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Erin Lee, BSN, RN (Editorial Team / Admin)
Direct Entry Doctor of Nursing Practice (DNP) programs offer a streamlined path for individuals with non-nursing bachelor's degrees to pursue advanced nursing roles. These programs prepare graduates for diverse opportunities, including APRN specialties and non-clinical leadership positions in healthcare.
This guide highlights the top Direct Entry DNP programs for 2025, detailing their curriculum, prerequisites, and financial considerations to help you navigate this accelerated pathway into nursing.
What Is a Direct Entry Doctor of Nursing Practice Program?
A Direct Entry Doctor of Nursing Practice (DNP) for non-nurses is an advanced educational track designed for individuals who hold a bachelor's degree in another field and wish to obtain a career in nursing at one of the highest levels of clinical practice. These programs allow you to become licensed and earn a DNP without first completing a bachelors degree in nursing.
Best Direct Entry DNP Programs for Non-Nurses
The following schools have been selected based on allnurses' methodology of surveying our readers to understand what they value most and with the addition of graduation rates, student-faculty ratio, price, mode, duration, and admission rates of hundreds of the most prominent nursing schools in the United States.
1. Seattle University
Seattle University offers an Advanced Practice Nursing Immersion (APNI) study option within its DNP program, tailored for college graduates without a healthcare background seeking nursing as a second career. This pathway provides an intense curriculum over four calendar years, culminating in a Doctor of Nursing Practice (DNP) degree.
The program's structure is designed to facilitate a smooth transition into nursing practice for individuals from diverse academic backgrounds. The first phase of the program, spanning the initial five quarters, focuses on pre-licensure coursework, including 67 credit hours and 600 clinical hours to prepare students for the NCLEX-RN. The subsequent stages of the doctoral studies are dedicated to advanced practice nurse practitioner or certified nurse midwife preparation, ensuring graduates are well-prepared for their roles in healthcare.
APNI DNP Program Overview:
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DNP Specialty Options
- Adult-Gerontology Acute Care NP; 63 credit hours (130 credit hours total)
- Family Nurse-Adult Gerontology Primary Care NP; 75 credit hours (142 credit hours total)
- Psychiatric Mental Health NP; 68 credit hours (135 credit hours total)
- Certified Nurse-Midwifery; 75 credit hours (142 credit hours total)
- Duration: The program requires four years of full-time study.
- Tuition Cost: $928 per credit
- Accreditation: Commission on Collegiate Nursing Education
Seattle University's APNI DNP program offers several highlights, including a strong emphasis on pre-licensure preparation, strategic location benefits, and state-of-the-art facilities. The program's location in the heart of Seattle, Washington, provides students with access to celebrated healthcare systems and research facilities for practicums and internships. Additionally, the program boasts a 20,000-square-foot clinical laboratory equipped with realistic patient simulators located at Swedish Cherry Hill's James Tower Life Sciences Center, enhancing the hands-on learning experience for students.
I would say it is definitely a lot of work, but very rewarding so far. One thing that is surprising is the what we are able to do at clinical sites. It is a lot of observation and less hands on than I was expecting.
by ttop2011. Join the conversation at Seattle University DNP 2020 Cohort (RN or APNI)
2. University of Vermont
Nestled in the ski town of Burlington, the University of Vermont offers a Direct-Entry DNP program tailored for individuals with a baccalaureate degree in a field other than nursing. This accelerated program prepares students to deliver primary care as advanced practice registered nurses (APRNs), offering a choice between two tracks: Adult-Gerontology Nurse Practitioner (AGNP) or Family Nurse Practitioner (FNP).
Direct-Entry DNP Program Overview:
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DNP Specialty Options
- AGNP; 106 credit hours
- FNP; 112.5 credit hours
- Duration: The program requires four years of full-time study.
- Tuition Cost: $678 per credit (VT residents); $1,200 per credit (non-residents)
- Accreditation: Commission on Collegiate Nursing Education
Emphasizing an immersive, on-campus learning environment, the University of Vermont's Direct-Entry DNP program provides a hands-on educational experience. With an impressive 100% national NP certification exam pass rate, the program demonstrates its effectiveness in preparing graduates for their careers. Additionally, the program includes robust clinical training as part of its comprehensive curriculum, positioning graduates for expertise in primary care settings within their chosen specialties. For more information, please visit the University of Vermont's website.
