← All articles

Careers14 min read · Updated 27 September 2026

Want to become a nurse with an international education? Here are your pathways

After HSC, after a bachelor's in another subject, or already a nurse in Bangladesh: see which routes into nursing abroad fit your starting point, country by country.

"Can I become a nurse in the UK, Australia or Canada?" We hear this from school leavers, from graduates in other subjects, and from nurses who already work in Dhaka hospitals. The answer depends on where you are starting from, because each starting point opens different doors. This guide is a map: find your starting point, then see the realistic route in each country.

3Starting points: after HSC or A-levels, after a bachelor's in another subject, or already a nurse
IELTS 7 / 6.5Typical regulator English: 7 in listening, reading and speaking, 6.5 in writingNMC (UK), NMBA (Australia), NMBI (Ireland), Nursing Council of NZ
2 yearsLength of graduate-entry pre-registration nursing in the UKNHS Health Careers
13 Jan 2027UCAS equal consideration deadline for most UK courses starting in 202718:00 UK time

The pathway map: find your starting point

Nursing has three main entry doors.

  • Pre-registration nursing degree. You go straight from school into a 3–4 year nursing degree. At the end, you can apply to the regulator in that country. This is the normal route everywhere.
  • Graduate-entry pre-registration nursing. You already hold a bachelor's in another subject, often a science or health subject. You study a shorter, intensive nursing course of about two years, usually called a master's or an "after degree" programme. It still leads to registration.
  • Registration as an internationally educated nurse. You are already a registered nurse in Bangladesh. You usually do not need a new degree. You need the host regulator's assessment: document checks, English, and often exams.

Take three examples. Mitu has just finished HSC in science with GPA 5.00. Sajid has a BSc in Microbiology with a 3.2 CGPA and IELTS 6.5. Rehana has a BSc in Nursing, is registered with the Bangladesh Nursing and Midwifery Council (BNMC) and has three years of hospital experience. They are on three different pathways.

DestinationAfter HSC or A-levelsAfter a bachelor's in another subjectAlready a nurse (BNMC-registered)
UKUnited Kingdom3-year BSc Nursing in one of four fields2-year pre-registration MSc or PG DipNMC Test of Competence: CBT, then OSCE in the UK
AUAustralia3-year Bachelor of Nursing2-year Master of Nursing (Graduate Entry)NMBA Self-check; Stream B means NCLEX-RN, then OSCE
NZNew Zealand3-year Bachelor of Nursing2-year Master of Nursing ScienceTruMerit checks, theory exam, OSCE in Christchurch
CACanada4-year BScN; Ontario college Practical Nursing diploma (2 years) for RPN2-year after-degree BScN at some universitiesNNAS or a direct provincial route (for example CNO), then NCLEX-RN
USUnited States4-year BSN, then NCLEX-RNAccelerated BSN (12–18 months) or entry-level master'sState board of nursing, then NCLEX-RN
IEIreland4-year BSc Nursing, limited non-EU placesCase by caseNMBI recognition; adaptation or aptitude test in Ireland
MYMalaysia4-year Bachelor of NursingCase by caseDegree top-up possible; work needs an employer with a quota
MTMalta3-year BSc (Hons) NursingCase by caseCertificate for non-EU/EEA nurses, then Council registration
AEUAEBSN (and BSc Midwifery at some universities)Case by caseDHA, DOH or MOHAP licence under the unified PQR
DEGermany3-year paid vocational training, taught in GermanSame vocational route, in GermanRecognition, B2 German, adaptation period or knowledge test
General guide for a typical Bangladeshi applicant, checked September 2026. Each university and regulator sets its own rules. Sources are linked in the sections below.

Two kinds of English score

This point saves families a lot of confusion. There are two English hurdles, and they are not the same.

  1. Admission English is what the university asks for to start the course. It can be quite modest. The University of Auckland asks international Bachelor of Nursing students for IELTS Academic 6.5 with no band below 6.0. Management and Science University in Malaysia lists IELTS 5.5.
  2. Regulator English is what the nursing regulator asks for before you can register. It is usually higher. The Nursing Council of New Zealand says plainly that its English requirement is higher than what may be needed for study or immigration.

