October 13, 2020 · 7 min read

Is a DNP the New MSN?

A doctorate may be replacing the master’s as the go-to degree for some advanced nursing programs. Is yours one of them?

Written and reported by:

Stephanie Behring

Contributing writer

woman works on laptop in dimly lit office
woman works on laptop in dimly lit office

Working toward advanced practice registered nurse (APRN) licensure is a common goal for many nurses looking for an elevated position that offers increased autonomy, more opportunities to advance, and potentially better pay. For years, the Master of Science in Nursing—or MSN— has been the go-to degree for nurses seeking these advanced roles.

But change is in the air. A doctoral degree will be the entry-level degree mandated for nurse anesthetists (one of several APRN nursing roles) by 2025. Requirements for nurse practitioners and clinical nurse specialists may not be far behind: while the MSN is currently the standard, many nursing associations are recommending a move to a doctorate as the entry-level degree requirement for these advanced nursing roles.


What’s a Doctorate and Why the Shift?

A doctoral degree—most often, the Doctorate of Nursing Practice in the nursing profession—is an advanced degree that allows nurses to broaden their scope of practice. The degree takes a few years longer to earn than an MSN, but it also goes more in depth than an MSN degree. A doctorate will build on the nursing knowledge you already have and can prepare you for high-level and leadership roles.

The move to a DNP and other doctoral degrees reflects both the increasingly complex knowledge APRNs need and the increased role of nurses in healthcare leadership.

The move to a DNP and other doctoral degrees reflects both the increasingly complex knowledge APRNs need and the increased role of nurses in healthcare leadership. Because of this, “it makes sense for nursing to have its own practice doctorate, especially for those who are working in advanced practice, leadership levels, and teaching,” says Sara Hunt, DNP, MSN, FNP-C, PHN, a family nurse practitioner who holds a doctorate.

Patient safety and quality of care are other huge factors in the push toward doctorates, especially following an influential report from the Institute of Medicine (IOM) back in 1999 that highlighted the significant physical and monetary cost of errors made in hospitals and suggested ways to mitigate them. Hunt believes the IOM recommendations have made a significant impact on the growing push toward doctoral degrees.

Some other factors driving the shift, according to Hunt, are:

  • The rapid expansion of knowledge in the field of nursing
  • The increased complexity of basic patient care
  • Shortages of nursing personnel
  • Demands for a higher level of preparation for leaders who can design and assess care
  • Shortages of doctorally prepared nursing faculty

What APRN Roles Are Affected?

Nursing association recommendations that encourage nurses pursuing an advanced practice role consider a doctorate instead of a master’s can be confusing. Is a doctoral degree required or not? The answer depends on the nursing role you’re seeking. 

Certified Registered Nurse Anesthetists (CRNAs)

Certified Registered Nurse Anesthetists (CRNAs) are the only APRN-level job with a definitive change in directive. Right now, an MSN degree is sufficient, but you’ll need a doctoral degree to earn APRN licensure in the field after 2025. While a DNP is a popular option, students can also choose to earn another doctoral degree, including:

  • Doctor of Philosophy (PhD)
  • Doctor of Education (EdD)
  • Doctor of Nursing Science (DNS or DNSc)
  • Doctor of Nurse Anesthesia Practice (DNAP)
  • Doctor of Management Practice in Nurse Anesthesia (DMPNA)

Because of this change, all CRNA nursing programs are making the shift from MSN programs to doctorate programs starting January 1, 2022.

Nurse Practitioners

Right now, aspiring NPs can graduate with an MSN and earn their APRN license. An MSN will allow you to take a certification exam in any specialty from any licensing board and apply for licensure in any state. However, the American Association of Colleges of Nursing (AACN) has been advocating DNP degrees for NPs since 2004, and in 2018, the National Organization of Nurse Practitioner Faculties (NONPF) backed up this position and committed to DNPs as the new entry-level standard for NPs by 2025. That said, the nurse practitioner community has not taken the final step of requiring the DNP as the entry-level degree for nurse practitioners—yet.

Clinical Nurse Specialists

Clinical nurse specialists can still enter the field with an MSN. This could change in coming years, however, given the movement toward doctoral degrees for nurse practitioners and nurse anesthetists. In fact, the National Association of Certified Nurse Specialists has recommended the DNP as an entry-level degree for CNSs by 2030.

Nurse Midwives

The MSN has been—and remains—the degree requirement for nurse midwives, with no active movement to shift to a doctorate. The American College of Nurse-Midwives does not endorse any proposal that the DNP become a requirement for entry into midwifery practice. Their position statement emphasizes that “no data are available addressing the need for additional education to practice safely as a midwife” and that “the requirement of an additional degree would result in a substantive increase in expense and time to students and educational institutions.”


What if I’m Already Enrolled in an MSN Program?

Don’t worry: You can finish any MSN program you’re already in, earn your APRN license, and be able to practice. This includes students currently enrolled in MSN-level CRNA programs. Your program meets the current standards, and you’ll be able to apply for licensure with your state as well as certification when you graduate. Both an MSN and a doctoral degree will prepare you to work as an APRN.

However, keep in mind that if your goal is to be a CRNA, you’ll only be able to start an MSN program through the end of 2021. You’ll need to enroll in a doctoral degree program if you start your CRNA program in 2022 or later. All other aspiring APRNs have a choice.

APRN Degree Requirements: At a Glance


Certified registered nurse anesthetist (CRNA)

Current degree requirement: MSN or higher

Upcoming changes: A doctoral degree will be required by 2025

When you can enroll in an MSN program: Until the end of 2021

When you need to enroll in a doctoral degree program: 2022 and later

When you’ll need a doctorate to practice: 2025 and later


Nurse practitioner

Current degree requirement: MSN or higher

Upcoming changes: The DNP is recommended as the entry level standard by 2025

When you can enroll in an MSN program: Anytime

When you need to enroll in a DNP program: No date set currently

When you’ll need a DNP to practice: No date set currently; recommended by 2025


Clinical nurse specialist

Current degree requirement: MSN or higher

Upcoming changes: The DNP is recommended as the entry level standard by 2030

When you can enroll in an MSN program: Anytime

When you need to enroll in a DNP program: No date set currently

When you’ll need a DNP to practice: No date set currently; recommended by 2030


Nurse midwife

Current degree requirement: MSN or higher

Upcoming changes: No changes announced

When you can enroll in an MSN program: Anytime

When you need to enroll in a DNP program: N/A

When you’ll need a DNP to practice: N/A


What If I Just Earned My MSN?

