Your Guide to Graduate Nursing Programs - American Association ...

Your Guide to Graduate Nursing Programs - American Association ... Your Guide to Graduate Nursing Programs - American Association ...

<strong>Your</strong> <strong>Guide</strong> <strong>to</strong><strong>Graduate</strong><strong>Nursing</strong> <strong>Programs</strong>


<strong>Your</strong> <strong>Guide</strong> <strong>to</strong><strong>Graduate</strong><strong>Nursing</strong> <strong>Programs</strong>Table of Contents<strong>Your</strong> <strong>Graduate</strong> <strong>Nursing</strong> Education. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1Know <strong>Your</strong> <strong>Nursing</strong> Education Options. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3Master’s <strong>Nursing</strong> <strong>Programs</strong> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3Doc<strong>to</strong>ral and Post-Doc<strong>to</strong>ral <strong>Nursing</strong> <strong>Programs</strong> . . . . . . . . . . . . . . . . . . . . . . . . 5Preparation for Specific <strong>Nursing</strong> Roles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7Advanced Practice Registered Nurses. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7Nurse Researchers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9Nurse Educa<strong>to</strong>rs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9Clinical Nurse Leaders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11Nurse Administra<strong>to</strong>rs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11Public Health Nurses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12Nurse Informaticists . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12Public Policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13Other <strong>Nursing</strong> Roles. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13Insider Tips for Choosing the Right <strong>Graduate</strong> Program. . . . . . . . . . . . . . . . . . 14Financing <strong>Your</strong> <strong>Graduate</strong> Education. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16Supporting <strong>Your</strong> Entry in<strong>to</strong> <strong>Graduate</strong> <strong>Nursing</strong> Education . . . . . . . . . . . . . . . 18Bibliography . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19Web Resources . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21


<strong>Your</strong> <strong>Graduate</strong> <strong>Nursing</strong> Education<strong>Nursing</strong> is a dynamic profession that brings manyrewards and career advancement opportunities<strong>to</strong> those committed <strong>to</strong> lifelong learning. Today’snurses are expected <strong>to</strong> master an increasingly complexbody of knowledge and attain clinical skills <strong>to</strong> effectivelyprovide lifesaving and life-sustaining services. Thoughcompleting an entry-level registered nursing (RN)program and passing the NCLEX are importantmiles<strong>to</strong>nes in anyone’s career, these are only the firststeps in your preparation as a nursing professional.Throughout your career you will continue <strong>to</strong> expandyour knowledge base due <strong>to</strong> advances in technologyand cutting edge nursing research. For those wishing<strong>to</strong> play a part in developing new skills, research, andpractice innovations, now is the time for you <strong>to</strong> considergraduate-level nursing education.More educationbrings moreopportunity, andmany doors areopen <strong>to</strong> nurseswith master’s anddoc<strong>to</strong>ral degrees.More education brings more opportunity, andmany doors are open <strong>to</strong> nurses with master’sand doc<strong>to</strong>ral degrees. Nurses with graduatepreparation provide direct patient care at anadvanced level, conduct research, teach onlineand in the classroom, impact public policy,lead health systems, consult with corporations,and implement evidence-based solutions thatrevolutionize health care. These highly skilledproviders are in great demand <strong>to</strong> fill establishedand emerging roles that allow nurses <strong>to</strong>focus on a variety of practice areas,such as adult and family health,geriatrics, pediatrics, public health,administration, informatics,forensics, systems improvement,and genetics/genomics.The national movement<strong>to</strong>ward healthcare reformis ushering in new modelsof care delivery that willplace nurses in the driver’sseat. As leaders of health/<strong>Your</strong> <strong>Guide</strong> <strong>to</strong> GR ADUATE <strong>Nursing</strong> <strong>Programs</strong> 1


The <strong>American</strong><strong>Association</strong> ofColleges of <strong>Nursing</strong>(AACN)encourages all nurses<strong>to</strong> strive for higherlevels of education<strong>to</strong> advance theircapacity <strong>to</strong> enhancethe qualityof care available <strong>to</strong>our nation’s variedpatient populations.medical homes, nurse-managed health clinics, communityhealth centers, and other settings, nurses are moving <strong>to</strong>become full partners in driving change in the healthcarearena. As more patients enter the system and an agingpopulation creates the demand for transformation inhealthcare, many more nurses will be needed <strong>to</strong> servein primary care and specialty roles, as well as <strong>to</strong> leadindependent practices.Beyond the professional opportunities nurses gain throughgraduate education, there are some very tangible benefits<strong>to</strong> one’s quality of life. Nurses with advanced preparationtypically enjoy more opportunities <strong>to</strong> impact the overalldesign and implementation of care. As education increases,salaries follow suit. Nurses with doc<strong>to</strong>ral preparationtypically earn six-figure salaries and often rise <strong>to</strong> the <strong>to</strong>pof healthcare’s leadership ranks. With new practiceopportunities emerging, and the demand for highlyspecialized nursing skills rising, the time is right for you<strong>to</strong> begin your graduate-level nursing education. Theearlier in your career you complete your formal education,the longer your professional life and the higher yourlifetime earnings will be.The <strong>American</strong> <strong>Association</strong> of Colleges of <strong>Nursing</strong> (AACN)encourages all nurses <strong>to</strong> strive for higher levels of education<strong>to</strong> advance their capacity <strong>to</strong> enhance the quality of careavailable <strong>to</strong> our nation’s varied patient populations. Callsfor more nurses with graduate level preparation are comingfrom both inside and outside of the profession fromauthorities as diverse as the Institute of Medicine, the RobertWood Johnson Foundation, Tri-Council for <strong>Nursing</strong>, andthe Carnegie Foundation for the Advancement of Teaching.Now is the time for you <strong>to</strong> invest in your future and beginyour journey in<strong>to</strong> graduate nursing education.2 <strong>American</strong> <strong>Association</strong> of Colleges of <strong>Nursing</strong>


