{"id":8402,"date":"2024-07-15T14:00:05","date_gmt":"2024-07-15T14:00:05","guid":{"rendered":"https:\/\/www.vivian.com\/community\/?p=8402"},"modified":"2024-10-21T17:39:20","modified_gmt":"2024-10-21T17:39:20","slug":"5-levels-of-nursing-practice-roles-and-degrees","status":"publish","type":"post","link":"https:\/\/www.vivian.com\/community\/healthcare-education\/5-levels-of-nursing-practice-roles-and-degrees\/","title":{"rendered":"The 5 Levels of Nursing Practice: Roles and Degrees"},"content":{"rendered":"<p><span style=\"font-weight: 400\">A nursing career has something for everyone. This healthcare profession offers a well-defined career ladder with options to suit a range of aspirations and ongoing opportunities for advancement. If you complete the requisite education and pass the appropriate exam, you can move up to a higher level of job responsibility, which typically offers more autonomy and higher pay.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Vivian Health explores the primary five levels of nursing practice and the nursing degrees that make them possible to help you understand your career progression opportunities.<\/span><\/p>\n<h3><b>Initial Considerations for the Various Nursing Levels<\/b><\/h3>\n<p><span style=\"font-weight: 400\">On the lower level, such as <\/span><a href=\"https:\/\/www.vivian.com\/certifications\/cna\/\"><span style=\"font-weight: 400\">certified nursing assistants<\/span><\/a><span style=\"font-weight: 400\"> (CNAs) and licensed practical nurses (LPNs), you can start working sooner via certificate-based education programs. Such pathways can be useful if you need to start earning income quickly or don\u2019t have the time, financing or desire to pursue more advanced education. You get to work directly with patients but without some of the added responsibilities of a registered nurse (RN). Yet, the door remains open to pursuing further education and a higher-level job later, which will likely offer better pay.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Meanwhile, roles at the RN level and above often have hourly pay or annual salaries above the national average income. These positions usually offer nurses more autonomy and potentially a path to supervisor or management positions. Higher-level nurses take on much more responsibility in patient care. These roles require a considerable <\/span><a href=\"https:\/\/www.vivian.com\/community\/money-taxes\/nursing-school-financial-aid\/\"><span style=\"font-weight: 400\">investment in time and money<\/span><\/a><span style=\"font-weight: 400\"> to complete rigorous academic training, especially for those pursuing a master\u2019s degree or higher for advanced practice (AP) roles, such as <\/span><a href=\"https:\/\/www.vivian.com\/community\/career-resources\/aprn-vs-np-whats-the-difference\/\"><span style=\"font-weight: 400\">nurse practitioners or other APRNs<\/span><\/a><span style=\"font-weight: 400\">.<\/span><\/p>\n<h3><b>Defining the 5 Levels of Nursing<\/b><\/h3>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-7644\" src=\"https:\/\/www.vivian.com\/community\/wp-content\/uploads\/sites\/3\/2023\/11\/Accelerated-LPN-Programs-Resized-scaled-e1720632688356.jpg\" alt=\"Graduates of Accelerated LPN Programs\" width=\"800\" height=\"420\" \/><\/p>\n<h4><b>1. <\/b><a style=\"color: #006400\" href=\"https:\/\/www.vivian.com\/explore\/cna\/\"><b>Certified Nursing Assistant<\/b><\/a><\/h4>\n<p><a href=\"https:\/\/www.vivian.com\/cna\/\"><span style=\"font-weight: 400\">CNA positions<\/span><\/a><span style=\"font-weight: 400\"> represent an entry-level role that\u2019s vital to the healthcare system. These healthcare professionals (HCPs) provide basic care to patients and assist them with activities of daily living (ADLs), including bathing, grooming, dressing, eating, toileting and general mobility. CNAs also measure and record patient vital signs and observe patient conditions throughout the day. Informally, they provide ongoing emotional support and companionship and tend to the general comfort of patients.