THE STATE OF NURSING IN THE UNITED STATES
A data-driven look at the U.S. nurse shortage—its causes, consequences, and what it will take to rebuild the workforce.


About the Paper
The U.S. nursing shortage has deep roots—and deep consequences. This white paper explores the structural forces behind the crisis, the compounding effects of the COVID-19 pandemic, and why current solutions are falling short.
Drawing from government data, industry research, and interviews with nurses and healthcare leaders, this paper offers an honest assessment of the state of nursing in the U.S.—and what must happen next.
Key Insights
A Shortage Decades in the Making
Despite decades of investment, the U.S. is still on track to face a shortfall of over 1.1 million nurses in the coming years.
COVID Accelerated the Exodus
100,000 nurses left during the pandemic—and 800,000 more plan to leave in the coming years due to burnout, unsafe conditions, and lack of career mobility.
Costs Are Compounding
Travel nurses, contract labor, and lost revenue from canceled procedures are pushing hospitals into financial crisis. Labor strikes in 2023 alone cost nearly $600 million.
Patient Outcomes Are At Risk
Each additional patient assigned to a nurse increases the risk of death by 7%. Staffing shortages now directly threaten patient safety and health system resilience.
Internationally Educated Nurses Are a Ready, Proven WorkforceIENs already deliver high-quality care across the U.S.—and with the right support, they can help stabilize staffing in a sustainable, long-term way. With ethical partnerships and immigration pathways, international recruitment offers a powerful opportunity to strengthen your team.
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