DNP vs NP

Exploring the distinctions between DNP vs NP, let’s have a look at the differences between Doctor of Nursing Practice (DNP) and Nurse Practitioner (NP), focusing on the key aspects of nursing practice, education, and the respective roles these advanced nursing professionals play in the healthcare industry.

What Is a DNP?

DNP is an abbreviation for doctor of nursing practice. It is one of the highest levels of education in this field and is designed to prepare nurses for advanced practice roles and leadership positions in healthcare.

A PhD in nursing practice is comparable to a PhD in any other discipline, such as psychology and education. However, unlike most other fields, which primarily concentrate on research, a PhD in nursing directs its focus toward applying research findings to enhance clinical practice, shape health policy, and lead effectively in the healthcare environment.

What Does a DNP Do?

A Doctor of Nursing Practice is equipped to perform at the highest level in the nursing field, merging their clinical expertise with leadership to influence patient outcomes, healthcare delivery, and policy. Unlike their counterparts in research-focused PhD programs, DNP-prepared nurses are more intimately involved in the direct application of evidence-based care in clinical settings.

Depending on their specialization, DNPs can fulfill various roles in the healthcare system. They can work as an advanced practice registered nurse (APRN), including roles like:

  • Clinical Nurse Specialist 
  • Certified Registered Nurse Anesthetist
  • Certified Nurse Midwife

and provide high-level healthcare services directly to patients. When acting in these capacities, they diagnose and manage diseases, prescribe medications, and devise treatment plans.

In addition to direct patient care, DNPs can take leadership and executive roles in healthcare organizations, where they can drive quality improvement initiatives, develop and implement policies, and lead health programs. Their specialized knowledge and skills can be crucial in translating research into practice and ensuring that healthcare services are delivered effectively and efficiently.

In academia, DNPs contribute to the education of future nurses, sharing their practical knowledge and skills to shape the next generation of nursing professionals. They may also be involved in scholarly projects, where they conduct practice-based research to advance the field of nursing and healthcare.

Overall, the DNP is a dynamic and versatile nursing degree that enables nurses to significantly impact healthcare at multiple levels, from individual patient care to system-wide improvements.

DNP Education Requirements

Attaining a DNP degree involves rigorous academic and clinical training designed to develop the highest level of expertise in the nursing field. Candidates for DNP programs typically must have:

  • A Bachelor of Science in Nursing (BSN) or a Master of Science in Nursing (MSN) from an accredited nursing program.
  • A valid Registered Nurse (RN) license, which requires passing the National Council Licensure Examination (NCLEX-RN).
  • A minimum number of years of clinical experience that vary by program and specialization.

For students entering with a BSN, completing a DNP program usually spans 3 to 4 years while those with an MSN may finish in 1 to 2 years, including both coursework and clinical practice. A DNP curriculum typically involves:

  • Advanced coursework in areas like healthcare policy, nursing leadership, evidence-based practice, and specialized clinical skills.
  • A requisite number of clinical hours, usually 1,000, although this figure can differ based on the program and field of study.
  • The completion of a capstone project or dissertation that illustrates the practical application of the student’s acquired knowledge to address a real-world nursing issue.

Regarding GPA requirements, DNP programs generally require a minimum GPA of 3.0 on a 4.0 scale, although more competitive nursing programs may require higher GPAs. For example, you get a DNP FNP degree with a GPA of 3.0.

In addition to educational accomplishments, certification in a particular advanced nursing practice area becomes necessary after earning a DNP degree. This certification process, which can vary by state and specialty, confirms a nurse’s advanced expertise and is often a requirement for specialized clinical positions.

DNP Career Opportunities

Because of their broad skill set and the high demand for advanced practice nurses, graduates with a DNP degree have access to a wide array of career opportunities. DNPs are well-prepared to take on roles that demand both clinical expertise and leadership skills, often occupying key positions in healthcare settings, such as:

  • Advanced Practice Registered Nurses (APRNs): including, clinical nurse specialists (CNSs), nurse anesthetists (CRNAs), and nurse midwives (CNMs). APRNs are at the forefront of patient care, providing advanced nursing services, conducting diagnostic assessments, and managing treatment plans.
  • Healthcare Executives: DNPs are also qualified for executive roles such as chief nursing officer (CNO), director of nursing, and healthcare administrator, where they oversee nursing departments, formulate policy, and lead quality improvement efforts.
  • Nursing Faculty: With a shortage of nursing educators in academia, DNPs are increasingly sought after to teach at universities and colleges, contributing to the education and training of the next generation of nurses.
  • Health Policy Experts: Leveraging their understanding of clinical practice and healthcare systems, DNPs often engage in policy-making activities, working with governmental agencies or advocacy groups to shape public health policy and improve healthcare outcomes.

The job outlook for DNPs is optimistic, and employment opportunities for individuals with a DNP degree are expected to grow even further in the years to come. Research and labor statistics reveal that job opportunities for:

  • Certified Registered Nurse Anesthetists (CRNAs) will grow by 13% between 2020 and 2030 and produce 5,600 new jobs.
  • Certified Nurse Midwives (CNMs) will increase by 11% by 2020 and create over 800 new job opportunities.
  • Clinical Nurse Specialists (CNSs) will experience a huge growth of 30% between 2020 and 2030.

These trends indicate a significant expansion in the field, highlighting the increasing importance and recognition of DNP roles in the healthcare system.

DNP Salary Statistics

The salaries of DNPs indicate the advanced level of expertise and responsibility these roles entail. Although the compensation packages vary depending on the specialization, DNPs generally command high salaries that reflect their significant contribution to healthcare. 

