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Nursing Informatics: Job Description, Salary, and How to Become One
For registered nurses seeking to blend clinical expertise with technological innovation, nursing informatics offers a high-impact, high-growth career path with significant autonomy and competitive salaries in 2026. This specialty is crucial for optimizing healthcare systems, enhancing patient safety, and driving efficiency through data and technology. Aspiring nurse informaticists typically pursue a Master of Science in Nursing (MSN) with an informatics specialization or a post-graduate certificate, alongside gaining the ANCC Informatics Nursing Certification. The projected median salary for nurse informaticists in 2026 ranges from $85,000 to over $130,000 annually, reflecting both the advanced skill set required and the critical demand for this role in modern healthcare.
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Psychiatric Nurse Practitioner: 2026 Career & Salary Guide
As we move through 2026, the mental health crisis in the United States continues to drive unprecedented demand for providers. For Registered Nurses (RNs), the Psychiatric Mental Health Nurse Practitioner (PMHNP) role represents the intersection of clinical autonomy, high earning potential, and profound patient impact. A PMHNP is an Advanced Practice Registered Nurse (APRN) educated at the Master's (MSN) or Doctoral (DNP) level to assess, diagnose, and treat psychiatric disorders. According to the American Association of Nurse Practitioners (AANP), PMHNPs are essential in bridging the provider gap, often serving as the primary mental health provider in rural and underserved areas. Quick Glance: The PMHNP in 2026Average Salary: $139,486 -- $165,000+ (varies by state/experience). Job Outlook: Projected 40% growth through 2033. Top Benefit: High autonomy and the ability to practice via Telehealth. Top Challenge: Emotional burnout and finding clinical preceptors during school.
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How to Go from RN to MSN
Once you've earned a Bachelor of Science in Nursing (BSN) and secured your registered nurse (RN) license, there are numerous opportunities to expand your career. One such option is to pursue a Master's Degree in Nursing (MSN), enhancing your earning capacity and providing greater opportunities for leadership roles and specialized knowledge in particular healthcare areas. If you envision a long-term career in nursing and have aspirations to specialize and increase your income, then obtaining an MSN is a highly recommended route to accomplish these goals. What Is an RN to MSN Program? An RN to MSN program is a specialized educational pathway designed for RNs who wish to advance their careers. There are two main types of RN to MSN programs: Programs for RNs with a BSN and who want to earn their MSN. Programs for RNs who do not have a BSN but want to go straight into an MSN program. These are often referred to as "bridge" programs and may include an accelerated path to earn both the BSN and MSN degrees. Related 10 Best MSN Programs in 2025 MSN programs allow for RNs to specialize and enhance their nursing foundations by working towards advanced practice registered nursing (APRN), including: Nurse Practitioner (NP) Certified Nurse Midwife (CNM) Certified Registered Nurse Anesthetist (CRNA) Clinical Nurse Specialist (CNS) When taking an MSN, students can choose between any of the above or refine their focus even greater into NP specialties such as Family NP, Women's Health NP, and more.
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How to Go from RN to MSN
Once you've earned a Bachelor of Science in Nursing (BSN) and secured your registered nurse (RN) license, there are numerous opportunities to expand your career. One such option is to pursue a Master's Degree in Nursing (MSN), enhancing your earning capacity and providing greater opportunities for leadership roles and specialized knowledge in particular healthcare areas. If you envision a long-term career in nursing and have aspirations to specialize and increase your income, then obtaining an MSN is a highly recommended route to accomplish these goals. Table of Contents What Is an RN to MSN Program? RN to MSN Coursework Best Ways to Go from RN to MSN Pros & Cons Salary Expectations & Career Outlook FAQ What Is an RN to MSN Program? An RN to MSN program is a specialized educational pathway designed for RNs who wish to advance their careers. There are two main types of RN to MSN programs: Programs for RNs with a BSN and who want to earn their MSN. Programs for RNs who do not have a BSN but want to go straight into an MSN program. These are often referred to as "bridge" programs and may include an accelerated path to earn both the BSN and MSN degrees. Related: 10 Best MSN Programs in 2023 MSN programs allow for RNs to specialize and enhance their nursing foundations by working towards advanced practice registered nursing (APRN), including: Nurse Practitioner (NP) Certified Nurse Midwife (CNM) Certified Registered Nurse Anesthetist (CRNA) Clinical Nurse Specialist (CNS) When taking an MSN, students can choose between any of the above or refine their focus even greater into NP specialties