Health

Exploring high-level nursing roles

Published

1 year ago

October 27, 2023

The healthcare system is evolving and requires high-level scientific knowledge and expert practice to achieve the best patient outcomes. Advanced education in nursing is becoming more popular, with nurses wanting more influence and autonomy. The Master of Science in Nursing (MSN) qualification brings new career opportunities for nurses, such as becoming family nurse practitioners, midwives and educators. The Doctor of Nursing Practice (DNP) builds on the master-level programs and can lead to various career paths including health care executive, nursing faculty and clinical researcher. Studying at this level takes commitment and dedication and brings the rewards of greater job opportunities and a rewarding work role.

Considering advanced nursing courses

Both the Master of Science in Nursing (MSN) and Doctor of Nursing Practice (DNP) are graduate nursing degrees but differ in course length and student career goals. In general, the MSN degree has traditionally been for nurses who are going to specialize clinically, whereas the DNP has been for nurses looking for leadership positions. However, there can be an overlap in the types of careers followed by graduates from both degrees. Nurses from both programs are prepared by their courses to work in advanced practice, and there are opportunities to work in such roles as nurse educators and nurse leaders. The DNP is the highest level of nursing degree, and students are prepared through the course for advanced practice roles related to leadership, administration and the analysis of evidence-based research.

Nurses who wish to deliver the most advanced nursing practice can progress from MSN to DNP by taking the Doctor of Nursing Practice (DNP); the highest level degree in nursing. Walsh University offers this clinically focused program, that prepares students for leadership roles where they can influence the future of healthcare.

Both the MSN and DNP programs equip graduates with the skills used in nursing such as solving problems, triaging patients and being a leader. Both degrees offer the opportunity to explore more specialized fields of study than the broader education provided by a bachelor’s degree. The main difference between the MSN and DNP is that the DNP is the highest level of degree in nursing and it prepares nurses for the highest level of practice, particularly leadership positions. The MSN does cover some of the same curriculum as the DNP but is designed to allow nurses to qualify as advanced practice registered nurses (APRNs). For example, a nurse practitioner with an MSN degree may work as a critical care practitioner delivering bedside care, while a nurse practitioner with a DNP degree may deliver care while also leading a nursing team. The DNP prepares nurses for specialization while also offering additional career opportunities, such as becoming a healthcare lobbyist or clinical researcher.

The need for nurses with advanced skills

The numbers of older people have increased and this has created a greater demand for healthcare services. More people are living with chronic diseases including arthritis, diabetes, hypertension, mental health conditions and cardiovascular disease. With the physician and nursing shortage, this means that advanced practice nurses are in great demand and play a significant role in primary and acute care. They make a difference in underserved communities, improving access to healthcare and advocating for better services. These nurses can provide some of the services offered by physicians as well as nursing care. With advanced degrees, nurses can provide critical healthcare services and meet the needs of diverse populations. They can improve access to healthcare and yield significant improvement in patient outcomes. Healthcare organizations need nurses with a specialized skillset to deliver quality care to patients and ensure health services are meeting population needs.

The Master of Science in Nursing (MSN) degree in detail

Pursuing an MSN degree brings new career opportunities for nurses in different settings. This degree program provides specialized education that can prepare students to become an APRN. Graduates have the knowledge and skills to participate in developing healthcare policies, providing advanced patient care and serving as leaders in the nursing profession. Students can focus on a master’s degree in a non-direct healthcare role – such as management, education or health information systems – or choose a direct patient care role through an APRN pathway which may lead to becoming a nurse practitioner. All APRNs must complete the MSN degree as well as certifications for their specialty.

Nurses are taught to assess, diagnose and treat patients as well as manage their overall care. Specializations include pediatrics, adult gerontology, psychiatric mental health and family practice. The MSN program teaches skills that will be used every day in nursing, such as prescribing medication, making decisions and how to conduct a physical examination. The scope of practice can differ depending on the career pathway a student chooses to pursue. For example, a nurse midwife program teaches prescribing medication, deciding treatments, diagnosis, and caring for women and babies. A nurse practitioner program teaches direct patient care skills including prescribing medication, performing check-ups, and diagnosing and treating illnesses or injuries.

The master’s program prepares nurses to work independently, but each state determines the scope of practice, including in relation to prescribing medication and deciding treatment options. Many MSN programs require applicants to have a bachelor’s degree in nursing (BSN) and a current RN license. Programs can have different work experience requirements, but they typically expect at least one or two more years of experience. On average, the MSN program takes two to three years, including a clinical placement. Coursework covers clinical practice, management, social sciences, nursing informatics, physical science and advanced nursing theory.

