Why more and more nurses are choosing the US to accelerate their career

PTE Author
PTE Author
[Asset] US nurses
Reading time: 6 minutes

The US has the largest number of nurses globally, and half of all the English-speaking nurses in the world work in the US.  

But faced with a national shortage that continues to grow, the US has been welcoming nurses from around the world to keep its healthcare system ticking.  

Higher salaries, good working conditions, and the ability to bring family have made it a top destination for international nurses looking for a new chapter.   

We explore what’s behind the nursing shortage and why more and more nurses are choosing to call the US home.  

Why is there a nursing shortage in the US?  

The combination of an aging population and increased healthcare needs after Covid means that there aren’t enough nurses in the US to meet patient demand.  

Many experienced nurses are also retiring, with almost a quarter of Registered Nurses (RNs) having stepped down or planning to retire in the next five years, according to a 2022 national survey.  

There’s a shortage of nursing educators too; nursing schools had to turn away almost 66,0000 applicants in 2023 because they didn’t have enough teaching staff.  

The result is that hospitals and healthcare facilities are actively recruiting international nurses to fill critical gaps, offering a stable and secure career path for nurses willing to relocate to the US. 

How many nursing job openings are there in the US

There are almost 4.7 million registered nurses in the US.

That number is projected to grow by almost 10%, according to the US Bureau of Labor Statistics, who predict that there will be almost 200,000 vacancies for Registered Nurses each year between 2020 and 2030.  

Where do international nurses come from?  

The number of nurses relocating to the US has tripled since 1994, and around 8% of current Registered Nurses were educated outside of the US.   

The Philippines (29%) and Jamaica (29%) are the top countries Registered Nurses have relocated from, followed by India (19%).  

Quickly part of the team, almost 90% of international nurses say they feel accepted by patients and nursing colleagues.  

Why do nurses choose the US? 

For many international nurses, moving to the US means better professional and personal resources and different ways to specialize, train and focus their careers.  

Higher salaries 

The US is known for offering some of the highest rates of pay for nurses globally.  

On average, Registered Nurses earn just under $95,000 a year (c.$45 an hour), with the top 10% of nurses earning over $132,000 annually.  

The states with the highest mean annual salaries for nurses are California ($137,690) and New York ($106,620).   

Many US healthcare facilities also offer sign-on bonuses and retention bonuses. 

Better benefits 

The financial benefits of nursing in the US go beyond the salary. US employers provide comprehensive compensation packages that include healthcare coverage for nurses and their families, pensions, paid sick leave and vacation days.   

Over a quarter of employers also provide childcare, with 10% providing their nursing staff with help repaying student loans. 

Ability to bring family 

There’s a myth that moving to the US means leaving your family behind. But with nurses in such high demand, spouses and children under 21 are allowed to accompany nurses to the US — even on a H-1B Registered Nurse temporary visa.  

Those dependents on a H-4 visa are able to apply to work in the US, with the opportunity for the whole family to become US citizens if you progress to the employment-based EB-3 permanent residency visa, or “Green Card” as it’s better known. 

Flexibility with the nurse licensure compact 

Another advantage of working as a nurse in the US is the flexibility of the Nurse Licensure Compact (NLC).  

From large urban hospitals in Dallas to rural clinics in North Dakota, this multistate license allows nurses to practice in any of the 42 jurisdictions, finding the setting that best suits their expertise, family, and lifestyle.  

Opportunities to specialize 

Whether it’s pediatric care, oncology, critical care, or advanced practice nursing, the US healthcare system provides many opportunities for nurses to specialize.  

Hospitals and healthcare institutions in the US often have training programs to help nurses achieve their specialization goals and gain hands-on experience with the most advanced medical technology and procedures.  

Being able to specialize in the areas that are of special interest not only boosts job satisfaction, but it also unlocks opportunities for higher pay and stepping up the career ladder. 

Career advancement and leadership roles 

For those interested in a leadership role, there are many different options within US nursing, such as Nurse Managers, Directors of Nursing, or Chief Nursing Officers.  

These positions not only come with higher salaries but also provide the opportunity to influence healthcare policies, mentor the next generation of nursing professionals, and improve patient care on a broader scale.  

Professional and personal opportunities

Relocating to the US offers nurses a whole host of professional and personal opportunities.  

In high demand, international nurses are valued by healthcare employers, with high wages, great benefits, and opportunities to take their nursing career in the direction that interests them most.  

Thinking of making the move? Take that first step with PTE Academic — the faster, fairer, simpler way to evidence your English skills.   

PTE Academic covers all four skills in just a single two-hour test, so test takers don’t need to worry about taking a separate speaking test with a human examiner. PTE Academic is a computer-based test and so test takers are judged purely on their English skills. Not their accent, their age, their outfit or their appearance.  

Accepted by the major US nursing bodies, find out more about how PTE can help you start your new chapter in the US.

Related Content

  • Image- KL twin tower, 624px
    How to study in Malaysia
    By PTE Author
    Reading time: 5 minutes

    With high-quality universities, more affordable tuition, and the fastest growing regional economy in the world, Asia has become a popular destination for international students. This includes students from within the region itself.

    Western countries still attract a large number of students each year. “But the idea that a Western degree is automatically better and more advantageous than one obtained in Asia is losing ground.” states by ICEF Monitor.

