high school education in Hawai’i.
Read on to discover Hawai’i’s top undergraduate and graduate nursing programs, salary expectations, and licensing requirements for nursing careers in this state.
Meet the Expert: John Farnsworth, RN, BSN, CCRN, CFRN
John Farnsworth is a seasoned nurse with over 20 years of experience in the healthcare industry. He specializes in critical care, working in emergency, intensive care, and flight nursing.
For the past few years, he’s been working as a travel nurse, taking contracts, and traveling around the US with his wife Kristin, a travel nurse recruiter, and their children. Drawing on their skills, insights, and experience, they created No Ordinary Path—a social media brand aimed at helping nurses and their families explore the world of travel nursing to step outside the conventional.
NursingColleges.com: What is something most people don’t know about being a nurse in Hawaii?
Farnsworth: Working as a nurse in Hawaii differs from anywhere else in the United States, including Alaska. The remoteness and separation from the mainstream US culture become apparent after moving beyond tourism as each island has its traditions and heritage.
As a travel nurse, working there can feel like working in a different country. The culturally diverse population poses occasional healthcare challenges due to differences in beliefs and practices. Additionally, the islands do not have the abundance of resources that some nurses are used to, such as advanced MRIs, interventional radiology, or large Level 1 trauma centers. Nurses state there is a feeling that practice is 10 to 20 years behind what might be considered up-to-date by mainland standards. Nevertheless, it is beautiful and can be a rewarding experience.
NursingColleges.com: What is one piece of advice you would give to a prospective travel nurse?
Farnsworth: Travel nursing may be the perfect fit if you have a sense of adventure and a passion for exploration. While many know the financial benefits of travel, nurses often say the biggest win comes from “working your vacation,” describing the experience as a sensation of being constantly on vacation despite working a few days each week.
For those interested, it is suggested that you have at least two years of experience in your specialty before starting. Travel nurses are hired to hit the ground running with little to no orientation and must feel comfortable with the idea of knowing how to be a nurse in new environments.
Accredited Undergraduate Nursing Programs in Hawai’i
University of Hawai’i at Manoa
The Nancy Atmospera-Walch School of Nursing offers an undergraduate nursing degree program featuring multiple entry pathways. Options include direct-entry for high school students, a traditional bachelor of science degree track, a transfer program from the UH West Oahu Pre-Nursing program into the University of Hawai’i Manoa BSN degree program, and an online RN-to-BSN program.
Each program track targets a different applicant pool. For example, the traditional program is oriented to current UH Manoa, pre-nursing, transfer, and veteran students. Admission preference is given to Hawai’i resident applicants. The pre-nursing to BSN degree track prioritizes current UH West Oahu Pre-Nursing students. Priority is subsequently given to UH West Oahu students who meet set criteria and then applicants from Leeward Oahu. Finally, the online RN-to-BSN program is for ADN and diploma graduates and may be completed part-time or full-time.
The traditional four-year program consists of a 120-credit curriculum. Regardless of track, all students complete a curriculum designed to prepare them for entry-level generalist nursing roles in various healthcare settings. The curriculum is designed to meet the state’s requirements for eligibility to take the National Council Licensure Examination – Registered Nurse (NCLEX-RN) and licensure requirements as set forth by the Hawai’i Board of Nursing.
- Location: Honolulu, HI
- Duration: Two to four years
- Accreditation: Commission on Collegiate Nursing Education (CCNE)
Chaminade University of Honolulu
The Chaminade University of Honolulu offers a four-year bachelor of science in nursing (BSN) degree program. The program’s innovative curriculum features a values-based approach based on a hands-on, evidence-based practice model. Critical curriculum components include diverse learning experiences, state-of-the-art facilities, and mentorship. The program seeks to prepare compassionate leaders skilled in numerous clinical settings capable of driving transformational change in the continually evolving healthcare system.
In addition to its BSN program, students with the necessary resources and the passion for further developing their nursing skills may wish to complete additional coursework from the BS in community and public health degree program. Though not designed to train students to become practicing nurses, coursework from this other bachelor’s program can expand student knowledge in the public health field and further enhance skills and appeal in the job market. This other program provides fundamental knowledge in epidemiology and public health, preparing students to work in preventative care, health education, and health coaching.
Regardless of which bachelor’s degree program they select, students also have the option to choose one of two minors. These minors are community and public health and palliative care.
