Strengthening US healthcare with international nursing talent

Skilled and compassionate nurses are the foundation of every hospital and care service, yet staffing shortages continue to challenge the US healthcare system. An aging population, increasing demand for healthcare services, and a retiring workforce have led to critical gaps in care provision.

International nurse recruitment has become a lifeline for US hospitals, providing highly skilled, fully credentialed nurses to deliver consistent, high-quality care. By hiring permanent international nurses, healthcare organisations reduce their dependence on temporary staffing and create a stable, sustainable workforce that enhances care outcomes and reduces costs.

At Espirita, we specialise in direct hire international recruitment, offering seamless staffing solutions that integrate global expertise with local healthcare needs.

Contact us to learn more

Addressing nursing shortages with a long-term solution

Direct hire is the key to a sustainable workforce. Unlike temporary solutions, international direct hires become permanent members of your team, receiving the same pay, benefits and career development as local nurses. This reduces turnover, fosters stronger team integration, and ensures continuity of compassionate care, leading to better care outcomes and greater workforce stability.

Espirita can support you to:

  • Reduce dependence on short-term contingent staffing
  • Increase workforce retention and team cohesion
  • Save an average of $40,000 per nurse per year
  • Improve healthcare outcomes
How we work

Nursing specialties we recruit for

We source and place internationally trained nurses across a range of high-demand specialties, including:

  • Medical-Surgical
  • Intensive Care Unit (ICU) / Critical Care
  • Progressive Care Unit (PCU) / Step Down
  • Emergency / Trauma
  • Behavioural Health
  • Labour and Delivery
  • Long-Term Acute Care (LTAC)
  • Skilled Nursing and Elder Care

How international staffing has strengthened US healthcare

In recent years, international nurse recruitment has played a vital role in stabilising the US healthcare system. The growing demand for healthcare professionals — exacerbated by the pandemic, an aging workforce, and rural healthcare shortages — has made global staffing a critical component of workforce planning.

  • Over 1 million nurses are projected to retire by 2030, creating an urgent need for long-term staffing solutions. (1)
  • International nurses currently make up 16% of the US nursing workforce, filling essential roles in hospitals, long-term care facilities and specialty units. (2)
  • By providing permanent staffing solutions, international recruitment helps hospitals improve retention, enhance care provision and reduce dependency on costly travel nurses.

Seamless immigration & licensure support

Navigating US licensure and immigration can be complex, but we take care of everything. As experts in global credentialing, licensure, and visa processing, we handle every aspect of the international hiring process, so you can focus on delivering exceptional care.

  • Pre-screening & credential evaluation
  • Licensure & certification (NCLEX, VisaScreen, English proficiency)
  • Visa sponsorship & immigration support
  • Onboarding & relocation assistance

Helping healthcare organisations thrive

We partner with leading healthcare systems across the US, providing high-quality international nursing talent to address critical workforce gaps. Our staffing solutions help hospitals and healthcare facilities:

  • Reduce burnout & improve nurse retention
  • Ensure predictable, consistent scheduling
  • Empower nurses with training and professional development
  • Foster a healthier, happier workforce

Concierge support: Faster onboarding, seamless integration

Relocating to a new country can be overwhelming, but we provide a full-service to international nurses to ensure a smooth transition.

Dedicated point of contact

Personalised support throughout the relocation process.

Visa & credentialing assistance

We handle licensure, immigration and compliance.

Housing support

Helping nurses find affordable, well-located accommodation.

Travel coordination

Door-to-door travel arrangements for a stress-free move.

Arrival & settling-in support

A warm welcome at the airport and assistance with bank accounts, local orientation and community integration.

Ongoing wellbeing support

Regular check-ins to ensure nurses thrive in their new role.

This tailored support system, ensures your new hires feel welcomed and settle quickly into life in the US

Why direct hire beats contingent staffing

Contingent staffing only provides a temporary fix — but direct hire offers a long-term solution that strengthens workforce stability, financial sustainability and patient care.

Better patient outcomes

Permanent nurses ensure consistency of care, improving health outcomes and patient satisfaction.

Cost savings

Reducing reliance on contingent staffing enables better budget control and saves up to $40,000 per nurse per year.

Stronger team integration

Unlike contract staff, direct hires become part of your workforce, fostering better communication and collaboration.

Workforce development

With a fully staffed team, hospitals can invest in ongoing training and leadership development to strengthen their workforce.

Learn more about direct hire

Get in touch

Whether you need to fill urgent vacancies, strengthen your long-term nursing workforce, or reduce reliance on temporary staffing, we deliver customised staffing solutions designed to meet your organisation’s specific needs.

Send us a message
  1. https://www.aacnnursing.org/news-data/fact-sheets/nursing-shortage
  2. https://www.kff.org/policy-watch/the-growing-role-of-foreign-educated-nurses-in-u-s-hospitals-and-implications-of-visa-restrictions/

Espirita is a trading name of Pulse Healthcare Ltd (03156103) a limited company registered in England and Wales and with its registered office address at 9 Appold Street, London, United Kingdom, EC2A 2AP.
Favorite Healthcare Staffing, LLC, a Kansas limited liability company, d/b/a Espirita™, with principal offices located at 9800 Metcalf Ave, Overland Park, KS 66212. Espirita is a trademark of Indigo Bidco Ltd., an affiliate of Espirita.