Generally speaking, large metropolitan areas have the most saturated nursing markets. Here in Midwest Chicago is one of the worst large cities in the country to presently look for a job. I assume this is because nursing degrees are selling like hot rolls, so a metropolitan area that used to have 30 nursing schools
, now has 45 nursing schools because running healthcare schools is lucrative business. The area becomes saturated with new grads who have nowhere to go, and they will pound every medical centers with thousands of applications per day.
Once I moved about 100 miles from Chicago, I found out hospitals in areas that are more rural are eager to hire new grads (our hospital hired lots of them), but alas, if you grew up in a big city, you probably want to stay in the city, because that's where night life and friends are. So I guess for a majority of big city kids relocating to another part of the country is not an option.
Nursing homes are always hiring, but if you have a BSN and want to work in acute care some day (I think most BSNs do!) accepting a nursing home position could be career suicide. Also, most of those nursing home companies suck and they work their nursing staff to death (13-15 patients per nurse) claiming they are "low acuity" which is complete b.s.
If the nursing home resident is on the call light all day because she's disabled, that's a high acuity situation. If they poo in their pants all day that's a high acuity scenario because somebody has to go in there to diaper them. A low acuity patient is mostly independent. My surgical patients at the hospital are more independent than nursing home residents. In nursing homes, you have a lot of badly disabled people who are total care...