You should be all set if you’ve already earned your MSN. The coming degree changes won’t affect the license you already have. Even current MSN-level educated CRNAs will be able to keep practicing, but all CRNAs who apply for licensure in 2025 or later will need a doctorate.

Firm doctorate requirements for other APRN professions haven’t yet been announced, but it’s a good idea to keep up-to-date in your specialty to keep an eye on the rules and recommendations. There are many ways to make sure you know what’s happening currently, including joining nursing organizations, staying in touch with your alumni association, and following nursing news on social media. You can check out our resources guide for more ideas.


So…Should I Earn an MSN or a Doctorate?

It’s up to you. Right now, you can complete an MSN program and earn the same APRN licensure as if you’d completed a DNP. You may want to consider cost, time, and future goals as you make your decision.

“There are a lot of factors for a student to consider when choosing a healthcare program,” says Hunt. “The role needs to align with (a student’s) personal needs and wants, and the education needs to be realistic for the personal circumstances and finances. Getting an MSN or a DNP can be very expensive, both with time and money, so they need to decide what works best for them.”

Hunt, who earned a DNP as a family nurse practitioner, explains she decided what was best for her career by looking at the current market and trends in nursing.

“I saw the trends early on and the DNP looked like it would quickly saturate the market. So, to remain competitive in a competitive market, I knew I would get my DNP,” she says. “The education was in alignment with my personal goals. I have a passion for health policy, teaching, and advocacy and prefer taking a more global perspective on topics. [Plus], I knew a doctorate would open doors for me.”

So, what’s best for you? Only you can decide, but there a few questions to ask yourself that might help you choose:

  • What are the requirements for APRN jobs in my area?  You can search for jobs in your local area and see what the educational requirements are. See how many jobs ask for a doctoral degree and if there is a pay difference for any jobs that do.
  • What type of APRN licensure am I interested in? Right now, CRNAs, NPs, and CNSs are part of the doctoral degrees discussion; nurse midwives aren’t.
  • What are my APRN goals? Consider if you’re interested in nursing leadership roles, in direct care, or both.
  • How much time am I willing to spend in school? The time it will take you to earn doctorate or master’s depends on the degree you start with, but in general, earning an MSN will be much faster.
  • Are there any bridge or fast-track programs in my area? There are some schools that offer a BSN-to-DNP bridge program that can help you complete your education faster.
  • What is the cost of programs in my area? Look into programs you can afford and research what financial aid is available.

“Ultimately, each nurse will have (to) assess what they want and what works for them,” Hunt says. However, in her opinion, if you can make earning a DNP work for your budget, life, and goals, now might be a great time to go for it.

“The longer you wait to go back and get it, the rustier you’ll be as a student, and you may enter a hyper-competitive market when it becomes a mandate.”


sara hunt

With professional insight from:

Sara Hunt, DNP, MSN, FNP-C, PHN

Family Nurse Practitioner


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March 20, 2020 · 7 min read

Gear Up for National Nurses Week—and Nurses Year!

Recognize and honor the contributions of nurses in our communities May 6–12.

stephanie behring

By Stephanie Behring
Stephanie Behring is an education and healthcare writer living on the east coast. 

female nurses giving instructions to team of nurses
nurses collaborating on patients on ipad

You probably know that every year in May, National Nurses Week honors nurses for their work caring and advocating for patients and their families. But did you know that 2020 is being celebrated as the year of the nurse as well? It’s especially fitting given the need to recognize and appreciate healthcare professionals with this year’s pandemic crisis. There will be events all year to honor those dedicated to this demanding profession, and we’ve compiled many of them here to help you celebrate your chosen career.


When Is National Nurses Week?

As always, National Nurses Week will run from May 6-12, timed with Florence Nightingale’s birthday, May 12. This year is the 200th anniversary of the birth of the woman considered the founder of modern nursing, and in her honor, the World Health Organization has declared 2020 the International Year of the Nurse and Midwife.

Nursing organizations across the country are planning special celebrations throughout the year, and the American Nurses Association (ANA), one of the oldest associations of professional nurses in the country, is even dedicating the entire month of May to honoring nurses.

“A month allows greater opportunities to promote understanding and awareness of our profession, encourage young people to consider nursing as a career, and recognize the vast contributions of nurses,” says Deborah Plumstead, an ANA senior campaign specialist.


What is the History of National Nurses Week?

Various groups have been lobbying to recognize nurses dating back to 1953 when U.S. Department of Health, Education, and Welfare’s Dorothy Sutherland unsuccessfully proposed a day for nurses to President Eisenhower. But it wasn’t until 20 years later when the International Nurses Council (ICN) proclaimed May 12 as International Nurses Day. It wasn’t until another 8 years later, in 1982, that President Reagan signed a proclamation declaring May 6 National Recognition Day for Nurses, and since then the ANA, which has supported the profession since 1896, has been the driving resource behind the celebrations. They’ve added more reasons and ways to celebrate and honor the contributions that nurses make to the community—including May 8 as National Student Nurses Day.

All this means that it’s a great year to celebrate nurses (and being a nursing student) beyond grabbing an extra cookie from the break room during a week in May. From self-care to national contests, there’s something for every nurse who wants to participate.


How to Participate

Attend a Conference

Attending a conference or another nursing event can help you learn something new and build your network. There are a number of special events scheduled this year, so treat yourself to a career boost—or better yet, see if your employer will cover the cost of attending. However, before booking arrangements, be sure to double check whether the events are still happening, due to travel and social distancing restrictions related to current healthcare concerns.

Presented by Sigma and the National League for Nursing, this conference takes place in Washington, D.C., March 26–28.

This summit focuses on palliative care training and will be held April 15–16 in Charleston, South Carolina.

Held April 27–28 at the Cleveland Clinic in Mayfield, Ohio, this conference is for nursing professionals interested in clinical research.

Held May 3 in Athens, Ohio, this conference will provide the chance for nurses to earn seven continuing education units with a focus on serving vulnerable populations.