such as Family NP, Women's Health NP, and more. RN to MSN Coursework The coursework in an RN to MSN program varies depending on the specific program and the specialization chosen by the student. However, some common elements can be found in most RN to MSN programs: Core Courses: These foundational courses provide a broad understanding of nursing theory and practice. They often include subjects like pathophysiology, health assessment, and nursing research. Specialization Courses: Depending on the track chosen by the student, these courses delve deeper into specific areas of nursing such as family nurse practitioner, nursing education, or healthcare leadership. Practicums: These are hands-on experiences that allow students to apply the knowledge and skills they've learned in a real-world healthcare setting. Quality-Improvement Coursework: Some programs include courses focused on evidence-based quality improvement in healthcare. BSN Electives: In some programs, certain master's level courses can substitute for BSN electives, allowing students to earn both their BSN and MSN more quickly. The total number of credits required to complete an RN to MSN program can range from 42 to 60, depending on the program and the track chosen. The program typically takes 30-36 months to complete, but this can vary depending on whether the student is enrolled full-time or part-time. Some programs offer flexibility and allow students to complete coursework at their own pace. Best Ways to Go from RN to MSN MSN programs can be competitive, and those with foresight on pursuing a master's upon becoming an RN should ensure they have the following general admission requirements. RN to MSN Admission Requirements Hold current registration as an RN in good standing/no practice restrictions. Programs often have admission requirements where they expect applicants to hold at least a B-grade (approximately 75% or 3.0 GPA equivalent), but preferences are often given to those with higher grades. It is important to note that many admission requirements pay great attention to the last two years of a BScN program. Some programs require applicants to have at least 1 to 2 years of equivalent full-time clinical nursing experience as an RN. For those applying to an MSN program, admission requirements may require language proficiency (with proof at the time of application). In addition, specific applications may require applicants to have two to three references to attest to the applicant's good professional character and nursing practice conduct. RNs may also need an updated resume and curriculum vitae (CV). There is a possibility that the applicant may be expected to write an essay to emphasize the intent and interest to apply to an MSN program as well. Ensure Program Options Meet Your Needs MSN programs take a great deal of investment to complete the objectives of courses. When considering pursuing an MSN, having part-time and full-time options could be a deciding factor. RNs should review the expectations to meet the standards of part-time status and full-time studies and ensure they fit their needs. Related: How to Pay for Nursing School Consider Costs of Education RNs should also pay attention to the tuition, ancillary, and other costs related to application and program admission when anticipating how much they will invest each year. MSN programs are quite costly and average up to tens of thousands of dollars depending on the university and location. It is advised to see if student financial aid options at the institution (e.g., scholarships, bursaries, or loans) can be offered to help ease the cost, or if possible, inquire if their workplace and/or professional associations have reimbursement options for pursuing continuing education. Check for Program Accreditation RNs should pay careful attention and check whether the programs they are looking into are accredited, recognized, and have the potential for career advancement in the areas in which they hold interest. Aside from speaking with the general registrar and program advisory departments of each university, it is recommended to speak with other people who have completed the program and potential employers to gauge which programs best suit the needs and interests of the individual. Pros and Cons of an RN to MSN Achieving an MSN will involve more schooling, so more discipline, diligence, and work will be involved. If one is motivated toward a specific career goal, completing an MSN program will allow for an impressive credential to boost chances of success for more favorable nursing jobs. RN to MSN Pros Increased earning potential Potential to practice in advance practice specialty More opportunities for leadership roles and autonomy May allow for career prospects with better working hours and roles Earning an MSN may increase assistance in applying for terminal degrees in nursing (e.g., Doctor of Nursing Practice (DNP)) Refined skills in research, critical thinking, nursing theory, and foundation RN to MSN Cons Time-consuming and costly financial investment Reduced opportunity for work-life balance while pursuing the graduate degree Salary Expectations & Career Outlook As mentioned, acquiring an MSN may allow for more career opportunities that practice leadership