I did speak with a current student last year when they were in their pre-licensure year. She spoke really highly of the program. I remember asking specifically about advising and student support, and she assured me that she felt really supported. Many of the nursing faculty are friends with folks that I work closely with at the med school, and I hear really good things. I also took microbio with BSN students here, who also spoke highly of thier program.
by VTSummer. Join the conversation at UVM (vermont) DE-DNP Fall 2022
3. University of Hawaii at Manoa
The University of Hawaii at Manoa's Nancy Atmospera-Walch School of Nursing offers a unique Graduate Entry Program in Nursing (GEPN) tailored for individuals who have a bachelor's degree in a field other than nursing and do not have an RN license. This program provides a pathway to a career in nursing, allowing students to complete either a Master of Science in Nursing (MSN) or a DNP degree. The GEPN is structured to cater to adult learners who are leadership-bound and seeking a career in advanced nursing.
GEPN/DNP Program Overview
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DNP Specialty Options:
- Family Health NP
- Adult-Gerontology Primary Care NP
- Psychiatric-Mental Health NP
- Duration: Approximately 4 years of full-time study.
- Credit Hours: 123-126
- Tuition Cost: $650 per credit hour (HI residents) or $1,402 (non-residents)
- Accreditation: Commission on Collegiate Nursing Education (CCNE)
The program features a clear, two-step application process for prospective students. The first year involves an intensive tri-semester format focusing on health promotion, disease prevention, and care for the acutely ill. After successfully passing the NCLEX-RN, students transition immediately into their chosen graduate nursing specialty degree track. A significant portion of the curriculum consists of clinical practicums in community and healthcare settings, aiming to produce competent nurses who demonstrate professional actions, engage in self-directed learning, and exhibit leadership in nursing and healthcare.
The content will be brutal. Long days studying studying studying. The two main courses is patho and pharm which was the hardest. A lot of my chorot had medical experience and some didn't so the ones did really helped ones that didn't for labs and clincals. some had bio chem and organic chem majors and other really good test takers so speak up now on how to take exams LOL.
by Yessitswess, EMT-B, EMT-P. Join the conversation at University of Hawaii at Manoa GEPN-DNP FALL 2024
4. Boston College
The Direct Entry DNP program in the heart of Massachusetts at Boston College offers an innovative approach for individuals with a bachelor's degree in a non-nursing field to transition into advanced nursing practice. This program combines intensive coursework and hands-on clinical experiences to cultivate skills in evidence-based practice, leadership, and health system improvement. It emphasizes preparing students for RN licensure and further specialization as nurse practitioners.
GEPN/DNP Program Overview
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DNP Specialty Options:
- Adult-Gerontology Primary Care NP
- Family Health NP
- Pediatric Primary Care NP
- Psychiatric-Mental Health NP
- Women's Health NP
- Duration: Approximately 4 years of full-time study.
- Credit Hours: 107 total (58-61; MSN + 46 DNP)
- Tuition Cost: $1,726 per credit
- Accreditation: Commission on Collegiate Nursing Education (CCNE)
Distinctively, the program features diverse clinical placements that expose students to a variety of healthcare environments and patient populations. This variety enriches their learning experience and broadens their understanding of different aspects of patient care. Graduates of this program are recognized for their readiness to take on challenging roles in the healthcare system, with many securing positions in prestigious healthcare institutions.
Boston College accepts online classes and it's very affordable... BC you can choose to stop after your RN, there's more flexibility! BC is an amazing place!
by futurenp8810. Join the conversation at Boston Direct Entry Masters and DNP 2020
5. University of Washington
The University of Washington's ABSN program with Early DNP Admission is a dynamic path for non-nursing graduates to enter advanced nursing, especially nurse-midwifery. This full-time program, designed for career changers, integrates hands-on patient care experience over four quarters in the ABSN phase. It provides a seamless transition to the DNP Nurse-Midwifery track, offering students an early admission option and comprehensive training for real-world nursing practice.