<\/span><\/p>\n<p><span style=\"font-weight: 400\">CNAs work in various healthcare settings, including hospitals, nursing homes, assisted living facilities and home healthcare. RNs or LPNs supervise CNAs who have a narrower scope of care.<\/span><\/p>\n<h5><b>CNA Education and Job Prospects<\/b><\/h5>\n<p><span style=\"font-weight: 400\">CNAs must typically complete a state-approved certificate program through a community college before seeking employment. Alternatively, they may complete a program through their future employer, such as a hospital or nursing home. Online CNA training programs also exist but still require students to complete in-person clinical practice.<\/span><\/p>\n<ul style=\"padding-left: 30px\">\n<li style=\"font-weight: 400\"><b>Duration:<\/b><span style=\"font-weight: 400\"> Typically a few weeks to a few months<\/span><\/li>\n<\/ul>\n<ul style=\"padding-left: 30px\">\n<li style=\"font-weight: 400\"><b>Requirements:<\/b><span style=\"font-weight: 400\"> High school diploma or equivalent<\/span><\/li>\n<\/ul>\n<ul style=\"padding-left: 30px\">\n<li style=\"font-weight: 400\"><b>Outcome:<\/b><span style=\"font-weight: 400\"> Prepares students to pass the state\u2019s written and manual skills test to become certified and assist nurses in providing basic care to patients<\/span><\/li>\n<\/ul>\n<p><b>RELATED:<\/b><a href=\"https:\/\/www.vivian.com\/community\/career-resources\/cna-reciprocity-and-certification-requirements-by-state\/\"> <b>CNA Reciprocity and Certification Requirements by State<\/b><\/a><\/p>\n<p><span style=\"font-weight: 400\">CNAs can quickly start working directly with patients without undergoing a more rigorous, lengthy academic program. However, with fewer responsibilities comes lower pay. The <\/span><a href=\"https:\/\/www.vivian.com\/cna\/salary\/\"><span style=\"font-weight: 400\">average CNA wage<\/span><\/a><span style=\"font-weight: 400\"> based on all jobs posted to Vivian in early July 2024, was $18.39 an hour.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">The Bureau of Labor Statistics (BLS) groups CNAs together with hospital orderlies and estimated that there were 1.4 million combined jobs in the U.S. as of 2022. The BLS also estimates that both professions are <\/span><a href=\"https:\/\/www.bls.gov\/ooh\/healthcare\/nursing-assistants.htm\" rel=\"noopener\"><span style=\"font-weight: 400\">growing at an average rate<\/span><\/a><span style=\"font-weight: 400\"> of about 4% between 2022 and 2032.<\/span><\/p>\n<p><span style=\"font-weight: 400\">CNAs <\/span><a href=\"https:\/\/www.vivian.com\/community\/career-resources\/lpn-vs-cna-whats-the-difference\/\"><span style=\"font-weight: 400\">looking to level up<\/span><\/a><span style=\"font-weight: 400\"> to more responsibility and potentially higher pay have two options. They can explore CNA-to-LPN bridge programs, which generally require about a year of additional training but are usually shorter than programs for those new to nursing. Alternatively, a CNA can enroll in a two-year or four-year degree program to become an RN.<\/span><\/p>\n<h4><b>2. <\/b><a style=\"color: #006400\" href=\"https:\/\/www.vivian.com\/explore\/lpn-lvn\/\"><b>Licensed Practical Nurse<\/b><\/a><\/h4>\n<p><span style=\"font-weight: 400\">LPNs provide essential nursing care under the supervision of RNs and doctors. Although they\u2019re called licensed vocational nurses (LVNs) in Texas and California, LPNs and LVNs have the same roles and perform similar duties.<\/span><\/p>\n<p><span style=\"font-weight: 400\">LPN\/LVN duties may vary slightly from state to state. However, in addition to carrying out the duties a CNA might perform, LPNs also typically administer oral, intramuscular and intravenous medications that doctors prescribe. They clean and dress wounds and change bandages. They also record patient data, treatment plans and progress. LPNs can also provide patients with education and care instructions to follow after being discharged.