Know <strong>Your</strong> <strong>Nursing</strong>Education OptionsAs you consider how best <strong>to</strong> continue your education,it’s important <strong>to</strong> keep your career trajec<strong>to</strong>ry inmind and know your options. Today’s health systemneeds nurses prepared at both the master’s and doc<strong>to</strong>rallevels, yet you do not need <strong>to</strong> take a “stepped” approach<strong>to</strong> your education if your ultimate goal is the doc<strong>to</strong>rate.Progressing seamlessly from baccalaureate <strong>to</strong> doc<strong>to</strong>ralpreparation is often more efficient, requiring less time inclass and lower educational expenses. Of course, manystudents do choose <strong>to</strong> complete a master’s degree followedby a doc<strong>to</strong>rate later in their career. This well-establishededucational pathway provides additional career options andmay be necessary when family, work demands, and financesare considered.Master’s nursingprograms prepareindividuals fora variety ofadvanced roles inadministration,teaching, research,informatics, anddirect patient care.Once you determine your degree of choice, you must selectthe program type that is right for you. More than 500nursing schools nationwide offer a menu of more than 2,000graduate programs tailored <strong>to</strong> the needs of nurses withvarying levels of education as well as non-nurses looking <strong>to</strong>enter the profession at an advanced level. Below is a snap -shot of commonly available graduate nursing programs.Master’s <strong>Nursing</strong> <strong>Programs</strong>Master’s nursing programs prepare individuals for a varietyof advanced roles in administration, teaching, research,informatics, and direct patient care. Nurses at this levelare in high demand as Clinical Nurse Leaders, nursemanagers, clinical educa<strong>to</strong>rs, health policy consultants,research assistants, public health nurses, and in many othercapacities. Individuals looking <strong>to</strong> earn a master’s degree maychoose from these options:❚❚Entry-Level Master’s Degree: Developed for thosewith a bachelor’s or graduate degree in a disciplineother than nursing, entry-level master’s degrees are alsoreferred <strong>to</strong> as generic or accelerated programs. Theseofferings generally take about 2 <strong>to</strong> 3 years <strong>to</strong> finish withbaccalaureate-level content and initial RN licensure<strong>Your</strong> <strong>Guide</strong> <strong>to</strong> GR ADUATE <strong>Nursing</strong> <strong>Programs</strong> 3


completed during the first year. These programs, manyof which prepare Clinical Nurse Leaders, are paced forstudents who have proven their ability <strong>to</strong> succeed at afour-year college or university. More than 60 entry-levelmaster’s programs are available at schools nationwide.❚❚RN <strong>to</strong> Master’s Degree:Designed for nurses withassociate degrees, RN <strong>to</strong>master’s programs takeabout 2 <strong>to</strong> 3 years <strong>to</strong>complete with specificrequirements varying byinstitution and based onthe student’s previouscourse work. Though mostprograms are offered inclassroom settings, manyare delivered largelyonline or in a blendedclassroom/onlineformat. The baccalaureate-level content missing fromassociate degree curricula is built in<strong>to</strong> the front-end ofthese degree completion programs. The number of RN <strong>to</strong>master’s programs has more than doubled in the past 20years with more than 170 programs available <strong>to</strong>day.❚❚❚❚Baccalaureate <strong>to</strong> Master’s Degree: The traditionalpost-baccalaureate master’s is the most prevalen<strong>to</strong>ption offered <strong>to</strong> those seeking graduate preparation.Course work builds on undergraduate competenciesand allows students <strong>to</strong> concentrate their learning on afocus area. Program requirements and credit load varyby institution, though most programs may be completedin 18-24 months of full-time study. Though the majorityof schools grant the Master of Science in <strong>Nursing</strong> (MSN)degree, some offer the Master of <strong>Nursing</strong> (MN) or MS innursing in keeping with university policy. The MSN, MN,and MS in nursing are comparable degrees and preparestudents at the same level of competency.Dual Master’s Degree <strong>Programs</strong>: Nurses seeking agraduate degree with an in-depth concentration in a4 <strong>American</strong> <strong>Association</strong> of Colleges of <strong>Nursing</strong>