Early DNP Admission Program Overview
- DNP Specialty Options: Nurse-Midwifery
- Duration: 13 quarters, approximately four years of full-time study.
- Credit Hours: 172 total (79; ABSN + 93; DNP-NM)
- Tuition Cost: $10,826 per quarter (WA residents) or $15,440 per quarter (non-residents).
- Accreditation: Commission on Collegiate Nursing Education (CCNE)
At the forefront of blending academic rigor with practical training, the University of Washington's program emphasizes midwifery within its diverse curriculum. With over 700 clinical partnership sites, including renowned institutions like Seattle Children's Hospital and the University of Washington Medical Center, students gain invaluable experience across birthing centers, hospitals, and international health agencies. This comprehensive approach prepares students for advanced nursing roles, complemented by a focus on evidence-based research and leadership development.
Direct-Entry DNP Coursework and Curriculum
The coursework for a Direct Entry DNP program is extensive and rigorous, as it combines both undergraduate and graduate-level studies. Initially, students cover fundamental nursing concepts to prepare for the NCLEX-RN licensure examination. After these foundational courses, students move on to more advanced topics. Coursework often includes:
- Foundational Nursing Skills: Basic nursing skills, anatomy, physiology, and pharmacology.
- Advanced Practice Nursing: Specialized courses depending on the student's chosen focus area, such as family practice, pediatrics, or mental health.
- Healthcare Policy and Ethics: Understanding the legal and ethical considerations in healthcare.
- Research and Evidence-Based Practice: Training in how to incorporate research findings into clinical practice.
- Leadership and Management: Courses designed to develop leadership skills in clinical settings.
Direct-Entry DNP Clinical Training
Clinical training is essential in Direct Entry DNP programs, combining undergraduate and graduate clinical hours to ensure students are fully prepared for advanced practice and leadership roles. Key components include:
- Primary Care Rotations: Experience in settings such as family practice, internal medicine, and pediatrics.
- Acute Care: Training in hospital environments like emergency rooms and ICUs.
- Specialty Areas: Focused practice in fields such as psychiatry, gerontology, or women's health.
- Leadership Practicums: Opportunities to develop team management, healthcare quality improvement, and organizational leadership skills.
Students must complete 1,000 post-baccalaureate clinical hours as required by the AACN, in addition to undergraduate clinical hours. These hours, supervised by experienced practitioners, culminate in a capstone project that applies evidence-based practices to address real-world challenges and enhance patient outcomes. This comprehensive training ensures students are clinically competent and ready to lead.
Direct Entry DNP Admission Requirements
To prepare students for the rigor of Direct Entry DNP programs, certain prerequisites and requirements must be met. Common admission requirements include:
- Bachelor's Degree: A non-nursing bachelor's degree from an accredited institution.
- GPA: A minimum GPA, often around 3.0.
- Science Courses: Completion of science prerequisites such as biology, anatomy, physiology, Microbiology, and chemistry.
- Statistics: A course in statistics is usually required.
- Humanities: Courses in social sciences or humanities may be required.
- Healthcare Experience: Some programs may require or prefer prior healthcare experience.
Additional Direct Entry DNP program application requirements often include:
- Application: A completed application form with all required information.
- Transcripts: Official transcripts from all post-secondary institutions attended.
- Letters of Recommendation: Several letters of recommendation, typically from academic and professional references.
- Personal Statement: An essay outlining the applicant's goals, interests, and reasons for pursuing a DNP.
- Resume/CV: A current resume or CV detailing the applicant's education, work, and volunteer experience.
- Interview: An interview with the admissions committee may be required.
- CPR Certification: Proof of CPR certification for healthcare providers.
- Immunizations: Up-to-date immunizations and health clearances.
It's important to note that specific prerequisites and requirements can vary by program, so applicants should consult the admissions criteria for each school of interest.
Direct Entry DNP Costs
Direct Entry DNP programs for non-nurses represent a significant investment in both time and money, but they can also lead to lucrative careers in the nursing field. The costs associated with these programs can vary widely depending on several factors, including:
- Tuition Fees: This can vary significantly between institutions and may depend on residency status, with structures based on per-credit or flat rates.