\u00a0<\/span><\/p>\n<p><b>Related: <\/b><a href=\"https:\/\/www.vivian.com\/community\/healthcare-education\/lpn-programs-from-curriculum-to-career-opportunities\/\"><b>LPN Programs: From Curriculum to Opportunities<\/b><\/a><\/p>\n<h5><b>LPN Education and Job Prospects<\/b><\/h5>\n<p><span style=\"font-weight: 400\">Aspiring nurses must complete an appropriate certificate program to <\/span><a href=\"https:\/\/www.vivian.com\/certifications\/lpn\/\"><span style=\"font-weight: 400\">become an LPN<\/span><\/a><span style=\"font-weight: 400\"> and then pass the National Council Licensure Examination for Practical Nurses\u00a0<\/span><span style=\"font-weight: 400\">(<\/span><a href=\"https:\/\/www.vivian.com\/certifications\/nclex-pn-ncsbn\/\"><span style=\"font-weight: 400\">NCLEX-PN<\/span><\/a><span style=\"font-weight: 400\">). Community colleges and vocational schools typically offer practical nursing programs.<\/span><\/p>\n<ul style=\"padding-left: 30px\">\n<li style=\"font-weight: 400\"><b>Duration:<\/b><span style=\"font-weight: 400\"> 12 months to 18 months<\/span><\/li>\n<\/ul>\n<ul style=\"padding-left: 30px\">\n<li style=\"font-weight: 400\"><b>Requirements:<\/b><span style=\"font-weight: 400\"> High school diploma or equivalent<\/span><\/li>\n<\/ul>\n<ul style=\"padding-left: 30px\">\n<li style=\"font-weight: 400\"><b>Outcome:<\/b><span style=\"font-weight: 400\"> Prepares students to pass the NCLEX-PN exam to become licensed and safely provide direct patient care\u00a0<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400\">LPNs can work directly with patients with more responsibility and pay than CNAs and more quickly than pursuing an RN education. The <\/span><a href=\"https:\/\/www.vivian.com\/lpn-lvn\/salary\/\"><span style=\"font-weight: 400\">average LPN pay<\/span><\/a><span style=\"font-weight: 400\"> based on jobs posted to Vivian during the same period was $23.32 per hour.<\/span><\/p>\n<p><span style=\"font-weight: 400\">The BLS estimated there were about 650,000 LPN roles as of 2022, and jobs in this role would <\/span><a href=\"https:\/\/www.bls.gov\/ooh\/healthcare\/licensed-practical-and-licensed-vocational-nurses.htm\" rel=\"noopener\"><span style=\"font-weight: 400\">experience above-average growth<\/span><\/a><span style=\"font-weight: 400\"> of 5% between 2022 and 2032.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Experienced LPNs can level up to RNs by <\/span><a href=\"https:\/\/www.vivian.com\/community\/healthcare-education\/bridge-your-career-gap-with-an-lpn-to-rn-track\/\"><span style=\"font-weight: 400\">completing an LPN-to-RN bridge program<\/span><\/a><span style=\"font-weight: 400\"> in as little as one year to earn an associate degree or about two years to earn a bachelor\u2019s degree \u2013 both are entry points to working as an RN.<\/span><\/p>\n<h4><b>3. Registered Nurse<\/b><\/h4>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-6172\" src=\"https:\/\/www.vivian.com\/community\/wp-content\/uploads\/sites\/3\/2023\/01\/Nurse-with-patient-Resized-scaled-e1720632788348.jpg\" alt=\"Med-surg nurse providing patient care\" width=\"800\" height=\"420\" \/><\/p>\n<p><span style=\"font-weight: 400\">RNs have a broad scope of practice and play a crucial role in patient care across various healthcare settings. While diagnosing patients and prescribing medications is left to doctors and advanced practice registered nurses (APRNs), RNs have a fair range of autonomy to manage a patient\u2019s care. In addition to performing care generally performed by CNAs and LPNs, RNs may do the following:<\/span><\/p>\n<ul style=\"padding-left: 30px\">\n<li style=\"font-weight: 400\"><b>Assessment<\/b><span style=\"font-weight: 400\">: Complete comprehensive physical assessments of patients, including taking medical histories and performing physical examinations.