@stellina1122: Hi my future colleague! I live in a small town in the northwest of Italy, near Switzerland's border. Nursing situation in Italy is a bit complicated and complex, by some points of view. I'll try to give you several "historical" explanations, first In Italy, the nursing profession has stepped into university only since 1992. Present days, we have only a single way to become a nurse, a three-years degree which roughly could be considered equal to the Bachelor in Sciences of Nursing. Italian nurses can finally obtain their Master in Sciences of Nursing only since 2004. After they graduate, nurses may carry on studying by attending a "First Level master" (or other lifelong education initiatives) or they can enroll for the Master's Degree. There's a pun here, because here in Italy the word "Master" stands for a sort of "specialty course" (such as an ER course, or an OR course). We have no formally recognized Certifications such as CRNA or CCRN. The funny thing is that a Nurse who has earned his "1st level master" (I mean, the specialty course) is not eligible for higher salary or reserved positions inside the hospital's organization. Basically you have to pay your specialty course on your own, and you could be obliged to sacrifice your permissions/holydays/paid leaves in order to attend it. In order to practice their profession, nurses are obliged to register. Italian Nurses are represented on a national basis by the Federation of the Ipasvi Colleges (Federazione dei Collegi Ipasvi). In Italy, Nurses can carry out their activities in public or private structures, in the community and homes, as employees or as independent workers; they can contribute to the training of support staff and participate in lifelong training programmes and they can also conduct research. Italian Nurses own a Deontological Code, which was approved in 1999. It is currently in force, and it is subdivided into seven articles. You can have a look at it by clicking on the following link: http://www.ipasvi.it/content/english/Codice%20deontologico%20-%20Nota%20StoricaING.htm What about nursing in Italy? Well, first and foremost I want to state clearly that I'm completely happy in my profession and that I am proud to be a Nurse. I have to admit that the situation here is not so good. We have actually developed, through these last years, a very good set of laws about nursing profession. The only problem is to apply them in the reality. We have also severe nursing shortage here, and this means that it is hard to find a workplace which is not heavily understaffed. We have started to rely on immigrant nurses from newly accepted European Countries, but there are obviously heavy problems about languages and different nursing backgrounds. I can tell you that Italy is one of the european countries with the worst nurses/physician ratio. If I remember well, we have something like 8 physicians (or more) for each nurse. I'm sorry to say that here the nursing profession is not well considered and respected as it deserves. As a matter of fact, I can tell you that only since 1999, the nursing profession is considered an Healthcare Profession on its own, and it is no longer regarded as an auxiliary healthcare profession. Unfortunately, in my humble opinion, the problem is basically a cultural background problem. People here seems to care only about the CURE concept. The CARE concept is seen mainly as a nice addition, but absolutely not necessary. Nurses are not considered central to the delivery of care. And, sadly, nursing was not in the past (and basically still it is not) considered as a good career choice. The salaries reflect this cultural problem. A new grad here earns a minimum of €1200, that is more or less (often less) the salary of a specialized employee. (With all due respect for the employees! ). Summarize the difficult Nursing School path, the salary that is absolutely not competitive (compared to all the responsabilities we have) and add the fact that your profession is barely recognized by the people (when it is not considered an humble profession at all)... I bet you will guess easily why we have 8 physicians for each single nurse here. About what is involved for an US Nurse to work in Italy... Well, as I said previously, we have started to rely on immigrant nurses, mainly from EU countries / newly accepted EU countries. I guess the path is the same for an american colleague who wish to work in Italy. If you are already a RN in the USA, you have to send all your "papers" to the Italian Ministry of Healthcare... and wait... but I warn you since now against Italian bureaucracy... Basically, here in Italy we have a National Health System which provides and assures a standard level of care on national basis. You are not obliged to have your own healthcare insurance in order to have access to all levels of medical care. And finally, dear future colleague, the more personal answers: First of all I obviously enjoy very much to be a nurse and I can't imagine to be anything else. I love the feelings when I return home knowing that I made a difference in people's lives. After three years (I graduated in Oct, 2003) in Med/Rehab/Surg wards I finally got my RN position in my city's brand-new hospital Emergency Room. I've always been interested in emergency medicine, and even if I'm feeling a bit overwhelmed now (so many new things to learn, and so many thing I realized I just don't know! :trout:), I hope to succeed in making emergency medicine my career field!