Travel nursing

Last updated

Travel nursing is a nursing assignment concept that developed in response to the nursing shortage in the United States in the 1970s. This business supplies nurses who travel to work in temporary nursing positions, mostly in hospitals. While travel nursing historically refers specifically to the nursing profession, it can also be used as a blanket term to refer to nursing and allied health professionals, physicians, advanced practice nurses, physician assistants, dentists and other support staff including certified nursing assistants.

Contents

Healthcare professional travel contracts exist throughout the world wherever there is a need and shortage of appropriate healthcare professionals in hospitals and facilities, disaster relief and global aid projects.

Reasons cited for pursuing travel nursing opportunities include higher pay in some cases, professional growth and development, and personal adventure. Travelers typically select from one or more recruitment agencies to act as intermediaries between the traveler and hospitals or other potential employers, but may also work as an independent contractor (IC). Agencies may submit applications for numerous positions concurrently on behalf of a traveler.

History of travel nursing

Florence Nightingale is a famous name in the history of nursing. She and a few other nurses traveled to Turkey during the Crimean War to help soldiers who were wounded in battle. Some consider them to be the first travel nurses, although the term "travel nursing" did not exist at that time.

The term "travel nursing" arose in 1978 during Mardi Gras week in New Orleans, Louisiana. This week of celebration and festivities resulted in many injuries, which unexpectedly overwhelmed local hospitals. They had to contract nurses from all over the U.S. to provide extra support. At that time the first travel nurses were recruited by entrepreneur Bruce Male's private agency, Travel Nursing Corps, later called "Travcorps". [1] Since then, travel nursing has expanded and taken a whole new meaning.[ clarification needed ]

US clinical requirements

In the U.S., the usual requirements for becoming a travel nurse within the private staffing industry are to have graduated from an accredited nursing program, and a minimum of 1.5 years of clinical experience with 1 year being preferred in one's specialty and licensure in the state of employment, often granted through reciprocity with the home state's board of nursing. Although most places do require at least 1 year of nursing experience, it can still be easy to get into travel nursing from the start.

Some travel agencies will reimburse travelers for the cost of the license or other required certifications. A travel nurse may receive a minimal orientation to the new hospital (and rarely no orientation at all).

If the nurse's home state has joined the Nurse Licensure Compact (NLC), the nurse can work in any other compact state as long as the home state license is in good standing, and the permanent residence is in a compact state. This facilitates the license reciprocity process and potentially speeds up the time to employment. There are currently 26 states participating in the NLC, including states such as Florida, Texas, or Arizona.

Travel nurses are required to have a nursing license with the appropriate state, but they may also need to complete other requirements, such as Basic Life Support, Advanced Cardiac Life Support, and Pediatric Advanced Life Support courses.

Travel nursing assignments

Travelers typically work under a short-term contract. In the United States, these contracts typically range from 4 to 13 weeks, although 26-week assignments are also possible. If there is a continual need for travelers they will be offered extension contracts. Contracts outside of the U.S. can last 1–2 years. Frequently, a permanent position is offered by the hospital at the end of the contract. Travel nurses can also work abroad. Presently there are 500+ U.S. Travel Nurse Companies that employ Nursing and Allied Healthcare Professionals. Updated 3-24-2024 [2] Common practice areas for travel nurses include:

Compensation

Pay

Travel nurses are paid by the travel nursing agency that placed them, which in turn is paid by the hospital. The amount of money a hospital pays to the agency is referred to as the bill rate. The agency calculates and subtracts costs, overhead and profit margin from the bill rate and pays the difference to the traveler. To compensate travelers, higher rates than the rates paid to permanent staff is the norm. Pay can range from $30–50/hour or more depending on various factors. Travel nurses may work between 36 and 48 hours (about two days) per week with overtime included. Additionally, travel nurses may receive bonuses. Hospital bonuses range from U.S. $250 to U.S. $5000. Variables that affect pay include the location of the assignment (vacation destinations tend to be more competitive and therefore able to find willing applicants for less), demand for the position, local cost of living and the type of nursing specialty being sought.

Travel nurses assigned to rapid response and “crisis” situations, more specifically nurses needed to help in contexts involving natural disasters, are typically compensated more for their work.