<\/span><\/li>\n<\/ul>\n<ul style=\"padding-left: 30px\">\n<li style=\"font-weight: 400\"><b>Care Planning<\/b><span style=\"font-weight: 400\">: Develop, implement and evaluate individualized care plans based on patient needs and medical conditions.<\/span><\/li>\n<\/ul>\n<ul style=\"padding-left: 30px\">\n<li style=\"font-weight: 400\"><b>Treatment Administration<\/b><span style=\"font-weight: 400\">: Administer medications, treatments and procedures as physicians prescribe.<\/span><\/li>\n<\/ul>\n<ul style=\"padding-left: 30px\">\n<li style=\"font-weight: 400\"><b>Education and Discharge<\/b><span style=\"font-weight: 400\">: Educate patients and their families about medical conditions, treatment plans, medications and lifestyle changes to manage health and assist with discharge planning to ensure patients have the necessary resources and follow-up care.<\/span><\/li>\n<\/ul>\n<ul style=\"padding-left: 30px\">\n<li style=\"font-weight: 400\"><b>Support<\/b><span style=\"font-weight: 400\">: Provide emotional support and counseling to patients and their families, helping them cope with illness and treatment.<\/span><\/li>\n<\/ul>\n<ul style=\"padding-left: 30px\">\n<li style=\"font-weight: 400\"><b>Specialty Areas<\/b><span style=\"font-weight: 400\">: <\/span><a href=\"https:\/\/www.vivian.com\/community\/career-resources\/choosing-nursing-specialties-for-new-and-experienced-rns\/\"><span style=\"font-weight: 400\">Work in specialized areas<\/span><\/a><span style=\"font-weight: 400\"> such as emergency care, critical care, pediatrics, oncology, surgery and maternity.<\/span><\/li>\n<\/ul>\n<ul style=\"padding-left: 30px\">\n<li style=\"font-weight: 400\"><b>Advanced Procedures<\/b><span style=\"font-weight: 400\">: Perform advanced procedures such as starting intravenous (IV) lines, inserting catheters and administering advanced life support.<\/span><\/li>\n<\/ul>\n<h5><b>RN Education Pathways<\/b><\/h5>\n<p><span style=\"font-weight: 400\">To become an RN, aspiring nurses must pass the National Council Licensure Examination for Registered Nurses<\/span><span style=\"font-weight: 400\"> (<\/span><a href=\"https:\/\/www.vivian.com\/certifications\/nclex-rn-ncsbn\/\"><span style=\"font-weight: 400\">NCLEX-RN<\/span><\/a><span style=\"font-weight: 400\">) to earn licensure in their state. To take the exam, you must earn a minimum of an <\/span><a href=\"https:\/\/www.vivian.com\/certifications\/asn\/\"><span style=\"font-weight: 400\">Associate of Science in Nursing<\/span><\/a><span style=\"font-weight: 400\"> (ASN) degree or its functional equivalent, the Associate Degree in Nursing (ADN).<\/span><\/p>\n<p><span style=\"font-weight: 400\">However, many RNs opt for a lengthier education course to earn the <\/span><a href=\"https:\/\/www.vivian.com\/certifications\/bsn\/\"><span style=\"font-weight: 400\">Bachelor of Science in Nursing<\/span><\/a><span style=\"font-weight: 400\"> (BSN), as many employers today prefer bachelor-trained RNs. This requirement is particularly relevant for certain <\/span><a href=\"https:\/\/www.vivian.com\/community\/money-taxes\/highest-paying-rn-specialties\/\"><span style=\"font-weight: 400\">higher-paying RN specialties<\/span><\/a><span style=\"font-weight: 400\"> or supervisory roles like charge nurse and nurse manager.<\/span><\/p>\n<p><span style=\"font-weight: 400\">A variety of pathways lead to these degrees depending on your previous educational attainment and your prior nursing experience.