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