This conference will be held in Reston, Virginia, June 11–14 and will focus on the role of psychopharmacology in clinical care.

NAHN’s conference is dedicated to advocacy and is being held in Miami June 14–17.

This event is focused on increasing diagnoses in primary care settings and will be held in Naples, Florida, July 11–12.

This conference in Las Vegas is for a wide range of traveling healthcare professionals and will be held September 13–16.

This event is October 19–21 in Orlando, Florida, and features over 250 speakers.

Recognize a Nurse (or Yourself!)

The year of the nurse is also an excellent time to get involved in your professional community. You can find events locally, at the state level, and nationwide.

Two large nursing organizations are offering special recognition for nurses:

  • The Daisy Foundation’s Award for Extraordinary Nurses (Daisy Award). The Daisy Foundation has been honoring nurses since 1999. It works with 4,000 healthcare organizations globally to celebrate nursing with awards for individual nurses, teams, and nursing leaders. Winners are nominated by their peers and patients throughout the year. The foundation helps organizations set up ceremonies to present winners with an award package that includes a framed certificate, a daisy pin to wear on your badge showing you’ve received this honor, a hand-carved stone sculpture, and a spotlight page on the Daisy Foundation website. Winners are also eligible for exclusive career development opportunities.
  • The International Council of Nurses’ Nightingale Challenge. In 2020, the International Council of Nurses (INC), one of the most respected and longstanding global healthcare organizations, is challenging employers to identify 20 nurses for leadership and personal development. The goal is to encourage organizations worldwide to promote nursing leadership. Selected nurses will receive free training to advance their careers and have the opportunity to take on leadership roles. Participating organizations will have access to classes and seminars from global nursing leaders and to unique networking opportunities.

Enter a Contest

There are also a range of contests nurses can enter. Some might require a little creativity when it comes to entering, while others are as simple as filling out a form. Keep in mind that some contests are limited to certain specialties or regions, so make sure you read the rules carefully. Here are some ways nurses can win this year:

Nurses at all levels, including CNAs, are eligible to win a Range Rover by filling out an entry form by August 1.

Though the name wouldn’t suggest it, this contest is open to members of the Ohio Nurses Association (ONA) and the Oregon Nurses Association (ONA) (but residents of Alaska, Hawaii, Massachusetts, Maine, Michigan, North Carolina, New York and Wisconsin are not eligible). Winners are picked quarterly for a $1,000 award toward a fun night out.

Ten lucky nurses will take the field at Fenway Park during Nurse Night on May 20. One winning nurse will also throw the first pitch of the game. Nominations for this contest close on April 9.

Though the February deadline has passed for 2020, bookmark this one for next year. You can win up to $1,000 for submitting a photograph that highlights the challenges of your work in nursing.

Get Freebies and Discounts

Show your badge during National Nurses Week, and many businesses will honor your work with free or discounted items. You can also sign up for free classes, including an ANA webinar on May 10 titled Magnify Your Voice — Use Storytelling to Advance Nursing. While most 2020 deals haven’t been announced yet, you can generally count on:

  • Uniform discounts
  • Free coffee from national chains
  • Free meals and snacks at participating restaurants
  • Discounts on housewares
  • Discounts on classes or free continuing education credits

Watch for discounts on the Nurses Week website.

Join in on Social Media

Nurses are joining the festivities on Facebook, Twitter, and Instagram, using the hashtags #YON2020 or #yearofthenurse. Share stories about your favorite nurse, nurse educator, mentor, or colleague with us on our Facebook Page to pay it forward for everything they’ve done for you.

Jump Start Your Career

Find a Mentor

A mentor can help you figure out where you want your career path to go over the long run. It can be helpful to talk to someone who has been in the field longer than you and has accomplishments similar to your goals. Not sure how to find a mentor? You can begin by reaching out to a professor, starting a conversation with a coworker in a leadership role, or networking.

A mentor can help you figure out where you want your career path to go over the long run.

Get a Credential

Adding a new credential to your resume is a great way to boost your career. You can find courses in a variety of specialties that can help you gain knowledge and stand out in your field. You might even be able to get financial assistance from your employer toward a course. You can start by checking out the many credentials offered by The American Nurses Credentialing Center (ANCC). With more training, you can join nurses who maintain high credentials and are honored on March 19, Certified Nurses Day.

Go for an Advanced Degree

Have you been meaning to go back to school? Nurses Week is excellent motivation to earn that degree you’ve been thinking about. Whether you’re looking to earn your Master of Science in Nursing (MSN) or turn your licensed practical nurse (LPN) training into a Bachelor of Nursing (BSN), now is a good time to get started.


Remember to Practice Self-Care

As medical professionals who are often in a high-stress environment, nurses experience a personal toll in their line of work. Nurses often work long shifts caring for the medical and emotional needs of multiple patients. In fact, 15.6% of nurses in a 2019 national survey reported feelings of burnout. Self-care can ease this frazzle, helping you recharge and deliver your best patient care. You don’t need an elaborate ritual, but you do need to make time to nurture your resilience. Some ways to do that:

  • Get enough sleep
  • Unplug from social media for a while
  • Take time to exercise
  • Eat healthy meals
  • Spend time with friends
  • Read a favorite book or watching a favorite movie
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Go for the Next Level

From an LPN to a Doctorate in Nursing, explore a variety of programs that will energize and educate you.

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March 18, 2020 · 6 min read

Nursing Career Trends for 2020 and Beyond

Set your sights on these growing areas of nursing to tee yourself up for success in the coming years.

joanna nesbit

By Joanna Nesbit

community health nurse vaccinates neighborhood kids
neighborhood nurse vaccinates kids

Whether you’re a high school graduate considering a nursing career or a seasoned nurse looking to advance your career, one thing is certain: there is an increasing number of jobs available in nursing. Some positions are in newer areas, such as a nurse navigator, and some are in traditional areas such as a nurse practitioner.

There are a few reasons for the growth: older nurses plan to retire in coming years, the physician shortage is increasing, and the U.S. population is aging. By 2029, in fact, all baby boomers will be 65 or older, according to the U.S. Census Bureau. According to Beverly Malone, PhD, RN, FAAN, and CEO of the National League for Nursing, changes in community demographics are also driving the need. As a result, from 2018 to 2028, registered nursing is projected to experience a 12% growth rate, putting it among the top occupations for growth, according to the U.S. Bureau of Labor and Statistics.

