How to work as a registered nurse in the UK, US and Australia

PTE Author
PTE Author
Image- nurse- 800px x 451px
Reading time: 6 minutes

Are you interested in working as a nurse overseas? With the right qualifications, your passion for nursing could help you begin a new chapter in Australia, the US, or the UK.

In this guide, we’ll learn about what you’ll need to do to work as a registered nurse in each country, as well as what employment opportunities waiting for you abroad. Let’s explore:  

Nursing in Australia: requirements 

Image- nurse, 480px

Australia is a beautiful country to live, work, and study in. It boasts quality education, a relatively affordable cost of living, and breathtaking beaches. Even more, healthcare in the country is world-class. Back in 2017, researchers at the Commonwealth Fund based in New York ranked Australia’s healthcare system as the second-best among developed countries – beating places like Canada, Norway, and New Zealand.

For this reason, the requirements for a registered nurse in Australia are quite strict. The Nursing and Midwifery Board of Australia (NMBA) and the Australian Health Practitioner Regulation Agency (AHPRA) oversee the registration of internationally qualified nurses and midwives in the country.

There is a lengthy list of things you’ll have to do before being able to register as a nurse and emigrate to Australia. Both NMBA and AHPRA will review whether you meet the edibility requirements.

When you first apply to register the NMBA will investigate:  

  • How proficient you are in English 

  • How recently you practiced nursing

  • Your professional indemnity insurance arrangements

  • If you have a criminal record

Additionally, they will review your qualifications to see if they line up with those of Australian nurses. You’ll then have to write an exam. If successful, you’ll then be able to register as a nurse or midwife. 

After this, you can apply to immigrate to Australia. ANMAC reviews whether you have the experience needed to apply to migrate under the Australian Government’s General Skilled Migration Program. For official information on how to register as a nurse or midwife in Australia, visit NMBA’s website.  

Where to look for work 

At the current rate, Australia will have a shortage of 109,000 nurses by 2025 – meaning there could plenty of opportunities for nurses from abroad. To find a position, Nursing Jobs Australia is a great website to visit. You can also search for jobs on employment sites like Indeed or Seek.

To learn more about what it’s like to be a nurse in Australia, visit the government website Job Outlook. It offers advice, explores sought-after skills, and outlines job prospects across the country.  

Nursing in the UK: requirements 

image- nurse, 480px

Did you know that in the UK 94% of nursing students get a job within six months of graduation? Nursing in the UK is an incredibly sought-after skill, making it a wonderful place to work for international nurses, as well.  

The Nursing and Midwifery Council (NMC) oversees registering nurses in the UK. On their website, they offer a personalized tool that helps you discover exactly what you’ll need to register – and if you’re eligible.  

To apply, you’ll have to: 

  • Complete an eligibility and qualification application, where you’ll need to include a copy of your nursing certificate. 

  • Take the Test of Competence. There are two parts to the test: the CBT and OSCE. The CBT is a computer-based multiple-choice exam, while the OSCE is a practical test that assesses your skills in a clinical setting. 

  • Complete a  registration application, where you’ll have to supply information about things like your health, character (including a police certificate), and English-language proficiency. 

It takes about 30 days to hear if you’ve been successful. 

To work in the UK, you can apply for a Health and Care Worker visa. This allows you to work with the NHS, which is the UK’s publicly funded healthcare system.  You can also apply for a Skilled Worker visa. Nursing is on the UK’s Shortage Occupation List, which gives you an advantage when applying.  

Where to look for work 

There has long been a nurse shortage in the UK; in fact, about 15% of nurses in the UK are trained abroad. A great website to check out for jobs is nurses.co.uk. You can begin to look for work on popular UK employment websites like Reed or Jobsite.  

Nursing in the US: requirements 

Image- nurse- USA, 480px

There are more than 3.8 million registered nurses working in the US; in fact, nurses make up the biggest part of the country’s healthcare workforce. So, how can international nurses get their qualifications recognized?

In the US, each state has its own Board of Nursing, so it’s a smart idea to choose where in the country you want to work before applying. Not each state follows the same process, but many of the requirements are similar. To register as a nurse, you’ll likely have to: 

  • Get your credentials reviewed by the Commission on Graduates of Foreign Nursing Schools (CGFNS), which is a non-profit that evaluates people’s healthcare qualifications to ensure they are in line with US standards.

  • Write an English-language proficiency test

  • Take the CGFNS’ Qualifying Exam, which assesses your theoretical nursing knowledge. Some states require this test to sit your final exam.