<\/span><\/p>\n<p><b>Associate Degree in Nursing:<\/b><\/p>\n<ul style=\"padding-left: 30px\">\n<li style=\"font-weight: 400\"><b>Duration:<\/b><span style=\"font-weight: 400\"> 2-3 years, or as little as one year through an LPN-to-RN bridge program<\/span><\/li>\n<\/ul>\n<ul style=\"padding-left: 30px\">\n<li style=\"font-weight: 400\"><b>Requirements:<\/b><span style=\"font-weight: 400\"> High school diploma or equivalent, often with science prerequisites or LPN experience for a bridge program<\/span><\/li>\n<\/ul>\n<ul style=\"padding-left: 30px\">\n<li style=\"font-weight: 400\"><b>Outcome:<\/b><span style=\"font-weight: 400\"> Eligible to take the NCLEX-RN exam to obtain RN licensure<\/span><\/li>\n<\/ul>\n<p><b>Bachelor of Science in Nursing:<\/b><\/p>\n<ul style=\"padding-left: 30px\">\n<li style=\"font-weight: 400\"><b>Duration:<\/b><span style=\"font-weight: 400\"> Four years or as little as two years through an LPN-to-BSN bridge program<\/span><\/li>\n<\/ul>\n<ul style=\"padding-left: 30px\">\n<li style=\"font-weight: 400\"><b>Requirements:<\/b><span style=\"font-weight: 400\"> High school diploma or equivalent, often with science prerequisites or LPN experience for a bridge program<\/span><\/li>\n<\/ul>\n<ul style=\"padding-left: 30px\">\n<li style=\"font-weight: 400\"><b>Outcome:<\/b><span style=\"font-weight: 400\"> Eligible to take the NCLEX-RN exam and often have more opportunities for advancement and leadership roles than graduates with an ADN or ASN\u00a0<\/span><\/li>\n<\/ul>\n<p><b>Accelerated BSN Programs:<\/b><\/p>\n<ul style=\"padding-left: 30px\">\n<li style=\"font-weight: 400\"><b>Duration:<\/b><span style=\"font-weight: 400\"> 12-18 months<\/span><\/li>\n<\/ul>\n<ul style=\"padding-left: 30px\">\n<li style=\"font-weight: 400\"><b>Requirements:<\/b><span style=\"font-weight: 400\"> Bachelor\u2019s degree in a non-nursing field<\/span><\/li>\n<\/ul>\n<ul style=\"padding-left: 30px\">\n<li style=\"font-weight: 400\"><b>Outcome:<\/b><span style=\"font-weight: 400\"> Eligible to take the NCLEX-RN and supports college graduates seeking an expedited path to becoming an RN<\/span><\/li>\n<\/ul>\n<p><b>RN-to-BSN Programs:<\/b><\/p>\n<ul style=\"padding-left: 30px\">\n<li style=\"font-weight: 400\"><b>Duration:<\/b><span style=\"font-weight: 400\"> 1-2 years (part-time or full-time)<\/span><\/li>\n<\/ul>\n<ul style=\"padding-left: 30px\">\n<li style=\"font-weight: 400\"><b>Requirements:<\/b><span style=\"font-weight: 400\"> An ADN or ASN and an active RN license<\/span><\/li>\n<\/ul>\n<ul style=\"padding-left: 30px\">\n<li style=\"font-weight: 400\"><b>Outcome:<\/b><span style=\"font-weight: 400\"> Earn a BSN, often online or through flexible learning options quicker than traditional routes\u00a0<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400\">Although RNs must confront the time, expense and academic vigor of earning at least an associate\u2019s degree, they have more autonomy than CNAs and LPNs and significantly higher pay. Based on jobs posted to Vivian in early July 2024, the <\/span><a href=\"https:\/\/www.vivian.com\/nursing\/salary\/\"><span style=\"font-weight: 400\">average staff RN wage<\/span><\/a><span style=\"font-weight: 400\"> was $52.63 per hour.<\/span><\/p>\n<p><span style=\"font-weight: 400\">RNs are the backbone of day-to-day patient care in a wide variety of settings, and as such, there are many more RN jobs than at other levels of nursing. The BLS estimated there were <\/span><a href=\"https:\/\/www.bls.gov\/ooh\/healthcare\/registered-nurses.htm\" rel=\"noopener\"><span style=\"font-weight: 400\">3.2 million RN roles<\/span><\/a><span style=\"font-weight: 400\"> as of 2022, and jobs will experience above-average growth of 6% between 2022 and 2032.<\/span><\/p>\n<p><span style=\"font-weight: 400\">RNs can move up the career ladder through various advanced degrees to pursue specialized medical duties and open doors to managerial roles.