Healthcare is shifting from hospital settings to outpatient settings—and the need for these nurses follows.

These five nursing careers, especially, are surging in demand and can help position you for success in the coming years.


Community Healthcare Nurse

With advances in technology and telemedicine, as well as an increased focus on preventive and primary care, healthcare is shifting from inpatient (hospital) settings to outpatient settings. That’s partly in response to increased costs of care, and it may become more prevalent in times of public health crises such as the Covid-19 epidemic. “We need more nurses to move into community-based settings to deal with population health and in places where we need primary care,” says Robyn Nelson, PhD, MSN, RN, and dean of the College of Nursing at West Coast University. Nurses will be needed most, says Malone, in the following settings:

• Primary care clinics

• Retail “minute clinics,” like Walgreens or CVS

• Home healthcare agencies

• Long-term care facilities


Nurse Practitioner

By 2030, the country will face a projected shortage of 120,000 physicians. With an expanding patient pool, the need for nurse practitioners (NPs) working in community health is going to spike. These healthcare providers are viewed as the professionals to fill the physician gap, particularly in underserved areas, such as rural and low-income communities, Nelson says, where nurse practitioners provide primary and preventive care, including women’s care, pediatrics, and geriatrics. In many states, nurse practitioners operate independently from physicians. “That’s an attractive feature to students considering a career in nursing,” Nelson says.

In the states that allow “full practice authority” (working on their own), nurse practitioners examine patients, prescribe medicines, order tests, and make decisions about patient care. They can establish their own practice or work in urgent care, hospitals, outpatient clinics, schools, nursing homes, and other primary care settings. Other states allow nurse practitioners “reduced” or “restricted” practice, requiring some degree of partnership with a physician. However, as the physician shortage increases, these states might change their practice laws. Research shows that patients do as well under NP care as those who receive care from other providers.

Nurse practitioners are advanced practice registered nurses (APRNs). These professionals have a master’s degree or post-master’s education. Under the umbrella of APRN, you’ll find four specialties:

• Certified nurse practitioner

• Certified registered nurse anesthetist (more on this field below)

• Certified nurse-midwife

• Clinical nurse specialist   


Certified Nurse Educator

You might already know that being accepted to a nursing program is competitive, even for qualified applicants. That’s in part because programs don’t have enough faculty to handle the demand. If you’re interested in educating future nurses, you can teach in the classroom or clinical setting. Becoming a certified nurse educator (CNE) or a certified clinical nurse educator (CNEcl) comes with a special credential verifying your competence as an academic nurse educator, and it’s a plus for the institution, Nelson says. Most frequently, teaching requires an advanced degree, though in some states you can provide clinical supervision with a bachelor’s degree and two or three years of experience. “Typically these clinical supervisors have a regular job and then do clinical education one day a week,” Nelson says. “These educators really inspire the next generation.”

The industry also needs faculty with PhD-level education, and it has a vision for growing doctoral degrees in the 2020s, Malone says. All three pathways prepare you to teach future nurses:

Doctor of nursing practice (DNP), which is a clinical practice-focused or education-focused degree

• PhD of nursing, which prepares you to conduct research, teach and develop policies

• EdD, a specialized degree in knowledge related to teaching overall


Specialty Nurses

As baby boomer nurses retire (some 1 million by 2030), the profession needs younger nurses to take their place in specialty areas beyond critical and acute care. More nurses are needed in all areas of the profession, but the following specialties have the greatest need:

  • Psychiatric mental health nurse. A psychiatric mental health (PMH) nurse by training, Malone says the industry needs more psychiatric nurses to address the increase in mental and behavioral health issues. These include anxiety, depression, substance use disorders, bipolar disorder, dementia, or Alzheimer’s disease in older patients. Research shows that 96% of U.S. counties don’t have enough mental-health clinicians, particularly in rural areas. PMH nurses can fill the gap, though in many states they’ll need to work in team-based settings as APRNs do. However, some states have very few PMH programs, according to The American Psychiatric Nurses Association, which is one reason there’s a shortage of nursing students interested in this field. Explore the options.
  • Nurse anesthetist. These nurses—nurse anesthetists or certified registered nurse anesthetists (CRNA)—play a key role in patient care during surgery, obstetrical care or dental care, and are important in rural settings that might not have an anesthesiologist. They also enjoy top salaries in their field. To become a nurse anesthetist, you need advanced education, including a bachelor’s of science in nursing (BSN) and at least a master’s degree.
  • Perioperative nurse. These professionals assist with surgery, providing patient care prior to, during, and after the surgery in the recovery room. During the procedure, they assist the surgeon, assess patient needs, and monitor patients after they’re awake. Nelson sees a need in this specialty, especially as older nurses retire.
  • Geriatric nurse. Experts say gerontology doesn’t draw enough students, but over the next 15 years the aging population will need specialists who understand their needs. Nursing students can study to be a nurse practitioner (APRN) with a specialty in gerontology.

Nurse Navigator

With the next decade’s emphasis on preventive and primary care, nurse navigators will play an important role as a bridge between the hospital and community setting. “A good navigator can assure the patient of the best possible outcome,” Malone says. They provide personalized attention for the patient, family, and caregiver, helping them navigate specialized treatment, such as cancer care. Navigators explain treatment plans, coordinate care across available services, and address barriers that might interfere with access. This could be helping a family understand their insurance or providing paperwork in their native language. Navigators need to have good communication skills to serve as a liaison between medical providers and the family and be open to diverse cultures.


Diversity in Nursing

In addition to the growing need for specialized nurses, emphasizing diversity is an increasingly important factor in nursing, and the healthcare industry needs more of it, Malone says. And that means diversity of all kinds of attributes: race, ethnicity, socioeconomic status, religion, gender, sexual orientation, and more.

Diversity is an important factor in nursing, and the healthcare industry needs more of it.

“We have patients from all kinds of backgrounds, and we don’t have enough diversity in nurses and nurse navigators who know the community and the needs of our vulnerable populations,” she says. “We also need diverse faculty to attract diverse students.” Being more attuned to the needs of various populations will make the healthcare and educational setting more inclusive and welcoming, Malone says. To attract students to the field, Malone recommends developing a pipeline with scholarships and counseling support that leads to a career in nursing, hiring faculty from a variety of backgrounds, and offering summer opportunities for involvement with universities and other schools of nursing.