roles. These roles may include (but are not limited to) the following: Education and academics Policy Management and leadership-type roles (e.g., director) Advanced clinical practice leadership Research Nurse Practitioner Public health Informatics nurse specialists Depending on location, salary expectations for an MSN-prepared APRN will vary. The U.S. Bureau of Labor Statistics (BLS) lists APRNs (e.g., those with a master's degree in their specialty role and are licensed in their respective state) to earn a median annual wage of $124,680 in their May 2022 survey. The job prospects for APRNs are expected to increase by 2031, which is dictated by the need to replace those already in the profession who are set to retire and those expected to transfer to different roles. Frequently Asked Questions Q: Is an MSN worth it? Whether or not an MSN degree is worth it can depend on various factors, including your career goals, financial situation, and personal interests. However, there are several potential benefits to earning an MSN that are often cited: Higher Pay: One of the most significant benefits of an MSN degree is the potential for increased earnings. Nurses with an MSN often earn higher salaries than those with a Bachelor's degree in Nursing (BSN). Career Advancement: An MSN can open up opportunities for advanced roles in nursing, including positions in leadership, administration, and specialized areas of healthcare. Greater Autonomy: In some roles, such as nurse practitioners, an MSN can provide greater autonomy in patient care. Job Satisfaction: Some nurses find greater job satisfaction in the advanced roles that an MSN can lead to, as these positions offer more challenging and varied work. Specialization: An MSN program allows nurses to specialize in a specific area of healthcare, which can benefit those with a particular interest in a certain field. However, there are also considerations to keep in mind. An MSN is a significant investment of time and money and may not be necessary for all nursing roles. Additionally, moving into administrative or specialized roles may not be the right fit for everyone. It's important to carefully consider your career goals and circumstances when deciding if an MSN is worth it. Related: 11 Fastest MSN Programs in 2023 Q: How difficult are MSN programs? MSN programs can be challenging due to several factors: Advanced Coursework: MSN programs involve advanced and complex coursework beyond what Bachelor's degree programs cover. This can include in-depth studies in specialized areas of nursing, research methods, and healthcare policy. Clinical Hours: MSN programs often require significant clinical hours, which can be demanding and time-consuming. Balancing Responsibilities: Many students pursuing an MSN are also working professionals. Balancing the demands of work, school, and personal responsibilities can be challenging. Financial Cost: MSN programs can be expensive, and managing the financial aspect can add to the difficulty. Securing Clinical Placements: For online MSN programs, securing clinical placements can be a challenge, especially in highly populated areas. Despite these challenges, many nurses find that the benefits of an MSN degree, such as increased earning potential and opportunities for career advancement, make the effort worthwhile. Prospective students need to be prepared for the demands of an MSN program and have strategies to manage these challenges.
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Certified Registered Nurse Anesthetist (CRNA): Job Description, Salary, and How to Become One
Whether you're a seasoned registered nurse (RN) considering advancing your career or a student mapping out your education, we've provided everything you need to know to pursue a career as a certified registered nurse anesthetist (CRNA). Read more about the job description, responsibilities, salary expectations, and steps to becoming a CRNA. Table of Contents Job Description Responsibilities Salary Expectations Becoming a CRNA Job Description CRNAs are advanced practice registered nurses (ARPNs) qualified to administer anesthesia and care for patients recovering from anesthesia. Integral to healthcare systems, CRNAs can find themselves working in various settings with their advanced knowledge and experience. Their job prospects can range from an "easy-going setting,” like a dental clinic, to a more high-stakes, less predictable one, such as in the ICU. Overall, CRNAs must still demonstrate the ability to provide safe patient care and effective communication skills with the patients they care for and those they work directly with. Related: 10 Best DNP Programs in 2023 Practice Settings CRNAs typically work in: Hospitals (e.g., surgical units, emergency departments, intensive care units, and labor and delivery rooms) Outpatient care centers Physician offices or other healthcare practitioners Private practices (e.g., cosmetic surgery clinics) Dental offices Universities and Professional Schools Important Skills and Qualities Principles of local and general anesthesia administration, monitoring, and management Attentiveness to monitoring and understanding vital signs, including ECG monitoring, ventilator settings, and lab results. Arterial