Career

The Best and Worst States to Be a Nurse in 2023

Nurses all over the country are going on strike or walking away from the bedside due to low pay and stressful working conditions. But your life as a nurse can vary dramatically based on where you choose to live and work. WalletHub recently conducted a nationwide study of the best and worst states to be a nurse.

The findings are based on data in two key categories: “Opportunity & Competition” and “Work Environment.” They are scored using 20 different metrics with a range from zero to 100, with 100 being the most favorable for nurses. The states are then ranked on both categories from lowest to highest.

Overall Rank  State Total Score  Opportunity & Competition  Work Environment 
1 Washington 62.38 3 7
2 Maine 60.83 9 3
3 New Mexico 59.91 1 32
4 Oregon 59.63 15 1
5 New Hampshire 58.31 13 6
6 Minnesota 57.96 27 2
7 Montana 56.67 2 36
8 Arizona 56.36 6 28
9 Texas 55.36 11 22
10 Wyoming 55.17 5 33
11 Idaho 54.64 23 16
12 Wisconsin 54.54 28 12
13 Connecticut 54.30 34 4
14 New York 53.80 20 20
15 Illinois 53.38 22 23
16 Florida 53.25 4 45
17 Pennsylvania 53.16 31 15
18 Nevada 53.13 12 31
19 West Virginia 53.13 18 25
20 Missouri 53.12 16 26
21 Alaska 52.37 37 13
22 North Carolina 52.27 7 38
23 California 51.97 30 21
24 Iowa 51.45 25 29
25 Rhode Island 51.14 33 18
26 Kansas 50.68 29 27
27 South Dakota 50.63 48 5
28 Utah 50.49 40 14
29 Massachusetts 50.48 44 8
30 Indiana 50.48 14 37
31 Ohio 50.16 17 35
32 North Dakota 49.87 47 10
33 Maryland 49.18 46 11
34 Michigan 49.03 10 47
35 Colorado 49.03 39 24
36 New Jersey 49.00 41 17
37 Virginia 48.96 24 39
38 South Carolina 48.85 21 40
39 Georgia 48.74 8 49
40 Kentucky 48.70 19 41
41 Delaware 48.25 42 19
42 Vermont 47.34 49 9
43 Tennessee 46.88 36 34
44 Nebraska 46.04 43 30
45 Louisiana 45.14 26 50
46 Mississippi 44.84 35 44
47 Alabama 44.69 32 48
48 Arkansas 43.49 38 46
49 Oklahoma 41.85 45 42
50 Hawaii 38.86 50 43

 

About the Data:

The researchers took the weighted average of the scores across both categories to calculate the total. Opportunity and Competition account for 70 percent of the state’s final score, while Work Environment makes up the other 30 percent. 

Opportunity and Competition include:

  • Monthly Average Starting Salary for Nurses (Adjusted for Cost of Living): 6.67 Points
  • Average Annual Salary for Nurses (Adjusted for Cost of Living): 13.33 Points
  • Health-Care Facilities per Capita: 6.67 Points
  • Share of Population Living in a Primary-Care Health Resources & Services Administration: 6.67 Points
  • Projected Share of Elderly Population in 2030: 6.67 Points
  • Quality of Nursing Schools: 3.33 Points
  • Tuition Cost per Credit for BSN Online Program: 6.67 Points
  • Nursing-Job Openings per Capita: 6.67 Points
  • Nurses per Capita: 6.67 Points
  • Projected Competition in 2030: 6.67 Points

Work Environment includes:

  • Mandatory Overtime Restrictions: 5.45 Points
  • Ratio of Nurses to Hospital Beds: 2.73 Points
  • Nurses Job Growth (2021 vs 2017): 5.45 Points
  • Presence of Nursing Licensure Compact Law: 2.73 Points
  • Regulatory Requirement for Nurse Practitioners: 2.73 Points
  • Share of Best Nursing Homes: 2.73 Points
  • Quality of Public Hospital System Based on CMS Data: 2.73 Points
  • Friendliness Toward Working Moms: 2.73 Points
  • Average Number of Work Hours: 1.36 Points
  • Average Commute Time: 1.36 Points
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