Meet Our Contributors:

Beverly Malone, PhD, RN, FAAN, and CEO of the National League for Nursing.

Robyn Nelson, PhD, MSN, RN, and dean of the College of Nursing at West Coast University.

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October 7, 2019 · 3 min read

Differences Between a Doula and a Midwife

Learn the differences between nurse-midwives and doulas.

All Nursing Schools Staff

When it comes to having a baby, a mother-to-be will have her own vision of the kind of birthing experience she wants. And many women are choosing to include a doula, a midwife—or both—as part of their plan for pregnancy, labor and delivery, and the crucial early months of learning to care for newborn.

But exactly what role does a doula or a midwife play in a birthing plan? Read on to learn more about how midwives and doulas contribute through the course of pregnancy and childbirth, and discover the differences between these two professions.

The Role of a Midwife From Pregnancy to Delivery

Responsibilities of a nurse-midwife

According to The American College of Nurse-Midwives (ACNM), here are the many duties that a nurse-midwife carries out during a woman’s pregnancy:

  • Perform regular exams through the course of the intrapartum period
  • Help women make decisions about their birthing plan, including whether or not to use anesthesia and what measures to take if complications arise.

After childbirth, a nurse-midwife helps a woman with the following newborn care needs:

  • Teaching her to breastfeed
  • Helping her find ways to soothe an infant through colic
  • Providing postpartum medical care to women and their newborns, if necessary
  • Recommending coping strategies to women and their partners for all the changes that come with having a newborn

The Role of a Doula From Pregnancy to Delivery

Doulas in the delivery room

Like nurse-midwives, doulas have significant experience in the delivery room. Doulas specialize in providing mothers with the emotional support and physical comforts they need through the course of pregnancy, labor and delivery.

DONA International explains the important role doulas play in helping women carry out their birthing plans and in facilitating the most positive experience of childbirth possible. Among other things, this may include:

  • Helping a woman and her partner understand what to expect during labor
  • Holding the mother’s hand and helping her breathe through contractions
  • Getting the mother more pillows when she asks

After the delivery, a postpartum doula can provide a number of services to a mother:

  • Offer companionship and nonjudgmental support as the mother goes through the postpartum period.
  • Educate mothers on breastfeeding, infant soothing, sleep schedules and other facets of newborn care.
  • Assist mothers with newborn care tasks, from diaper changes to rocking the little one to sleep.
  • Help the family adjust to the new baby, perform light housework and prepare some family meals.
  • Suggest coping skills for new parents and refer families to resources and other professionals who can provide additional support during this time.

Education and Training Standards for Nurse-Midwives and Doulas

Nurse-midwife qualifications

Nurse-midwives have advanced clinical nursing training. They typically hold a Master of Science degree in Nursing (MSN) and have passed a national certification exam. Their training and medical expertise qualify nurse-midwives to deliver babies independently in hospitals, clinics, birthing centers, and private practice. Further, a nurse-midwife can recognize when the circumstances of a woman’s pregnancy or delivery require the attention of a medical doctor.

Doula Qualifications

Doulas have received training on the birthing process and/or postpartum period and have met the requirements of a rigorous certification program. However, doulas do not perform clinical or medical tasks. Instead, doulas hone in on a mother’s emotional and physical needs, working to create a calm environment during the most trying moments of labor, helping to ensure that a woman’s birthing plan is carried out, and providing a communication link between a mother, her partner and medical staff.

Learn more about certified nurse-midwife programs and degrees, and request more information from the midwifery schools that interest you most.

Sources: U.S. Bureau of Labor Statistics; DONA.org; Midwife.org.

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October 6, 2019 · 3 min read

Paramedic to RN Careers and Opportunities

Learn about paramedic to RN education and job opportunities.

All Nursing Schools Staff

nurse and paramedics working together with injured patient on gurney

Paramedics stand on the front lines of emergency care. Their extensive medical training and quick reactions in crises save lives each and every day. But those days can take their toll, and many paramedics, dedicated to providing medical care to others, turn to registered nursing as a means of expanding their healthcare knowledge and career opportunities.

Job Opportunities

The experience paramedics gain on the job provides an outstanding foundation for work in registered nursing (RN), a field that continues to thrive in the midst of a struggling economy.

Add to that, the ongoing nursing shortage across the United States has created a high demand for paramedic to RN candidates in a wide range of areas. In particular, paramedics who transition to RN careers in specialized practice or who are interested in practicing in rural areas, inner cities or other medically under-served areas will find strong job opportunities.


Search Paramedic to RN Programs

Paramedics earn your ADN or BSN degree online in up to 1/2 the time and cost of traditional programs. All applicants must already be a Paramedic.

Are You a Paramedic?:

Paramedic to RN Education

While paramedics obtain a significant number of training hours in emergency care and hold state-approved certification, moving from a paramedic to RN career requires some additional education that typically comes in one of two forms:

  • Paramedic to RN Bridge Programs—A paramedic to RN bridge program presents an educational fast track to certified paramedics looking to transition to a career as an RN. These programs can take 18 to 24 months to complete, with some schools offering online learning options.
  • Traditional RN Degree Programs—Traditional nursing college programs offer the most common entry-level credentials for RNs, the Associate Degree in Nursing (ADN) and the Bachelor of Science in Nursing (BSN). Many RNs enter their field with a 2-year associate’s degree; however, earning a 4-year BSN qualifies graduates for supervisory nursing roles and helps them build a foundation for an eventual master’s in nursing (MSN) degree.

Paramedic to RN Certification

The paramedic to RN degree program you choose depends on your career goals and how much time you can dedicate to school. Of course, any program you select should be accredited and should prepare you to sit for the NCLEX-RN examination—the national licensing exam for registered nursing candidates.

Also, different states may have established their own nursing licensure requirements in addition to national standards. Before you decide on a paramedic to RN program, research and understand your state’s regulations to ensure that you choose a program that provides the essential training and clinical experience you need to practice as an RN in your state.