❚❚related field of study often choose a dual MSN program.Nationwide, more than 120 dual master’s degreesare available that combine nursing course work withbusiness (MSN/MBA), public health (MSN/MPH), healthadministration (MSN/MHA), public administration (MSN/MPA), and other content areas.Post Master’s Certificate <strong>Programs</strong>: Certificateprograms also are available <strong>to</strong> master’s programgraduates looking <strong>to</strong> sharpen their clinical skills andnursing knowledge in a number of focus areas, includingnursing education, leadership, informatics, and specialtypractice among many others.Today’s nursingstudent can choosefrom doc<strong>to</strong>ralprograms focusedon either research(PhD, DNS) orpractice (DNP).Doc<strong>to</strong>ral and Post-Doc<strong>to</strong>ral<strong>Nursing</strong> <strong>Programs</strong>For nurses looking <strong>to</strong> assume leadership positions, advancedfaculty appointments, and specialist roles, a doc<strong>to</strong>rate is theappropriate credential. Today’s nursing student can choosefrom doc<strong>to</strong>ral programs focused on either research (PhD,DNS) or practice (Doc<strong>to</strong>r of <strong>Nursing</strong> Practice or DNP). Giventhe need for more nurses <strong>to</strong> serve as Advanced PracticeRegistered Nurses (APRN), assume faculty positions, embarkon careers as research scientists, and pursue leadership roles,nursing schools are moving quickly <strong>to</strong> increase the numberof students entering both practice-focused and researchfocuseddoc<strong>to</strong>ral programs. Those seeking a terminal nursingdegree should consider these offerings:❚❚❚❚Fast-Track Baccalaureate <strong>to</strong> Doc<strong>to</strong>ral <strong>Programs</strong>:This accelerated option provides an efficient educationalpathway for motivated baccalaureate program graduatesseeking an early-career doc<strong>to</strong>rate. Strong clinicalexperiences are embedded throughout the entire 3-4year program of study. These programs are available <strong>to</strong>both nurses in practice and new graduates, with theoption <strong>to</strong> focus on either research or practice. Given therigorous nature of these programs, full-time study isstrongly recommended.Doc<strong>to</strong>r of <strong>Nursing</strong> Practice (DNP): The DNP isdesigned for nurses seeking the highest level ofpreparation in nursing practice. In 2004, nursing<strong>Your</strong> <strong>Guide</strong> <strong>to</strong> GR ADUATE <strong>Nursing</strong> <strong>Programs</strong> 5


Post-doc<strong>to</strong>ralprograms providea bridge for newscientists <strong>to</strong>become independent,productive researcherswho will generateand communicateknowledgefundamental <strong>to</strong>clinical nursingpractice.❚❚❚❚schools affiliated with AACN voted <strong>to</strong> move the level ofeducation necessary for advanced nursing practice fromthe master’s degree <strong>to</strong> the doc<strong>to</strong>rate by the target yearof 2015. This move calls for doc<strong>to</strong>ral preparation for thefour APRN roles — Nurse Practitioners, Clinical NurseSpecialists, Nurse Anesthetists, and Nurse-Midwives —as well as other nurses engaged in advanced specialtypractice. Both post-baccalaureate and post-master’sDNP programs are available with more than 150 nursingschools currently offering this degree and more than 100new programs under development. DNP graduates areleaders in the health system and work collaborativelywith nurse researchers <strong>to</strong> implement new nursingscience and practice innovations.Research-Focused Doc<strong>to</strong>rate: The Doc<strong>to</strong>r ofPhilosophy (PhD) represents the highest level of formaleducation for a career in research and the scholarshipof discovery. Program graduates develop new nursingscience, serve as leaders of the profession, and educatethe next generation of nurses. In the academic setting,the PhD is required for success as a researcher in anydiscipline, not just nursing. In the scientific arena, thePhD is the beginning preparation for the developmen<strong>to</strong>f independence in scientific pursuit. Attainment of thePhD (or the DNS degree at some institutions) requiresa strong scientific emphasis within the discipline; anunderstanding of the science of related disciplines andtranslational science; dissemination of innovations; andinterprofessional collaboration. Currently more than 120nursing schools offer a research-focused doc<strong>to</strong>rate.Post-Doc<strong>to</strong>ral <strong>Programs</strong>: Post-doc<strong>to</strong>ral programsprovide a bridge for new scientists <strong>to</strong> becomeindependent, productive researchers who will generateand communicate knowledge fundamental <strong>to</strong> clinicalnursing practice. New scientists embarking on postdoc<strong>to</strong>ralstudy are expected <strong>to</strong> develop more depthin an area of science and enhance their expertise andskills for communicating within the scientific communityand for securing funding for future research. Theseprograms are available at almost 40 research-intensiveschools nationwide.6 <strong>American</strong> <strong>Association</strong> of Colleges of <strong>Nursing</strong>


Preparation for Specific<strong>Nursing</strong> RolesNurses with graduate degrees serve in a varietyof direct and indirect care roles in a wide rangeof practice arenas. Below is a sampling of careeroptions for master’s and doc<strong>to</strong>ral program graduatesbased on data collected by AACN on the most commonmajors available at U.S. nursing schools. This is by no meansan exhaustive list, and there on no limits on where yourgraduate nursing education can take you.Advanced Practice Registered Nurses (APRNs)APRNs provide primary, preventive, and specialtycare in a variety of roles in acute and ambula<strong>to</strong>ry caresettings. According <strong>to</strong> the Health Resources and ServicesAdministration (HRSA), “APRNs are RNs who have receivedadvanced education <strong>to</strong> develop knowledge and skills inareas not usual for RNs, such as diagnosing and managingcommon acute and chronic diseases, ordering diagnostictests, prescribing medications, and performing minorprocedures.” Those considering a career as an APRN maychoose from one of four recognized roles:❚❚Nurse Practitioners (NP), thelargest segment of the APRNworkforce, are essential providersof primary and acute care, andare particularly important <strong>to</strong>providing access <strong>to</strong> quality healthcare in underserved areas. NPsprovide initial, ongoing, andcomprehensive care, whichincludes taking health his<strong>to</strong>ries;providing physical examinationsand other health assessment; anddiagnosing, treating, and managing patients with acuteand chronic conditions. This care encompasses healthpromotion, disease prevention, health education, andcounseling as well as disease management. NPs practiceau<strong>to</strong>nomously in areas as diverse as family practice,<strong>Your</strong> <strong>Guide</strong> <strong>to</strong> GR ADUATE <strong>Nursing</strong> <strong>Programs</strong> 7