- Location: Honolulu, HI
- Duration: Four years
- Accreditation: Commission on Collegiate Nursing Education (CCNE)
As is true of the University of Hawai’i nursing programs available at Manoa, the University of Hawai’i at Hilo also offers several pathways for students to become practicing nurses.
The University’s School of Nursing offers three distinct programs. These are the high-school direct entry (HSDE) program, the bachelor of science in nursing (BSN) program, and the RN to BSN program. All programs cultivate an appreciation for the value of lifelong learning and prepare students to deliver culturally congruent nursing care in a rural environment. In addition, all curricula are grounded in a vision of preparing skilled transcultural nursing leaders who are passionate about creating sustainable healthy communities in Hawai’i and worldwide.
The HSDE program is for Hawai’i high school graduates seeking to complete a BSN in a traditional four-year program format. Admission criteria include graduation from a Hawai’i high school, completion of the required application process, and completion of any prerequisite coursework before entry into the BSN student cohort. The BSN program option meets state requirements for seeking RN licensure within Hawai’i.
Finally, the RN-to-BSN program features a distance education curriculum. This curriculum has many emphases, including respect for multi-ethnic populations, rural clinical learning experiences, a multi-pronged approach to the nursing profession consisting of research, practice and education, and networking with health professionals throughout the Hawaiian Islands.
- Location: Hilo, HI
- Duration: Two to four years
- Accreditation: Commission on Collegiate Nursing Education (CCNE)
The Hawai’i Pacific University (HPU) School of Nursing offers nursing education designed to prepare skilled and dedicated professionals in healthcare and promoting healthy living. Nursing program graduates are trained to provide quality holistic care guided by the spirit of aloha. They are compassionate individuals committed to both continued learning and leadership and practice worldwide. HPU currently boasts more than 3,000 nursing and public health alumni worldwide.
HPU offers multiple educational pathways for those seeking to become nursing professionals. Available pathways include a BSN Pathway, HM-to-BSN, LPN/LVN to BSN, and RN-to-BSN. The HM-to-BSN pathway is for military hospital corpsmen. The LPN/LVN to BSN pathway is for applicants who are licensed practical and vocational nurses. Finally, the RN-to-BSN pathway is for registered nurses who lack a BSN degree.
Regardless of pathway, all students complete a 120-credit curriculum consisting of 60 credits of general education and pre-requisite courses and 60 credit hours of nursing coursework. The nursing clinical coursework requirement must be fulfilled through clinical experiences on the island of Oahu only. Students must have their own reliable source of transportation for their clinical experience.
- Location: Honolulu, HI
- Duration: Two to four years
- Accreditation: Commission on Collegiate Nursing Education (CCNE)
Accredited Graduate Nursing Programs in Hawai’i
University of Hawai’i at Manoa
In addition to its undergraduate nursing programs, the University of Hawai’i at Manoa also offers a master’s of science in nursing (MSN) degree. Program graduates are trained to provide quality care throughout the human lifespan to diverse populations and communities in numerous settings, including hospitals, non-profit organizations, public-sector settings, and primary care settings. Graduates also have the training needed to become leaders in areas such as research, practice, education, policy, and public health in Hawai’i, throughout the United States, and the entire world.
There are two major options for MSN students. These are the online MSN in advanced population health and the MSN in nursing education and leadership. The advanced population health program is focused on population health in Hawai’i and the Pacific Basin.
Both MSN degree options are open to RN applicants with a BSN or ADN. This program only offers admission in the autumn. It can be completed on a full- or part-time basis. All applicants must have a current unrestricted RN license in the United States or evidence of passing the NCLEX-RN exam and a current RN license in the state or jurisdiction of practice by the end of the program’s first semester. Applicants for whom English is not their native language may also need to demonstrate English language proficiency.
- Location: Honolulu, HI
- Duration: Two years
- Accreditation: Commission on Collegiate Nursing Education (CCNE)
Hawai’i Pacific University offers six different graduate-level nursing program options. Programs include adult gerontology acute care nurse practitioner (AGACNP) and family nurse practitioner (FNP). Both of these programs may be completed in person or online. Nursing professionals who are RNs can also choose the RN-to-MSN program. Finally, there is an online MSN program that trains students to become psychiatric mental health nurse practitioners.
HPU’s MSN-AGACNP program features a flexible schedule composed of core coursework, practicums and capstone project options. This HPU program is noteworthy because it is Hawai’i’s first MSN-AGACNP program and thus fulfills a critical need in Hawai’i. Program faculty train students in a variety of specializations including medical-surgery, reconstructive plastic surgery, operating room, surgical intensive care, internal medicine and ambulatory care specialties.