Explore Your Career Options

Transition your emergency care training and experience to a career as a registered nurse. The inherent compassion and practical experience you possess gives you an edge not only in your classwork but in the care you can provide patients from the first day of your RN career. Take a closer look at what registered nursing jobs have to offer, and start your search for the right paramedic to RN training program for you.

Sources: U.S. Bureau of Labor Statistics; AllNurses.com; Fresno City College

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October 4, 2017 · 6 min read

How Nurses Can Promote Themselves on LinkedIn

Wondering how you can make your next career move? Learn more about the millions of nurses using LinkedIn to boost their presence.

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In case you had any fears, LinkedIn for nurses is just as important as LinkedIn for any other profession. It’s for everyone—and it’s going to be your new career-boosting best friend—because it’s a top tool for advocating for your strengths and accomplishments when you can’t. Whether you already have one or are thinking about building yours, we have tips for you to create a winning profile to increase your likelihood of getting a job, especially the one you really want.

LinkedIn for Nurses?

Of course! Think about it—LinkedIn is like social media for the professional world. Anyone can use it and anyone can use it well. It’s a great platform for remaining a part of the competition in today’s job market. According to LinkedIn, there are over 400 million users, and a few million of them are in the healthcare and nursing fields. That’s right, you’ll find millions of profiles on LinkedIn for nurses. Yes, that’s a lot of people to compete with, but it’ll be significantly fewer if you’re specific about all the nursing experience you’ve had.

Top Five Tips for a Competitive Profile

We’re breaking down how you can create a complete, impactful and eye-catching profile with just a few easy-to-do steps.

Keep it Professional

Remember that when you appear in a list of candidates in a LinkedIn search, people are only going to see your picture, your name, and your headline. You need to make these count. Here’s how.

  • Start off with your name. It should be the same as what’s on your resume, or the name you use in work settings, so you’re easily found. Additionally, since there isn’t a field in a LinkedIn profile for your credentials, this is a great opportunity to showcase your education. Jane Smith, MSN has nice ring to it, right?
  • What’s your picture like? Is it professional? This means it was taken with proper exposure against a background that doesn’t compete for attention.
  • Next, think about your headline. This is the space below your name and photo, and it’s the place where you tell people who you are in just a few words. Rather than just say you’re a Registered Nurse, explain what you’re experienced in, such as ICU or critical care, and perhaps for how long if it’s noteworthy.
  • No matter how tech savvy you are, you can create a custom URL for your profile. This URL should be as close to your name as possible, with limited numbers and characters. It makes things clean and easy to remember.

Advocate for Yourself

Your Summary

Ever heard of an elevator pitch? It’s a short and sweet spiel about who you are and what you do. The beauty of LinkedIn is that you have a summary field to say exactly what you want people to hear. In order to stand out, you should let your personality shine through while being professional and concise. This includes mentioning strengths, skills and experiences, all described in the first person.

Your Experience

LinkedIn profiles are designed to be just like resumes, so use them to their full potential. List all of your relevant work experience, including nursing practicums and volunteer work. Make sure to lay out the details of each with achievements, skills learned and qualifications earned. If you think something adds to your educational or professional expertise, even trainings or industry memberships, put it down.

Utilize Keywords

On the one hand, LinkedIn is a social media platform for sharing work-relevant information about you and the nursing field. On the other hand, it’s a search engine for recruiters and HR personnel to find nurses like you to hire. Due to the sheer volume of LinkedIn members, those looking to hire will type in keywords related to the job description. You want to make sure that your profile includes the keywords that best describe your skillset and the type of job you’re looking to be hired for so you show up in search results. These may include terms such as “certification,” “clinical research” or “travel nursing,” depending on the person.

Get Endorsed

Don’t be shy—you’ll need to spread the word about your nursing prowess. You can do this in a few ways.

  • Skills: Check as many skill boxes as you can that relate to your actual experience and education. If you have the evidence to back it up, put that skill on your profile. The more the better.
  • Endorse Others: If you want those in your professional circle to vouch for your skills, make sure that you endorse theirs. The more you endorse other people’s skills, the more likely they are to return the favor. Endorsements build trust.
  • Recommendations: If you’ve had a particularly good experience with a certain fellow nurse, manager or doctor, ask them to please write you a recommendation. Of course, offer to write them one in return. If people will go out of their way to speak up about what a great nurse you are, people will want to work with you.

Make Connections

Given the social aspect of the platform, it’s imperative that you make connections, but be careful to make the right ones. When requesting to ‘link in’ with someone, you should have a reason to do so, meaning they are a nurse or doctor you’ve worked with, studied with or been mentored by. If you meet someone and want to learn more about them and from them, find them on LinkedIn—you’ll learn a lot about how people have succeeded as a nurse from their profile.

How to Find a Job

Now that you’ve got your profile set up and in “All Star” shape, as they say on the app, you can start making career moves. As we mentioned before, connecting with others is the best way to open up doors for several reasons:

  • It will remind people of you if they’re looking to hire.
  • It allows you to see if someone in your network posts a job opening.
  • You can see where people in your network choose to work.
  • You can connect with nursing recruiters to see what jobs are most commonly sought after.

An important thing to remember is that, if you’re currently employed, you don’t want to blast to everyone that you’re looking because your employer could see. Private messages or requests to meet for coffee are another great way that can get you in contact with the right people.

Even if you’re not looking for a job, LinkedIn is a key resource. Use it to learn about nursing trends, changes in the field, solutions to common problems nurses face and a gateway to academic resources you didn’t know were available. Take a minute to check out some nursing profiles today. You’re bound to learn something new.

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November 4, 2016 · 4 min read

Registered Nurse vs. Licensed Practical Nurse

Before you decide on an entry-level nursing program, compare RN vs. LPN education requirements.

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two women nurses talking

Even though they sound similar, if you compare registered nurse vs. licensed practical nurse careers and education you’ll see they have fairly little in common in terms of job tasks, educational paths, and salary ranges.

LPNs usually provide more basic nursing care and are responsible for the comfort of the patient.  RNs on the other hand, primarily administer medication, treatments, and offer educational advice to patients and the public.


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LPNs earn your ADN or BSN degree online in up to 1/2 the time and cost of traditional programs. All applicants must be either an LPN or LVN to apply.