Some universities simply ask for the regulator level at the start. In Australia, for example, Adelaide University's Bachelor of Nursing asks for IELTS 7 in every band. Plan for IELTS 7 as your real target, even if your offer letter asks for less.

Pathway 1: straight after HSC or A-levels

This is the most common route. You study a pre-registration nursing degree, which includes long hospital placements, then apply to that country's regulator.

What universities look for

  • Good grades in school-level science. Biology is the most useful subject. In the UK, NHS Health Careers says universities usually ask for two or three A-levels or equivalent, and may prefer a science such as biology or a social science such as psychology.
  • Clear motivation. Interviews and personal statements test why you want nursing, not medicine. Talk about care, communication and teamwork.
  • Health and character checks. Placements need vaccinations, a police check and sometimes a fitness-to-practise declaration.
  • The right English, as explained above.

Country by country

UK
United KingdomBSc Nursing in one of four fields

You choose your field before you start.

Length
3 years; 4 years for a dual-field degree
Fields
Adult, children's, mental health, learning disability
Apply
Through UCAS by 18:00 UK time, 13 January 2027, for 2027 entry
  • Adult nursing is the largest field. Mental health and learning disability nursing are specialist from day one.
  • Some universities offer a foundation year if your qualifications do not meet direct entry.
  • A UK nursing degree counts as training in a majority English-speaking country, so you can usually meet the NMC's English rule with your transcript, as the NMC explains.
Source: NHS Health Careers: Studying nursing ↗

Pathway 2: you already have a bachelor's in another subject

If you have a degree in biology, microbiology, psychology, public health or even business, you do not have to start again from year one. Graduate-entry pre-registration courses squeeze nursing training into about two years. They still include hundreds of hours of hospital placements, so they are intense.

  • UK: accelerated courses for graduates take two years. They are usually called MSc Nursing (pre-registration) or PG Dip, with a field such as adult or mental health.
  • Australia: the Master of Nursing (Graduate Entry) is two years full-time. The University of Queensland accepts a bachelor's in any discipline completed within the last 10 years, with IELTS 7 in each band. Adelaide University also asks for study in human anatomy and physiology.
  • New Zealand: the University of Auckland's Master of Nursing Science is two years for graduates with a BSc or health sciences degree, and includes at least 1,100 placement hours. The 2026 international fee is NZ$55,214 a year.
  • United States: according to AACN, accelerated BSN programmes take 12–18 months including prerequisites, and entry-level master's programmes take about 2–3 years.
  • Canada: the University of Alberta's two-year BScN After Degree is open to international applicants. Some other accelerated options are paused or limited, so check each intake.

Sajid, with his BSc in Microbiology, fits well. His science background covers most prerequisites. His main task is to lift his IELTS from 6.5 to 7 in every band and to show real interest in patient care, for example through hospital volunteering.

  1. 1
    12–15 months beforeCheck your degree fits

    Read each course's rules on subject, GPA and how recent your degree is. Some ask for anatomy and physiology.

  2. 2
    10–12 months beforeAim for regulator-level English

    Book IELTS Academic and target 7 in each band. Use our IELTS level check first.

  3. 3
    9 months beforeGet patient-facing experience

    Volunteer in a hospital, clinic or care home. Keep a short diary of what you learned.

  4. 4
    6–9 months beforeApply to two or three countries

    Intakes and deadlines differ. The UK uses UCAS for undergraduate courses; master's courses usually take direct applications.

  5. 5
    After your offerPlan money and checks

    Budget for every year, plus vaccinations, police checks and uniform. See our country checklists.

Pathway 3: you are already a nurse in Bangladesh

In Bangladesh, nurses usually qualify through a four-year BSc in Nursing or a three-year Diploma in Nursing Science and Midwifery, and register with the BNMC. If that is you, the key question is not "Which degree should I study?" but "How do I get registered abroad?"

Here is the registration route in each country, in short.

UK
United KingdomNMC Test of Competence

Two exams, taken in either order.