Since all costs and compensation must come out of the bill rate, a traveler working for an agency offering a high level of benefits will probably be paid lower wages than one working for an agency that offers few or no non-wage benefits.

Housing

If travel agencies provide housing, it usually consists of a one-bedroom furnished apartment. Utilities (electric, water, trash) may be included. Telephone, cable television and sometimes internet service can be included. Housing may include a washer and dryer, dishwasher, microwave and basic housewares such as pots, dishes, utensils and linens. Some travel companies allow the travel nurse to participate in the housing search and selection process.

Nearly all agencies will offer a housing stipend if the nurse chooses to secure housing independent of the agency. Stipend amounts can be substantial (even higher than actual wages) and these may be provided tax-free if the traveler has a qualifying tax home as determined by the IRS Publication 463 or with the assistance of qualified tax preparers experienced in working with travelers. Some companies require the traveler to take the housing stipend. The housing stipend or the value of the provided housing is taxed as part of the pay if the traveler does not have a qualifying tax home.

Assignment reimbursements

A travel allowance is generally paid by the travel agency. Some agencies offer healthcare insurance (or reimbursement for insurance held elsewhere), the ability to contribute to 401(k)accounts (sometimes with matching funds), licensure reimbursement, referral bonuses and loyalty reward programs. Some companies are even starting to add vacation and sick days, stock investment options and continuing education reimbursements.

Covid-19 pandemic effects

One of the most pivotal moments for the travel nursing industry occurred during the COVID-19 pandemic, which began in 2019. The pandemic placed immense strain on hospitals and healthcare facilities worldwide, leading to a sharp increase in demand for healthcare workers. Many hospitals saw a significant portion of their permanent staff resign due to fears of working in an environment with an unknown virus and the risks to personal health.

During the COVID pandemic, for example, travel nurses became irreplaceable as a temporary solution measure against a virus that was ravaging healthcare providers almost as often as it was affecting patients. [3] In response, hospitals and healthcare providers began offering significantly higher pay and incentives to attract nurses willing to travel and work in high-need areas. This surge in demand greatly expanded the travel nursing sector, drawing in nurses from all over the country and highlighting the critical role travel nurses play in the healthcare system. The pandemic demonstrated how travel nursing could be a vital resource in emergency situations, reshaping the industry’s growth and future prospects

Organizations

Nurses typically go through an agency or an organization to seek work. These agencies have recruiters who are matched up with a nurse seeking a temporary position usually outside of their home state. Organizations and agencies pay a higher wage and provide housing for the workers.

Related Research Articles

<span class="mw-page-title-main">Registered nurse</span> Nurse who has graduated from a nursing program

A registered nurse (RN) is a nurse who has graduated or successfully passed a nursing program from a recognized nursing school and met the requirements outlined by a country, state, province or similar government-authorized licensing body to obtain a nursing license. An RN's scope of practice is determined by legislation, and is regulated by a professional body or council.

<span class="mw-page-title-main">Home care in the United States</span>

Home care is supportive care provided in the home. Care may be provided by licensed healthcare professionals who provide medical treatment needs or by professional caregivers who provide daily assistance to ensure the activities of daily living (ADLs) are met. In-home medical care is often and more accurately referred to as home health care or formal care. Home health care is different non-medical care, custodial care, or private-duty care which refers to assistance and services provided by persons who are not nurses, doctors, or other licensed medical personnel. For patients recovering from surgery or illness, home care may include rehabilitative therapies. For terminally ill patients, home care may include hospice care.

A nursing home is a facility for the residential care of older people, senior citizens, or disabled people. Nursing homes may also be referred to as care homes, skilled nursing facilities (SNF) or long-term care facilities. Often, these terms have slightly different meanings to indicate whether the institutions are public or private, and whether they provide mostly assisted living, or nursing care and emergency medical care. Nursing homes are used by people who do not need to be in a hospital, but require care that is hard to provide in a home setting. The nursing home staff attends to the patients' medical and other needs. Most nursing homes have nursing aides and skilled nurses on hand 24 hours a day.