Are You an LPN/LVN?:

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Here’s a breakdown of the key distinctions between these two in-demand positions:

Licensed Practical Nurse

Registered Nurse

Job duties
Provide basic medical and nursing care such as checking blood pressure and inserting catheters, ensure the comfort of patients by helping them bathe or dress, discuss health care with patients, and report status of patients to registered nurses and doctors.Administer medication and treatment to patients, coordinate plans for patient care, perform diagnostic test and analyze results, instruct patients on how to manage illnesses after treatment, and oversee other workers such as LPNs, nursing aides, and home care aides.
Education
You must complete an accredited practical nursing program which usually takes about one year to complete. These programs are most often taken at technical or community colleges. Courses usually combine academia in nursing, biology, and pharmacology, in addition to supervised clinical experiences.Three educational options are available: a bachelor’s of science in nursing (BSN), an associate’s degree in nursing (ADN), or a diploma from an approved nursing program. BSNs usually take four years to complete, whereas ADN and diploma programs usually require two to three years to complete. All programs include courses in social, behavior and physical science in addition to clinical experiences in various workplaces.
Licensing / certification
After completing your practical nursing course from a state-approved program, you’ll receive a certification in practical nursing. Once that is completed, you must take the National Council Licensure Examination (NCLEX-PN) in order to obtain a license and be able to work as an LPN.All registered nurses require a nursing license acquired by completing an accredited nursing program and passing the National Council Licensure Examination (NCLEX-RN). Some RNs may choose to become certified through professional associations in certain specialties. Certification is usually voluntary, but some advanced positions require it.
Pay
Median annual salary:

$47,050

Median annual salary:

$71,730

Job growth
11—12% increase through 2028
Typical career steps
After gaining experience, many LPNs advance to supervisory positions. With additional education one may even advance into other medical specialties such as registered nurses.Most RNs begin as staff nurses, but with experience and continuing education there is opportunity to move into management positions such as chief of nursing. Other options include becoming an advanced practice registered nurse (APRN) or moving into the business side of health care.

Licensed Practical Nurse:

Job Duties: Provide basic medical and nursing care such as checking blood pressure and inserting catheters, ensure the comfort of patients by helping them bathe or dress, discuss health care with patients, and report status of patients to registered nurses and doctors.

Education: You must complete an accredited practical nursing program which usually takes about one year to complete. These programs are most often taken at technical or community colleges. Courses usually combine academia in nursing, biology, and pharmacology, in addition to supervised clinical experiences.

Licensing / certification: After completing your practical nursing course from a state-approved program, you’ll receive a certification in practical nursing. Once that is completed, you must take the National Council Licensure Examination (NCLEX-PN) in order to obtain a license and be able to work as an LPN.

Pay: Median annual salary: $47,050

Job Growth: 11% increase through 2028

Typical career steps: After gaining experience, many LPNs advance to supervisory positions. With additional education one may even advance into other medical specialties such as registered nurses.

Registered Nurse:

Job duties: Administer medication and treatment to patients, coordinate plans for patient care, perform diagnostic test and analyze results, instruct patients on how to manage illnesses after treatment, and oversee other workers such as LPNs, nursing aides, and home care aides.

Education: Three educational options are available: a bachelor’s of science in nursing (BSN), an associate’s degree in nursing (ADN), or a diploma from an approved nursing program. BSNs usually take four years to complete, whereas ADN and diploma programs usually require two to three years to complete. All programs include courses in social, behavior and physical science in addition to clinical experiences in various workplaces.

Licensing / certification: All registered nurses require a nursing license acquired by completing an accredited nursing program and passing the National Council Licensure Examination (NCLEX-RN). Some RNs may choose to become certified through professional associations in certain specialties. Certification is usually voluntary, but some advanced positions require it.

Pay: Median annual salary: $71,730

Job growth: 12% increase through 2028

Typical career steps: Most RNs begin as staff nurses, but with experience and continuing education there is opportunity to move into management positions such as chief of nursing. Other options include becoming an advanced practice registered nurse (APRN) or moving into the business side of health care.

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Sources: U.S. Bureau of Labor Statistics 2018-19 Occupational Outlook Handbook; Licensed Practical and Licensed Vocational Nurses; Registered Nurses.

*The salary information listed is based on a national average, unless noted. Actual salaries may vary greatly based on specialization within the field, location, years of experience, and a variety of other factors. National long-term projections of employment growth may not reflect local and/or short-term economic or job conditions, and do not guarantee actual job growth.

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November 4, 2016 · 3 min read

How the Affordable Care Act Has Impacted Nursing

The Affordable Care Act has resulted in good news, bad news and unexpected news for nurses.

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The Affordable Care Act (ACA), also known as Obamacare, is in full effect and now news of its impact on the nursing industry has come in. Some reports are good, such as job growth; whereas others stress that nurses have bigger patient loads resulting in diminished care for patients.

Let’s take a closer look at how the largest group of health care professionals is faring.

What Has Changed?

More—and Sicker—Patients Have Entered the System
Since the Affordable Care Act began, the health care system experienced a rise in the number of new patients, as expected. What wasn’t expected is that some of these patients have chronic illnesses that have been neglected and thus require more care.

According to Amy Dertz, a registered nurse in Oakland, Calif., “Some haven’t had care in a long time (or ever). Some may have pre-existing conditions that enabled insurance companies to refuse them coverage. As they enter my care, their needs may be more complicated.”

The extra time and care it takes to improve the health of these new patients have placed a strain on nurses and hospitals.

Emergency Room Visits Have Increased, Not Decreased
In the past, the uninsured may have been reluctant to go to emergency rooms for treatment. But now that patients have insurance, some facilities are experiencing increased ER visits. As a result, wait times and patient loads have also increased for nurses and doctors.

Health Care Has Shifted Away from Hospitals
To save money, the Affordable Care Act wants to keep patients out of hospitals in favor of outpatient care provided within communities. Although this creates more outpatient workplaces for nurses, the opposite is true for inpatient nurses.

According to Dertz, “If the ACA is successful in contributing to keeping patients out of the hospital, inpatient care will be reserved for patients with acute, severe illnesses and the number of hospital nurses will drop dramatically.” Her hospital has already proposed nursing cuts, which would result in nurses working harder with fewer resources.