<\/span><\/p>\n<h4><b>4. <\/b><a style=\"color: #006400\" href=\"https:\/\/www.vivian.com\/certifications\/aprn\/\"><b>Advanced Practice Registered Nurse<\/b><\/a><\/h4>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-6564\" src=\"https:\/\/www.vivian.com\/community\/wp-content\/uploads\/sites\/3\/2023\/03\/CNS2-Resized-scaled-e1720632844706.jpg\" alt=\"Nurse practitioner or physician assistant or clinical nurse specialist\" width=\"800\" height=\"420\" \/><\/p>\n<p><span style=\"font-weight: 400\">APRNs have a higher level of education and training than RNs and perform more advanced and specialized healthcare duties. Their responsibilities often overlap with those of medical doctors (MDs) and physician assistants (PAs), particularly in primary care. The growth of this career type has helped to fill <\/span><a href=\"https:\/\/www.vivian.com\/community\/industry-trends\/future-of-travel-staffing\/\"><span style=\"font-weight: 400\">healthcare staffing gaps<\/span><\/a><span style=\"font-weight: 400\"> due to doctor shortages in areas like primary care and anesthesia.<\/span><\/p>\n<p><span style=\"font-weight: 400\">A common type of APRN is the registered <\/span><a href=\"https:\/\/www.vivian.com\/explore\/nurse-practitioner\/\"><span style=\"font-weight: 400\">nurse practitioner<\/span><\/a><span style=\"font-weight: 400\"> (NP). Rather than focusing on day-to-day patient care like ADLs or administering medication, NPs focus on diagnosis and treatment. NPs can take patient histories and order tests, interpret test results, develop a diagnosis and then prescribe a treatment plan, including referrals to specialist physicians as needed and medications if they hold prescriptive authority based on state rules. Numerous NP certifications offer specialization in fields like:<\/span><\/p>\n<ul style=\"padding-left: 30px\">\n<li style=\"font-weight: 400\"><a href=\"https:\/\/www.vivian.com\/certifications\/dcnp-dnpcb\/\"><span style=\"font-weight: 600\">Dermatology<\/span><\/a><\/li>\n<li style=\"font-weight: 400\"><a href=\"https:\/\/www.vivian.com\/certifications\/acnpc-ag-adult-gero\/\"><span style=\"font-weight: 600\">Adult to Geriatrics Acute Care<\/span><\/a><\/li>\n<li style=\"font-weight: 400\"><a href=\"https:\/\/www.vivian.com\/certifications\/pmhnp-bc\/\"><span style=\"font-weight: 600\">Psychiatric Mental Health<\/span><\/a><\/li>\n<li style=\"font-weight: 400\"><a href=\"https:\/\/www.vivian.com\/certifications\/aocnp\/\"><span style=\"font-weight: 600\">Oncology<\/span><\/a><\/li>\n<li style=\"font-weight: 400\"><a href=\"https:\/\/www.vivian.com\/certifications\/cpnp-pc\/\"><span style=\"font-weight: 600\">Primary Care Pediatrics<\/span><\/a><\/li>\n<li style=\"font-weight: 400\"><a href=\"https:\/\/www.vivian.com\/certifications\/cunp\/\"><span style=\"font-weight: 600\">Urology<\/span><\/a><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400\">In addition to NPs, other APRN roles include:\u00a0<\/span><\/p>\n<ul style=\"padding-left: 30px\">\n<li><a href=\"https:\/\/www.vivian.com\/explore\/nurse-practitioner\/clinical-nurse-specialist\/\"><b>Clinical Nurse Specialist<\/b><\/a><b> (CNS):<\/b><span style=\"font-weight: 400\"> Provide expert consultation to nursing staff and other healthcare team members in their area of specialty. They engage in research to improve patient outcomes and educate nursing staff on best practices and new evidence-based care protocols. Like NPs, CNSs can <\/span><a href=\"https:\/\/www.vivian.com\/certifications\/\"><span style=\"font-weight: 400\">earn professional certifications<\/span><\/a><span style=\"font-weight: 400\"> in various specialties and patient populations, from pediatrics to geriatrics.\u00a0<\/span><\/li>\n<\/ul>\n<ul style=\"padding-left: 30px\">\n<li><a href=\"https:\/\/www.vivian.com\/explore\/nurse-practitioner\/midwife\/\"><b>Certified Nurse Midwives<\/b><\/a><b> (CNM)<\/b><span style=\"font-weight: 400\"> Provide comprehensive reproductive healthcare, including prenatal, postnatal and gynecological care, with family planning and contraceptive services. They manage labor and delivery, caring for mothers and newborns during childbirth. <\/span><a href=\"https:\/\/www.vivian.com\/certifications\/cnm\/\"><span style=\"font-weight: 400\">Becoming a CNM<\/span><\/a><span style=\"font-weight: 400\"> requires certification through the American Midwifery Certification Board.