pediatrics, geriatrics, psychiatric/mental health, andwomen’s health care.❚❚❚❚Clinical Nurse Specialists (CNS) focus their nursingpractice on areas that are often defined by a population,setting, or disease type. The CNS is responsible andaccountable for diagnosis and treatment of health/illness states, disease management, health promotion,and prevention of illness and risk behaviors amongindividuals, families, groups, and communities. With anemphasis on continuous, evidence-based improvemen<strong>to</strong>f patient outcomes and nursing care, CNSs clearlydemonstrate that their practice reduces healthcare costsamong other quality fac<strong>to</strong>rs. These providers specializein a number of areas, such as adult health, acute andcritical care, and community health among others.Certified Registered Nurse Anesthetists (CRNAs)provide the full spectrum of anesthesia care forindividuals across the lifespan. CRNAs provide morethan 30 million anesthetics in the U.S. annually and arethe sole anesthesia providers in nearly all rural hospitals,affording patients access <strong>to</strong> trauma stabilization, paincare, and surgical services.❚❚Certified Nurse-Midwives(CNMs) provide a full rangeof primary healthcareservices, includinggynecologic and obstetriccare, childbirth, and careof the newborn. Ninetypercent of visits <strong>to</strong> CNMs arefor primary and preventivecare, which may includeaddressing reproductivehealth issues and treatingsexually transmitted diseases.This care is provided indiverse settings, includingprivate homes, hospitals,birthing centers, and ambula<strong>to</strong>ry care settings (e.g.,private offices, community and public health clinics).8 <strong>American</strong> <strong>Association</strong> of Colleges of <strong>Nursing</strong>


APRN PreparationTo become an APRN, students must complete an accreditedgraduate program, pass a national certification examination,and obtain a license <strong>to</strong> practice in one of the four APRNroles. <strong>Programs</strong> focus heavily on advanced clinicalknowledge and skills that prepare nurses <strong>to</strong> provide expertpatient care in a number of specialty areas. While master’slevel programs are still available, the doc<strong>to</strong>ral degree (DNP)is quickly becoming the standard for preparing APRNs forcontemporary nursing practice. To date, more than twothirdsof nursing schools offering APRN programs eitheroffer or are planning <strong>to</strong> offer the post-baccalaureate DNPprogram, while most currently have a post-master’s degreeDNP option.Nurse Researchers are scientists who investigate ways<strong>to</strong> improve healthcare services and patient outcomes.Nurses in this field enhance patient care by translatingresearch findings in<strong>to</strong> practice innovations at the bedside.These specialists are responsible for identifying researchquestions, conducting studies, analyzing data, solvingclinical problems, writing grants, and sharing their findingswith the larger healthcare community. According <strong>to</strong> theNational Institute of <strong>Nursing</strong> Research, a branch of theNational Institutes of Health, the work conducted by nurseresearchers is essential <strong>to</strong> building the scientific foundationfor clinical nursing practice; preventing disease anddisability; managing and eliminating symp<strong>to</strong>ms caused byillness; and enhancing end-of-life and palliative care. Nurseresearchers often begin their careers as research assistants,clinical data coordina<strong>to</strong>rs, and in other assistive capacitiesthat usually require a master’s degree. Doc<strong>to</strong>ral preparationis expected for principal investiga<strong>to</strong>rs and other seniorresearch roles.To date, more thantwo-thirds of nursingschools offeringAPRN programseither offer or areplanning <strong>to</strong> offer thepost-baccalaureateDNP program,while most currentlyhave a post-master’sdegree DNP option.Nurse Educa<strong>to</strong>rs combine clinical expertise with apassion for teaching. Responsible for preparing new nursesand advancing the development of practicing clinicians,nurse educa<strong>to</strong>rs possess a solid clinical background,strong communication skills, and a high level of culturalcompetence. Educa<strong>to</strong>rs must be flexible enough <strong>to</strong>adapt curriculum and teaching methods in response <strong>to</strong><strong>Your</strong> <strong>Guide</strong> <strong>to</strong> GR ADUATE <strong>Nursing</strong> <strong>Programs</strong> 9


innovations in nursing science and ongoing changes in thepractice environment. Within this role, nursing professionalsenjoy opportunities <strong>to</strong> conduct research, publish articlesin scholarly journals, speak at nursing conferences, serveas consultants <strong>to</strong> education and healthcare institutions,write grant proposals, shape public policy, and engage incommunity service. Given the ongoing shortage of nursefaculty, the job outlook for those seeking careers in nursingeducation is bright with a growing demand for individualsneeded <strong>to</strong> teach in schools of nursing, hospitals, publichealth agencies, and other settings.Preparation for the nurse educa<strong>to</strong>r role varies by role andteaching site. Nurses with master’s preparation are needed<strong>to</strong> serve as instruc<strong>to</strong>rs in the practice setting, clinicalprecep<strong>to</strong>rs, staff development educa<strong>to</strong>rs, and faculty inassociate degree and allied nursing programs. Nursesseeking full-time faculty positions in four-year collegesand universities should pursue doc<strong>to</strong>ral preparation.Future faculty pursuing a master’s or doc<strong>to</strong>ral degree areadvised <strong>to</strong> specialize in a clinical area or research within thediscipline, not the process of teaching. Individuals pursuingfull-time faculty roles should have additional preparation inthe art and science of teaching (i.e., pedagogy, curriculumdevelopment, student assessment) <strong>to</strong> better convey10<strong>American</strong> <strong>Association</strong> of Colleges of <strong>Nursing</strong>


