{"id":10449,"date":"2026-08-12T11:19:39","date_gmt":"2026-08-12T09:19:39","guid":{"rendered":"https:\/\/miotalent.de\/?p=10449"},"modified":"2026-08-12T12:34:33","modified_gmt":"2026-08-12T10:34:33","slug":"two-paths-into-nursing-from-abroad","status":"publish","type":"post","link":"https:\/\/miotalent.de\/en\/two-paths-into-nursing-from-abroad\/","title":{"rendered":"Two paths into nursing, only one needs recognition"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">When care facilities talk about international recruitment, it is almost always about the same thing: the fully trained nursing professional from abroad whose qualification has to be recognised. That is one path. It is not the only one, and for many facilities it is not the fastest.<\/p><div id=\"ez-toc-container\" class=\"ez-toc-v2_0_86 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Table of Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/miotalent.de\/en\/two-paths-into-nursing-from-abroad\/#The_figure_that_shows_how_little_the_second_path_is_used\" >The figure that shows how little the second path is used<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/miotalent.de\/en\/two-paths-into-nursing-from-abroad\/#Path_one_training_in_Germany_under_Section_16a\" >Path one: training in Germany under Section 16a<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/miotalent.de\/en\/two-paths-into-nursing-from-abroad\/#Path_two_employment_as_a_nursing_assistant\" >Path two: employment as a nursing assistant<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/miotalent.de\/en\/two-paths-into-nursing-from-abroad\/#Which_path_for_whom\" >Which path for whom<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/miotalent.de\/en\/two-paths-into-nursing-from-abroad\/#What_it_costs_and_what_it_brings\" >What it costs and what it brings<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/miotalent.de\/en\/two-paths-into-nursing-from-abroad\/#The_mistake_that_costs_the_most_time\" >The mistake that costs the most time<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/miotalent.de\/en\/two-paths-into-nursing-from-abroad\/#What_you_gain_from_it\" >What you gain from it<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/miotalent.de\/en\/two-paths-into-nursing-from-abroad\/#Further_reading\" >Further reading<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/miotalent.de\/en\/two-paths-into-nursing-from-abroad\/#Sources\" >Sources<\/a><\/li><\/ul><\/nav><\/div>\n\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"The_figure_that_shows_how_little_the_second_path_is_used\"><\/span>The figure that shows how little the second path is used<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">In 2024 the Bertelsmann Foundation, together with Civey, asked 7,501 companies with ten or more employees which instruments they use against skills shortages. The answers break down as follows:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Own training: 50.8 percent<\/li><li>Work-life balance: 45.7 percent<\/li><li>Further training: 41.2 percent<\/li><li>Higher pay: 34.7 percent<\/li><li>Recruitment of skilled workers from abroad: 18.4 percent<\/li><li>Trainees from abroad: 5.3 percent<\/li><\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Five point three. That is the least-used route of all those surveyed. At the same time, every second company names its own training as the most important instrument. Read together, the two produce a remarkable gap: businesses rely on training, but almost no one thinks beyond the national border in doing so.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">For comparison, the other side: with 21,699 positive decisions, the nursing professional is by far the most frequently recognised occupation of 2024. Where everyone looks, competition is fiercest. Where almost no one looks, practically no one competes.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Path_one_training_in_Germany_under_Section_16a\"><\/span>Path one: training in Germany under Section 16a<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The legal basis is Section 16a of the Residence Act. It governs the residence permit for the purpose of company-based or school-based vocational training.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The decisive point in practice: here there is no recognition procedure. The qualification arises in Germany, under German curricula, with a German qualification. There is no foreign prior qualification whose equivalence an authority would have to examine. The entire procedural step at which 45 percent of recognition applications get stuck with a condition is eliminated here without replacement.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">What applies instead:<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The training must last at least two years and lead to a state-recognised professional qualification. The three-year training as a nursing professional meets this without difficulty. Internships, pure language courses or non-recognised further training do not count.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The Federal Employment Agency must give its consent, unless a provision of the Employment Ordinance sets out an exception.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The immigration authority may require proof of sufficient German language skills. In practice the expectation for nursing occupations is higher than for other training, because communication with patients and relatives is at the core of the work.