<\/span><\/li>\n<\/ul>\n<ul style=\"padding-left: 30px\">\n<li><a href=\"https:\/\/www.vivian.com\/explore\/certified-registered-nurse-anesthetist\/\"><b>Certified Registered Nurse Anesthetist<\/b><\/a><b> (CRNA):<\/b><span style=\"font-weight: 400\"> Administers anesthesia for surgical, diagnostic and therapeutic procedures and monitors patients during surgery to ensure patient safety and comfort. <\/span><a href=\"https:\/\/www.vivian.com\/certifications\/crna\/\"><span style=\"font-weight: 400\">Becoming a CRNA<\/span><\/a><span style=\"font-weight: 400\"> requires a substantial 2,000 hours of clinical practice.<\/span><\/li>\n<\/ul>\n<h5><b>APRN Education Pathway and Job Prospects<\/b><\/h5>\n<p><span style=\"font-weight: 400\">The path to becoming an APRN involves considerable education, including a BSN with RN licensure followed by a Master of Science in Nursing (MSN) degree. For this reason, many APRNs first work as an RN for a number of years to gain experience and finance their education before pursuing the MSN.<\/span><\/p>\n<p><a href=\"https:\/\/www.vivian.com\/certifications\/msn\/\"><b>Master of Science in Nursing<\/b><\/a><b> (MSN):<\/b><\/p>\n<ul style=\"padding-left: 30px\">\n<li style=\"font-weight: 400\"><b>Duration:<\/b><span style=\"font-weight: 400\"> 1.5-2 years (post-BSN)<\/span><\/li>\n<\/ul>\n<ul style=\"padding-left: 30px\">\n<li style=\"font-weight: 400\"><b>Requirements:<\/b><span style=\"font-weight: 400\"> BSN and active RN license<\/span><\/li>\n<\/ul>\n<ul style=\"padding-left: 30px\">\n<li style=\"font-weight: 400\"><b>Outcome:<\/b><span style=\"font-weight: 400\"> Prepares RNs for APRN roles after passage of a rigorous exam in their particular field of practice and several 100 hours of clinical practice<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400\">Depending on the individual state regulations, APRNs may be able to operate with relative autonomy, while in other states, they must be supervised, often indirectly, by an MD. In either case, APRNs have among the highest levels of responsibility in the nursing field and, in turn, excellent pay.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Based on Vivian\u2019s salary data in early July, the <\/span><a href=\"https:\/\/www.vivian.com\/nurse-practitioner\/salary\/\"><span style=\"font-weight: 400\">average NP wage<\/span><\/a><span style=\"font-weight: 400\"> was $86.96 hourly. Meanwhile, the <\/span><a href=\"https:\/\/www.vivian.com\/nurse-practitioner\/clinical-nurse-specialist\/salary\/\"><span style=\"font-weight: 400\">average CNS salary<\/span><\/a><span style=\"font-weight: 400\"> was $88.15 and a <\/span><a href=\"https:\/\/www.vivian.com\/nurse-practitioner\/midwife\/salary\/\"><span style=\"font-weight: 400\">CNM\u2019s average pay<\/span><\/a><span style=\"font-weight: 400\"> was $86.96. However, certified nurse anesthetists typically have the best-paying nursing jobs, with <\/span><a href=\"https:\/\/www.vivian.com\/certified-registered-nurse-anesthetist\/salary\/\"><span style=\"font-weight: 400\">CRNA\u2019s average salary<\/span><\/a><span style=\"font-weight: 400\"> at $120.05 per hour during this period.<\/span><\/p>\n<p><span style=\"font-weight: 400\">The BLS estimated that there were over 300,000 APRN roles as of 2022 and that this career will experience <\/span><a href=\"https:\/\/www.bls.gov\/ooh\/healthcare\/nurse-anesthetists-nurse-midwives-and-nurse-practitioners.htm\" rel=\"noopener\"><span style=\"font-weight: 400\">tremendous growth of 38%<\/span><\/a><span style=\"font-weight: 400\"> between 2022 and 2032 for all roles combined. However, NPs alone should experience a significant spike in jobs of 45% during this decade. Healthcare facilities often see APRNs as a way to provide various types of quality care at a lower cost than physicians, helping to drive job growth.