Registered Nurse To Nurse Practitioner: Is It Worth It? | NurseJournal.org (2024)

Registered Nurse To Nurse Practitioner: Is It Worth It? | NurseJournal.org (1)

by

Updated March 28, 2024

Edited by

  • RP vs. NP Compared
  • Duties and Responsibilities
  • Education and Certification
  • Salary and Career Outlook
  • Which Is Best?

NPs are the fastest growing profession compared to other professions. Sounds like something you want to be a part of? Read on and find out what it takes to become an NP, the benefits of becoming one, and if it's the right career for you.

Registered Nurse To Nurse Practitioner: Is It Worth It? | NurseJournal.org (2)

Are you ready to earn your online nursing degree?

Registered Nurse To Nurse Practitioner: Is It Worth It? | NurseJournal.org (3)Credit: SDI Productions / E+ / Getty Images

Working as a registered nurse (RN) can be a rewarding profession. After gaining experience as an RN, many nurses choose to advance their careers by becoming nurse practitioners (NPs). While returning to school can seem daunting, becoming an NP may prove worthwhile.

The demand for more primary care providers continues to grow, allowing for many opportunities for NPs.

Popular Online MSN Programs

Learn More

Visit Site

Learn More

Visit Site

Learn More

Visit Site

RN vs NP: Key Similarities and Differences

Nurse practitioners are advanced practice registered nurses (APRN). RNs and NPs have some similar responsibilities. Both complete physical assessments, take a holistic view of the patient’s health and consider outside factors impacting the patient’s well-being.

Registered nurses carry out the provider’s orders, administer medications, take vital signs, follow through on diagnostic testing, provide wound care and dressing changes, and can assist with procedures. RNs cannot practice independently and must have orders from a provider.

NPs can prescribe medication, order diagnostic testing and treatments, refer patients to specialty care providers, and practice independently in many states. NPs can specialize in a specific population, like pediatrics or adult gerontology, and must be certified and licensed to care for that population. RNs are generalists and can care for any patient within the unit they have been trained.

Another key difference between an RN and an NP is the amount of education. The minimum degree requirement for an RN is an associate degree in nursing (ADN), while an NP must have at least a master of science in nursing (MSN).

RN vs. NP
FactorRegistered Nurse Nurse Practitioner
Time to Become 2-4 years, depending on ADN vs. bachelor of science in nursing (BSN) 2-3 years, depending on part-time or full-time enrollment, plus at least one year of relevant RN experience
Minimum Degree Required ADNMSN
Duties and Responsibilities
  • Administering medication administration
  • Taking vital signs
  • Head-to-toe physical assessment
  • Carrying out provider orders
  • Inserting and maintaining IV access
  • Physical assessments
  • Creating a list of differential diagnoses based on the presenting problem
  • Prescribing appropriate medications and treatment plans
  • Ordering tests, labs, radiological studies
  • Referring to specialty providers based on the physical exam and identified differential diagnoses
Scope of Practice Limited to only things listed in their state’s nurse practice act. Cannot practice independently (cannot prescribe, order medications, or complete procedures).State-dependent. It can be restricted (must have a supervising physician) or full (no supervising physician required).
Most Common Work Setting Hospitals (59%)Offices of Physicians (47%)
Total Projected New Jobs Between 2022-2032 (BLS, May 2022) 177,400118,600
Average Annual Salary (BLS, May 2022)$89,010$124,680

RN vs. NP: Roles and Responsibilities Compared

As an RN, I followed the orders of the provider as instructed in the patient’s chart. This could mean administering a medication, starting an IV drip, prepping a patient for a procedure, or sending them for a diagnostic study. I would give a nursing assessment to the provider, updating them on how the patient was doing.

As an NP, I provide the orders rather than carrying them out. While I still assess and provide care, I decide on what diagnostic studies to order or medications to prescribe.