their clinical mastery <strong>to</strong> nursing students. This additionalpreparation may occur in formal course work as part ofa clinically focused doc<strong>to</strong>ral or master’s program, or becompleted separately from the graduate degree.Clinical Nurse Leaders (CNLs) are prepared inmaster’s degree programs <strong>to</strong> oversee the care coordinationfor patients, assess risks, develop quality improvementstrategies, facilitate team communication, and implementevidence-based solutions at the unit level. Nurses looking<strong>to</strong> provide direct care services while exercising clinicaljudgment, systems improvement, patient advocacy, andcommunication skills often flourish in this role. CNLs bydefinition are leaders, but this leadership occurs at the poin<strong>to</strong>f care. This role is not focused on nursing administrationor management. CNLs are typically found at the bedsideor providing direct patient care in other settings wherethey collaborate with all members of the healthcare team<strong>to</strong> provide a safe environment for patients where needsare prioritized and individualized. Students graduatingfrom CNL programs are encouraged <strong>to</strong> complete theirrole preparation by pursuing certification through theCommission on Nurse Certification. CNL® certification isa mark of excellence that lets employers, patients, andcolleagues know that the CNL possesses the requisiteknowledge and skills <strong>to</strong> practice in this unique capacity.Given the ongoingshortage of nursefaculty, the joboutlook for thoseseeking careers innursing education isbright with a growingdemand forindividuals needed <strong>to</strong>teach in schools ofnursing, hospitals,public healthagencies, and othersettings.Nurse Administra<strong>to</strong>rs serve in a variety of managerialand leadership capacities in all practice environments.These nursing professionals facilitate and deliver qualitypatient care while coordinating workflow and managingnursing care. A nurse administra<strong>to</strong>r may run a small teamof nurses, several nursing units, an entire department, oran entire health system. These nurses are well-versed innursing practice as well as in administrative procedures.Nurses drawn <strong>to</strong> this specialty typically aspire <strong>to</strong> be leadersin health care and often seek executive and policy-makingroles. Certification programs are available for graduates ofnursing administration programs from the <strong>American</strong> NursesCredentialing Center and the <strong>American</strong> Organization ofNurse Executives.<strong>Your</strong> <strong>Guide</strong> <strong>to</strong> GR ADUATE <strong>Nursing</strong> <strong>Programs</strong> 11


Public Health Nurses focus on preserving the healthand well-being of the public. These specialists are licensedprofessional nurses who participate in activities related <strong>to</strong>population health, health promotion, disease preventionand control, and community education. Though theirresponsibilities vary by role and location, master’s- anddoc<strong>to</strong>rally-prepared public health nurses often manageclinics in various state and community settings (e.g.,immunizations, well-child, health screenings), investigatecommunicable disease cases <strong>to</strong> determine sources andimplement action necessary <strong>to</strong> curtail the spread ofdisease; analyze data <strong>to</strong> identify needs and service gaps forindividuals, families, and communities; provide educationregarding disease control and prevention as well as generalpreventive health care <strong>to</strong> individuals and groups; andimplement programs that address environmental andpopulation health risks. These nurses work collaborativelywith community leaders, government officials, teachers,parents, and other providers in areas related <strong>to</strong> communityand population health.Nurse Informaticists seek <strong>to</strong> improve informationmanagement and communications in nursing <strong>to</strong> maximizeefficiency, reduce costs, and enhance the quality of patientcare. The <strong>American</strong> Nurses <strong>Association</strong> defines nursing12<strong>American</strong> <strong>Association</strong> of Colleges of <strong>Nursing</strong>


informatics as “a specialty that integrates nursing science,computer science, and information science <strong>to</strong> manage andcommunicate data, information, and knowledge in nursingpractice. <strong>Nursing</strong> informatics facilitates the integrationof data, information and knowledge <strong>to</strong> support patients,nurses, and other providers in their decision-making in allroles and settings.” Informatics specialists must understandthe nursing process, so they can design systems that willsolve problems facing patient care. After completing abachelor’s degree in nursing, many nurse informaticistsobtain a master’s or doc<strong>to</strong>ral degree in nursing dependingon their career aspirations.<strong>Nursing</strong> is adynamic, evolvingprofession thatpresents limitlesscareer opportunitiesfor nurses withgraduate degrees.Public Policy: Nurses in this arena work <strong>to</strong> shapepublic policy at the federal, state, and local levels. Theseprofessionals use their nursing knowledge <strong>to</strong> adviselegisla<strong>to</strong>rs on healthcare policy, develop legislation, andconsult on nursing-related issues. Policy nurses provideexpert analysis of the potential and current impact ofgovernment policies on healthcare concerns. Thesespecialists work with government policy-making bodies,think tanks, nursing schools, national associations, specialinterest groups, and with other stakeholder organizations.Other Roles: <strong>Nursing</strong> is a dynamic, evolving professionthat presents limitless career opportunities for nurses withgraduate degrees. Beyond the roles mentioned above,nurses are breaking fresh ground as specialists in forensics,case management, school nursing, genetics/genomics,and others emerging practice areas. Today’s nurse expertsare working as entrepreneurs, authors, consultants,at<strong>to</strong>rneys, legisla<strong>to</strong>rs, communica<strong>to</strong>rs, military officers,and in numerous other capacities. For an extensive list ofnursing specialties, including an overview of academicrequirements, see the Web site ExploreHealthCareers.org.<strong>Your</strong> <strong>Guide</strong> <strong>to</strong> GR ADUATE <strong>Nursing</strong> <strong>Programs</strong> 13