Part 1
Computer-based test (CBT): numeracy plus a clinical multiple-choice test
Part 2
OSCE: 10 practical stations at a UK test centre
OSCE fee
£794; £397 to resit 7 or fewer stations
English
IELTS 7 in listening, reading and speaking, 6.5 in writing; or OET
  • You can sit the OSCE up to three times in one application.
  • The NMC's main registration fee is due to rise from 1 October 2026, subject to Parliamentary approval. Check the current fees on the NMC site before you pay.
  • Test scores can be combined across two sittings within 12 months, within the NMC's time limits.
Source: NMC: The OSCE ↗

Rehana, with her BSc in Nursing and three years of experience, has real choices. A common plan is to reach IELTS 7 (6.5 in writing), start the NMC or NMBA process, and prepare for the multiple-choice exam at home while she keeps working. One useful fact: the NCLEX-RN is the multiple-choice exam for the US, Canada and Australia's OBA, so the same preparation helps with more than one country. Each regulator decides how you register for it.

Midwifery: a separate profession

In many countries, midwifery is its own profession with its own degree, not a nursing specialism.

  • UK: a 3-year midwifery degree straight after school, as NHS Health Careers explains. Registered adult nurses can take shorter courses.
  • Australia: Bachelor of Midwifery degrees approved by the NMBA lead to registration as a midwife, for example at Adelaide University.
  • New Zealand: the Bachelor of Midwifery is a four-year programme.
  • United States: midwives with the CNM or CM credential need a graduate degree in midwifery. CNMs are also registered nurses; CMs hold a bachelor's in any subject plus prerequisites, according to the American College of Nurse-Midwives.
  • Canada: midwifery is a separate direct-entry degree of usually 3–4 years, offered at only six programmes. Check international eligibility with each university. There are also bridging programmes for midwives educated abroad.
  • UAE: the unified PQR says a Registered Midwife needs a midwifery degree, or a nursing degree plus a one-year midwifery certificate, and two years of experience.

Nurses who trained in Bangladesh through the Diploma in Nursing Science and Midwifery should check whether each regulator treats the midwifery part as a separate qualification.

Pathway 4: shorter healthcare roles near nursing

Some students ask about shorter courses that lead to care work. These are real jobs, but be honest about the limits.

  • Australia: enrolled nurse. The HLT54121 Diploma of Nursing prepares you to work as an enrolled nurse, under the supervision of a registered nurse. The course must be approved by the NMBA. Many enrolled nurses later top up to a Bachelor of Nursing.
  • Canada: personal support worker (PSW). Ontario college PSW certificates are short, often about two semesters. For a programme under two years, a post-graduation work permit, if you qualify, is valid for up to the length of the programme. A PSW certificate is not a nursing licence.
  • UK: healthcare assistant or care worker. The UK closed overseas recruitment for care workers and senior care workers from 22 July 2025. Do not plan to enter the UK as a care worker.

A shorter course can be a good first step if it connects to a clear next step, such as enrolled nurse to registered nurse. It is a weak plan if it leaves you with a short visa and no route forward.

Use our course list

Our nursing and midwifery course list shows a label on each course card: "After HSC", "After a bachelor's" or "After a nursing degree", with a short entry note. You can also use the filter buttons, "Apply after HSC / A-levels" or "Apply after a bachelor's", to see only the courses that match your stage. The notes are general guidance; the university's own page decides.

Test yourself: which door is open?4 questions

1Sajid has a BSc in Microbiology. Which route is designed for him?

2Which exam is the multiple-choice part of Australia's outcomes-based assessment for RNs?

3Where is the NMC's OSCE taken?

4Which statement about Ireland's NMBI English rule is true?

A note for parents

When you compare countries, look at the whole journey, not just the first year.

  • How many years until a salary? A nursing degree takes 3–4 years. Graduate entry takes about 2 years after a first degree. In Germany, trainees are often paid from the start, but they must learn German first.
  • What does every year cost? Multiply the yearly fee by the full length. Add living costs, health cover, uniforms, vaccinations and exam fees.
  • What happens after graduation? Ask each university where its recent international graduates work, and whether they registered with the regulator. A clear answer is a good sign.

