Nurse mobility will move from being reactive hiring to deliberate workforce planning

Mayank Kumar, Co-founder and CEO, BorderPlus, speaks to Kalyani Sharma about the structural roots of the crisis across developed markets, India’s growing role as a global nursing talent hub, and the need for ethical, nurse-centric recruitment models. He also outlines how technology, skilling, and cross-border partnerships are reshaping international healthcare careers and workforce resilience

The global nursing shortage is expected to worsen significantly by 2030. From your perspective, what are the key structural factors driving this crisis across developed healthcare systems such as the US, UK, Germany, and Japan?

At its core, this is a demographic and system design problem. These countries are ageing rapidly, so demand for care is rising every year, while the nursing workforce itself is ageing and burning out. Training systems haven’t scaled because of faculty shortages, limited clinical capacity, and underinvestment over decades. Add to that high workload, paperwork, and emotional fatigue, and retention suffers. This isn’t something any country can fix quickly from within its borders, which is why shortages are becoming structural rather than temporary.

Nurse mobility is increasingly being discussed as a strategic pillar of global healthcare planning. How do you see international talent mobility reshaping care delivery models and workforce sustainability in the coming decade?

Nurse mobility will move from being reactive hiring to deliberate workforce planning. Healthcare systems will design long-term pipelines with source countries instead of filling gaps at the last minute. This will create more stable staffing, reduce burnout, and improve continuity of care. Done right, mobility allows nurses to build global careers while helping healthcare systems remain sustainable in the face of ageing populations and rising care complexity.

India is emerging as a major source of healthcare talent for global markets. What gaps need to be addressed in India’s nursing education and skilling ecosystem to better align with international clinical and regulatory standards?

One of the biggest gaps is not clinical capability, but language and cultural readiness. Indian nurses are highly competent and widely respected internationally- their nursing education, clinical grounding, and compassion are increasingly sought after in advanced healthcare systems, with countries actively recruiting Indian professionals to address workforce shortfalls. But global healthcare systems also, expect nurses to communicate with patients, families, doctors, and regulators in nuanced, high-stakes situations not just pass a language exam. Language in healthcare is about empathy, precision, and confidence under pressure. Cultural understanding is equally critical: how teams function, how decisions are made, how patient dignity, consent, and documentation are handled. Today, these aspects are often treated as add-ons rather than core competencies. To truly align with international standards, language fluency and cultural integration need to be embedded into nursing education as seriously as clinical training, with continuous exposure, real-world scenarios, and outcome-based assessment.

As cross-border recruitment scales up, ethical concerns around transparency, worker protection, and fair placement are gaining attention. What best practices should the industry adopt to ensure ethical and nurse-centric international recruitment?

Ethical recruitment has to start with respect for the nurse as a professional, not as a unit of labour. That means absolute transparency on costs, timelines, licensing requirements, salaries, and working conditions before a nurse commits time, money, or emotion to the journey. It also means taking responsibility for who should move and who should not. At BorderPlus, we only enroll nurses we believe are clinically competent and ready for international practice, and if we feel a nurse may struggle or not sustain in a new healthcare system, we pause or stop the journey rather than push them into a situation that could harm their career or wellbeing. Fair, enforceable contracts with wage parity are essential, but so is what comes before and after placement proper training, documented preparation, language and cultural mentoring, and long-term career support on the ground. International recruitment should be designed as a multi-year career pathway, not a transactional placement exercise. When nurses are protected, prepared, and supported, outcomes improve for nurses, employers, and healthcare systems alike.

BorderPlus has positioned itself as an end-to-end platform for international healthcare careers. How are your AI-powered language fluency tools and targeted training programmes helping Indian nurses adapt more effectively to European healthcare environments?

What we’ve learned over time is that most adaptation challenges don’t come from lack of clinical ability, but from unfamiliarity with day-to-day realities, language, systems, expectations, and pace of work. To address this, we built two focused AI tools. The first is our AI Nurse Companion, which allows nurses to experience hundreds of hours of simulated life and work scenarios in Germany from clinical conversations to everyday interactions even before they arrive. It continues to act as a practice partner and support companion after they land, helping reduce early stress and attrition. The second is our AI Carepilot, which supports nurses on the job by easing documentation workload, improving productivity, and providing quick compliance checks aligned with local standards. Together, these tools complement our training programmes and on-ground support, helping nurses integrate steadily and sustainably, while also delivering better outcomes for employers.

With recent milestones such as the partnership with NSDC and the acquisition of Onea Care in Germany, how is BorderPlus strengthening India’s role as a trusted global healthcare workforce partner?

At BorderPlus, we see ourselves as responsible not just for individual careers, but for the broader impact of global nursing. The NSDC partnership helps standardise and validate nursing training in India, while Onea Care gives us deep, on-ground expertise in Germany, enabling smoother integration for nurses and better alignment with hospital needs. Beyond placements, this creates real economic value: nurses send remittances back home, uplifting families and communities, and contributing to local development. By supporting nurses end to end from training and language preparation to compliance, placement, and long-term guidance we ensure they thrive abroad, employers get skilled and reliable professionals, and India’s reputation as a source of quality healthcare talent grows sustainably. For us, this is a responsibility we hold ourselves accountable for ensuring that the flow of talent translates into meaningful impact for individuals, healthcare systems, and communities alike.

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