| A nurse in many cases holds a Master of | | | | nurse specialists, nurse practitioners, |
| Science in Nursing (MSN). The implications of | | | | midwives, and anesthetists, are in high |
| an RN receiving an MSN go beyond patient | | | | demand, for the medically underserved areas |
| care. Their education in leadership, | | | | of both rural and urban settings to serve as |
| research, and understanding the current | | | | lower-cost primary care providers (U.S. |
| political framework of the medical system | | | | Department of Labor). In rural settings in |
| allows an MSN to achieve greatness in the | | | | particular, there may be fewer physicians |
| field of nursing. | | | | available and the MSN will replace the duties |
| | | | of the absent physician unless the patient |
| Changing Course - RN to MSN | | | | requires the use of hospital facilities or |
| | | | advanced medical care. |
| There are major differences between an RN and | | | | |
| MSN. The education attained by an MSN opens | | | | Education, Admission Requirements, and Salary |
| the doors to learning the field of medicine | | | | |
| that is similar to the work of a medical | | | | In order for an RN to achieve an MSN and |
| physician. | | | | become an advanced practice registered nurse, |
| | | | most programs require a masters program |
| An MSN may choose one of many different | | | | lasting approximately 2 years following the |
| nursing roles. They may be a Nurse | | | | Bachelor of Science Nursing degree. Some |
| Practitioner who diagnose and treat patients, | | | | programs require at least 1 to 2 years of |
| Certified Registered Nurse Anesthetist who | | | | clinical experience as an RN for admission. |
| provide anesthetics to patients in | | | | In 2004, there were 329 master's programs for |
| collaboration with surgeons, dentists, or | | | | nurse practitioners, 218 for clinical nurse |
| childbirth procedures. Next we have Certified | | | | specialists, 92 for nurse anesthetists, and |
| Nurse Midwives who provides primary health | | | | 45 for nurse midwives (U.S. Department of |
| care to women, prenatal care, labor and | | | | Labor). Many programs combine the BSN and MSN |
| delivery care, care after birth, | | | | degree for the nurse to graduate with two |
| gynecological exams, and many other care | | | | degrees together. |
| taking procedures necessary for women's | | | | |
| health. Lastly, there is the Clinical Nurse | | | | The education includes both classroom |
| Specialists who specialize in education, | | | | learning and clinical requirements. |
| research, consulting, case management, and | | | | Admissions usually require scores taken from |
| leadership. | | | | the Graduate Record Exam (GRE) or the Miller |
| | | | Analogies Test (MAT). In addition, college |
| National Implications of MSN | | | | transcripts, letters of recommendation, and |
| | | | essays, are usually required. |
| Managed care, Medicare, Medicaid, and | | | | |
| hospital reimbursement issues are all | | | | MSN's generally receive a higher salary than |
| realities of the current health care system. | | | | BSN's and RN's. The average salary for a RN |
| Many new nurses are unfamiliar with the | | | | BSN is between $43,000 and $63,000. The |
| national crisis occurring each day; a cloud | | | | average salary for a Nurse Practitioner, for |
| of financial and political challenges that | | | | instance, is approximately $66,000 and can go |
| are within the medical system. | | | | up to $90,000 if the nurse owns their own |
| | | | practice. |
| For an RN who seeks to make a difference in | | | | |
| the current structure of our political | | | | Conclusion |
| system, they will be motivated to receive an | | | | |
| MSN. An MSN degree offers the opportunity to | | | | An RN who is becoming an MSN has much to |
| deal with these issues head-on. | | | | ponder for the field they are about to enter. |
| | | | It is no longer about just becoming a |
| As medical costs continue to increase | | | | practitioner. Many RN's become outstanding |
| astronomically, the challenge is to cut costs | | | | clinicians; however the doors are open to |
| wherever possible. Studies show that the U.S. | | | | make a difference in the current financial, |
| could save up to $8.75 billion annually if | | | | political, and health care system. Their |
| MSN's were used in place of physicians | | | | training is in leadership, research, clinical |
| (Thomson Petersons). Advanced practicing | | | | learning, and communication skills. This is a |
| nurses with MSN's will be at the frontline to | | | | formula for success in the dynamic field of |
| save money and treat patients, to diagnose | | | | nursing. |
| and replace the role of the physician. | | | | |
| | | | Copyright 2006 Michael V. |
| In addition, MSN nurses such as clinical | | | | |