The strong majorityof graduate nursingprograms areCCNE-accredited.PhD programs innursing, as inother fields, arenot accredited.Insider Tips for Choosingthe Right <strong>Graduate</strong> ProgramNow that you’ve decided <strong>to</strong> advance your nursingeducation, it’s important for you <strong>to</strong> do yourresearch <strong>to</strong> make sure you choose the rightprogram that fits your individual needs. Here are someimportant questions <strong>to</strong> ask and have answered beforemaking your final decision:QWhat is required in terms of undergraduategrade point average, entrance testing (e.g., GRE),and prerequisites?These basic questions will help you determine if youracademic background is a good match with the institutionsyou are considering.QHow long is the program, what is the credit load, andare full- and part-time study options available?Understanding the program structure and completiontimerequirements up front is important <strong>to</strong> setting yourexpectations. Keep in mind that shorter programs are oftenmore rigorous and may not always fit your needs.QAre education programs offered online, face-<strong>to</strong>-face,and/or in a hybrid format?Be sure <strong>to</strong> assess your own learning style preferences whenselecting a course delivery option.QIs financial aid available for graduate students and inwhat form (e.g., loans, scholarships, traineeships)?Do not assume that a graduate nursing degree is beyondyour means. Hundreds of scholarships, grants, and loanprograms are available <strong>to</strong> nursing students pursuingadvanced education. See pages 16-18.14<strong>American</strong> <strong>Association</strong> of Colleges of <strong>Nursing</strong>


QAre master’s andDNP programsaccredited by oneof the two nationallyrecognized accreditingbodies for nursingeducation — theCommission onCollegiate <strong>Nursing</strong>Education (CCNE) orNational League for <strong>Nursing</strong>Accrediting Commission?The strong majority of graduate nursing programs areCCNE-accredited. PhD programs in nursing, as in otherfields, are not accredited.QDoes the faculty possess expertise that matches youracademic, practice, and research interests?A good match will help <strong>to</strong> guarantee strong clinical and/orresearch experiences in your primary interest areas.QAre clinical and/or research learning opportunitiesor precep<strong>to</strong>rships available in your chosenspecialty area?Having relevant clinical experiences is critical <strong>to</strong> youreducational development.QIf you are considering a master’s degree, is theprogram structured <strong>to</strong> transition students seamlesslyin<strong>to</strong> a doc<strong>to</strong>ral nursing program?Though maybe not a current goal, ensuring easyarticulation may facilitate and inspire future doc<strong>to</strong>ral levelstudy.QIf you are considering an APRN program, are facultyactively practicing?Faculty with one foot in the practice environment maybe better equipped <strong>to</strong> understand the expectations ofcontemporary nursing practice.<strong>Your</strong> <strong>Guide</strong> <strong>to</strong> GR ADUATE <strong>Nursing</strong> <strong>Programs</strong> 15


Most grant andloan programsadministered by theU.S. Department ofEducation, such asPerkins Loans,PLUS Loans, andStafford Loans, aremanaged throughthe nursing school’sfinancial aid office.QAre APRN program graduates eligible for certificationfrom one of the national certifying bodies for APRNs?This is a fundamentally important requirement for licensure<strong>to</strong> practice as an APRN.QWhere are graduates finding jobs and what percentagehave job offers at the completion of their studies?Knowing these answers will help <strong>to</strong> determine employersatisfaction with program graduates as well as futurejob prospects.QDoes the institution offer support in finding positionsafter completing your program of study?Many schools have career centers that assist students withresume writing, practice interviews, job fairs, and alumninetworking <strong>to</strong> help them secure new jobs after graduation.Prospective graduate students are strongly encouraged<strong>to</strong> contact nursing schools early in their decision-makingprocess <strong>to</strong> determine specific program entry requirements,as they vary from school <strong>to</strong> school. Feel free <strong>to</strong> visit, call, oremail faculty and admissions staff <strong>to</strong> discover more aboutparticular specialties as well as career horizons in nursing.Financing <strong>Your</strong> <strong>Graduate</strong> EducationNow that you have selected the right program,how are you going <strong>to</strong> pay for nursing school?Fortunately, a variety of financial aid options areavailable <strong>to</strong> those new <strong>to</strong> nursing as well as RNs looking <strong>to</strong>advance their education <strong>to</strong> the master’s or doc<strong>to</strong>ral level.The first place <strong>to</strong> go when seeking funding is the financialaid office at your chosen school of nursing. Most grant andloan programs administered by the U.S. Department ofEducation, such as Perkins Loans, PLUS Loans, and StaffordLoans, are managed through the nursing school’s financialaid office. Eligibility for some programs, including PerkinsLoans, is based on financial need. In order <strong>to</strong> receive anyassistance through these programs, you must complete aFree Application for Federal Student Aid or FAFSA onlineat http://www.fafsa.ed.gov.16<strong>American</strong> <strong>Association</strong> of Colleges of <strong>Nursing</strong>


