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From International Student to Registered Nurse: A Comprehensive Guide to Becoming a Nurse in the USA

  • Aug 13, 2024
  • 6 min read

Updated: Mar 12

Introduction

Pursuing a healthcare career in the United States can be a daunting journey, especially for international students who face unique challenges in adapting to a new country and educational system. The process of starting a new career might feel overwhelming, and the complexities of navigating the American healthcare education system can be intimidating. However, there's a promising solution for those looking to build a meaningful career in healthcare: nursing.


Nursing is the foundation of the healthcare system and the backbone of hospitals, supporting both patients and medical staff. By pursuing a nursing career in the USA, you not only gain access to high-quality education but also open doors to a stable and rewarding career. This guide will walk you through the benefits, challenges, and steps involved in becoming a nurse in the USA, helping you make an informed decision and plan your journey effectively.




group of student in a nurse classroom


Why Study Nursing in the USA?

One of the most important aspects of studying nursing in the USA is the educational system, curriculum, and training, which focus on evidence-based practice—a critical approach to modern healthcare. This system ensures that nurses gain high clinical skills, critical thinking abilities, solid knowledge, and access to advanced equipment that keeps them updated on the latest developments in the field.


Another key advantage is the opportunity for continuous progress in the educational system. The USA offers numerous opportunities for advanced degrees and specializations. Additionally, nursing organizations in the USA provide support for collaboration and research, allowing nurses to contribute to the advancement of healthcare.


Three nurses in a hospital hallway reviewing notes

 

U.S. universities offer various career opportunities and paths for nursing students, enabling them to pursue their specific goals and interests.


Nursing is one of the most in-demand careers in the USA, with salaries varying based on multiple factors. According to the Bureau of Labor Statistics, the median annual salary for Registered Nurses (RNs) is $82,750. This is in addition to healthcare benefits and retirement plans, which may help secure your future and that of your family.


The U.S. Bureau of Labor Statistics projects faster-than-average job growth for registered nurses, ensuring job security and stability. It also predicts approximately 203,200 job openings for registered nurses every year through 2031. The USA has the largest number of international students in the world, representing different countries and cultures. This diversity creates a creative and inclusive learning environment where students can gain a broader understanding of different perspectives.


A nurse practitioner teaching other students about a whiteboard full of x-ray slides

How to become a nurse in the USA

In simple words, these are the steps you need to take to become a registered nurse in the United States:

  1. Complete a Nursing Program:

  • You need to study at a school that offers a nursing program approved by the authorities.

  • You can choose to study for two years to earn an Associate of Science in Nursing, which teaches you basic nursing skills.

  • Or you can study for four years to earn a Bachelor of Science in Nursing, which provides more in-depth training and opens up more opportunities.

  1. Pass the NCLEX-RN Exam:

  • After finishing your nursing program, you must pass an important test called the National Council Licensure Examination for Registered Nurses (NCLEX-RN).

  • This exam is required to officially become a registered nurse in the U.S.

  1. Get Your License:

  • Once you pass the exam, you need to get a license to work as a nurse.

  • The rules for getting a license can be different depending on the state where you want to work. But in the vast majority it is just a matter of completing a program with an accredited school, passing the NCLEX exam and a background check.


What Are the Nursing Programs in the USA?

In the U.S., top academic institutions and universities offer nursing courses and programs at both the undergraduate and postgraduate levels. Here are the most common programs:


Diploma in Nursing

A diploma in nursing typically takes 2-3 years to complete and focuses on practical nursing skills, patient care, and basic healthcare principles. This program is primarily offered by hospitals and some institutions. After completing the training, graduates are ready to take the NCLEX-RN to obtain their nursing license and legally work in the USA.


