RN to MSN Programs vs. RN to BSN to MSN Programs
Nurses hoping to expand their role and practice can further their education by earning a Master's of Science in Nursing (MSN) degree. From there, they have many career options available. They can choose to work in a broader scope as a nurse practitioner, work in anesthesia as a CRNA, become a Clinical Nurse Specialist, and even work in leadership, management, and education.
How to get from an RN to an MSN varies; there are different paths to an MSN based on the nurse's starting point. Below is a brief description of the paths to earning an MSN as well as benefits/drawbacks of each.
This three-step pathway is one of the most common ways an RN can earn an MSN. The nurse, if starting out with an associate's degree or diploma, may enroll in a BSN program either on campus or online (or a hybrid program) to earn the BSN. Luckily, students would only need to complete about 30 credits (which takes about one to two years) of upper-level BSN courses, as the prerequisites were completed during the ADN or diploma program. Additionally, many RN to BSN programs are offered online, which allows for more flexibility and self-paced learning.
After earning a BSN, the nurse is prepared to enroll in an MSN program. Many schools offer a BSN-MSN program both online and on-campus. These programs usually take around two to three years to complete, depending on full or part-time status. Additionally, clinical hours may be required.
The curriculum of a BSN includes courses in:
- Nursing leadership and management
- Community Health nursing
- Evidenced based practice
As stated earlier, some courses (such as nutrition, English, and chemistry) are not required in this type of program, as they usually are completed in an ADN program.
Once a BSN is completed, the student can apply to an MSN program. The curriculum in an MSN program varies greatly depending on the chosen specialty (i.e., nurse practitioner, CRNA, nurse midwife, etc.). However, core courses are required such as:
- Advanced pathophysiology
- Advanced pharmacology
- Health assessment
- The role of the advanced-practice nurse
After the core courses are completed, the student begins courses in their chosen specialty, such as:
- Nurse practitioner (adult/gerontology, women's health, psychiatry, family medicine, etc.)
- Nurse Midwife
- Nurse Educator
- Clinical Nurse Leader
Additionally, supervised clinical hours are required to graduate.
Benefits of an RN to BSN to MSN Pathway
One of the benefits of this path to a master's degree is that it is a systematic, step-wise approach. It allows students to learn and practice in one role before advancing to another. It is also more flexible in that students can choose to take a break between the BSN and MSN if needed. Additionally, gaining experience as a BSN-prepared nurse may even lead to a higher success rate in an MSN program.
Drawbacks to an RN to BSN to MSN Pathway
One drawback in this pathway is time. More time is needed to complete each step, which can delay the nurse in starting the career they hope to have with an MSN. Cost may even be a little higher if students opt for a more step-wise approach. Instead of paying for one RN to MSN bridge program, they pay for two degree programs. Of course, every school is different, so students are encouraged to research and compare costs with the schools they are interested in.
An RN to MSN bridge program is another way that nurses can earn an MSN. Each school that offers this pathway may have it set up a little differently, but usually nurses are required to complete the BSN portion first, followed immediately by the MSN portion. In some cases, nurses may enroll in the MSN portion of the program while still completing their BSN. It's typically around 30 units to complete the BSN, and 30 for the MSN.
The length of time it takes to complete the program can vary depending on the student's chosen specialty as well as if they attend full or part-time; it typically takes around 3 years. Many of the RN to MSN programs are also offered online; however, depending on the specialty, clinical hours are required as well.
The curriculum for an RN to MSN program is similar to the RN to BSN to MSN pathway listed above. However, there are some foundation courses that prepare nurses for graduate study. For example, Walden University requires nurses to complete a 3-credit course called "Foundations for Graduate Study" before starting the MSN core courses. For example, the curriculum at this school for an adult-gerontology track is as follows:
- Foundation Courses (29 credits)
- Issues and Trends in Nursing
- Foundations of Nursing Research
- Topics in Clinical Nursing
- Role of the Nurse Leader in Population Health
- Leadership Competencies in Nursing and Healthcare
- Foundations for Graduate Study
- Core Courses (20 credits)
- Policy and Advocacy for Improving Population Health
- Transforming Nursing and Healthcare Through Technology
- Essentials of Evidenced-Based Practice
- Interprofessional Organizational and Systems Leadership
- Specialization Courses (35 credits)
- Advanced Pathophysiology
- Advanced Pharmacology
- Advanced Health Assessment and Diagnostic Reasoning
- Advanced Practice Care of Adults Across the Lifespan
- Advanced Practice Care of Frail Elders
- Primary Care of Women
- Synthesis in Advanced Nursing Practice Care of Patients in Primary Care Settings
Benefits of an RN to MSN Program
One of the benefits of an RN to MSN program is that everything is done in one shot. In other words, one application, one school, one program. It makes for greater ease in earning a BSN and MSN. Additionally, some schools offer a flat rate for the entire program rather than by each credit. Also, in some cases, the length of time it takes to complete the program may be shorter than the traditional RN to BSN to MSN pathway.
Disadvantages of an RN to MSN Program
One of the disadvantages of this pathway to an MSN is that it's a straight line to the master's degree. Some nurses like to gain practice and experience with a BSN before advancing. Also, attending upper-level education for an extended period of time can be draining. Some prefer a step-wise approach to allow for greater rest periods.
Whichever path the nurse chooses, an MSN is a fantastic way to advance one's career and expand nursing practice. Nurses have individual family and work demands, so they should definitely research schools to find the one that best fits their needs.
Amanda Bucceri Androus RN, BSN
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