line placement Tracheal intubation Epidurals ACLS Strong communication and leadership skills Ability to work independently and collaborative Proficiency in surgery principles, airway management, postoperative care, teaching, critical care, and patient care. Comprehensiveness in legal aspects of nurse anesthesia practice CRNA Responsibilities The type of work CRNAs perform significantly differs from that of a nurse working bedside on a general medicine unit, as they're accountable for a patient's life under the influence of full anesthesia. The CRNA must be privy to specific conditions or diagnoses that may put a patient at high risk when under (e.g., history of smoking/alcoholism, sleep apnea, hypertension, etc.). If an acute event occurs, they must be knowledgeable and vigilant and act quickly to stabilize the patient. More generally, CRNA responsibilities include: Patient Assessment Anesthesia Plan Development Administering Anesthesia Patient Monitoring Post-Anesthesia Care Patient Education Emergency Management Record Keeping Collaboration and Leadership CRNA Salary According to the U.S. Bureau of Labor Statistics (BLS), CRNAs earn: Mean Hourly Wage: $98.93 Mean Annual Wage: $205,770 With the top-paying states being: North Dakota: $246,510+ California: $246,510 Connecticut: $240,580 New York: $238,710 Illinois: $238,440 The highest-paying industries for CRNAs are: Outpatient Care Centers: $246,980 General Medical and Surgical Hospitals: $217,570 Office of Physicians: $200,280 Colleges and Universities: $199,460 Offices of Other Health Practitioners: $143,790 Ultimately, the earning potential of a CRNA will vary depending on several factors, including practice setting, location, experience, and more. How to Become a CRNA Becoming a CRNA is a significant commitment that requires several years of education and clinical experience. Although the pathway may vary in length and degree steps, the following five steps provide a general overview of how to become certified. 1. Earn a Bachelor's Degree in Nursing (BSN) Earning a BSN can be achieved in several ways, including a Traditional four-year program or a bridge program for practicing nurses who earned an Associate Degree in Nursing (ADN). A BSN provides the foundational knowledge and skills to practice and excel in post-graduate studies. 2. Become an RN If a future CRNA achieves their Traditional BSN over four years of study, they must pass the National Council for Licensure Examination for Registered Nurses (NCLEX-RN) to become licensed. Related: 10 Best BSN Programs in 2023 3. Gain Experience Gaining experience in a critical care setting is a typical requirement for admission into a CRNA program, with a usual minimum of one to two years. While gaining experience, RNs should aim to develop a strong understanding of disease processes and advanced skills such as hemodynamic monitoring, mechanical ventilation, and vasoactive drug administration. 4. Earn a Doctoral Degree from an Accredited Program Accredited nurse anesthesia programs provide the specialized training and education needed to practice as a CRNA. These programs include coursework and clinical experiences. CRNAs have historically become certified with an MSN; however, to comply with requirements from the Accreditation of Nurse Anesthesia Educational Programs (COA), doctoral education will be required for entry into nurse anesthesia practice by 2025. 5. Become Certified After graduating from a CRNA program, you must pass the National Certification Examination (NCE) administered by the National Board of Certification and Recertification for Nurse Anesthetists (NBCRNA). Once certified, CRNAs must follow state licensure requirements, complete continuing education, and undergo periodic recertification.
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Nursing Informatics: Job Description, Salary, and How to Become One
The Canadian Nurses Association defines nursing informatics as integrating nursing information and knowledge with technology for managing health information. These applications include electronic health/medical records (EHRs or EMRs), telehealth nursing, and mobile applications, aiming to improve patient outcomes, reduce healthcare costs, and achieve overall efficiency within the nursing profession. If a nursing informatics career sounds like a good fit for you, read on to find more details about the job description, responsibilities, salary expectations, and how to get started. Table of Contents Job Description Responsibilities Salary Expectations How to Become a Nurse Informaticist Nursing Informatics Job Description Nursing informatics is a very diverse field that continues to evolve along with advancing technology. One can expect to have literacy in computer systems and applications or at least be open to learning how to navigate them. Nurses in this field can also be expected to listen to feedback to make nursing informatics technology more efficient to help perpetuate better outcomes related to patient care and nursing workloads. In light of this, nurses in this field should be problem-solvers and possess creative minds to turn feedback into solutions. Practice Settings Hospitals Colleges and Universities/Research Ambulatory Care Healthcare Technology