The MSN FNP program is a 45-credit-hour program that trains graduates to provide care across the lifespan. Due to this focus on care skills needed throughout a lifetime, the FNP degree is especially marketable. Students complete courses specific to the FNP track after completing the 18 credits of core courses. Those who choose the on-campus program will receive assistance from the FNP coordinator in securing their practicum site. Practicum coursework may be completed in the summer.
This entry only highlights a few of HPU’s graduate nursing programs. Visit the school’s website for more detailed information on all programs.
- Location: Honolulu, HI
- Duration: Two to three years
- Accreditation: Commission on Collegiate Nursing Education (CCNE)
Nursing School Accreditation
When researching academic programs of interest, prospective students should verify that the programs hold appropriate professional accreditation. In the field of nursing most schools are accredited by one of two accrediting organizations. These are the Accreditation Commission for Education in Nursing (ACEN) and the Commission on Collegiate Nursing Education (CCNE). Accreditation by these organizations means nursing training programs reliably meet certain educational and professional standards. Accreditation also provides significant value to students. By confirming the quality of academic programs, accrediting agencies provide students with invaluable peace of mind based on the knowledge that the training they complete will be a valuable investment of their resources.
In Hawai’i, nursing professionals obtain their licenses through the Professional and Vocational Licensing Division located within the state of Hawai’i Department of Commerce and Consumer Affairs. As is true in many states, Hawai’i offers two paths for licensure. Those already licensed in another state can secure licensure via endorsement. Licensure via examination is available to unlicensed nurses. In this pathway, professionals holding the requisite education and other requirements must take and pass the NCLEX-RN exam to get a license in Hawai’i.
Continued education is generally required to renew a nursing license. If a nurse decides to move out of state or pursue work in a different specialization, the nurse may need to fulfill additional education or other requirements.
How Much Do Nurses Make in Hawai’i?
These numbers represent data from the U.S. Bureau of Labor Statistics from May 2023—the latest data available as of July 2024.
Licensed Practical Nurse Salaries
| United States | Hawai’i | |
|---|---|---|
| Number employed | 630,250 | 750 |
| Average annual salary (mean) | $60,790 | $62,020 |
| 10th percentile | $45,670 | $51,420 |
| 50th percentile (median) | $59,730 | $61,110 |
| 90th percentile | $77,870 | $74,100 |
Registered Nurse Salaries
| United States | Hawai’i | |
|---|---|---|
| Number employed | 3,175,390 | 11,920 |
| Average annual salary (mean) | $94,480 | $119,710 |
| 10th percentile | $63,720 | $81,070 |
| 50th percentile (median) | $86,070 | $129,210 |
| 90th percentile | $132,680 | $145,940 |
Nurse Anesthetist Salaries
| United States | Hawai’i | |
|---|---|---|
| Number employed | 47,810 | No data available |
| Average annual salary (mean) | $214,200 | No data available |
| 10th percentile | $139,980 | No data available |
| 50th percentile (median) | $212,650 | No data available |
| 90th percentile | >$239,200 | No data available |
Nurse Midwife Salaries
| United States | Hawai’i | |
|---|---|---|
| Number employed | 6,960 | 40 |
| Average annual salary (mean) | $131,570 | $161,820 |
| 10th percentile | $87,320 | $132,880 |
| 50th percentile (median) | $129,650 | $175,930 |
| 90th percentile | $177,530 | $178,630 |
Nurse Practitioner Salaries
| United States | Hawai’i | |
|---|---|---|
| Number employed | 280,140 | 510 |
| Average annual salary (mean) | $128,490 | $132,610 |
| 10th percentile | $94,530 | $100,880 |
| 50th percentile (median) | $126,260 | $129,160 |
| 90th percentile | $168,030 | $165,240 |
Licensed Practical Nurse (RN) Licensure in Hawai’i
| Licensing Authority | Eligibility & Details | Renewal Requirements |
|---|---|---|
|
Hawaii Department of Commerce and Consumer Affairs Board of Nursing |
In Hawaii, LPNs must meet the following licensure requirements:
|
Hawaii LPN license renewals are due by June 30th of even-numbered years. The requirements to renew include:
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Registered Nurse (RN) Licensure in Hawai’i
| Licensing Authority | Eligibility & Details | Renewal Requirements |
|---|---|---|
| Hawaii Department of Commerce and Consumer Affairs Board of Nursing |
RNs in Hawaii must meet the following licensure requirements:
|
Registered nurse license renewals in Hawaii are due by June 30th of even-numbered years. The requirements to renew include:
|
Clinical Nurse Specialist (CNS) Licensure in Hawai’i
| Licensing Authority | Eligibility & Details | Renewal Requirements |
|---|---|---|
|