What’s the Job Outlook for Nurses?

Very good. According to the Bureau of Labor Statistics, employment for registered nurses is estimated to grow by 15 percent through 2026—much faster than average for all occupations. The Arizona Capitol Times reported that more than 10,000 jobs have been added to Arizona’s health care industry in 2014.

The growth is twofold:

  • As baby boomers age, there’s an increasing need for health care, particularly from geriatric nurses.
  • Because health care is moving away from hospitals to outpatient care in the community, nurses have more workplaces to choose from. In community health centers alone, more than 4,500 nursing positions have been added nationwide since the ACA began. Nurses specializing in home care, care management, case management, and community health care are in high demand.

For nurses looking to advance their training in these and other areas, the Affordable Care Act helps cover training costs.

Sources: U.S. Bureau of Labor Statistics Occupational Outlook Handbook, Registered Nurses; Time magazine; Orange County Register; Arizona Capitol Times.

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November 3, 2016 · 3 min read

Nursing Salaries for LPN, RN, AP

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Nursing is not only an in-demand profession; nursing salaries are also fairly lucrative. With the current nursing shortage, qualified nurses can find exceptional nursing career opportunities across the country.

Before you start your job search, however, let alone your nursing education, you will want to learn what you can about the nurse salary potential that different nursing careers offer.

Factors in Nursing Salaries

Overall, nursing salaries vary depending on a number of factors:

  • Level of nursing degree and nursing education
  • Years of experience in a chosen field
  • State and city where you work (cost of living)
  • Type of work you do
  • Type of specialty you pursue

Licensed Practical Nurse (LPN) Nursing Salaries

Licensed practical nurses typically train for their careers through a year-long education program at a hospital, community college or vocational school. After graduation, candidates must pass the National Council Licensure Examination (NCLEX-PN) to earn their nursing licensure.

According to the U.S. Bureau of Labor Statistics’ current Occupational Outlook Handbook, the median national annual salary for licensed practical and licensed vocational nurses is $44,090. Actual salaries may vary greatly based on specialization within the field, location, years of experience and a variety of other factors.

Registered Nurse (RN) Nursing Salaries

To become a registered nurse, students must earn a two-year associate’s or four-year bachelor’s degree in nursing or complete a nursing diploma program. After earning their degree, candidates must pass the NCLEX-RN exam to obtain their registered nursing license.

According to the U.S. Bureau of Labor Statistics’ current Occupational Outlook Handbook, the median national annual salary for registered nurses is $71,70. Actual salaries may vary greatly based on specialization within the field, location, years of experience and a variety of other factors.

Advanced Practice (AP) Nursing Salaries

Advanced Practice Nurses hold a master’s degree in a particular focus area and provide one-on-one patient care services similar to those a physician would perform. The following statistics show annual nurse salary ranges for the different categories of advanced practice nursing careers.

Advanced Practice Nursing CategoryMedian Annual Salary*
Certified Nurse Anesthetist (CRNA)$167,950
Certified Nurse Midwife$103,770
Clinical Nurse Specialist (CNS)$107,460
Nurse Practitioner (NP) and Family Nurse Practitioner (FNP)$107,030

Sources: U.S. Bureau of Labor Statistics Occupational Outlook Handbook; Certified Nurse Anesthetists, Nurse Anesthetists, Nurse Midwives, and Nurse Practitioners.

*The salary information listed is based on a national average, unless noted. Actual salaries may vary greatly based on specialization within the field, location, years of experience and a variety of other factors. National long-term projections of employment growth may not reflect local and/or short-term economic or job conditions and do not guarantee actual job growth.

Recruitment Incentives

The nursing shortage offers extremely advantageous opportunities for current nurses earning a higher degree and for nursing students preparing to enter the workforce. Many hospitals are now offering incentive programs such as:

  • Recruitment bonuses (ranging anywhere from $2,000 to $20,000)
  • Relocation assistance
  • Housing assistance
  • Daycare
  • Tuition reimbursement

These recruitment incentives go to nurses who accept a position at their facility and agree to a set work commitment.

Take your first step today by telling us a little about yourself and we’ll connect you with schools that offer Nursing degree programs.

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November 3, 2016 · 2 min read

Nursing Jobs and Careers

Discover which type of nursing job and work environment is right for you.

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Across the U.S., nursing jobs continue to grow. As New Hampshire’s SentinelSource.com reports, the nursing profession falls among a small group of recession-proof careers, with many organizations adding nursing jobs even in the midst of an economic downturn. If strong nursing job opportunities aren’t enough, nursing offers highly versatile career options, from travel nursing to legal nurse consulting. The fact that nurses can design their careers to suit their individual interests presents a huge advantage to those eager and qualified to enter this highly challenging and rewarding profession.

Entry-Level vs. Advanced Practice Nursing Jobs

Entry-level nursing degree programs typically prepare students for nursing jobs in a variety of hospital and inpatient settings. Students can choose a licensed practical nursing (LPN) program or a registered nursing (RN) degree as a main entry point to the nursing career field. The duration of entry-level nursing degrees ranges from one to four years, depending on whether you pursue a nursing diploma, associate’s degree or Bachelor of Science in Nursing (BSN).

Advanced Practice Nurses (APNs) hold a Master of Science in Nursing (MSN)that qualifies them for general patient care and specialized nursing jobs in which they perform many of the same duties as a medical doctor. Categories of advanced practice nursing include:

Specialties for Nursing Jobs

Specialized nursing jobs certainly offer choice. Discovering the right nursing specialty for you depends on the direction in which you plan to take your career and, of course, where your passion lies.

As an example, nurses interested in direct patient care might aim for a career in adult nursingparent-child nursingpediatric nursing or one of the many other nursing jobs that involve individualized treatment. On the other hand, nurses who want to help promote positive health habits and prevent the spread of disease among communities might specialize in public health nursingNursing informatics gives nurses with a penchant for technology another career alternative.

Work Environment

Along with hospitals and physicians’ offices, nurses work in the following environments:

  • Outpatient care facilities
  • Clinics
  • Nursing homes
  • Schools
  • Community health centers
  • In the case of some specialties, patients’ homes.

Forensics nurses and legal nurse consultants spend a large amount of time investigating cases in research setting, an office or in interviews with the parties involved.

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