As healthcare facilities in the United States continue to struggle with the national nursing shortage, many organizations are using creative measures to fill the voids. 

随着美国的医疗机构继续与全国护理短缺作斗争，许多组织正在采取创造性的措施来填补空白。

01.

美国依赖外籍护士来平衡护士供需

For decades the U.S. has relied on foreign nurse recruits to balance the nurse supply and demand. As a response to the nursing shortage, here in the U.S., more organizations are utilizing foreign nurses. 

几十年来，美国一直依赖外籍护士来平衡护士供需。作为对护理短缺的回应，在美国，越来越多的机构开始聘用外籍护士。

Registered nurse vacancies remain high throughout the country. Although most hospitals depend on new graduate nurses to fill their openings, roughly 57% of newly licensed nurses leave their jobs within the first two years.

全国注册护士的空缺仍然很高。尽管大多数医院依赖于新毕业的护士来填补空缺，但大约57%的新注册护士在头两年就离职了。

Utilizing travel nursing agencies is popular in the nursing industry. Having experienced nurses who sign four to twenty-six weeks contracts, is an attractive solution for many healthcare organizations; however, many of these organizations are starting to use international nurse agencies instead. 

利用旅游护理的机构在护理行业中很受欢迎。有经验的护士会签署4至26周的合同，这是一个对许多医疗机构来说有吸引力的解决方案；然而，许多这样的医院开始使用国际护士机构。

Companies like Avant Healthcare Professionals -- founded in 2003 by Shari Constantini RN, MBA -- staff healthcare organizations with experienced nurses from foreign countries.

Avant Healthcare Professionals是由注册护士、MBA莎莉•康斯坦蒂尼(Shari Constantini RN)于2003年创立的。Avant Healthcare Professionals等公司为医疗机构配备了来自外国的经验丰富的护士。

02.

旅行护士与国际护士

As the population ages, so are nurses. About one million RNs are older than fifty, according to the Bureau of Labor Statics. 

随着人口老龄化，护士也在老龄化。根据美国劳工统计局(Bureau of Labor Statics)的数据，大约有100万名注册护士的年龄超过50岁。

One-third of the nursing workforce will be at retirement age in the next ten years. The bureau projects an additional 203,7000 new RNs will be needed every year through 2026.

未来十年，三分之一的护理人员将达到退休年龄。该局预计，到2026年，每年还将需要203.7万辆新RNs。

Having experienced nurses to care for our patients is integral. Avant, an international registered nursing staffing agency, highlights four distinguishing factors between travel nurses and their international nurse counterparts:

有经验的护士照顾我们的病人是必不可少的。Avant是一家国际注册的护理人力资源机构，它强调了旅行护士和国际护士同行之间的四个区别因素:

1.合同的长度

2.护士的动机

3.成本因素

4.投资回报

Avant estimates that 90% of their nurses convert to the core nursing team, at the facilities they staff. Nurses who enter the U.S. are searching for a place to call home, after transitioning from overseas. 

据Avant估计，90%的护士在他们工作的机构中转变为核心护理团队。从海外来到美国的护士们正在寻找一个可以称之为家的地方。

It’s a huge incentive to have stability and become part of an organization and community; whereas, most travel nurses complete their assignment and are excited to travel to the next destination or return home. 

这是一个巨大的动力去保持稳定，成为组织和社区的一部分；然而，大多数旅行护士只是完成了他们的任务，并会很兴奋地前往下一个目的地或回家。

Cost is also a factor in organizations choosing international nurses as opposed to travel nurses. While travel nursing agencies provided housing stipends, per diem rates, and travel expenses; agencies that supply foreign nurses may charge facilities a flat hourly rate with no extra costs. 

成本也是组织选择国际护士而不是旅行护士的一个因素。对旅行护理机构需要提供住房津贴、每日费率和旅费;向外国护士提供服务的机构可以按小时收费，不收取额外费用。

03.

学校教育和经验呢?

Due to immigration regulations, almost all foreign-trained nurses arrive with a bachelor’s degree. They are highly skilled and trained. On average, they have five to ten years of nursing experience. 

由于移民规定，几乎所有接受过外国培训的护士都持有学士学位。他们技术精湛，训练有素。他们平均有5到10年的护理经验。

Most are educated at nursing schools designed to mirror U.S. nursing schools, so they've experienced a similar nursing curriculum as U.S. based nursing students. Foreign-trained nurses go through a rigorous process before entering the U.S. which include:

· Passing the NCLEX-RN

· Immigration and licensure process

· Passing the English Proficiency Exams

· Finding a sponsor

· Passing the Commission on Graduates of Foreign Nursing Schools 

大多数人都在照搬美国护理学校的护理学校接受教育，所以他们和美国的护理学生经历了类似的护理课程。国外培训的护士在进入美国之前要经过严格的程序，包括:

①通过NCLEX-RN

②移民及签证程序

③通过英语水平考试

④找一个赞助商

⑤通过国外护理学校毕业生委员会

Companies like Avant, help streamline the process for nurses seeking to work in the U.S.  

像Avant这样的公司帮助寻求在美国工作的护士简化流程

Studies show that foreign nurses are more likely to work shifts that are difficult to staff--such as holidays, nights, and weekends. 

研究表明，外籍护士更有可能轮班工作，如假期、晚上和周末等，这些工作对本地员工来说比较难。

Additionally, foreign nurses bring cultural diversity and awareness to the workplace. The United States is a melting pot, and nurses from foreign countries bring varied cultural viewpoints, cultural fusion, and can bring familiarity to patients from different cultures, religions or backgrounds. 

此外，外籍护士为工作场所带来文化多样性和意识。美国是一个大熔炉，来自国外的护士带来了不同的文化观点，文化融合，可以给来自不同文化、宗教或背景的病人带来熟悉感。

While travel nurses typically are on assignment from six to twenty-six weeks, international nurses are contracted for two to three years. This bonus of a long term commitment provides consistent staffing and continuity of care for patients.

旅行护士的工作时间一般为6到26周，而国际护士的合同期限为2到3年。这一长期承诺的好处是为患者提供一致的人员配备和持续的护理。