Abstract
Background: The rapid emergence of numerous nursing colleges across Pakistan has significantly altered the landscape of nursing education and employment. While increasing access to education is positive, it presents challenges that impact both the quality of nursing graduates and their integration into the job market. Objective: to explore and consolidate evidence on the future challenges posed by the proliferation of nursing institutions in Pakistan, focusing on educational quality, faculty availability, clinical training, and employment outcomes. Methods: A comprehensive review of qualitative and quantitative studies examining the effects of emerging nursing colleges on education standards and job market dynamics in Pakistan. Results: Findings reveal critical issues including disparities in infrastructure and faculty qualifications, overcrowding in clinical placements, inconsistent regulatory enforcement, and an oversaturated job market with limited absorption capacity. These factors collectively threaten the competency of nursing graduates and their employability. Conclusion: To ensure sustainable growth of the nursing workforce, strategic interventions are needed to standardize education quality, enhance faculty development, improve clinical training opportunities, and align graduate output with healthcare sector demands in Pakistan.