The Doctor of Nursing Practice (DNP) degree in detail

The DNP is a prestigious qualification. It provides an advanced nursing practice degree and it is an alternative to research-based doctoral programs. The DNP prepares nurse leaders for the highest level of nursing to improve patient care and use research to inform practice. DNP nurses may choose to specialize in one of many different fields and can potentially hold leadership positions. They can become nurse educators and use their specialized knowledge to teach nurses in college. They can also become patient advocates and guide patients through the healthcare system, ensuring they connect with the correct resources and their needs are met. In addition to these upper-level, specialized roles, a DNP degree can prepare students for some of the same roles as the MSN, including family nurse practitioner and nurse anesthetist.

The doctorate builds on the MSN curriculum to develop competent and highly qualified providers in various fields. Graduates bring high levels of scientific knowledge and practice expertise to achieving quality patient outcomes. The DNP curriculum goes beyond master-level programs by including systems leadership, quality improvement, team management and evidence-based practice. DNPs play an important role in healthcare through direct patient care, organizational leadership and health policy implementation. This degree brings opportunities for expanded responsibility, research and clinical decision-making. Nurses prepared through the DNP degree gain advanced clinical skills and systems thinking, allowing them to take responsibility for individual and population health needs. The DNP qualification allows nurses to consider many career options, whether caring for a vulnerable population, mentoring other nurses or leading change in practice.

The DNP program includes clinical experience and classroom instruction, allowing nurses to enhance their knowledge and skills, and provide high-quality practice. It can benefit nurses to gain experience as a registered nurse and complete the MSN before applying for the DNP. The DNP program can take as little as five semesters for full-time students and eight for part-time students. Nurses with DNPs are sought after by employers and have many opportunities to work overseas. They have nursing expertise and are considered influential figures in healthcare.

Opportunities for nurses with advanced skills

Nurses work closely with patients and play a significant part in advancing healthcare. Nurses are the largest group of healthcare professionals and are essential in keeping patients at the center of healthcare and providing high-quality care. The American Association of Colleges of Nurses (AACN’s) Position Statement recommended that all nursing leaders should have a doctoral degree. A survey on DNP graduates was conducted by the RAND Corporation in 2015, sponsored by AACN, and found that they add unique value to their organizations, and many employers feel that they can see the bigger picture and bring about change. DNP graduates were highly satisfied with their decision to obtain a DNP degree; 95% were satisfied, including 71% who were extremely satisfied.

Online degree programs can work well for full-time nurses who want to further their education. Technology advances have resulted in well-designed online degrees and effective teaching methods. Lectures are recorded so studying can take place at a convenient time. Students can interact virtually and learn from others in different roles and settings. Nurses can apply what they learn to the workplace, making learning more meaningful.

Qualifying with advanced degrees can allow nurses to pursue many career pathways. The MSN and DNP programs prepare nurses to work in advanced practice and leadership positions. The MSN allows nurses to qualify as APRNs and specialize in roles such as becoming a nurse practitioner. The DNP is the highest possible nursing degree that builds on the MSN curriculum and prepares nurses for the highest levels of practice and leadership positions. The shortage of nurses and physicians, and greater demands on healthcare, have created a need for highly qualified nurses who can improve patient outcomes, deliver care in underserved communities and make valuable contributions in leadership roles. Healthcare organizations recognize that nursing expertise is vital to future healthcare services.

Health

Dr. Teresa Tyson, DNP, Discusses The Hidden Healthcare Crisis in Remote Regions

Published

3 weeks ago

March 28, 2025

Michelle Langton

Image source: Dr. Teresa Tyson, DNP, and Health Wagon

Access to healthcare remains a challenge for many individuals living in rural and remote areas, where medical facilities are scarce or difficult to reach. Many residents endure long travel times for even basic medical services, leading to delayed diagnoses and worsening health conditions. The lack of healthcare professionals further compounds the issue, leaving communities with inconsistent or inadequate care.

While technology and government initiatives have made strides in addressing these disparities, Dr. Teresa Tyson, DNP, notes how there are many obstacles still hindering widespread improvement. Bridging the healthcare gap requires a combination of innovative solutions, infrastructure development, and policy changes to ensure that medical services reach those who need them most.

Limited Access to Medical Care

Many remote regions struggle with a severe lack of healthcare facilities, leaving residents with minimal options for medical treatment. Hospitals and clinics are often located hours away, making even routine checkups a logistical challenge.