Nursing is demanding work with shifts, nights and emotional pressure. Students who choose it for themselves, after some time in a hospital or care setting, usually cope best.

What to do next

  1. Name your starting point: after HSC, after a bachelor's in another subject, or already a registered nurse.
  2. Shortlist two or three countries from the pathway map, and read each course or regulator page yourself.
  3. Set your English target at the regulator level: IELTS 7 with 6.5 in writing, or OET. Start with our IELTS level check.
  4. Check that your course leads to registration, and ask in writing if you are not sure.
  5. Cost the full journey, including exams and registration fees. See our destination guides.
  6. Browse courses on our nursing and midwifery page, and read how we work. For visa questions about your own case, use the official visa pages or a licensed adviser.
Your nursing pathway checklist0/8 done
Your ticks are saved on this device.
Sources, checked September 2026
  1. NHS Health Careers: Studying nursing ↗
  2. NHS Health Careers: Midwife ↗
  3. UCAS: 2027 entry deadline for most undergraduate courses ↗
  4. NMC: Trained outside the UK ↗
  5. NMC: Accepted English language tests ↗
  6. NMC: Qualified in English ↗
  7. NMC: The OSCE ↗
  8. NMC: First increase in registration fees for 11 years ↗
  9. GOV.UK: Overseas recruitment for care workers to end ↗
  10. NMBA: Streamlined pathway for internationally qualified RNs ↗
  11. NMBA: Completing the Self-check ↗
  12. NMBA: Multiple-choice question exam ↗
  13. Ahpra: Accepted English language tests ↗
  14. Adelaide University: Bachelor of Nursing ↗
  15. Adelaide University: Master of Nursing (Graduate Entry) ↗
  16. Adelaide University: Bachelor of Midwifery ↗
  17. University of Queensland: Master of Nursing (Graduate Entry) ↗
  18. Home Affairs: Core Skills Occupation List ↗
  19. training.gov.au: HLT54121 Diploma of Nursing ↗
  20. Nursing Council of NZ: Internationally qualified nurses ↗
  21. Nursing Council of NZ: Overseas registration FAQs ↗
  22. Nursing Council of NZ: English Language Competence Policy Guidance ↗
  23. University of Auckland: Bachelor of Nursing ↗
  24. University of Auckland: Master of Nursing Science ↗
  25. Canadian Association of Midwives: Becoming a midwife ↗
  26. NZ College of Midwives: How to become a midwife ↗
  27. NNAS: FAQs ↗
  28. CNO: Educated outside Canada ↗
  29. CNO: New registration requirements take effect ↗
  30. Algonquin College: Practical Nursing ↗
  31. Centennial College: Practical Nursing for IENs ↗
  32. University of Alberta Nursing: International applicants ↗
  33. Memorial University: Nursing international applicants ↗
  34. IRCC: Post-graduation work permit ↗
  35. NCLEX: FAQs ↗
  36. NCLEX: Testing locations ↗
  37. NCSBN: NCLEX fee changes ↗
  38. AACN: Accelerated baccalaureate and master's degrees in nursing ↗
  39. ACNM: The CNM and CM credentials ↗
  40. DCU: BSc in General Nursing ↗
  41. UCC: MSc Nursing (non-EU applicants) ↗
  42. NMBI: English language requirements ↗
  43. NMBI: Compensation measures ↗
  44. MSU Malaysia: Bachelor in Nursing (Hons) ↗
  45. Ministry of Health Malaysia, Nursing Division: FAQ ↗
  46. University of Malta: BSc (Hons) Nursing ↗
  47. University of Malta: Certificate for non-EU/EEA nurses ↗
  48. DHA: Unified Professional Qualification Requirements (April 2025) ↗
  49. RAKMHSU: Admission criteria ↗
  50. Make it in Germany: Nursing professional training ↗
  51. Recognition in Germany: General nurse ↗
  52. Bangladesh Nursing and Midwifery Council ↗
General information, not immigration or legal advice. Rules change: always confirm on the official website.
Don’t fear AI. Build your career with it.

See careers that grow, stay safe or shine with AI, then courses at our partner universities that match your qualification.

Meet your future career →