Health

How to Become a Nurse in South Africa

Provide essential hands-on patient care every day

APS 22–34
APS Range
R180k – R700k per year
Annual Salary (ZAR)
Very High
Job Demand
Social / Investigative
RIASEC Profile
About this Career

Nurses are the backbone of South Africa's healthcare system. They provide direct patient care, administer medication, monitor vital signs, and support doctors. South Africa has a critical nursing shortage, making this one of the most needed professions in the country. You can study a Diploma in Nursing (3 years, via colleges of nursing) or a BSc Nursing (4 years, via universities) — both lead to registration as a Professional Nurse with the South African Nursing Council (SANC).

What Does a Nurse Do?

Nurses administer medication, take patient observations, assist with procedures, update patient records, and support patients emotionally. Shifts can be long and demanding — especially in public hospitals.

APS & Subject Requirements
Minimum APS
22 points
Typical APS Range
22–34 points
Required Subjects:
Life Sciences (Level 4+), Mathematics or Math Literacy (Level 3+), English (Level 4+)
✓ Mathematical Literacy is accepted for this career path

Use the free Career Helper APS Calculator to calculate your exact score for each SA university.

Step-by-Step Career Roadmap
  1. Achieve APS 22+ (diploma route) or 28+ (degree route). Life Sciences is essential. Apply to a college of nursing or university nursing faculty — intake is large due to national shortage.

  2. Complete a 3-year Nursing Diploma at a nursing college or 4-year BSc Nursing at university, including clinical placements in hospitals across medical, surgical, paediatric, and maternity wards.

  3. Register with SANC as a Professional Nurse. Work in public hospitals, private hospitals, or clinics. Specialise in ICU, theatre, oncology, or midwifery to earn higher salaries.

Frequently Asked Questions
What APS do I need for Nursing in South Africa?
Nursing Diplomas at nursing colleges require APS 22–26. BSc Nursing at universities requires APS 26–34. Life Sciences is essential. Mathematical Literacy is accepted at most institutions for nursing.
Is nursing a good career in South Africa?
Yes — nursing is in critical shortage. Registered nurses earn R180,000–R400,000 in public sector and up to R700,000 in private hospitals with specialisation. Opportunities to work abroad (UK, Australia) are also excellent.
Can I study nursing at UNISA?
UNISA offers a BNurs degree via distance learning for practicing nurses who want to upgrade qualifications. Initial nursing training requires contact study at a nursing college or university.
Salary Range in South Africa (2026)
Starting Salary
R180k/year
Senior / Experienced
R700k+/year

Salary ranges are indicative for South Africa 2026 based on market data. Actual salaries vary by employer, location, and experience.