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- A guy with headphones and laptop
    Listening: Self-Improvement Part 1
    By PTE Author
    Reading time: 3 minutes

    After working through the strategies to improve your English listening skills, you can work on specific areas of the test. In this part, you will need to apply a number of listening and writing skills.

    Below are improvement tips on the question types that combine writing and listening skills.

    Summarize Spoken Text

    In the Summarize Spoken Text questions you will be scored on content, form, grammar, vocabulary, and spelling.

    Content and Form

    Make sure you write a good, clear summary of all the key points in the text and also condense the most important supporting points.

    In this question, you will not be given the context of the recording before it starts. Make sure to listen carefully from the start to help understand the context and the information given.

    Some helpful tips for the content and form, to maximize your score are:

    • Take notes on your Erasable Noteboard Booklet or in the response box on the screen

    • Do not try to write down sentences (you will not have enough time)

    • Use symbols and abbreviations in your notes

    • Write down key points and their relationships with others

    • Start with an overview sentence to introduce your summary

    • Use cohesive devices to link the information as you write

    • Try to write between 50 and 70 words

    Overall, make sure you summarize the text in your own words as this will show that you have understood the purpose of the text. If you do not write in your own words, you will score zero for content.

    If you write less than 40 or more than 100 words, you will score zero.

    Grammar

    It is important that grammar is correct as you will be tested on sentence structure, punctuation and capitalization.

    Try not to be too ambitious with your grammar to avoid making mistakes. Try to use grammatical structures you feel comfortable with.

    In this question type you should:

    • Communicate meaning clearly and concisely

    • Use complex sentences where possible to score more points

    • Write sentences between 18 and 30 words – long sentences are hard to control grammar

    • Check your response for common errors before submitting

    Vocabulary and Spelling

    You will score points if you use the correct and appropriate vocabulary in the Summarize Spoken Text question type. Use words from the recording if you use them appropriately, however, try to use synonyms to replace words already used.

    You will also need to make sure to spell every word correctly to receive maximum points. Try to type as carefully as possible during this question. If you can not remember how to spell a word, guess as it is better to include the word than leave it out, even if it is incorrect.

    Don’t forget to use the space bar to show the end of each word.

    Write from Dictation

    Another question that tests both listening and writing is the Write from Dictation question type.

    In this question type, you will need to write the words in the correct order with the correct spelling in order to score points.

    Before the recording starts, place your cursor in the response box and get ready to type as soon as you hear the recording. Make sure to reproduce what you hear exactly as you heard it as the recording will only be played once.

    Remember to start the sentence with a capital letter and end it with a full stop (period).

    Type as you hear it and when finished, check for any mistakes. Always make sure that to read over your answer before clicking next.

    Continue improving your listening skills by reading our Listening: Self-Improvement Part 2 article.

  • Image- A guy with headphone 1080px
    Listening: Core English Skills Part 1
    By PTE Author
    Reading time: 3 minutes

    The last part of PTE Academic, Part 3: Listening, requires a large combination of core skills.

    The very first skill you will need to develop involves how you listen (listening methods).

    Below, is information on different types of listening and where you may need to use them during PTE Academic.

    Listening Methods

    Predicting

    One of the listening methods you will need to develop is predicting. Before listening, most people will have some idea about what they are going to listen to and prepare themselves for it. They predict.

    It helps to think about the recordings before you hear it spoken, it helps you listen more effectively.

    This listening method will help during Select Missing Word questions as the topic of the text you listen to is given in the instructions. It will also help in the Re-tell Lecture questions as the image will give you an idea of the general context of the listening text.

    Listening for Gist

    Listening for ‘gist’ will allow you to understand the general meaning of a text quickly. When someone is talking, listen in a general way and think about what the speaker is trying to communicate and how they might feel about the topic based on their tone of voice.

    When practicing, try to listen for the gist before listening for a second time more intensively for specific information.

