Are MSN still Grandfathered in to NP?

Nursing Students NP Students

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Hi people,

I would like to know if anyone has information on if MSN educated nurses are still being grandfathered in to Nurse Practitioners. Is this the same as DNP? And does this apply to MSN Clinical Nurse Leaders? I would just like the details on what is necessary or possible for a MSN CNL to become a nurse practitioner and where can I find more information to follow this.

Thanks!

Specializes in Hospitalist Medicine.
I am in a MSN ACNP program. I will not pursue a DNP unless it is mandated, has clinical value or increases my pay.

I agree. There is currently no further clinical component to the DNP. It's just a glorified research project and it offers no difference in pay scale. Until it is absolutely mandatory in all states, I refuse to do it. The NONPF statement is degree-inflation at its finest. I would be totally on board if it added value, especially in-depth clinical training. But I not will tack on another year of school to write papers and do a "scholarly project" to prove I can follow an EBP rubric. :rolleyes:

To the OP: I would not pursue a CNL degree if you want to become an NP. It would be a waste of time & money.

Specializes in Family Nurse Practitioner.
I agree. There is currently no further clinical component to the DNP. It's just a glorified research project and it offers no difference in pay scale. Until it is absolutely mandatory in all states, I refuse to do it. The NONPF statement is degree-inflation at its finest. I would be totally on board if it added value, especially in-depth clinical training. But I not will tack on another year of school to write papers and do a "scholarly project" to prove I can follow an EBP rubric. :rolleyes:

To the OP: I would not pursue a CNL degree if you want to become an NP. It would be a waste of time & money.

I hear ya, agree and wore the T-shirt for many years. The problem in my opinion is this has become the expected standard. My experience might also be colored due to the fact that I initially got my LPN and was exposed to that stigma. I went to a job fair years ago when I was younger, attractive and well dressed. They descended on my like flies, literally had 4 unit managers approach me at once, however when I said I was a LPN they immediately dropped me like a rock. It was disheartening especially because I knew my stuff but nursing is like academia in that the awe of alphabet soup can override the importance of actually being skilled. No shortage of book smarts and that is only getting worse.

As for the DNP I decided it was worth it to throw down the money and jump through the silly nursing hoops in an effort to avoid being marginalized or passed over for a position by a baby girl with no nursing experience, their DNP and a Johns Hopkins sized ego. The employment boards are starting to advertise for DNP although its unlikely they know what it means.

If it makes you feel any better, and to those who assert it is impossible to judge the rigor of a program by its circulium, your suspicions are correct. It wasn't unpleasant but certainly not challenging and didn't add anything to my abilities as a clinician. And before its assumed I must have went to lame schools they have all been brick and mortar with excellent reputations and rankings.

Specializes in Gerontology.
Clinical nurse leader (or CNL), is a brand new branch of advanced practice nursing. It's distinct from clinical nurse specialists (CNS) and nurse practitioners (NPs). I'm almost positive that you can only become certified in the area you studied (so a CNL student can only become certified as a nurse leader). Here are a few links I found that might help you or answer some questions.

What is a CNL? | Clinical Nurse Leader Association

Clinical Nurse Leader | College of Nursing

I would not lump the CNL with advanced practice nursing. Only CNPs, CNMs, CRNAs, and CNSs are advanced practice. I have an entry level MSN-CNL and I am currently in a BSN to DNP program, as there aren't many entry-level MSNs to DNP. Although I had graduate level courses, most were not at the level of advanced practice. I am not going to assume all CNL programs are entry-level, but I have seen a lot of them.

It is definitely easier to go from one specialty of advanced practice to another. As far as getting the CNL then going for NP, that eould be a waste of time. If I knew originally that being an NP is what I wanted to do, I would have went a different route.

I agree. There is currently no further clinical component to the DNP.

The CCNE requires a minimum of 500 direct patient clinical hours for a MSN-NP program, they require a minimum of 1,000 for an accredited DNP program.

Specializes in Hospitalist Medicine.
The CCNE requires a minimum of 500 direct patient clinical hours for a MSN-NP program, they require a minimum of 1,000 for an accredited DNP program.

The DNP students where I work have all had their "clinical" DNP hours related to the implementation of their scholarly project. It was nothing like NP clinicals, where you're doing actual patient care. This could certainly be dependent upon the program and specialty. I'm only speaking from my personal interaction with them.

I really think they need to make a better distinction between clinical doctoral degrees (practicing NPs) and non-clinical (MSNs in leadership, informatics, education, etc., who go on to get a doctorate). They lump everyone together as "DNP" and it is incredibly confusing to non-nurses.

Specializes in Neurology, Psychology, Family medicine.
The DNP students where I work have all had their "clinical" DNP hours related to the implementation of their scholarly project. It was nothing like NP clinicals, where you're doing actual patient care. This could certainly be dependent upon the program and specialty. I'm only speaking from my personal interaction with them.

I really think they need to make a better distinction between clinical doctoral degrees (practicing NPs) and non-clinical (MSNs in leadership, informatics, education, etc., who go on to get a doctorate). They lump everyone together as "DNP" and it is incredibly confusing to non-nurses.

Agreed 100%, its a shame that the DNP is just a title and not really indicative of a clinical degree. The add on courses add nothing to clinical practice and also have seen depending on the school that the "clinical hours" are from the project.

The DNP students where I work have all had their "clinical" DNP hours related to the implementation of their scholarly project. It was nothing like NP clinicals, where you're doing actual patient care. This could certainly be dependent upon the program and specialty. I'm only speaking from my personal interaction with them.

I really think they need to make a better distinction between clinical doctoral degrees (practicing NPs) and non-clinical (MSNs in leadership, informatics, education, etc., who go on to get a doctorate). They lump everyone together as "DNP" and it is incredibly confusing to non-nurses.

I thought all the nonclinical graduate degrees were branched into PhD for education and research versus DNP.

Jesus what a mess.

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