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Important and little known: the purpose of stay expressly also includes attending a German language course in preparation for the training, in particular an occupation-related course under the German Language Promotion Ordinance. The person may therefore enter and first learn the language before the training begins. That is considerable room for planning.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Secondary employment of up to 20 hours per week is permitted during the training.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">And two provisions in case something goes wrong: if the training is broken off for reasons the person is not responsible for, they must be given up to six months to look for another training place. After successful completion, a residence permit to look for a job can be granted for up to twelve months.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">For your calculation this means: you invest three years of training, but in return you get a skilled worker whose qualification never has to be recognised, who learned the language in the workplace and who built their entire professional network with you.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Path_two_employment_as_a_nursing_assistant\"><\/span>Path two: employment as a nursing assistant<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Since 1 March 2024 there is a dedicated provision for foreign nursing assistants who cannot already be classified as skilled workers. The legal basis is Section 19c(1) of the Residence Act in conjunction with Section 22a of the Employment Ordinance.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">It addresses people who have completed or had recognised a nursing training of less than three years. The German labour market is thereby also open to nursing assistants from third countries.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The requirements:<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A concrete job offer as a nursing assistant must be in place. The Federal Employment Agency must give its consent under Section 22a of the Employment Ordinance, examining whether the working conditions correspond to those of German nursing assistants. Anyone aged 45 or older must receive a minimum gross annual salary \u2014 in 2026 this is 55,770 euros \u2014 or prove adequate old-age provision.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The residence permit is granted for the duration of the employment contract plus three months.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Here too a point often overlooked in practice: recognition as a nursing assistant is possible and is carried out by the competent bodies. However, it is not in every case a prerequisite for employment \u2014 that depends on the specific provision and the federal state.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Which_path_for_whom\"><\/span>Which path for whom<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The distinction is not a legal subtlety but decides your scheduling and your expectations.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The training route fits if you think long term, have training capacity and are prepared to invest three years. It fits for young candidates without relevant prior qualifications. And it fits if you want to solve the retention problem: those who were trained by you switch to a competitor after two years less often.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The assistant route fits if you need staff now, if the candidates already bring a nursing prior qualification and if the position is genuinely an assistant activity. It also fits as an interim step: anyone entering with incomplete recognition as a nursing professional works regularly as a nursing assistant until full recognition.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">What applies to both: a concrete job offer is needed, the consent of the Federal Employment Agency is needed, and complete documents are needed. The difference between a well-prepared and a poorly prepared application amounts in practice to months, not weeks.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"What_it_costs_and_what_it_brings\"><\/span>What it costs and what it brings<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">With the training route there is an investment that does not arise with the assistant route: preparation in the country of origin.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Candidates who are to begin nursing training in Germany need German. An intensive course from B1 to B2 comprises, depending on the provider, 400 to 600 teaching hours. Anyone who co-finances this preparation not only shortens the period until the training starts, but also considerably lowers the drop-out risk \u2014 because the most common cause of drop-outs in the first months is not being professionally overwhelmed, but linguistically.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">That is not a legal obligation. It is a business decision. Set the amount against the cost of a position that instead stays open for further months.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Second item that is often forgotten: arrival. Housing, opening a bank account, registration at the residents&#8217; registration office, an appointment at the immigration authority within the first weeks after entry. Anyone who brings a person to Germany and does not organise these steps has not recruited, but produced a resignation with a lead time.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">And one point that counts especially in nursing: onboarding by a German-speaking colleague. Not as a formal mentoring programme with a manual, but simply as a named contact person for the first weeks. This costs nothing but an arrangement and is the most effective lever against early drop-outs that we know.