Benefits of Staying an RN

  • Registered Nurse To Nurse Practitioner: Is It Worth It? | NurseJournal.org (4)Schedule: Most RNs work three 12-hour shifts per week, while NPs often work Monday-Friday in eight-hour shifts. When looking at job postings of RNs and NPs, most RNs offer several shift options compared to the NP’s fixed schedule.
  • Registered Nurse To Nurse Practitioner: Is It Worth It? | NurseJournal.org (5)Practice Flexibility: RNs are generalists and not tied to a specific population unless they specialize and earn post-degree certification (e.g., CEN, OCN).
  • Registered Nurse To Nurse Practitioner: Is It Worth It? | NurseJournal.org (6)Nurse Licensure Compact (NLC): The NLC allows RNs to be licensed in multiple states, meaning an RN can easily move to a different state or live in one state and work in another without needing multiple state licenses.
  • Registered Nurse To Nurse Practitioner: Is It Worth It? | NurseJournal.org (7)Direct Patient Care: RNs provide more direct patient care and do not have the same pressures as an NP to meet billing code requirements or the number of patients seen per day quotas). Less autonomy can be more freeing for RNs.
  • Registered Nurse To Nurse Practitioner: Is It Worth It? | NurseJournal.org (8)Salary and Education: RNs can still earn a high salary with an ADN or a BSN, rather than having to pay for a higher degree.

Benefits of Becoming an NP

  • Registered Nurse To Nurse Practitioner: Is It Worth It? | NurseJournal.org (9)Less Physical Demand: NPs very rarely have to move, turn, or ambulate patients.
  • Registered Nurse To Nurse Practitioner: Is It Worth It? | NurseJournal.org (10)Schedule: Most NPs work in outpatient settings, with weekends and major holidays off.
  • Registered Nurse To Nurse Practitioner: Is It Worth It? | NurseJournal.org (11)Salary: NPs earn higher salaries because of their advanced degrees and levels of professional autonomy.
  • Registered Nurse To Nurse Practitioner: Is It Worth It? | NurseJournal.org (12)Professional Autonomy: Some states allow the NP to practice independently.
  • Registered Nurse To Nurse Practitioner: Is It Worth It? | NurseJournal.org (13)Relationship Building: NPs can form long-standing relationships with patients and their families in the primary care setting.

RN vs NP: Education and Licensure Requirements Compared

RNs can earn an associate degree in nursing or a bachelor of science in nursing. Licensure comes after passing the NCLEX from your state’s board of nursing.

NPs must have a master of science in nursing or a doctor of nursing practice. NPs specialize in a specific patient population in their graduate degree program. After graduation, the NP will take a board certification exam specific to their specialty. NPs must be both board-certified and then licensed by the state in which they practice.

RNs can be licensed for several states through the NLC. NPs do not have this benefit. Instead, NPs must apply for individual licenses in each state where they intend to practice. This means instead of paying one fee to practice in many states, they must pay each specific state’s fee and apply for state licensure. Most states charge anywhere from $150-$300 per license application.

Registered Nurse Education Requirements

  • Minimum Degree Required: Associate degree in nursing (ADN)
  • Practicum Hours: At least 400 practicum hours in an RN program
  • Licensing Exam: National Council Licensing Exam – Registered Nursing (NCLEX-RN)
  • Licensure: State-issued registered nurse licensure
  • Certification: Optional specialty certifications

Nurse Practitioner Education Requirements

  • Minimum Degree Required: Master of science in nursing (MSN)
  • Practicum Hours: At least 500 practicum hours in an MSN program
  • Licensing Exam: Specialty board certification exam
  • Licensure: State-issued nurse practitioner licensure
  • Certification: Required board-certification in your specialty

RN vs. NP: Salary and Job Outlook

The Bureau of Labor Statistics (BLS) projects faster than average job growth for both RNs and NPs. NPs have a higher earning power vs. RNs based on their advanced degree and increased scope of practice.

$61,250-$129,400
Annual Salary Range for Registered Nurses
Source: BLS

$87,340-$165,240
Annual Salary Range for Nurse Practitioners
Source: BLS

Registered Nurse Salary and Career Outlook

The BLS projects job growth for RNs to reach 6% between 2022 and 2023. Depending on the location, RNs can earn $61,250-$129,400, according to BLS data. Shift differentials can increase annual salary ranges as well. Working the night shift, holidays, and weekends can also increase an RN’s earning power, as those shifts often have a higher pay rate.

Factors influencing demand are an aging population and more RNs retiring or transitioning to other positions or careers. RNs also have a unique ability to work in various settings, from an outpatient to inpatient to telehealth. Having myriad options for positions allows nurses more job potential.

