How to become an agency nurse or midwife

Diane finds great satisfaction in watching each new cohort grow throughout their placement, knowing that every group brings its own unique strengths, perspectives, and enthusiasm. Her passion for mentoring the next generation of nurses is evident in everything she does. With a career spanning back to the 1970s, Diane has witnessed the nursing profession evolve significantly. She values the diversity and inclusivity of today's student cohorts and enjoys helping shape the future of a profession she has dedicated her life to. Having been part of the First Choice Care community for many years, Diane has worked across mental health and aged care before joining our Clinical Facilitation team. She values the supportive relationships she has built with our staff and appreciates the flexibility that allows her to balance work with family life. Diane's wealth of knowledge, professionalism, and genuine commitment to supporting future nurses make her a truly deserving recipient of this recognition.  Congratulations, Diane, and thank you for your outstanding contribution to First Choice Care and to the next generation of nursing professionals. We are proud to celebrate you as our Nurse of the Month Join Our Clinical Facilitation Team If you are an experienced nurse looking to take the next step in your career, First Choice Care is always seeking Clinical Nurse Facilitators to support and inspire the next generation of nurses. This is a rewarding opportunity to share your expertise, guide students in their first placements, and make a meaningful impact in clinical education. If you’re interested in facilitation opportunities with First Choice Care, find out more here.

Nurse burnout in Australia is a complex challenge, and it is not something that can be resolved by recruitment alone. While increasing workforce numbers is an important part of addressing demand, lasting improvement depends just as much on how effectively healthcare teams are structured, supported, and able to adapt in real time. As pressure continues to grow across hospitals, aged care, and community health services, there is an increasing focus on workforce approaches that reduce systemic strain rather than simply responding to immediate gaps. At its core, burnout is rarely the result of a single issue. More often, it develops gradually over time within busy clinical environments where multiple pressures overlap. Nurses consistently work in high-acuity settings where patient needs are complex, time-sensitive, and unpredictable. In these environments, the priority is always delivering safe, high-quality care, often under significant time pressure and within teams that are working hard to balance competing demands. One of the most common contributing factors to burnout is sustained workload intensity. Nurses frequently manage full patient loads across long shifts, often with limited opportunity for recovery between shifts, particularly when staffing shortages occur. While occasional high-pressure shifts are part of healthcare work, ongoing cycles of intensity without sufficient recovery time can gradually impact both physical and emotional wellbeing. Reactive staffing practices also play a significant role. When staffing gaps arise, they are often managed through overtime, extended shifts, or last-minute roster adjustments. These measures are not inherently negative, in fact, they are often essential in ensuring that patient care continues safely and without interruption. However, when relied upon consistently, they can create a sense of instability within teams and make it harder for nurses to maintain predictable routines. Over time, this can contribute to fatigue, reduced job satisfaction, and challenges in sustaining long-term engagement in the profession. Rostering practices themselves also have a meaningful impact on the day-to-day experience of nurses. In many healthcare settings, shift allocation is primarily driven by operational demand, which is necessary for ensuring that patient care is adequately resourced at all times. However, there is growing recognition that incorporating greater flexibility and forward planning into rostering can help improve outcomes for both staff and services. When nurses have greater visibility and stability in their schedules, they are better able to plan rest, manage personal commitments, and maintain a healthier work-life balance. Importantly, burnout is often cumulative rather than immediate. Most nurses are highly resilient and well-equipped to manage demanding shifts in the short term. The challenge arises when high-intensity periods are repeated frequently without sufficient recovery or system-level support. Over time, this can lead to emotional fatigue, disengagement, or, in some cases, decisions to reduce hours or leave the profession altogether. These outcomes have broader implications for the healthcare system, particularly at a time when demand continues to increase across all sectors of care. From a workforce planning perspective, these challenges highlight the importance of shifting focus from purely reactive solutions to more proactive and sustainable models of care delivery. While recruitment remains a critical component of workforce strategy, it is increasingly clear that staffing numbers alone do not resolve underlying system pressures. Instead, meaningful improvement often comes from how teams are supported day to day, how shifts are structured, and how workforce flexibility is embedded into operational planning. This is where agency nursing plays an important and evolving role. Traditionally, agency nurses have often been engaged reactively, brought in to fill short-term gaps or respond to unexpected staffing shortages. While this remains an important function, there is growing recognition of the value of integrating agency nursing more strategically within workforce planning models. When agency nursing is embedded as part of a structured and forward-thinking workforce strategy, it can provide a valuable buffer that supports both operational stability and staff wellbeing. Agency nurses help services respond more dynamically to fluctuations in demand, whether due to seasonal pressures, planned leave, or sudden increases in patient volume. This flexibility can reduce the need for excessive overtime or frequent roster changes, helping to create more balanced workloads for permanent staff. For permanent teams, this can translate into improved stability and reduced pressure during peak demand periods. When staffing levels are supported through a blended workforce model, teams are often better able to maintain consistent routines, which can contribute to improved morale and a more sustainable working environment over time. Importantly, this approach does not replace permanent staff but instead complements them, helping to ensure that workforce capacity aligns more closely with real-time demand. Agency nursing also offers clear benefits for nurses themselves. Many nurses are drawn to agency work because of the flexibility it provides, including greater choice over shifts, locations, and working patterns. This flexibility can be particularly valuable for those balancing professional responsibilities with personal commitments, study, or different stages of life and career development. For some, agency nursing provides a long-term career pathway that allows them to remain in clinical practice while working in a way that better supports their wellbeing. However, the effectiveness of agency nursing depends heavily on how well it is integrated into healthcare teams. Positive outcomes are most likely when agency nurses are supported through clear onboarding processes, strong communication, and inclusive workplace cultures. When agency nurses are treated as part of a broader team rather than external resources, they are better able to contribute confidently and effectively, supporting both continuity of care and team cohesion. At First Choice Care, we recognise the complexity of these challenges and the importance of getting workforce design right. With more than 25 years of experience in healthcare staffing, we understand the realities faced by both nurses and healthcare organisations. Our approach is grounded in collaboration, empathy, and practical support. We work closely with healthcare providers to plan, integrate, and support agency nurses within existing teams in a way that prioritises both operational needs and staff experience. This includes helping organisations think more strategically about how agency nursing can be used as part of a broader workforce solution, rather than as a reactive measure. By focusing on alignment, communication, and ease of integration, we aim to support healthcare services in building more stable and sustainable staffing models. Ultimately, improving nurse wellbeing in Australia requires a shift in perspective. It involves moving beyond short-term fixes and towards workforce systems that are flexible, well-supported, and designed with sustainability in mind. When healthcare teams are properly resourced and supported through thoughtful workforce planning, they are better positioned to deliver high-quality care while also maintaining their own wellbeing. Creating these conditions is not about a single solution, but rather a combination of better planning, stronger support structures, and more adaptable workforce models. Agency nursing is one important part of this ecosystem, helping to bridge gaps, reduce pressure, and support both nurses and patients in a more balanced way. At its heart, this is about ensuring that nurses feel supported, valued, and able to sustain long and fulfilling careers in healthcare. When workforce systems are designed with this goal in mind, the benefits extend across the entire healthcare system—from staff wellbeing to patient outcomes and service quality. To find out more about First Choice Care's staffing solutions, click here .