So, what did you decide to do? I, too, am considering the nursing leadership route, but do plan to become an NP first. Right now I am completing my BSN, but I am thinking of doing a dual degree in MSN/MPH with a focus on healthcare management and then eventually getting a doctorate, OR entering a BSN-PhD then following with an FNP post-masters (because my top 2 options BSN-PhD programs don't include an MSN), OR finding a BSN-DNP program in which I can also earn an MSN along the way (specifically, Duke U). PhD or DNP (and do I need an MPH?), that is the question. Looking at the Houston-area CNOs, I see a mix of DNPs, PHDs or just stopping with an MHA, MBA, MSN or some mix thereof. Something tells me that it's wise to get some sort of doctorate, though, because I think in ten to fifteen years, when I start trying to look for some of these leadership positions, more of the competition will have some sort of doctorate. I dunno. Help!