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">In some federal states there are funding models aimed precisely in this direction. In Thuringia, for example, care facilities receive subsidies for employing foreign nursing trainees. Whether and to what extent something comparable exists for your federal state you should check before the calculation \u2014 the programmes change more often than residence law.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"The_mistake_that_costs_the_most_time\"><\/span>The mistake that costs the most time<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">In consulting we regularly see the same sequence. A facility urgently needs staff, finds a candidate with a foreign nursing qualification, starts the recognition procedure as a nursing professional \u2014 and waits.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">In many of these cases the assistant route would have been possible from the outset, with a considerably shorter lead time, and recognition could have been pursued in parallel within the ongoing employment. The candidate would long since be in the business, would have learned the language and the routines, and would be in a better position for recognition than from the country of origin.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The mistake does not lie in the legal situation. It lies in the fact that the question of the right path is not asked at the beginning.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"What_you_gain_from_it\"><\/span>What you gain from it<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">In nursing, the share of foreign nationals among employees subject to social insurance is 18 percent, compared with 16 percent across all employees. International recruitment has long been the norm in this field, not a unique selling point. Access alone no longer gives you a head start.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Where the head start still lies is the choice of path. Anyone who knows both routes and takes the right one for each position saves months over a business that reflexively starts the recognition procedure. And anyone who considers the training route moves in a field in which only 5.3 percent of companies move at all.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Structure beats chance. In nursing especially.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><em>The information in this article is for orientation and does not replace legal advice. Responsibilities and requirements differ by federal state; decisive is the information from the competent immigration authority and the Federal Employment Agency.<\/em><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Free initial consultation \u2014 we will call you back, when suits you?<\/strong><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Further_reading\"><\/span>Further reading<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li><a href=\"https:\/\/miotalent.de\/en\/2024-certification-statistics-987-chefs-21699-nursing-staff\/\">2024 recognition statistics: 987 chefs, 21,699 nurses<\/a><\/li><li><a href=\"https:\/\/miotalent.de\/en\/shortage-occupations-2026-longest-times-to-fill\/\">Why your position stays open for ten months<\/a><\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Sources\"><\/span>Sources<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Federal Ministry of Justice: Section 16a Residence Act \u2014 vocational training; further vocational training. URL: <a href=\"https:\/\/www.gesetze-im-internet.de\/aufenthg_2004\/__16a.html\">https:\/\/www.gesetze-im-internet.de\/aufenthg_2004\/__16a.html<\/a> (accessed 12\/08\/2026).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Make it in Germany: Special provision for nursing assistants. URL: <a href=\"https:\/\/www.make-it-in-germany.com\/de\/visum-aufenthalt\/arten\/weitere\/sonderregelung-pflegehilfskraefte\">https:\/\/www.make-it-in-germany.com\/de\/visum-aufenthalt\/arten\/weitere\/sonderregelung-pflegehilfskraefte<\/a> (accessed 12\/08\/2026).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bertelsmann Foundation \/ Civey: Instruments against skills shortages, survey 08\/06 to 06\/09\/2024, 7,501 respondents.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Federal Statistical Office: Recognition of foreign professional qualifications 2024.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Federal Employment Agency: Share of foreign nationals among employees subject to social insurance in nursing, June 2024.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>When care facilities talk about international recruitment, it is almost always about the same thing: the fully trained nursing professional from abroad whose qualification has to be recognised. That is one path. It is not the only one, and for many facilities it is not the fastest. The figure that shows how little the second [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":10451,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[194],"tags":[425,279,228,431,430],"class_list":["post-10449","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-law-recognition","tag-nursing","tag-recognition","tag-recruiting","tag-residence-law","tag-training"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Two paths into nursing, only one needs recognition<\/title>\n<meta name=\"description\" content=\"Training in Germany under Section 16a needs no recognition procedure. 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