tl;dr: Kaiser Permanente advice nurses say workplace surveillance and AI tools—including systems that grade their tone, empathy, and call length—are pressuring them to cut calls short (often under 15 minutes) at the expense of patient care, with some withholding compassion from suicidal or terminally ill patients to avoid poor performance scores. The California Nurses Association is heading into contract negotiations with AI as a central issue, while state lawmakers weigh several bills to regulate workplace AI, including protections for clinicians who override automated recommendations. Kaiser denies using average handle time to evaluate nurses.