    In fact, countries like China, South Korea, Japan, Singapore, and Malaysia have all been competing to attract more international students in recent years. As a result, Asian students now have the opportunity to receive a world-class education and international study experience much closer to home. This is especially important for many families today, as uncertainty surrounding the pandemic is expected to continue.

    Now, let’s take a look at what one Asian country – Malaysia – has to offer international students. We’ll also go into what students should keep in mind as they plans their studies:

    Malaysia at a glance

    Malaysia boasts innovative universities and excellent intra-regional mobility, making it a great place for students to consider. The country has worked to put itself on the map as a destination for international learners. It hopes to welcome 250,000 students from abroad by 2025. Students come from a variety of countries including Bangladesh, China, Indonesia, Yemen, and Nigeria.

    Bahasa Malaysia is the country’s official language. However many university courses are taught in English.

    Universities in Malaysia

    Malaysia boasts more than 100 higher education institutions. Many universities here are also ranked amongst the top in the world by the QS World University Rankings. Included in the ranking are: 

    • University of Malaya (UM): Ranked 60th globally. 

    • Universiti Putra Malaysia (UPM): Ranked 148th globally. 

    • Universiti Kebangsaan Malaysia (UKM): Ranked 138th globally. 

    • Universiti Sains Malaysia (USM): Ranked 146th globally. 

    A number of international universities have also opened branches in Malaysia. These include the University of Nottingham, Heriot Watt University, Monash University, Xiamen University, and Newcastle University, to name a few. They provide students with the chance to earn a degree from Western universities without having to leave the region.

    If you're looking to explore your study options, the government has a great tool for students to find the program that suits them best. You can also learn more about diploma studies with this useful guide.

    In order to study in Malaysia, students will need to prove they are proficient in English and PTE Academic is the ready choice for you to do so. PTE Academic is a computer-based language test that provides unbiased and secure proof of a candidate’s English skills for study, professional, and migration purposes.

    According to language requirements set by Malaysian Qualifications Agency (MQA), students who plan to undertake a Bachelor’s degree and above at university or college must score a minimum of 47 for PTE Academic, which is equivalent to CEFR High B1 level.

    Students who wish to undertake a diploma course will need to have a minimum PTE Academic score of 36, which is equivalent to CEFR Low B1 level. However, students should always check with their respective university or college to confirm their language score requirements.

    Getting your visa

    Applying for a Student Pass to study in Malaysia is relatively simple and can be done online. Before starting your application, you must have a letter of acceptance from your university. The whole visa process takes about one month. You’ll find out how to apply on the Education Malaysia website.

    With a Student Pass you can work up to 20 hours a week, but only during school breaks that last longer than 8 days.

    Cost of living

    Malaysia draws the attention of students all around the world because it offers an affordable, yet still top class education. A bachelor degree, for example, costs between $10,000-20,000 USD. This is a lot less than in the United States or the U.K. In fact, Malaysia’s booming capital city Kuala Lumpur was named the second most affordable city in the world for students by the QS Best Student Cities ranking.

    Financial aid

    International students in Malaysia can apply for financial aid. Universities offer scholarships directly to students. To get an idea of what these might be like, you can take a look at the scholarships offered by University of Malaya.

    The Malaysian government also provides scholarships to international students. The Malaysia International Scholarship – which offers air tickets, tuition, and a monthly allowance, among other benefits – is one scholarship to look into. The Malaysian Commonwealth Scholarship and Fellowship Plan also offers international students some generous financial support.

    Want an international study experience in Malaysia?

    PTE Academic – a fast, flexible, fair, and secure English assessment can help you get there. Book the test now and get the result within 2 days.

    View prices in your country and find your local test center.

    Last updated 20 December 2024.

  • A man using a laptop
    Prepare online with E2Language
    By PTE Author
    Reading time: 1 minute

    Are you preparing to take PTE Academic?

    Good news! We have added a new test preparation company to our existing list of providers. This will give you even more options and support in your test preparation.

    Try E2Language with a free trial

    E2Language is a global online tutorial and test preparation provider. They offer good quality practice services and materials for PTE Academic. E2Language offers online tuition through group and 1-1 learning, supported by a range of YouTube videos that share tips and advice. They offer a set of online preparation materials.

    We are always looking to expand and enhance the services we offer our test takers and we believe the addition of E2Language helps us achieve this goal.

    Give yourself the best chance of performing well on the day with E2Language – try for free.

  • Video thumbnail for the video, 'Learn how PTE Academic uses AI to mark tests'
    How do you know PTE Academic’s computer marking works?
    By PTE Author
    Reading time: 2 minutes

    How do we know automated scoring works

    Are you thinking of taking PTE Academic, or have you recently taken it, but you are wondering how it is that a computer can mark your test?

    Well, firstly the test has been designed by humans, all leading experts in their field. Our human experts design and write the questions, quality assure them, and then score them. At this point, computers are trained to use the patterns of highly trained language experts to attribute scores to questions. When the computer marks correlate highly with the human scores, we then allow the computer to mark test scripts from across the world.

    As a result of our processes and technology, the computer behaves like an expert human examiner – but without any possible bias, lack of concentration, or variation between individual examiners.

    The scoring criteria are exactly the same as human scoring – test takers are marked on their delivery, clarity, relevance, the accuracy of grammar, and appropriateness of vocabulary.

    Want to hear more?

    Take a couple of minutes and listen to one of our leading independent advisors, Dr. Alistair Van Moere, a member of Pearson’s Technical Advisory Group, as he explains how it all works.