  • Sit the final NCLEX-RN exam, which is run by The National Council of State Boards of Nursing

  • Apply for licensure with your state board. 

     

Where to look for work 

The US government estimates there will be more than 200,000 registered nursing positions created each year between 2016-2016. To find work, we recommend searching through websites like NurseRecruiter and Nurse.com. Once you have a job offer, your employer can sponsor you for an occupational visa (such as an H-1B visa). 

Being a qualified nurse makes you highly employable. And while registering as a nurse can be a multi-step process, it’s a fantastic opportunity to start a new chapter of your life abroad.

Ready to launch your nursing career overseas?

Our English language proficiency test, PTE Academic, is fast, fair, and accepted by governments around the world for immigration purposes. Learn more about PTE academic today!

We are not immigration agents. For all up-to-date information about visa rules and regulations, see the official guidelines on the AustralianUK, and US government websites.

Related Content

  • Group of nurses standing together in a hospital and clapping.
    Growing demand for international nurses in Canada
    By PTE Author

    An ongoing nursing shortage means well-trained international nurses are in high demand with many job openings to pick from.

    There’s no one cause of the nursing shortage in Canada; a combination of several factors mean the supply of nursing staff isn’t enough to meet demand:

    1. Aging population

    Canada's population is aging rapidly, with seniors projected to make up to 25% of the population by 2036. This demographic shift is increasing the demand for healthcare services, including nursing care.

    2. Retiring workforce

    A substantial portion of Canada's nursing workforce is nearing retirement age. According to the Registered Nurses’ Association of Ontario, a third of registered nurses providing direct care were over 50 years old in 2020, meaning a wave of retirements is on the horizon.

    3. Burnout

    The COVID-19 pandemic affected the mental health of as many as 83% of registered nurses in Ontario, with 34% considering leaving the profession as a result.

    4. Limited training capacity

    Despite growing demand, Canadian nursing schools have limited capacity to train new nurses. This bottleneck in education contributes to the ongoing shortage.

    The Canadian government has made a commitment to address the nursing shortage, allocating $2.8 million CAD to the Canadian Association of Schools of Nursing to develop a National Nurse Residency program.

    How many nursing job openings are there in Canada?

    Nurses are in high demand across Canada’s ten provinces and three territories, with significant numbers of job openings across the country.

    That demand is increasing, with the number of job vacancies for registered nurses and registered psychiatric nurses increasing by almost 10% in the third quarter of 2023.

    To help address the shortage, Immigration Refugees and Citizenship Canada (IRCC) has allocated $115 million CAD over the next five years, and $57 million CAD ongoing for expanding Canada's Foreign Credential Recognition Program, helping international nurses get their qualifications recognized by the Canadian government.

    Which Canadian provinces and territories have the highest demand for nurses?

    The biggest Canadian province is also the hungriest for nurses. In 2023, the Ontario Nurses Association reported a shortage of about 24,000 nurses, and the province has held the dubious honor of having the lowest nurse-to-population ratio for almost a decade.

    French-speaking Quebec isn’t far behind in the nursing need department. Canadian think tank MEI projected a shortage of about 10,000 nurses in 2021. French is the official language of the province, so you’ll need to have professional level French or be willing to learn.

    With an increasing number of residents over the age of 65, prairie province, Alberta, is facing its own nursing crunch. The provincial government even announced a Health Workforce Strategy with a pillar dedicated to attracting international healthcare workers.

    Nova Scotia and New Brunswick are also worth highlighting as they’ve recently introduced an accelerated license process for international nurses.

    Where do international nurses come from?

    According to the Canadian Institute for Health Information, about 8.9% of registered nurses in Canada in 2021 were internationally educated, highlighting the significant contribution of foreign-trained professionals to Canada's healthcare system.

    Nurses relocate to Canada from the Philippines and India, with many coming from the southern state of Kerala, known for its nursing education programs. More recently, there’s a growing trend of Nigerian, Jamaican, and Chinese nurses moving to call Canada home.

    From getting ahead in their careers to feeling welcome, here are eight key reasons why international nurses are drawn to Canada.

    What’s next?

    If you’re eyeing up a move North, you’ll need to submit your nursing credentials, take the NCLEX-RN to qualify for a Canadian nursing license if needed, and show you’ve got the necessary language skills.

    Get your move off to a stress-free start with the Pearson Test of English (PTE).