Companies Government and Policy Development Job opportunities Clinical Practice Leaders in Nursing Informatics/Nurse Educators Policy Development Privacy Officer Health/Medical Records Management Clinical Informatics Analyst Project Management Quality Initiative Planning and Reporting System Development, Optimization, and Utilization Nursing Informatics Consultant Research Coordinator Healthcare Advocate Health Systems Designer Healthcare Software Developer Related: 10 Best Master of Science in Nursing (MSN) Programs in 2023 Important Skills and Qualities Strong communication and interpersonal skills Computer literacy with a strong foundation in computer programs Strong analytical, critical thinking, and problem-solving Strong foundation in health data systems, the nursing profession, and research Receptive to feedback and seeing nursing informatics through the lens of the client (e.g., the bedside nurse) Project management Creative, innovative, and adaptable to advancing technologies Capable of working collaboratively and independently Benefits of Being a Nurse Informaticist Reduced involvement in direct patient care Potential to work from home Potential for laissez-faire work style Decreased obligation to report to a nursing department Ideal for those who enjoy working with technology, as well as data-driven analysis, research optimization, and innovative problem-solving Overall, by being involved in nursing informatics, one can expect to improve the following qualities of the nursing profession: Better flow and efficiency of documenting patient care Reducing medical errors Creating stronger safeguards for protecting privacy of personal health information Improve savings to a corporation or facility Improve care coordination and communication Nursing Informatics Responsibilities Nursing informaticists aim to improve efficiency and find solutions to gaps existing among nursing technologies and communications. They must also be mindful of the literacy and accessibility of nursing technologies through the lens of nurses who use them to provide patient care. Expected duties include: Assessing, planning, implementing, evaluating, and optimizing nursing informatics in a facility Collaborating and communicating with other team members and improving interpersonal workflow through communication and information technologies Identifying gaps in nursing technology needs Being involved with the design of nursing informatics systems Implementing data-driven quality improvement practices for patient care Knowledge transition and training-resource development of new updates to existing nursing informatics systems Developing policies on how and when to use technology in the healthcare setting Lead teams or departments involved in implementing computer-based healthcare tools Supporting evidence-based best practices, education, and research efforts Advise companies on healthcare technology solutions Troubleshooting and responding to queries posed by nurses and other healthcare team members Nursing Informatics Salary Nursing informatics can be deemed a worthwhile and promising career choice among nurses who wish to make a change within their field. Given that the skillsets combine nursing and information technology foundations, the entry-level salary range tends to be higher than other entry-level positions. HIMSS' 2020 Nursing Informatics Workforce Survey has found that the salary range among nursing informaticists in the U.S. ranged between $61,000 to $115,000, with 49% stating they earned more than $100,000. Over 80% of respondents reported high job satisfaction, and less than 5% reported dissatisfaction with nursing informatics as their career choice. How to Become a Nursing Informaticist All nurses have a general foundation of nursing informatics through their program. They learn the basic concepts of protecting patient privacy and working with EHR/EMR technologies to document nursing interventions and assessments. It's also been indicated that nurses who wish to pursue a career in nursing informatics should seek an education in that field or another health-related field, such as health information management, as the HIMSS survey found that 66% of nursing informaticists possessed a Master's. Related: 10 Best BSN to MSN Programs in 2023 For those who wish to be officially certified by the American Nurses Credentialing Center (ANCC) in the U.S., the following are requirements to be eligible: Bachelor's degree (minimum) in nursing or related field Active nursing license at RN-level minimum Minimum two years of full-time practice as a registered nurse Completion of 30 hours of informatics nursing continuing education in the past three years One of the following is also required: 2,000 hours of informatics nursing practice in the last 3 years 1,000 hours of informatics nursing practice in the last 3 years and completion of at least 12 semester credit hours in a graduate informatics nursing program Completion of a graduate program in informatics nursing with at least 200 faculty-supervised hours in informatics nursing Accredited nursing informaticists must also maintain continuing professional education requirements to maintain current licensure, with each state varying on this requirement.