Nurse Practitioner Salary and Career Outlook

The BLS expects NP job growth to grow 38% from 2022-2032, much faster than average. Factors influencing growth include an aging population and more medical doctors leaving medicine for other fields. There has been an increased demand for some specialty practitioners, such as psychiatric mental health nurse practitioners. This is in part due to a lack of psychiatric providers, which has then increased the demand for nurse practitioners to fill that gap.

Depending on the specialty practice and certification, NPs earn $87,340-$165,240 depending on location and experience, according to BLS data.

RN vs. NP: Which Career Is Right for Me?

Both RNs and NPs have strong predicted job growth, higher than-average salary ranges, and many job opportunities across the United States. However, RNs and NPs differ in the scope of practice, work responsibilities, and education requirements.

RNs can work in a variety of settings and can switch jobs, specialties, or units throughout their careers. They are uniquely positioned to be frontline workers who provide care, support, and empathy at some of the most stressful times in a person’s life.

NPs can order diagnostic tests, write prescriptions, and complete simple procedures, such as suturing, incision, drainage, or wound debridement. They can work independently in some states, holding more professional autonomy than an RN. NPs also offer a deeper insight into patient care. NPs tend to have more time to assess their patients and provide one-on-one care at a visit compared to other healthcare providers.

NPs require a higher level of education but also have a higher earning potential.

Both NPs and RNs can be highly rewarding careers that allow you to make a meaningful impact in patients’ lives and overall health.

  • Scope of Practice: NPs have a larger scope of practice compared to RNs. Where RNs must carry out the orders of their provider, NPs are the ones to assess, diagnose, and treat their patients. As an RN, one may know exactly what the issue with their patient is, but they are unable to officially diagnose them. Conversely, an NP can officially diagnose and treat their patients without having to go through a provider.
  • Salary and Job Growth: NPs have a higher earning power than RNs because of the increased responsibility and requirement for an advanced degree and certification. While RNs are in high demand, NPs predicted job growth surpasses the predicted job growth for the RN.
  • Education Timeline and Cost: Depending on the program and degree track, it takes about 12-24 months to become an RN. It is faster and more cost-effective to complete an ADN or a BSN rather than an MSN or a DNP to become an NP. Furthermore, most MSN and DNP programs require 1-2 years of RN experience before program entry. NP programs are more expensive than ADN or BSN programs and can take anywhere from 18 months to three years to complete.

Are you ready to earn your online nursing degree?

Whether you’re looking to get your pre-licensure degree or taking the next step in your career, the education you need could be more affordable than you think. Find the right nursing program for you.

Registered Nurse To Nurse Practitioner: Is It Worth It? | NurseJournal.org (14)

You might be interested in

HESI vs. TEAS Exam: The Differences ExplainedNursing schools use entrance exams to make admissions decisions. Learn about the differences between the HESI vs. TEAS exams.Feb 14, 2024
10 Nursing Schools That Don’t Require TEAS or HESI ExamFor Chiefs’ RB Clyde Edwards-Helaire, Nursing Runs in the Family
Registered Nurse To Nurse Practitioner: Is It Worth It? | NurseJournal.org (2024)

FAQs

Registered Nurse To Nurse Practitioner: Is It Worth It? | NurseJournal.org? ›

Among nurses, NPs have one of the highest job satisfaction rates, stemming from the passion for their specialty and the direct ways they impact their patients. Combined with high earning potential and growing demand for advanced practice nurses, many find the choice to become an NP a rewarding decision.

Is RN to NP worth it? ›

Salary: NPs earn higher salaries because of their advanced degrees and levels of professional autonomy. Professional Autonomy: Some states allow the NP to practice independently. Relationship Building: NPs can form long-standing relationships with patients and their families in the primary care setting.

Is a nurse practitioner better than a registered nurse? ›

This means that the primary difference between registered nurses and nurse practitioners, from a responsibility perspective, is that nurse practitioners have greater autonomy and responsibility due to their advanced education, training, and experience.

Why do nurses become nurse practitioners? ›

Working With Autonomy

Nurse practitioners have greater control over their professional practice. They can practice independently in more than half of the states and are being granted more autonomy nationwide. Additionally, there is a nationwide shortage of physicians and an ever-increasing need for primary care.

What is the disadvantage of being a nurse practitioner? ›

Disadvantage: It takes some time on the job before you will feel confident and competent in your job as a nurse practitioner. On-the-job learning can be stressful and anxiety provoking. If you choose to switch specialties or start a new job, this learning process must often be repeated.