Schools of nursing manage a variety of scholarship andloan programs for students pursuing graduate nursingdegrees. Some programs do not involve repayment, whiletraditional loan programs have a payback requirement.Other programs also may require a post-graduation servicecommitment. Funded by the federal Division of <strong>Nursing</strong>,these programs include the Nurse Faculty Loan Program,Advanced Education <strong>Nursing</strong> Traineeships, NurseAnesthetist Traineeships, and <strong>Nursing</strong> Student LoanProgram. Because not all schools of nursing offer thesespecific funding opportunities, you should check first withthe financial aid departments at the institutions you areconsidering attending.In addition <strong>to</strong> school-managed options, graduate studentsmay apply directly for funding through a variety of federalprograms. Here is a sampling of opportunities availablethrough the Bureau of Health Professions:❚❚Nurse Loan Repayment and Scholarship <strong>Programs</strong>support current students and new graduates. Theseprograms include:●●●●Loan Repayment: Repays up <strong>to</strong> 85% of nursing studentloans in return for at least 3 years of practice in a designatedhealthcare facility with a critical shortage of nurses orservice as a faculty member at a school of nursing.Scholarship: Offers individuals who are enrolled oraccepted for enrollment as full-time nursing studentsthe opportunity <strong>to</strong> apply for scholarship funds. Upongraduation, scholarship recipients are required <strong>to</strong>work in a healthcare facility with a critical shortageof nurses for at least 2 years.❚❚❚❚The Faculty Loan Repayment Program providesloan forgiveness for individuals from disadvantagedbackgrounds who serve as faculty at eligible healthprofessions schools for a minimum of 2 years.The Scholarships for Disadvantaged StudentsProgram provides scholarships <strong>to</strong> full-time studentsfrom disadvantaged backgrounds who demonstratefinancial need.<strong>Your</strong> <strong>Guide</strong> <strong>to</strong> GR ADUATE <strong>Nursing</strong> <strong>Programs</strong> 17


Some states have developed programs that offer loanforgiveness for nursing faculty or have proposed legislation<strong>to</strong> provide funding assistance <strong>to</strong> nurses pursuing advancedroles. To find out if a program is available in your state orif one is being considered, see the Health WorkforceInformation Center online at www.hwic.org/states.In addition <strong>to</strong> government-sponsored financial aidprograms, RNs are encouraged <strong>to</strong> take advantage ofemployer-sponsored programs that enable nursingpersonnel <strong>to</strong> continue their education and completegraduate degrees. Be sure <strong>to</strong> check with your humanresources department <strong>to</strong> see what programs are availableat your practice site. Finally, many private foundations andcorporate sponsors offer funding opportunities specificallyfor nurses seeking graduate degrees. AACN has compileda direc<strong>to</strong>ry of some of these opportunities online atwww.aacn.nche.edu/Education/financialaid.htm.Supporting <strong>Your</strong> Entry in<strong>to</strong> <strong>Graduate</strong><strong>Nursing</strong> EducationAACNis<strong>to</strong> nursing studentscommitted <strong>to</strong> providingresources and guidanceconsidering graduate study. The association’s Web site —www.aacn.nche.edu — contains a wealth of usefulinformation that will help you assess your nursingeducation options:❚❚❚❚❚❚❚❚Updated listings of nursing schools offering specific typesof graduate programs, including PhD, DNP, Baccalaureate<strong>to</strong> Doc<strong>to</strong>rate, and Clinical Nurse Leader programs.A comprehensive direc<strong>to</strong>ry of Web links <strong>to</strong> affiliatedschools of nursing.An extensive financial aid section, including specificprograms for graduate nursing students.A link <strong>to</strong> <strong>Nursing</strong>CAS, nursing’s centralized application service,which facilitates applications <strong>to</strong> multiple schools of nursing.18<strong>American</strong> <strong>Association</strong> of Colleges of <strong>Nursing</strong>


❚❚Access <strong>to</strong> Education Scholar, an online facultydevelopment program, and other professionaldevelopment options for nursing faculty.In addition <strong>to</strong> AACN, the following resources are alsoavailable <strong>to</strong> you <strong>to</strong> help guide your career and nursingprogram search:❚❚Johnson & Johnson’s Discover <strong>Nursing</strong>www.discovernursing.comDeveloped <strong>to</strong> generate strong interest in nursing careers,this information-rich site provides clear advice on gettingin<strong>to</strong> nursing school, paying for your education, andselecting the nursing specialty that fits your interests.❚❚ExploreHealthCareers.orgwww.explorehealthcareers.orgThis online clearinghouse gives students reliableinformation about nursing and the health professions,including links <strong>to</strong> career profiles, enrichment programs,financial aid resources, and current issues in health care.BibliographyAACN Position Statements, White Papers,and Endorsed ModelsAACN Position Statement on the Practice Doc<strong>to</strong>ratein <strong>Nursing</strong>www.aacn.nche.edu/DNP/DNPPositionStatement.htmConsensus Model for APRN Regulation: Licensure,Accreditation, Certification & Educationwww.aacn.nche.edu/Education/pdf/APRNReport.pdfThe Essentials of Doc<strong>to</strong>ral Education for Advanced<strong>Nursing</strong> Practicewww.aacn.nche.edu/DNP/pdf/Essentials.pdfThe Essentials of Master’s Education in <strong>Nursing</strong>www.aacn.nche.edu/Education/pdf/Master’sEssentials11.pdf<strong>Your</strong> <strong>Guide</strong> <strong>to</strong> GR ADUATE <strong>Nursing</strong> <strong>Programs</strong> 19