- Institutional Charges: Additional fees may include application, enrollment, and facility use, impacting the total cost.
- Study Materials and Supplies: The accumulation of textbook costs and medical supplies, like instruments and lab coats, can be substantial.
- Clinical Training Expenses: Travel and associated costs with clinical placements can be necessary, especially if sites are distant.
- Certification and Licensure Expenses: Beyond tuition, DNP graduates face fees for certification exams and licensure.
- Living Expenses: Full-time study impacts living costs, including housing, food, and transportation.
There are several ways to offset the cost of a Doctor of Nursing Practice program—explore the best options in our guide on how to pay for nursing school.
Direct-Entry DNP Salary Expectations
After completing a Direct Entry DNP program, salary expectations can vary depending on factors including location, specialty, experience, setting, role, and more.
Here's a breakdown of some of the different annual salary ranges that DNPs can earn:
Nurse Anesthetist
National Nurse Anesthetist Wage
- Low: $139,980 or $67.30 per hour
- Mean: $214,200 or $102.98 per hour
Top Paying States for Nurse Anesthetists
- Illinois: $281,240
- Massachusetts: $272,510
- Montana: $256,460
- New York: $256,160
- Vermont: $254,790
Nurse Practitioner
National Nurse Practitioner Wage
- Low: $94,530 or $45.45 per hour
- Mean: $128,490 or $61.78 per hour
- High: $168.030 or $80.79 per hour
Top Paying States for Nurse Practitioners
- California: $161,540
- Nevada: $148,670
- Washington: $145,400
- New Jersey: $145,030
- Oregon: $144,950
Nurse Administrator
National Nurse Administrator Wage
- Low: $67,900 or $32.65 per hour
- Mean: $134,440 or $64,64 per hour
- High: $216,750 or $104.21 per hour
Top Paying States for Nurse Administrators
- New York: $179,160
- Distric of Columbia: $170,710
- Delaware: $164,190
- New Jersey: $162,430
- Massachusetts: $158,540
Nurse Midwife
National Nurse Midwife Wage
- Low: $87,320 or $41.98 per hour
- Mean: $131,570. or $63.26 per hour
- High: $177,530 or $85.35 per hour
Top Paying States for Nurse Midwives
- California: $183,740
- Hawaii: $161,820
- Massachusetts: $154,080
- Maine: $140,440
- Oregon: $139,490
Nurse Educator
National Nurse Educator Wage
- Low: $49,120
- Mean: $86,530
- High: $130,320
Top Paying States for Nurse Educators
- District of Columbia: $111,130
- Oregon: $109,110
- New York: $102,980
- New Jersey: $101,540
- Nevada: $99,320
Doctor of Nursing Practice Career Projection
The growing demand for APRNs and graduate-level faculty is clearly reflected in the BLS's projected occupational growth rate of 38% from 2022 to 2032. This significant increase underscores the expanding opportunities within the field, promising not only competitive salaries but also enhanced career prospects for those entering the healthcare industry with a DNP. As this sector continues to evolve, DNPs will find themselves at the forefront of advancing medical practices and education, making it a strategically advantageous and financially rewarding career path.
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Are Direct Entry DNP Programs Worth It?
Determining whether Direct Entry DNP programs are worth it depends on individual goals and circumstances. These programs offer a fast track to advanced nursing roles, providing opportunities for higher salaries, leadership positions, and specialization in fields like family practice, anesthesia, or psychiatric nursing.
However, the accelerated nature of these programs comes with challenges. The workload is intensive, the financial investment significant, and graduates may face initial skepticism from employers due to limited bedside experience. Entry-level roles may also be limited, as DNPs are often expected to step directly into specialized or leadership positions.
For those ready to commit to a demanding but rewarding pathway, Direct Entry DNP programs can be an excellent choice. Weighing the potential benefits against the intensity and cost is key to determining if this path aligns with your career aspirations and readiness
As with any educational path, there are pros and cons to consider when deciding if a Direct Entry DNP program is right for you.