    With no additional speaking exam, PTE covers all four skills in one test using computer-based assessments to remove bias. It’s the faster, fairer, simpler way to evidence your English skills and start your next chapter.

  • Woman sitting in a classroom at a desk, holding a pen and looking up.
    Introducing Smart Prep: the new way to prep like a pro for PTE
    By PTE Author

    Are you gearing up to take an English language test, and feeling a bit overwhelmed? You’re not alone – many test takers share the same initial anxieties. But don’t worry, we are here to help!

    We’ve now launched Smart Prep, so that you can be test ready with one less worry. Smart Prep is a one-stop preparation portal to get you test ready for PTE Academic, PTE Core and PTE Home tests.

    It’s based on feedback from real test takers — we recently conducted a survey of 243 students preparing for PTE and learned:

    • 82% wanted to prepare skill-by-skill. For example, they might want to focus on speaking first, then writing, reading, and listening

    • Many expressed a need for free preparation resources, especially at the beginning of their journey

    • 82% preferred having all preparation materials in one place, organized logically in a step-by-step manner

    Why Smart Prep?

    • Smart Prep combines all our practice materials in one place, so it's easier for you to stay on track

    • It’s a clear path to test day, guiding you through the official paid and free resources available for your test

    • It can be accessed whether you’ve booked a test or not – just create, or sign in to your myPTE account

    • Preparation materials include guided practice tests, introductory videos, video courses and test tips. Note: the available resources depend on your chosen PTE test, please check Smart Prep in myPTE or visit the test preparation page for more details.

    Ready to get started?

    Create or sign in to your myPTE account

  • [Asset] Why more nurses choose Canada
    Why international nurses are choosing Canada: a growing trend
    By PTE Author

    Known for beautiful snowy landscapes and hot maple syrup on pancakes, Canada has become a popular destination for international nurses seeking new opportunities and a better quality of life.

    Discover eight key reasons why international nurses are drawn to Canada:

    1. Growing demand for nurses

    An ongoing nursing shortage means well-trained international nurses are in high demand with many job openings to pick from. That demand is increasing, with the number of job vacancies for registered nurses and registered psychiatric nurses increasing by almost 10% in the third quarter of 2023.

    To help address the shortage, Immigration Refugees and Citizenship Canada (IRCC) has allocated $115 million CAD over the next five years, and $57 million CAD ongoing for expanding Canada's Foreign Credential Recognition Program, helping international nurses get their qualifications recognized by the Canadian government.

    2. High quality of life

    Canada consistently ranks high in global quality of life indices. In 2023, Canada ranked 13th in the World Happiness Report, offering international nurses a stable, safe, and prosperous environment to live and work.

    3. Competitive salaries

    Canadian nurses enjoy competitive salaries. According to Canadian recruitment site ca.talent.com, the average annual salary for a registered nurse in Canada is approximately CAD 73,000 in 2024, varying by province and experience level.

    4. Universal healthcare system

    Canada's universal healthcare system is attractive to many international nurses. It offers the opportunity to work in a well-structured, publicly funded system that prioritizes patient care over profit.

    5. Professional development opportunities

    Canada offers numerous opportunities for career advancement and specialization. Many provinces have programs to support continuing education and professional development for nurses, and the Registered Practical Nurses Association of Ontario offers up to $1,500 CAD per year in education grants

    6. Multicultural society

    Canada's diverse and inclusive society makes it easier for international nurses to integrate. According to the 2021 census, over 23% of Canada's population are immigrants, creating a welcoming environment for newcomers, and the country consistently ranks as one of the top ten friendliest places to live.

    7. Pathway to permanent residency

    Many international nurses view working in Canada as a stepping stone to permanent residency. Programs like Express Entry often favor skilled healthcare workers, making it easier for nurses to transition from temporary to permanent status.

    8. Work-life balance

    Canadian workplaces generally prioritize work-life balance. Nurses in Canada typically work 37.5-hour weeks, with overtime pay for additional hours, allowing for a better quality of life outside of work.

    What next?

    If you’re eyeing up a move north, you’ll need to submit your nursing credentials, take the NCLEX-RN to qualify for a Canadian nursing license if needed, and show you’ve got the necessary language skills.

    Get your move off to a stress-free start with the Pearson Test of English (PTE).

    With no additional speaking exam, PTE covers all four skills in one test using computer-based assessments to remove bias. It’s the faster, fairer, simpler way to evidence your English skills and start your next chapter.