Direct Entry MSN Programs vs. ABSN

[dmwolfe]

Hi-

I am in the process of completing my pre requisites to go back to nursing school-I have one more to complete before being eligible to apply. For background, I have a non-nursing BA from Princeton and have been working in PR/marketing for the past 5 years) and I've just been chipping away at pre-requs while working fulltime. I'm also volunteering at the local VA hospital.

Anyway I recently moved to Seattle (and made my significant other move there as well), so I would like to stay in the Seattle area. I am planning on applying to Seattle University's direct-entry MSN program and the University of Washington ABSN program. I plan on applying to both programs, but in the event that I get into both, which option makes the most sense?

1) Do the ABSN program, work for as an RN for 2-3 years then go back to for the FNP masters, which will take more time

2) Do the direct entry MSN program, work at an RN level job for 2-3 years and then try to transition into an FNP role.

In either case, I really want to work as an RN one, because I want the practical nursing experience and two because I've heard that it is easier to get an NP job with practical nursing experience.

Would appreciate anyone's opinion, personal anecdotes, etc.

Thanks!

[adventure_rn, MSN, NP]

2) Do the direct entry MSN program, work at an RN level job for 2-3 years and then try to transition into an FNP role.

Option 2 definitely is not advisable, perhaps not even possible? First of all, you may have trouble getting hired as a new grad RN with an NP degree for a couple of reasons. Secondly, you'll be in a tricky position legally since you'll be qualified to practice a higher level of care than the position you'll be in. Third, it would be really hard to go 2-3 years without using your NP skills and then try to transition back into that role, so you could have trouble finding an NP job after your RN stint.

If your goal is to work in an RN position for 2-3 years, then I absolutely would not do Option 2. In addition to all of the serious logistical issues I've described, it's very possible once you get to the bedside that you'll discover you have a different clinical passion than the masters program that you've chosen. It would stink to have already gotten your NP in adult health and realize that you love peds, midwifery, or even straight-up RN bedside care.

You're correct that it is easier to transition to the NP role with RN experience, and that it is much easier to get an NP job with RN experience. However, I don't believe either of these things would be true in the case of Option 2: I think that it would be harder for you to get both your first RN and first NP jobs, and the transition into the roles would be way more confusing/difficult.

As an aside, the U-W School of Nursing is amazing, I'd recommend attending there if you can. I'm friends with the Dean, and she's wonderful.

[dmwolfe]

Thanks for the advice!

To all reading the thread (and hopefully offering me much needed advice), a point of clarification on option #2-the direct entry MSN program would allow me to sit for the NCLEX after 15 months, so I would technically have my RN licensure and then go on to complete my MSN. Just wanted to note that in case it was confusing or changed anyone's advice

[HouTx, BSN, MSN, EdD]

Entry-level MSN is pretty much a worthless distinction for a new grad because it does not include any advanced clinical capability. These folks compete with all the other new grads for exactly the same direct care entry-level jobs. In my neck of the woods, hiring managers are actively avoiding them (el-MSNs) because there are a ton of new BSNs applicants available. They particularly like generic BSNs who have had sufficient time/exposure to achieve the professional socialization that makes them a much better fit on the nursing unit.

My organization employs a lot of NPs.... but we NEVER even consider one without significant levels of demonstrated clinical expertise. These jobs are fairly autonomous and have a very high level of accountability - not possible for a newbie.