Preferred Vision of the Professoriate in Baccalaureate and<strong>Graduate</strong> <strong>Nursing</strong> <strong>Programs</strong>www.aacn.nche.edu/Publications/positions/preferredvision.htmThe Research-Focused Doc<strong>to</strong>ral Program in <strong>Nursing</strong>:Pathways <strong>to</strong> Excellencewww.aacn.nche.edu/Education/pdf/PhDPosition.pdfWhite Paper on the Education and Role of the ClinicalNurse Leader www.aacn.nche.edu/Publications/WhitePapers/ClinicalNurseLeader.htmReferences and Related Articles<strong>American</strong> <strong>Association</strong> of Colleges of <strong>Nursing</strong>. (2011).2010-2011 Enrollment and graduations in baccalaureate andgraduate programs in nursing. Washing<strong>to</strong>n, DC: AACN.Benner, P., Sutphen, M., Leonard, V. & Day, L. (2009).Educating Nurses: A Call for Radical Transformation. CarnegieFoundation for the Advancement of Teaching. San Francisco:Jossey-Bass.Health Resources and Services Administration. (2010,March). 2008 National Sample Survey of Registered Nurses.Washing<strong>to</strong>n, DC: U.S. Department of Health and HumanServices.Institute of Medicine. (2010). The Future of <strong>Nursing</strong>: LeadingChange, Advancing Health. Washing<strong>to</strong>n, DC: NationalAcademies Press.Penn, B.K. (2008). Mastering the Teaching Role: A <strong>Guide</strong> forNurse Educa<strong>to</strong>rs. Philadelphia, PA: F.A. Davis.Penn, B.K., Wilson, L., & Rosseter, R. (2008, September 30).Transitioning from nursing practice <strong>to</strong> a teaching role. OJIN:The Online Journal of Issues in <strong>Nursing</strong>, 13(3). Available athttp://tinyurl.com/37vmesoTri-Council for <strong>Nursing</strong>. (2010, May). The educationaladvancement of registered nurses: A consensus policystatement. Available online at www.aacn.nche.edu/Education/pdf/TricouncilEdStatement.pdf20<strong>American</strong> <strong>Association</strong> of Colleges of <strong>Nursing</strong>


Web Resources Referenced in this <strong>Guide</strong><strong>Nursing</strong> Program Accrediting BodiesAccreditation Commission for Midwifery Education: www.midwife.org/acmeCommission on Collegiate <strong>Nursing</strong> Education: www.aacn.nche.edu/accreditationCouncil on Accreditation of Nurse Anesthesia Educational <strong>Programs</strong>:www.aana.com/councilaccreditation.aspxNational League for <strong>Nursing</strong> Accrediting Commission: www.nlnac.org<strong>Nursing</strong>’s Centralized Application Service<strong>Nursing</strong>CAS: www.nursingcas.orgResources for Specific <strong>Nursing</strong> RolesCertified Nurse Midwives: www.midwife.orgCertified Registered Nurse Anesthetists: www.nursesource.org/anesthetist.htmlClinical Nurse Leaders: www.aacn.nche.edu/cnlClinical Nurse Specialists: www.nacns.orgNurse Administra<strong>to</strong>rs: www.aone.orgNurse Educa<strong>to</strong>rs: www.nursesource.org/nurse_educa<strong>to</strong>r.htmlNurse Informaticists: www.allianceni.orgNurse Practitioners: www.nursesource.org/practioner.htmlNurse Researchers: www.ninr.nih.govPublic Health Nurses: www.apha.org/membergroups/sections/aphasections/phnCertification and Regulation<strong>American</strong> Nurses Credentialing Center: www.nursecredentialing.orgCertification Examinations for Nurse Administra<strong>to</strong>rs: www.cgean.org/cert.phpCertification Organizations for the APRN Roles: www.aprnlace.orgCommission on Nurse Certification (CNL Certification): www.aacn.nche.edu/CNCNational Council of State Boards of <strong>Nursing</strong>: www.ncsbn.orgGeneral Information about <strong>Nursing</strong> Careers<strong>American</strong> Nurses <strong>Association</strong>: www.nursingworld.org/EspeciallyForYou/StudentNurses.aspxOccupational Outlook for Nurses: http://stats.bls.gov/oco/ocos083.htmNational Sample Survey of Registered Nurses: http://datawarehouse.hrsa.gov/nursingsurvey.aspxNurse Salary SurveysRegistered Nurses: http://nursing.advanceweb.com (See Jobs)Nurse Practitioners: http://nurse-practitioners.advanceweb.com/main.aspx


One Dupont Circle, Suite 530Washing<strong>to</strong>n, DC 20036202-463-6930www.aacn.nche.edu

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