<span class="mw-page-title-main">Assisted living</span> Housing facility for people with disabilities

An assisted living residence or assisted living facility (ALF) is a housing facility for people with disabilities or for adults who cannot or who choose not to live independently. The term is popular in the United States. Still, the setting is similar to a retirement home, in the sense that facilities provide a group living environment and typically cater to an older adult population. There is also Caribbean assisted living, which offers a similar service in a resort-like environment.

The Bachelor of Science in Nursing also known in some countries as a Bachelor of Nursing (BN) or Bachelor of Science (BS) with a Major in Nursing is an academic degree in the science and principles of nursing, granted by an accredited tertiary education provider. The course of study is typically three or four years. The difference in degree designation may relate to the amount of basic science courses required as part of the degree, with BScN and BSN degree curriculums requiring completion of more courses on math and natural sciences that are more typical of BSc degrees and BN curriculums more focused on nursing theory, nursing process, and teaching versions of general science topics that are adapted to be more specific and relevant to nursing practice. Nursing school students are generally required to take courses in social and behavioral sciences and liberal arts, including nutrition, anatomy, chemistry, mathematics, and English. In addition to those courses, experience in physical and social sciences, communication, leadership, and critical thinking is required for a bachelor's degree. BSN programs typically last 2–4 years. Someone who holds a BSN can work in private or public medical and surgical hospitals, physician's offices, home health care services, and nursing facilities. Having a BSN can result in more opportunities and better salary than just an associate degree.

A licensed practical nurse (LPN), in much of the United States and Canada, is a nurse who provides direct nursing care for people who are sick, injured, convalescent, or disabled. In the United States, LPNs work under the direction of physicians, mid-level practitioners, and may work under the direction of registered nurses depending on their jurisdiction.

In China, the practice of medicine is a mixture of government, charitable, and private institutions, while many people rely on traditional medicine. Until reforms in the late twentieth and early twenty-first century, physicians were quasi-government employees and with little freedom in the choice of the hospital to work with. In addition, decades of planned economic policy discouraged physicians from opening their own clinics, and the practice of medicine was generally under the control of local units, such as factories, government, offices, or communes. The reforms created a largely private practice, and physicians now are encouraged to open private clinics and for-profit hospitals.

A Nursing Agency is a service provider agency which provides nurses and usually health care assistants to people who need the services of home healthcare professionals. Nurses are normally engaged by the agency on temporary contracts and make themselves available for hire by hospitals, nursing homes, eldercare centers, and other providers of care for help during busy periods or to cover for staff absences. Some nurses may be seconded to private clients who choose to receive their nursing care within their own homes.

An Associate of Science in Nursing (ASN) is a tertiary education nursing degree which typically takes 2–3 years to complete. In the United States, this type of degree is usually awarded by community colleges or similar nursing schools. Some four-year colleges also offer this degree. Students awarded an Associate of Science in Nursing are qualified to sit for the NCLEX-RN and apply for licensure as a Registered Nurse.

<span class="mw-page-title-main">American Health Care Association</span> American non-profit organization

The American Health Care Association (AHCA) is a non-profit federation of affiliated state health organizations that represents more than 14,000 non-profit and for-profit nursing homes, assisted living communities, and facilities for individuals with disabilities. The organization's president and CEO is Mark Parkinson, a former governor of Kansas. The National Center for Assisted Living (NCAL) is a part of the AHCA.

<span class="mw-page-title-main">Nursing in the United States</span> Overview of nursing in the United States of America

Nursing in the United States is a professional health care occupation. It is the largest such occupation, employing millions of certified professionals. As of 2023, 3,175,390 registered nurses were employed, paid a median income of $86,070.

<span class="mw-page-title-main">Nursing shortage</span> Overview of global nursing shortages

A nursing shortage occurs when the demand for nursing professionals, such as Registered Nurses (RNs), exceeds the supply locally—within a healthcare facility—nationally or globally. It can be measured, for instance, when the nurse-to-patient ratio, the nurse-to-population ratio, the number of job openings necessitates a higher number of nurses than currently available, or the current number of nurses is above a certain age where retirement becomes an option and plays a factor in staffing making the workforce in a higher need of nurses. The nursing shortage is global according to 2022 World Health Organization fact sheet.

