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Contract Nursing Market Trends

  • Writer: Skyler Lamberth
    Skyler Lamberth
  • Dec 6, 2022
  • 3 min read

Updated: Jan 9, 2024

The nursing market is currently experiencing a dynamic and exciting phase, with several key trends shaping the landscape:

High Demand and Job Growth:


  • Overall growth: The Bureau of Labor Statistics projects a 6% job growth for registered nurses (RNs) from 2022-2032, which is faster than the average for all occupations. This translates to over 203,000 new RN openings every year due to retirements and career changes.

  • Advanced practice nurses: The demand for advanced practice nurses (APNs) like nurse practitioners and clinical nurse specialists is even higher, with a projected 40% growth by 2031. This is driven by increasing patient complexity and the emphasis on primary care.

Nursing Shortage:

  • Unfilled positions: Despite consistent job growth, the nursing shortage remains a major concern. The aging population, complex medical needs, and pandemic burnout have contributed to a significant gap between supply and demand.

  • Shortage of educators: This gap is further exacerbated by a shortage of nursing educators, limiting the capacity of nursing schools to meet the increased demand for nurses.

Shifting Work Environments:

  • Flexibility and non-traditional settings: Nurses are increasingly seeking greater flexibility and work-life balance. This is driving demand for telehealth, home care, and other non-traditional settings, offering alternative schedules and work styles.

  • Technology integration: Technology is also transforming the nursing experience. Electronic health records, telehealth platforms, and wearable devices are changing how nurses interact with patients and deliver care.

Compensation and Benefits:

  • Competitive salaries: With the high demand and ongoing shortage, nurses are in a strong position to negotiate competitive salaries and benefits. The median annual wage for RNs is currently $81,220, and it is expected to continue rising.

  • Signing bonuses and incentives: Hospitals and healthcare organizations are offering attractive signing bonuses and other incentives, particularly in rural areas facing critical staffing shortages.

Specialization and Advanced Practice:

  • Increased specialization: Nurses are increasingly pursuing specialized training in areas like oncology, cardiac care, or mental health. This specialization allows them to deepen their expertise and command higher salaries.

  • Advanced education: More nurses are opting for further education to become APNs, offering greater autonomy, scope of practice, and earning potential.

These are just some of the key trends shaping the current nursing market. The future of nursing is bright, with opportunities for career advancement, specialization, and high earning potential. However, the ongoing shortage and need for increased nursing faculty present challenges that the industry needs to address effectively.


  • Hospital staffing adjustments: While overall demand for nurses remains high, some hospitals are adjusting staffing needs with the pandemic subsiding. This may lead to slightly fewer travel nurse openings in traditional high-demand areas.

  • Geographic diversification: Demand is shifting towards rural and underserved areas facing critical staffing shortages. Travel nurses with flexible preferences may find increased opportunities in these locations.

  • Specialty diversification: Hospitals are seeking travel nurses with specialized skills beyond COVID-critical specialties. Expertise in areas like cardiac care, oncology, or mental health may be even more valuable.

Compensation and Contract Changes:

  • Wage stabilization: After rapid salary increases during the pandemic, pay rates are stabilizing or even slightly decreasing in some regions. Negotiability and flexibility remain important for securing optimal contracts.

  • Shorter contract lengths: Hospitals may favor shorter contracts (8-13 weeks) for greater staffing flexibility. This could impact travel nurses seeking longer assignments for stability.

  • Benefits variations: Be mindful of benefits packages, which may vary across agencies and contracts. Some agencies may offer less comprehensive benefits compared to the peak pandemic period.

Industry Restructuring:

  • Consolidation of agencies: The travel nurse agency landscape is seeing consolidation, with larger agencies acquiring smaller ones. This can impact agency services and travel nurse options.

  • Technology adoption: Agencies are increasingly adopting technology platforms to streamline the application and placement process for travel nurses. This may offer greater convenience and transparency.

Emerging Trends:

  • Telehealth integration: Some travel nurse agencies are exploring telehealth opportunities, allowing nurses to work remotely in certain roles. This could offer additional flexibility and career options.

  • Direct contracts with hospitals: Some hospitals are bypassing agencies and directly contracting with travel nurses. This could offer nurses greater control over contracts and potentially higher pay, but may require more administrative and logistical legwork.

Overall, the travel nurse market remains promising, with ample opportunities for skilled and adaptable nurses. However, it's essential to be aware of the shifting dynamics and adjust your job search and career planning accordingly. Consider factors like contract terms, compensation packages, specialty demand, and location preferences when making decisions.


We encourage everyone to follow CDC guidelines in order to protect themselves, their families, and their communities.



 
 
 

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