Associate Degree in Nursing (ADN)

The ADN is an undergraduate nursing degree offered by community colleges. It is a cost-effective option for those seeking a nursing career and usually takes around two to three years to complete. The program focuses on both clinical skills and provides a solid foundation in nursing fundamentals, anatomy, physiology, and pharmacology. ADN graduates can take the NCLEX-RN examination and begin their careers as registered nurses.


Bachelor of Science in Nursing (BSN)

The BSN is an undergraduate program preferred by many students because it offers a wide range of opportunities for career development. The program is offered by colleges and universities, both of which provide high-quality education and comprehensive programs. The curriculum includes both basic and advanced coursework in nursing theory, research, leadership, community health, and clinical practice. A BSN degree also provides a strong foundation for advanced nursing education and specialization.


Accelerated BSN Programs

Accelerated BSN programs are designed for individuals who already hold a bachelor's degree in a related field and want to pursue nursing. These programs offer an intensive and condensed curriculum, allowing students to complete their BSN degree in a shorter timeframe, typically 12 to 24 months. The program focuses mainly on nursing coursework and clinical experience. After completing the program, graduates have the same eligibility for the NCLEX-RN examination as those from traditional BSN programs.


Master of Science in Nursing (MSN)

The MSN is a postgraduate degree that allows nurses to specialize in specific practice areas. MSN programs typically require a BSN as a prerequisite. There are many areas in which nurses can specialize, such as nurse practitioner, nurse educator, nurse administrator, nurse informatics, and more. The curriculum focuses on nursing theory, research, leadership, and clinical practice. Nurses with an MSN are in high demand, as they are prepared to take on advanced roles in patient care, education, administration, and research.


Doctor of Nursing Practice (DNP)

The DNP is the highest professional degree for nurses. This program is designed for nurses seeking to advance their clinical practice, leadership skills, and evidence-based decision-making abilities. DNP programs typically require a BSN or MSN as a prerequisite and can take around 3-4 years to complete. The curriculum focuses on advanced practice nursing, healthcare policy, research methods, and leadership development. DNP graduates are equipped with the knowledge and skills to lead healthcare initiatives, improve patient outcomes, and contribute to the advancement of nursing practice. With a DNP degree, nurses can pursue roles such as nurse practitioner, nurse executive, clinical nurse specialist, or nurse educator.


Admission Requirements

To study nursing in the USA, you must meet certain admission requirements. These typically include:

  • A high school diploma or equivalent, with a strong emphasis on biology and chemistry.

  • Proof of English proficiency, such as a 6.5 score in IELTS or 90% in TOEFL.

  • An academic transcript from your previous institution, and, if needed, credential evaluation.

  • Standardized test scores like the SAT, ACT, or GRE.

  • Financial proof to cover tuition fees and living expenses.

  • A student visa application, which should be started as early as possible.

  • Letters of recommendation.


Admission requirements may vary, so be sure to check the specific requirements for your desired institution, college, or university.


How to Choose Your Nursing School

When choosing your nursing school, consider these five key questions:

  1. What is your target degree? Do you want to pursue a diploma or a bachelor’s degree in nursing? Different career paths and schools offer different programs.

  2. Which cities are you interested in? Consider your preferred locations, as some schools have multiple campuses.

  3. Is the school accredited? Ensure that the school is accredited and approved for licensing in all 50 U.S. states. Licensing requirements for registered nurses and nurse practitioners may vary by state.

  4. How much does nursing school cost? Figure out the total cost, including tuition and other fees.


🔖Conclusion

Pursuing a nursing career in the USA as a refugee is a challenging yet rewarding journey. The U.S. offers a robust educational system, diverse career opportunities, and a multicultural environment that can help you build a meaningful and stable career in healthcare. By carefully selecting the right program, meeting admission requirements, and choosing an accredited institution, you can set yourself on the path to success. Nursing not only provides a solid foundation for a career in healthcare but also offers the opportunity to make a significant difference in the lives of others. With determination and careful planning, you can overcome the challenges and achieve your goal of becoming a nurse in the USA.


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