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Psychiatric Nurse Practitioner: Job Description, Salary, and How to Become One
Psychiatric nurse practitioners (psychiatric NPs) are advanced practice registered nurses (APRNs) who achieved a master's degree (MSN) or doctoral degree program (DNP) with a specialization in mental health treatment. With mental health challenges becoming more prevalent, nurses passionate about addressing this area of health may find it both lucrative and fulfilling. Table of Contents Job Description Responsibilities Salaries How to Become a Psychiatric NP Psychiatric NP Job Description Psychiatric NPs generally oversee patients who exhibit psychiatric disorders (depression, anxiety, substance use, grief, coping deficits, etc.). There are several options for practice locations for psychiatric NPs, and they are often based on the scope and needs of the practice. They can work in emergency departments, pediatrics, geriatrics, inpatient treatment facilities, behavioral health clinics, correctional facilities, hospitals, family medicine, and more. They work collaboratively with physicians and other healthcare professionals rather than replace the need for them altogether. A psychiatric NP's skillset emphasizes the optimization of a therapeutic environment and psychotherapy techniques, demonstrating the following qualities: Emotional Intelligence: Acknowledging their patients' feelings and engaging with them appropriately, with a patient-centered focus. Emotional Stability: Psychiatric NPs should be aware of the potential abuse that a patient has experienced; thus, demonstrating empathetic, non-judgemental, and non-reactive attitudes is a cornerstone to engaging with psychiatric patients; psychiatric NPs should also be firm and stick to their boundaries. Nurse-Patient Therapeutic Relationship-Building: Due to the complex nature of tending to psychiatric patients, a psychiatric NP should be mindful of the effort and patience needed to foster trust among their patients, which would dictate the level of success in treatment outcomes. Collaboration: Working well with other interdisciplinary team members can help optimize patient outcomes. Advocacy: Like any effective healthcare professional, when you demonstrate the ability to support your patient, the patient may also learn to seek treatment and make better-informed decisions. Psychiatric NP Responsibilities Psychiatric NPs work autonomously and collaboratively to perform many duties related to treating psychiatric patients. Due to their extended class of licensure, they are equipped with more capabilities for practice and possess critical thinking skills to make more accountable decisions that other healthcare team members may carry out. Their responsibilities include, but are not limited to, the following: Diagnosing, prescribing, and treating common psychiatric problems, potentially with a psychiatrist Facilitating individual and group psychotherapy Performing health and family histories Providing family psychiatric-mental health education and advocacy Health promotion activities Evaluating symptomatology Related: 10 Best BSN to MSN Programs in 2023 In psychiatric emergency settings, psychiatric NPs can demonstrate their capabilities by performing the following responsibilities: Medical clearance, which may include lab work, physical assessments, and gathering medical histories Suicide risk screening using various triage tools Psychiatric evaluation and differential diagnosis in areas of suicide risk, altered mental status, and agitation Stabilization using the least restrictive interventions (de-escalation, calming milieu, etc.) and then considering other methods (antipsychotic medications, rapid tranquilizations) if the behaviors cannot be adequately managed Psychiatric NP Salary Most sources report Psychiatric NPs have an expected annual salary of at least $100,000. The U.S. Board of Labor Statistics (BLS) doesn't specify precisely for psychiatric but states that the median annual wage for NPs is $123,780. There is potential for psychiatric NPs to make more, but it would depend on jurisdiction, work setting, and experience level. In addition, to this salary outlook, psychiatric NPs can expect several benefits depending on the work setting and organization for whom they work for. Health, medical, and life insurance Holiday pay Certification and continuing education reimbursements Parental leave Various types of leaves of absence and paid time off Discounts on various products and services Relocation packages Nursing conference invitations How to Become a Psychiatric NP The successful candidate must possess a Bachelor of Science in Nursing (BScN) degree and be a registered nurse (RN) to be eligible for a psychiatric NP Program. Most psychiatric NP programs are Master's degrees, focusing on general advanced practice courses, predominantly in psychiatric/mental health. Doctor of Nursing Practice (DNP) also exists for those who wish to further their education. Most programs require the candidates to have some clinical experience (usually a minimum of 2 years), especially in mental health fields, for enrollment consideration. In addition, some university programs offer the ability to work concurrently during the program. Generally, the duration of psychiatric NP programs is 2 to 3 years following their BScN (3 to 4 years if the candidate wishes to pursue their DNP). Related: 10 Best DNP Programs in 2023 Along with the educational background, candidates can also anticipate completing around 500 supervised clinical hours and expect to enroll in advanced-level courses in pathophysiology, health assessment, and pharmacology. Further, other education topics would include, but are not limited to, health promotion, differential diagnosis, disease management, and psychotherapy. Clinical training in at least two psychotherapeutic treatment modalities would also be required to be certified as a psychiatric NP. Those wishing to pursue accreditation to be certified as a psychiatric NP should consult their licensing body for specialty certification for jurisdiction-specific requirements. In the U.S., except for five states, a national certification exam issued by the American Nurses Credentialing Centre (ANCC) must be written and passed to practice as a psychiatric NP. The certification must be maintained every five years, along with re-certification requirements.