Direct Entry DNP Pros
- Accelerated Path to Advanced Practice: These programs provide a fast track to becoming an advanced practice nurse without first obtaining a BSN.
- Comprehensive Education: Students receive a thorough education in nursing that includes both the necessary clinical skills and a strong foundation in evidence-based practice, leadership, and policy.
- High Demand for DNPs: There is a growing demand for highly educated nurses, and DNPs are well-positioned to fill leadership roles in healthcare.
- Increased Earning Potential: As a DNP, graduates are often at the top of the nursing pay scale and can command higher salaries than their BSN-prepared counterparts.
- Opportunity for Specialization: Direct Entry DNP programs allow students to specialize in areas such as family practice, anesthesia, midwifery, or psychiatric nursing, which can lead to greater job satisfaction and opportunities.
Direct Entry DNP Cons
- Intensity of Program: These programs can be very intense, with a heavy workload and the challenge of mastering nursing at an advanced level in a shorter time frame.
- Cost: Direct Entry DNP programs can be expensive, often requiring a significant financial investment.
- Limited Experience: Graduates of these programs may face skepticism from employers or colleagues who value extensive nursing experience, as they enter the field with less hands-on nursing experience than those who have worked their way up from BSN or MSN degrees.
- Stress and Burnout: The fast pace and high expectations of the program can lead to high levels of stress and potential burnout.
- Limited Entry-Level Positions: Some graduates may find that entry-level positions are less available to DNPs compared to BSN or MSN graduates, as employers may expect them to take on leadership or specialized roles immediately.
Are Direct Entry DNP Programs Respected?
Direct Entry DNP programs are generally respected in healthcare for their rigorous education and preparation of graduates for advanced roles, including APRNs, nurse executives, and educators. While some employers may prefer traditional pathways, the accreditation and training these programs provide ensure graduates are equipped to meet the growing demand for skilled nursing professionals and contribute meaningfully to patient care and healthcare leadership.
Importance of Attending an Accredited Direct Entry DNP Program
Attending an accredited Direct Entry DNP program is crucial for several reasons:
- Quality Education: Accreditation ensures the program meets the expected standards in nursing curriculum, faculty, and clinical training, providing a comprehensive and relevant education.
- Certification & Licensure: Graduating from an accredited DNP program is often required for national certification exams and state nursing licensure.
- Employment: Employers prioritize candidates from accredited programs, as they meet licensure and certification requirements.
- Credit Transfer: Accredited program credits are more likely to transfer if pursuing additional degrees.
- Professional Credibility: Accreditation enhances credibility, leading to better job opportunities and career advancement.
- Financial Aid: Federal financial aid eligibility often depends on program accreditation.
Aspiring DNP students should, therefore, prioritize programs accredited by esteemed organizations like the Commission on Commission on Collegiate Nursing Education (CCNE)) or the Accreditation Commission for Education in Nursing (ACEN), ensuring they receive an education that equips them for leadership roles in nursing practice, policy, and education.
Direct Entry DNP Scope of Practice Considerations
Recognizing the variable scope of practice for Advanced Practice Registered Nurses (APRNs) is vital due to the differing state laws and professional standards. When choosing a Doctor of Nursing Practice (DNP) program, it is paramount to select one that not only matches your target state's practice requirements but also provides the flexibility to move between states. Selecting a program that offers comprehensive training across various state requirements guarantees increased adaptability in your professional role.
APRN Certification and Licensure Requirements
To practice as an advanced practice RN (APRN), you must fulfill the following:
- State Licensure: You must secure licensure in the state where you plan to practice. This is essential for legal practice and any future state transitions.
- National Certification: National certification, specific to your specialty, is required in addition to state licensure.
Prospective APRNs should familiarize themselves with the different practice standards pertinent to their specialty. Here is where you can find information regarding various APRN roles:
- Clinical Nurse Specialist (CNS): Consult The National Association of Clinical Nurse Specialists for scope of practice details and state-specific regulations.
- Certified Registered Nurse Anesthetist (CRNA): The American Association of Nurse Anesthesiology provides extensive scope of practice information, including state nuances.