A shortage of medical professionals further worsens the situation, as many doctors and nurses prefer to work in urban areas with better resources and career opportunities. As a result, rural communities often rely on understaffed clinics or visiting healthcare workers who may not be available consistently. This leads to delayed diagnoses and inadequate treatment for chronic conditions. Many rural clinics operate with limited medical supplies, making it difficult to provide comprehensive care even when healthcare professionals are available.

In some cases, patients must travel long distances just to receive basic care, often at great personal and financial costs. The burden of transportation, time off work, and the uncertainty of available treatment discourage many from seeking medical attention until their conditions become severe.

Health Risks and Consequences

Delays in medical care often mean that conditions that could have been treated early turn into serious health complications. Many individuals in remote areas develop chronic illnesses that go undiagnosed for years simply because healthcare services are too far away or difficult to access. Diseases that are manageable with regular monitoring, such as diabetes or hypertension, frequently spiral out of control due to the lack of consistent medical supervision.

Beyond physical health, the absence of adequate healthcare also takes a toll on mental well-being. Isolation and limited access to mental health professionals leave many struggling with anxiety, depression, and other psychological conditions without proper support. In small, tight-knit communities, stigma around mental health can make it even harder for individuals to seek help, further exacerbating the crisis.

Preventable diseases continue to spread in these areas due to the lack of vaccinations, screenings, and early interventions. Without proper healthcare infrastructure, outbreaks of common illnesses can have devastating effects, particularly on children and the elderly. The combination of poor access, financial barriers, and limited awareness creates a cycle where minor health concerns escalate into life-threatening conditions.

Challenges in Expanding Healthcare Services

Building and maintaining healthcare infrastructure in remote regions comes with considerable hurdles. Poor road conditions and unreliable transportation make it difficult for medical professionals to reach patients, and in some cases, ambulances are unavailable, forcing residents to rely on personal vehicles or community efforts to transport those in need. In areas with extreme weather conditions, seasonal challenges further complicate healthcare delivery, cutting off entire communities during certain times of the year. These conditions make it nearly impossible for emergency medical teams to provide timely assistance in critical situations.

Funding remains a major obstacle, as rural healthcare facilities often struggle with limited financial resources. Many small clinics operate on tight budgets, lacking essential medical equipment and supplies. Without sufficient investments, these facilities cannot expand their services, making it harder to attract and retain qualified healthcare workers. As a result, many professionals opt to work in urban settings where they have access to better salaries, career advancement, and modern medical technology.

Role of Technology in Bridging the Gap

Advancements in technology are offering new ways to connect patients in remote areas with medical professionals. Telemedicine has made it possible for individuals to consult doctors without having to travel long distances, reducing delays in diagnoses and treatment. Virtual consultations, remote monitoring, and mobile health apps allow patients to receive medical advice without needing to visit overcrowded or distant healthcare facilities. In addition to telemedicine, artificial intelligence is being used to assist in diagnosing conditions remotely, helping bridge the gap in specialist care.

Despite its potential, implementing technology-driven healthcare solutions in rural regions is not without obstacles. Many areas lack reliable internet access or the necessary digital literacy to make full use of telehealth services. Even when technology is available, the cost of devices and connectivity can create another barrier, preventing low-income households from benefiting fully. Addressing these issues requires a combination of infrastructure development, education, and financial support to ensure that technology can be effectively integrated into rural healthcare systems.

Efforts to Improve Rural Healthcare

Governments and nonprofit organizations are actively working to address the healthcare challenges faced by remote communities. Investment in medical outreach programs, mobile clinics, and training initiatives for local healthcare workers has helped bring essential services to those who need them most. Some regions have introduced incentive programs to encourage doctors and nurses to work in underserved areas, offering student loan forgiveness, housing assistance, or higher salaries.

Community-led initiatives also play a crucial role in improving healthcare access. Local volunteers and advocacy groups often step in to provide educational workshops, vaccination drives, and wellness programs tailored to the specific needs of their communities. These grassroots efforts help bridge gaps where formal healthcare systems fall short, ensuring that residents receive at least some level of medical support.

Future Prospects for Remote Healthcare

Innovations in medical technology, policy changes, and raising awareness are shaping the future of rural healthcare. The expansion of telehealth services, combined with improved infrastructure, has the potential to make healthcare more accessible and efficient. Continued investment in mobile medical units and community-based programs could ensure that even the most isolated areas receive the care they need. Research into low-cost, portable medical devices is also opening new doors for remote diagnostics and treatment.

Sustained progress will depend on collaboration between governments, healthcare providers, and local communities. Long-term solutions require more than temporary programs; they demand systemic changes that prioritize equitable medical access. If these efforts continue to grow, rural healthcare systems may finally move toward lasting improvements that benefit future generations.