Is seeing an NP as good as a doctor? ›

“One myth is that NPs cannot provide quality care because we have a different background,” Anno says. “Many studies that compare NP and physician primary care find very few differences.” In other words, the quality of your care depends in part on the provider (not their degree) and your relationship with them.

Is being an NP harder than RN? ›

As an NP, patient management and care are of utmost importance. Everything you learn in NP school will teach you how to be an independent and successful NP. While you may be familiar with some concepts thanks to your previous RN experience or schooling, this coursework is way more rigorous.

Is nurse practitioner less stressful than RN? ›

Their duties may be more stressful compared to RNs because nurse practitioners often manage complicated patient cases and are responsible for making higher-level decisions. However, this is often seen as a positive challenge, and the benefits of playing a larger role in patient lives is very rewarding and worth it.

Is NP higher than PA? ›

It's important to note that both PAs and NPs are mid-level medical professionals. They're basically at the same level. However, NPs can work independently in many states that PAs can't. So, it places nurse practitioners above physical assistants in terms of practice independence.

Does a nurse practitioner know more than a doctor? ›

While doctors and nurse practitioners have many similarities, there are some notable differences. The biggest difference between the two is the amount of time spent on training. While NPs have more training than a registered nurse, they receive less training than a doctor. They also are licensed differently.

Why am I seeing a nurse practitioner instead of a doctor? ›

Nurse practitioners are typically not as booked as doctors, and can fit patients in sooner, providing relief without long delays or wait times. Nurse practitioners see a variety of patients, meaning that their knowledge and experiences are varied and may be better suited to creating preventative care plans.

Why should I choose nurse practitioner? ›

Nurse practitioners will work with you personally to take the best steps forward with your health. Not only will they look at the bigger picture, but they will also personally contact your specialists and recommend medications or lifestyle changes to move you toward better health.

How much power does a nurse practitioner have? ›

FULL: NPs can prescribe, diagnose, and treat patients without physician oversight. Nurse practitioners who operate in full-practice states are also allowed to establish and operate their own independent practices in the same way physicians do.

Can you live comfortably as a nurse practitioner? ›

Living Comfortably as a Nurse Practitioner

According to the BLS, the median NP salary in May 2022 was $121,610. NP salaries vary depending on each state. But in all but two states, the median salary was more than double the state's average cost of living.

Is it worth to be a nurse practitioner? ›

According to the BLS, the median annual salary for an RN is $77,600, while an NP earns $123,780. While NPs are required to complete more schooling, which does come at a cost, becoming a nurse practitioner could be a worthwhile path.

What can an NP not do? ›

Essentially, a nurse practitioner can do everything a doctor can do, although they are not able to perform surgical procedures. Doctors may, on average, complete more specialized training as well, although nurse practitioners complete extensive education and training programs as well.

Are nurse practitioners oversaturated? ›

Many job markets across the U.S. are saturated for nurse practitioners. Many are not. Regardless of the situation in your area, if you're a new grad you may need to be determined and flexible as you look for that coveted first position.

Is FNP worth it in 2024? ›

The median annual salary for nurse practitioners is $121,610, according to the BLS. These factors contribute to nurse practitioner taking the No. 1 spot in this year's 100 Best Jobs list, up one spot from last year's rankings. It also swept the top spots for U.S News' Best Health Care Jobs and Best STEM Jobs rankings.

Can an NP become a millionaire? ›

Nobody will tell you that becoming a self-made millionaire as an NP is easy. You will need to put much effort into work, and long hours may be necessary initially to seed your financial plan and get it growing. However, hard work pays off.

Top Articles
Latest Posts
Article information

Author: Madonna Wisozk

Last Updated:

Views: 5586

Rating: 4.8 / 5 (68 voted)

Reviews: 83% of readers found this page helpful

Author information

Name: Madonna Wisozk

Birthday: 2001-02-23

Address: 656 Gerhold Summit, Sidneyberg, FL 78179-2512

Phone: +6742282696652

Job: Customer Banking Liaison

Hobby: Flower arranging, Yo-yoing, Tai chi, Rowing, Macrame, Urban exploration, Knife making

Introduction: My name is Madonna Wisozk, I am a attractive, healthy, thoughtful, faithful, open, vivacious, zany person who loves writing and wants to share my knowledge and understanding with you.