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Career advancement programs recognize nurses in the clinical area. Despite the advantages, not all nurses participate in the process.To identify factors that influence career advancement among internationally educated nurses (IENs) and those educated in the United States (UENs).IENs and UENs participated in an online survey, which consisted of 2 open-ended questions asking them to discuss opportunities and barriers that have influenced participation in career advancement. Responses were analyzed using quantitative and qualitative content analysis.Healthy work environment, commitment to advancement in the profession by the individual nurse and availability of external support by family, organization, and/or mentors positively influenced career advancement. Barrier themes were poor work environment, complacency, and competing priorities. Nurses identified limited opportunities to advance in areas of interest as a reason for less participation.Organizational leadership plays an important role in creating environments where nurses can advance their careers.