<\/span><\/p>\n<h4><b>5. Doctoral Level Nurse Degrees and Careers<\/b><\/h4>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-8405\" src=\"https:\/\/www.vivian.com\/community\/wp-content\/uploads\/sites\/3\/2024\/07\/Nurse-Professor-iStock-Resized-scaled-e1720633060297.jpg\" alt=\"DNP Nurse Professor\" width=\"800\" height=\"420\" \/><\/p>\n<p><span style=\"font-weight: 400\">Although not strictly required for nurses to practice at any level, nurses may obtain various doctorate degrees, particularly if they\u2019re interested in roles in nurse education, academic research or high-level administration.<\/span><\/p>\n<p><span style=\"font-weight: 400\">The <\/span><a href=\"https:\/\/www.vivian.com\/certifications\/dnp\/\"><span style=\"font-weight: 400\">Doctor of Nursing Practice<\/span><\/a><span style=\"font-weight: 400\"> (DNP) is the most popular option, focused on nurses who plan to remain clinicians, often in a role supervising other clinical nurses. Nurses can also pursue a <\/span><a href=\"https:\/\/www.vivian.com\/certifications\/dns\/\"><span style=\"font-weight: 400\">Doctor of Nursing Science<\/span><\/a><span style=\"font-weight: 400\"> (DNS or DNSc), which is more focused on research and academic careers. Meanwhile, some nurses pursue a Doctor of Nursing Philosophy (PhD in nursing) to move into university research or teaching jobs.<\/span><\/p>\n<h3><b>Where Will Your Career Take You?<\/b><\/h3>\n<p><span style=\"font-weight: 400\">Vivian provides nationwide job listings for careers at all five levels of nursing, no matter what kind of nursing school you attend or degree program you\u2019ve completed. See what kinds of jobs and pay rates are available in your desired specialty and location with our <\/span><a href=\"https:\/\/www.vivian.com\/browse-jobs\/landing\"><span style=\"font-weight: 400\">job search tool<\/span><\/a><span style=\"font-weight: 400\">.\u00a0<\/span><\/p>\n<p><a style=\"background-color: #124e3b;color: #fdfeff;font-size: 20px;border-radius: 10px;padding: 15px;min-height: 30px;min-width: 120px\" href=\"https:\/\/www.vivian.com\/browse-jobs\/landing\" target=\"_blank\" rel=\"noopener\">Browse Jobs<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>See how far you can go in a nursing career that suits your needs and work style.<\/p>\n","protected":false},"author":50,"featured_media":8407,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_post_was_ever_published":false},"categories":[109,3],"tags":[468,30,362,385,331,123,465,75,90],"class_list":["post-8402","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-healthcare-education","category-career-resources","tag-advanced-practice","tag-cna","tag-lpn-lvn","tag-np","tag-nurse-practitioner","tag-nursing","tag-registered-nursing","tag-rn","tag-travel"],"acf":[],"jetpack_featured_media_url":"https:\/\/www.vivian.com\/community\/wp-content\/uploads\/sites\/3\/2024\/07\/Advanced-Practice-Nursing-School-iStock-Resized-scaled-e1720729212967.jpg","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/www.vivian.com\/community\/wp-json\/wp\/v2\/posts\/8402","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.vivian.com\/community\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.vivian.com\/community\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.vivian.com\/community\/wp-json\/wp\/v2\/users\/50"}],"replies":[{"embeddable":true,"href":"https:\/\/www.vivian.com\/community\/wp-json\/wp\/v2\/comments?post=8402"}],"version-history":[{"count":0,"href":"https:\/\/www.vivian.com\/community\/wp-json\/wp\/v2\/posts\/8402\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.vivian.com\/community\/wp-json\/wp\/v2\/media\/8407"}],"wp:attachment":[{"href":"https:\/\/www.vivian.com\/community\/wp-json\/wp\/v2\/media?parent=8402"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.vivian.com\/community\/wp-json\/wp\/v2\/categories?post=8402"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.vivian.com\/community\/wp-json\/wp\/v2\/tags?post=8402"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}