- Certified Nurse Midwife (CNM): The American College of Nurse-Midwives is the resource for practice scope, certification, and state-specific regulations.
- Certified Nurse Practitioner (NP😞 The American Association of Nurse Practitioners offers insights into certification requirements, state regulations, and scope of practice.
Additionally, confirm that any DNP program you consider is recognized by your state's board of nursing, especially if you plan to work in that state.
Pathways for Non-Clinical DNP Graduates
While many Doctor of Nursing Practice (DNP) graduates pursue clinical APRN roles—such as NP, CRNA, CNM, and CNS—not all do. There are also non-clinical career pathways available. While some non-clinical roles may not require certification, certain positions or employers may prefer it. Examples of non-APRN certifications include:
- Certified Nurse Manager and Leader (CNML): Administered by the American Organization for Nursing Leadership, this is tailored for nurse leaders or administrators.
- Certified Nurse Educator (CNE): Offered by the National League for Nursing, this certification is crucial for nurse educators.
Action Steps for DNP Candidates
All DNP candidates, whether targeting APRN or non-clinical roles, must have a comprehensive understanding of the certifications relevant to their specialty and the appropriate timing to pursue them. Keeping informed of these specificities is crucial for adhering to professional standards and state legislations, paving the way for a fluid transition into your desired career path.
Direct Entry DNP Frequently Asked Questions (FAQ)
Q: How do I choose the best Direct Entry DNP program for me?
Consider factors like program length, cost, location, accreditation, clinical placement support, and the specialties offered. Researching alumni outcomes and faculty expertise can also help.
Q: What kind of professional nursing experience will I gain in a Direct Entry DNP program?
Direct Entry DNP programs provide comprehensive training in professional nursing, including advanced health assessment, pathophysiology, and nursing care. You'll gain hands-on experience through clinical rotations in various healthcare settings.
Q: Are Direct Entry DNP programs available on-campus, or can I complete them online?
Many Direct Entry DNP programs require on-campus attendance due to the intensive nature of the clinical and lab components. However, some programs may offer a blend of online coursework and on-campus clinical experiences.
Q: What type of enrollment options are available for Direct Entry DNP programs?
Enrollment options can vary by institution. Some programs offer full-time enrollment, which is ideal for students who wish to complete their DNP degree as quickly as possible. Part-time options may be available but will extend the duration of the program.
Q: Can I pursue a Direct Entry DNP if I have an associate degree in a non-nursing field?
Direct Entry DNP programs are specifically designed for individuals with a baccalaureate degree in a non-nursing field. These programs provide a pathway to obtain an RN license and advance to a DNP without a prior nursing degree.
Q: Is a Direct Entry DNP program faster than traditional pathways?
Yes. Direct Entry DNP programs are designed to streamline education for non-nurses, allowing students to bypass the BSN and earn both RN licensure and a DNP in 4-6 years, compared to 7+ years for traditional paths.
Q: Can I work while enrolled in a Direct Entry DNP program?
It depends on the program. Full-time Direct Entry DNP programs are highly intensive and often leave little room for work. Some, like most Nurse Anesthetist programs, explicitly prohibit students from working due to the program's demanding nature.
Some DNP programs offer part-time options, providing greater flexibility for those balancing work, study, and personal commitments. While these programs may take longer to complete, they allow students to manage their schedules more effectively, making them a practical choice for those unable to commit to the demands of full-time study.
Q: Do Direct Entry DNP programs include NCLEX preparation?
Yes. The pre-licensure phase of these programs includes courses and resources specifically designed to prepare students for the NCLEX-RN exam.
Q: What specialties can I pursue in a Direct Entry DNP program?
Specialties vary by school but often include Family Nurse Practitioner (FNP), Psychiatric-Mental Health Nurse Practitioner (PMHNP), Adult-Gerontology Acute Care Nurse Practitioner (AGACNP), and Nurse-Midwifery.
Q: Will I be eligible to practice in other states after graduating from a Direct Entry DNP program?
Yes, but licensure requirements vary by state. Graduates should ensure their program meets the requirements of the state where they intend to practice.
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