In the United States, a psychiatric-mental health nurse practitioner (PMHNP) is an advanced practice registered nurse trained to provide a wide range of mental health services to patients and families in a variety of settings. PMHNPs diagnose, conduct therapy, and prescribe medications for patients who have psychiatric disorders, medical organic brain disorders or substance abuse problems. They are licensed to provide emergency psychiatric services, psychosocial and physical assessments of their patients, treatment plans, and manage patient care. They may also serve as consultants or as educators for families and staff. The PMHNP has a focus on psychiatric diagnosis, including the differential diagnosis of medical disorders with psychiatric symptoms, and on medication treatment for psychiatric disorders.

Nursing in the Philippines is provided by professionally trained nurses, who also provide a quarter of the world's overseas nurses. Every year, some 20,000 nurses work in other countries. Nurses in the Philippines are licensed by the Professional Regulatory Commission. The advance of nursing in the Philippines as a career was pioneered by a culture of care that is intrinsic in the Filipino people. This began before Spanish colonization.

<span class="mw-page-title-main">Health professional requisites</span> Regulations used by countries

Health professional requisites refer to the regulations used by countries to control the quality of health workers practicing in their jurisdictions and to control the size of the health labour market. They include licensure, certification and proof of minimum training for regulated health professions.

Unlicensed assistive personnel (UAP) are paraprofessionals who assist individuals with physical disabilities, mental impairments, and other health care needs with their activities of daily living (ADLs). UAPs also provide bedside care—including basic nursing procedures—all under the supervision of a registered nurse, licensed practical nurse or other health care professional. UAPs must demonstrate their ability and competence before gaining any expanded responsibilities in a clinical setting. While providing this care, UAPs offer compassion and patience and are part of the patient's healthcare support system. Communication between UAPs and registered nurses (RNs) is key as they are working together in their patients' best interests. The scope of care UAPs are responsible for is delegated by RNs or other clinical licensed professionals.

A pediatric nurse practitioner (PNP) is a nurse practitioner who specializes in care for newborns, infants, toddlers, pre-schoolers, school-aged children, adolescents, and young adults. Nurse practitioners have an in-depth knowledge and experience in pediatric healthcare including well childcare, and prevention/management of common pediatric acute illnesses and chronic conditions. This care is provided to support optimal health of children within the context of their family, community, and environmental setting. In order to be a pediatric nurse practitioner one must be compassionate, resourceful, good at communicating and have good attention to detail.

Credentialing is the process of establishing the qualifications of licensed medical professionals and assessing their background and legitimacy.

Nursing is the largest healthcare profession in the United States, with more than 3.1 million registered nurses. Between 2012 and 2022, employment for nurses is projected to grow by 19 percent, which is more than any other profession. Nurses make up the largest component of staff in hospitals but are also able to provide care in clinic settings, patient's homes, schools, nursing homes, public health agencies, and mental health centers. In addition, nurses can be found in the military, in industry, nursing education, and do health care research. Nurses in these various roles and settings can provide direct patient care and case management, but also develop and establish nursing practice and quality standards within complex healthcare systems. As each degree can provide a different level of care for patients and function in vastly different roles, it is important to differentiate between them. The levels of nursing degrees have different educational requirements, licensure, and credentialing that can vary state to state.

<span class="mw-page-title-main">Healthcare in Slovakia</span>

Healthcare in Slovakia has features of the Bismarck, the Beveridge and the National Health Insurance systems. It has public health system paid largely from taxation. The cost of national health insurance is shared between the employees and the employers. The part of these taxes are paid by the employees as a deduction from theirs wages and the remaining part of these taxes is paid as compulsory contribution by employers. Sole traders pay the full amount of these taxes. 

References

  1. "History of Travel Nursing". Professional Association of Nurse Travelers. 2021. Retrieved 6 March 2021.
  2. "ALL 520+ Travel Nurse Companies". TravNurse. 2024. Retrieved 24 March 2024.
  3. "History of Travel Nursing · The Gypsy Nurse". 2023-07-22. Retrieved 2024-09-25.