As the gap between patient demand and physician supply widens, advanced-practice nurses are entering the workforce at an increasing rate. Additionally, healthcare organizations are looking to increase efficiency to meet patient care demands. Advanced nursing degrees are necessary for those in executive or advanced-practice roles, and the highest degree a nurse can earn is a Doctor of Nursing Practice. The DNP not only brings nursing experience the table, but also leadership and innovation.

DNP programs can take two to six years to complete, depending on the nurse’s entry point and if they attend full time or part-time. The program begins with core courses, introducing the nurse to the DNP role. After, nurses focus on their specialty track as well as complete a final DNP capstone project.

Choosing a DNP Program

Many nurses seeking a higher degree have been away from academia for a while and may be unsure where to start. Washington has five accredited DNP programs to choose from, so prospective students may feel overwhelmed at where to start. The following describes which essential items should be considered.

What to Consider When Choosing a DNP Program

  • Cost– The average tuition cost for DNP programs in Washington is $930 per credit hour. This figure does not include the cost of books, supplies, or university fees. Many DNP programs offer part-time study which helps offset the cost. Additionally, most schools provide financial aid options.
  • Online Options– Most schools recognize that DNP students are likely already working. For this reason, programs are set up to be as convenient as possible. Almost all the DNP programs in Washington offer online learning. However, in some cases (and in some specialty tracks), in-person campus visitation is required. Sometimes schools set up campus visitation in "intensive" or "block" formats, so students only need to spend a block of time per semester on-site.
  • Accreditation– The Commission on Collegiate Nursing Education (CCNE) and the Accreditation Commission for Education in Nursing (ACEN) are the two nationally-recognized accreditation bodies for nursing programs in the United States. The five accredited DNP programs in Washington are authorized by the CCNE.
  • Residency Options– To fulfill the DNP requirement, 1,000 hours of clinical practicum hours are needed to graduate. However, MSN-DNP students may be able to carry over hours worked in their MSN program. Most schools are contracted with healthcare facilities in the area to provide experience for students.

A DNP capstone project is also required. This involves identifying a healthcare-related issue and proposing evidence-based solutions to improve patient care outcomes.

Another type of "residency" involves post-graduate work in a fellowship-type position. For example, nurse practitioners can work in a specialty area to further their learning experience and build upon skills learned in the DNP program. Washington has multiple residency programs in areas such as Family Medicine, Pediatrics, hospital medicine, and gastroenterology.

Seattle University offers not only BSN and MSN applicants opportunity to earn a DNP, but non-nurses as well. For non-nurses, they provide an “Advanced Practice Nursing Immersion” program to prepare students to become licensed as an RN. For nurses, the following specialty tracks are available:

  • Adult-Gerontology Acute Care Nurse Practitioner
  • Adult-Gerontology NP
  • Family NP
  • Family Psychiatric Mental Health Nurse Practitioner
  • Certified Nurse Midwifery
  • Advanced Community Public Health Nurse

For more information, prospective students are encouraged to visit their website.

Admission, Licensing, and Certification Requirements

Admission

Criteria for admission to a DNP program in Washington may vary between schools. Generally, students should expect to:

  • Have a valid RN or APRN license
  • Have earned an MSN or BSN degree
  • Have a GPA of 3.0 or higher (specific requirements may vary between schools)
  • Provide letters of professional reference
  • Submit a resume/CV
  • Provide a writing sample, such as a written statement of purpose or goal statement
  • Have completed a statistics course
  • Have a specified number of years of clinical experience
  • Have completed a statistics course

Certification

Nurses enrolled in DNP programs who are not yet APRNs or CNSs, or those who wish to change their specialty, are eligible to sit for certification exams after graduating. Examples of specialty certification include:

  • Nurse Practitioner
    • Adult-Gerontology
    • Pediatrics
    • Psychiatric-Mental Health
    • Women's Health
    • Family Medicine
    • Neonatal
  • CNS
  • Certified Nurse Midwife
  • Certified Registered Nurse Anesthesia

Additionally, DNP graduates can obtain certification in Nurse Leadership, Nurse Executive, or Public Health.

Licensing

Specialty certification is required for licensure in Washington (if applicable). Additional requirements include:

  • MSN or DNP degree from an accredited program
  • Unencumbered RN license
  • Complete an HIV/AIDS training attestation
  • Complete application/ pay any fees
  • Complete a statement addressing felony convictions, disciplinary actions, loss of license, or chemical dependency

Washington BSN to DNP Options

It may come as a surprise to RNs that one can obtain a DNP without first graduating from an MSN program. BSN nurses can apply for admission to a DNP program in Washington; in fact, four out of the five accredited schools have a BSN to DNP option. Most of the time, an MSN is earned along the way.

Washington State University offers several options for BSN to DNP students:

  • FNP
  • Psychiatric-Mental Health NP
  • Population Health Nurse

The learning method for students follows a “hybrid” model. Most of the courses are taught online, while in-person classes are in a 1-2 day “block” format. Additionally, in-person courses may be completed at multiple sites. Full or part-time study is available, and students can expect to finish the program in about 3-4 years if attending full-time, and 4-5 years if attending part-time. Also, the school has research and teaching assistant positions available.

For more information, students are encouraged to visit the university's WSU DNP website.

Related Education Paths

Helpful DNP Agencies and Organizations in Washington

List of Campus and Online DNP Programs in Washington

Pullman, WA

1815 Wilson Rd
Pullman, WA 99164
(509) 335-3564

Seattle, WA

Spokane, WA

Tacoma, WA

Vancouver, WA

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