The Role of Travel Nursing in Shifting Nursing Practice and Careers


  • Abstract

    The COVID-19 pandemic expanded both the scale and visibility of travel nursing in the United States. Yet little is known about how this expansion has shaped nurses’ understandings of what it means to be a professional. Drawing on semi-structured interviews with 15 U.S.-based travel nurses, this study examines how short-term contract work became a strategic site for reworking core ideals of nursing professionalism. Participants reframed autonomy as a form of professional protection from organizational demands, allowing them to prioritize direct, bedside care while gaining greater control over time away from work. The mobility required for travel nursing fostered new forms of expertise, increased confidence, and broadened nurses’ imagined career trajectories. Rather than signaling a departure from professional values, these experiences suggest a reconfiguration of professionalism that reflects and responds to the pressures of an increasingly unstable healthcare system. By centering the perspectives of travel nurses, this study illustrates how the rise of contingent nursing labor may not simply erode professional values, but instead invite their reinterpretation—even as it raises questions about what is lost when continuity and institutional ties can no longer be taken for granted.
    The COVID-19 pandemic exposed and accelerated long-standing pressures in U.S. hospitals. These pressures were particularly visible in the nursing workforce, which accounts for over 30% of all hospital employment (Bureau of Labor Statistcs 2020). In response to rising demand and staffing shortages, hospitals turned with renewed urgency to travel nurses—registered nurses (RNs) hired on short-term contracts to meet immediate labor needs. Although travel nursing has existed in the United States since the 1970s, it had remained a marginal part of the profession. The pandemic heralded a sharp rise in both the number of travel nurses and the wages they commanded, transforming a marginal practice into a core labor strategy.
    This rapid expansion sparked debate among policy makers, hospital management, and in the popular media. Yet most discussions have focused on the concerns of employers. We know considerably less about how travel nurses understand these working experiences and how they integrate them into their view of professional practice. These questions matter as short-term contract work is no longer a peripheral option (Gelinas 2023). What began as a pandemic-era response has become increasingly normalized, prompting a reconsideration of the assumed relationship between professionalism and tenure.
    This paper centers the perspectives of travel nurses to illuminate how contingent roles serve as sites of professional innovation. Drawing on semi-structured interviews with 15 RNs who worked travel assignments between 2020 and 2022, we investigate how they explained their decision to travel, what they encountered, and how these experiences impacted their professional values, obligations, and careers. These accounts reveal that travel nursing offered not only economic incentives but a means of reasserting autonomy over their conditions of work and the imagined shape of their careers. By showing how nurses reinterpreted their professional commitments, these findings contribute to a growing literature on professionalism as a dynamic and contested project.

  • Authors:

    Trotter LJ, Kett PM, Skillman SM, Frogner BK

  • Journal/Publisher:

    SSM - Qualitative Research in Health

  • Edition:

    Aug 2025.

  • Funder:

    HRSA: HWRC Health Equity

  • Link to Article

    Access the article here: SSM - Qualitative Research in Health

  • Citation:

    Trotter LJ, Kett PM, Skillman SM, Frogner BK. The Role of Travel Nursing in Shifting Nursing Practice and Careers. SSM - Qualitative Research in Health. 2025;100625. doi: 10.1016/j.ssmqr.2025.100625.

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