In the state of Hawaii, CNSs are licensed as APRNs and require the following:
To have prescriptive authority, applicants must have a graduate-level degree in clinical nursing or nursing science and complete one of the following within the three-year time period immediately preceding the date of application:
|
All CNS licenses, regardless of issuance date, are subject to renewal by June 30 of every odd-numbered year. RN licensure must be renewed before CNS/APRN licensure. Nurses must submit fingerprints for a criminal background check, complete the renewal application, pay the application fee of $36, and provide proof of current certification. Those with prescriptive authority must provide proof of completion of at least 30 hours of continuing education, 8 hours of which must be in pharmacology. |
Certified Nurse-Midwife (CNM) Licensure in Hawai’i
| Licensing Authority | Eligibility & Details | Renewal Requirements |
|---|---|---|
|
In the state of Hawaii, CNMs are licensed as APRNs and require the following:
To have prescriptive authority, applicants must have a graduate-level degree in clinical nursing or nursing science and complete one of the following within the three-year time period immediately preceding the date of application:
|
All Hawaii APRN licenses, regardless of issuance date, are subject to renewal by June 30 of every odd-numbered year. RN licensure must be renewed before APRN licensure. Nurses must submit fingerprints for a criminal background check, complete the renewal application, pay the application fee of $36, and provide proof of current certification. Those with prescriptive authority must provide proof of completion of at least 30 hours of continuing education, eight hours of which must be in pharmacology. |
Nurse Practitioner (NP) Licensure in Hawai’i
| Licensing Authority | Eligibility & Details | Renewal Requirements |
|---|---|---|
|
Advanced Practice Registered Nurses (APRN) applying for a license in Hawaii must meet the following requirements:
To have prescriptive authority, applicants must have a graduate-level degree in clinical nursing or nursing science and complete one of the following within the three-year time period immediately preceding the date of application:
|
All APRN licenses in Hawaii, regardless of issuance date, are subject to renewal by June 30 of every odd-numbered year. RN licensure must be renewed before APRN licensure. Nurses must submit fingerprints for a criminal background check, complete the renewal application, pay the application fee of $36, and provide proof of current certification. Those with prescriptive authority must provide proof of completion of at least 30 hours of continuing education, 8 hours of which must be in pharmacology. |
Certified Registered Nurse Anesthetist (CNRA) Licensure in Hawai’i
| Licensing Authority | Eligibility & Details | Renewal Requirements |
|---|---|---|
|
In the state of Hawaii, CRNAs are licensed as APRNs and require the following:
To have prescriptive authority, applicants must have a graduate-level degree in clinical nursing or nursing science and complete one of the following within the three-year time period immediately preceding the date of application:
|
All APRN license holders, regardless of issuance date, are subject to renewal by June 30 of every odd-numbered year. RN licensure must be renewed before APRN licensure. Nurses must submit fingerprints for a criminal background check, complete the renewal application, pay the application fee of $36, and provide proof of current certification. Those with prescriptive authority must provide proof of completion of at least 30 hours of continuing education, 8 hours of which must be in pharmacology. |
Bernd Geels
WriterBernd Geels is a Berlin, Germany-based freelance writer and artist. He holds an undergraduate degree in atmospheric science and two graduate degrees. He completed his most recent graduate degree in international environmental studies at the Monterey Institute of International Studies in 2011. He is interested in healthcare, climate change, marine conservation, indigenous science and refugee issues. You can reach him directly at [email protected].
Rachel Drummond, MEd
WriterAt NursingColleges.com, Rachel Drummond has applied her extensive experience in education and mindfulness to elucidate the importance of self-care for nursing students since 2022. Through her writings, she underscores the role of mental and physical well-being in fostering resilient and compassionate healthcare professionals.
Rachel is a writer, educator, and coach from Oregon. She has a master’s degree in education (MEd) and has over 15 years of experience teaching English, public speaking, and mindfulness to international audiences in the United States, Japan, and Spain. She writes about the mind-body benefits of contemplative movement practices like yoga on her blog, inviting people to prioritize their unique version of well-being and empowering everyone to live healthier and more balanced lives.