    This reading method will help in the Multiple-choice, Choose Multiple Answer and Multiple-choice, Choose Single Answer questions. Remember in PTE Academic you can not replay the listening track.

    Listen for Specific Information

    You will also need to be able to listen effectively to find specific information. This is more detailed listening and is often used when you need to answer comprehension questions. You first need to understand what information you are looking for in the text.

    When practicing, if you listen to a text that does not have questions write some yourself. Questions that may help could be:

    • What happened?

    • When did it happen?

    • Where did it happen?

    • Why did it happen? Or, why did it happen in this way, and not another way?

    While listening for specific information, you should listen for synonyms and paraphrasing to match the meaning of the text with the meaning of the questions.  This is because you will not hear the exact words in the question.

    Listening to Infer Meaning

    At times you can understand what the speakers are saying by inferring meaning, as the information is not always stated by the speakers.

    To infer meaning, you need to listen for clues in the text or use general knowledge to guess the meaning of what the speakers are saying. Do this by working out the relationship between the speakers, the tone of voice or the words they use.

    You may need to use this listening method in the Multiple-choice, Choose Multiple Answer and Multiple-choice, Choose Single Answer questions.

    In addition to listening methods, you will also need to understand how words are pronounced on their own and together in a sentence. Read more about pronunciation in Part 2 of Core English Skills.

    Want more prep ideas?

    Explore Smart Prep, which combines all our practice materials in one place, so it's easier for you to stay on track with your PTE preparation.

    • Smart Prep is 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.

    Ready to get started?

  • Image- Reading
    Reading: Core English skills part 2
    By PTE Author
    Reading time: 3 minutes

    Once you have practiced and improved your grammar and vocabulary, for Part 2: Reading in PTE Academic, you will need to learn reading methods and the different styles of writing.

    As the PTE Academic is an integrated skills test, the skills developed will be applicable to most sections of the test.

    Firstly, the reading methods you will need to learn and develop are:

    Skim Reading

    By quickly moving your eyes over the text you will be able to get the general meaning of the text. This is the fastest way to understand the text’s meaning.

    Scan Reading

    The fastest way to locate specific information in a text is to scan read. Scan reading helps you find the keywords in a text. Once you find the section of text needed, slow down and read intensively until you understand the information needed to answer the question.

    Intensive Reading

    Intensive reading is done at a slower pace and more carefully. After using scan reading to find the section of text containing the answer you need, you will then need to read intensively to locate the specific information required to answer the question.

    If you are unable to answer the question from the section read, go back to scan reading the whole text to find the correct section, then intensively read that section.

    Critical Reading

    To read critically, you need to think more deeply about what you are reading to understand the text at a deeper level. You will then be able to identify the writer’s purpose, as well as the organization of the text in order to make inferences or understand the textual value.

    You may have to read critically to answer the reading questions Multiple-Choice, Choose Single Answer and Multiple-Choice, Choose Multiple Answers. You may also need this skill to answer the writing question Summarize Written Text, as you will score zero points if you don’t correctly identify the purpose of the text.

    The last question type this skill is used for is the listening question Highlight Correct Summary, as you may need to clarify and organize information to identify the correct summary of the text heard.

    You will also need to be able to identify the style of writing used in the reading texts throughout the test.

    Style of Writing

    For PTE Academic, you will need to understand the style or register of English texts. The style or register refers to the way in which text, that has the same meaning, can be written in different ways.

    When writing, you will need to be able to choose the appropriate words to fit the correct style of the text, as well as understand the style of texts you are reading. For example, an email to your friend will be in an informal style. However, a journal article will be in the academic style. Abstract ideas are also usually written in the academic style.

    Two or three-part verbs (phrasal and prepositional verbs) are generally informal while Latinate verbs are formal, or academic. For example, find out (informal), pick up on (informal) and discover (formal or academic).

    You will need to be able to understand not just the meaning but also the style of a text for the Reading & Writing: Fill in the Blanks questions.