Here are the average annual salaries for some of the DNP specialties we discussed:

  • CRNAs are among the highest-paid nursing professionals, with an average annual income of approximately $188,470.​
  • Although on the lower end of the DNP salary spectrum, CNMs still earn a substantial average yearly pay of $108,300.
  • Falling in the mid-range for DNP roles, CNSs secure competitive earnings, with a yearly income of $117,050.

 As you can see, some DNP specializations earn higher wages, while others receive less, though overall, DNPs are well-compensated for their expertise and contribution to the healthcare sector.

What Is an NP?

A nurse practitioner (NP) is an advanced practice registered nurse (APRN) who has completed graduate-level education, either a Master’s or a Doctoral degree.

Trained to provide comprehensive care, nurse practitioners blend clinical expertise in diagnosing and treating health conditions with an added emphasis on disease prevention and health management. With the authority to prescribe medications, conduct advanced medical procedures, and serve as primary or specialty care providers, NPs play a pivotal role in the healthcare system.

What Does an NP Do?

Nurse Practitioners perform a wide range of healthcare functions. Their duties include conducting physical exams, ordering and interpreting tests, diagnosing illnesses, prescribing medications, and initiating and managing treatment plans for various acute and chronic diseases. 

Beyond clinical treatment, NPs also focus on preventive health care by guiding patients in making healthier lifestyle choices and managing their conditions to improve their overall well-being.

NPs can serve as a patient’s primary healthcare provider and are authorized to perform many of the same services as physicians. They work in a variety of settings, including hospitals, private practices, schools, and clinics, and can specialize in areas such as family practice, pediatrics, geriatrics, women’s health, and psychiatric-mental health.

Beyond direct patient care, NPs are involved in research, education, and policy-making to improve healthcare delivery and outcomes. They often take on leadership roles in healthcare organizations, advocating for patient-centered approaches to care and participating in healthcare policy development.

NP Education Requirements

Becoming a nurse practitioner involves comprehensive academic and clinical training to achieve expertise in advanced nursing care. Essential requirements for entering an NP program include:

  • Holding either a Bachelor of Science in Nursing (BSN) or a Master of Science in Nursing (MSN) degree from an accredited institution.
  • Possessing an active Registered Nurse (RN) license, which requires passing the National Council Licensure Examination for Registered Nurses (NCLEX-RN).
  • Gaining a specific amount of clinical experience, dependent on the specific program and its focus area.

The duration of NP programs ranges from 2 to 4 years, depending on the candidate’s existing qualifications. A typical NP curriculum involves:

  • In-depth coursework covering subjects such as pathophysiology, pharmacology, health assessment, and population health.
  • Accumulating clinical hours, typically ranging from 500 to 1,000, depending on the program’s focus and level. 
  • Finalizing the program often requires completing a scholarly project, that demonstrates the integration of academic knowledge with clinical practice.

NP programs generally require a minimum 3.0 GPA, with some variance across institutions. After completing their program, graduates must pass certification exams in their specialty area, administered by organizations such as the American Nurses Credentialing Center (ANCC) or the American Academy of Nurse Practitioners (AANP), to validate their specialized knowledge and skills.

NP Career Opportunities

With a promising employment outlook, Nurse Practitioners are in high demand across diverse healthcare environments. Nurse Practitioners can work in primary care, pediatrics, gerontology, women’s health, psychiatric-mental health, and acute care, among others. They are qualified to serve in roles such as:

  • Family Nurse Practitioner (FNP): FNPs provide comprehensive care to individuals and families throughout their lifespan, focusing on disease prevention, health promotion, and management of chronic conditions.
  • Pediatric Nurse Practitioner (PNP): PNPs specialize in the health care of infants, children, and adolescents, offering preventive and health maintenance services, along with managing acute and chronic illnesses.
  • Adult-Gerontology Nurse Practitioner (AGNP): AGNPs care for adults, from young adults to the elderly, focusing on acute and chronic health issues and patient education for maintaining health and wellness.
  • Psychiatric Mental Health Nurse Practitioner (PMHNP): PMHNPs provide mental health services, including diagnosis and treatment of psychiatric disorders, conducting therapy, and prescribing medications.
  • Acute Care Nurse Practitioner (ACNP): ACNPs manage patients with acute, critical, and often complex chronic health conditions, primarily in hospital settings, including emergency rooms and intensive care units.

The job outlook for Nurse Practitioners is exceptionally strong as well, with employment projected to grow significantly in the coming years. According to the data, overall employment for nurse practitioners is expected to increase by 52% by 2031. 

NP Salary Statistics

The average salary for Nurse Practitioners across various specializations is a solid $121,610, though individual earnings can vary significantly based on location, experience, and specialty area. Here’s how this average plays out across some specific NP roles:

  • Although they are at the more modest end of the NP salary spectrum, FNPs still earn a considerable figure of $107,000 per year, on average.
  • AGNPs are at the higher end and command an impressive average salary of $134,019 per year.
  • With an average annual salary of $111,955, ACNPs fall in the mid-range and showcase solid earning potential.

These salary figures demonstrate that Nurse Practitioners, regardless of their specific field, are rewarded with substantial earnings for their essential contributions to healthcare, offering both professional fulfillment and financial stability.

DNP vs NP – An Overview of Differences

While DNPs and NPs both play a pivotal role in the medical field, these two specializations are distinct and provide unique contributions to patient care. Here’s an overview of the key differences between these two advanced nursing pathways.

DNP vs NP: Education and Training

  • DNPs undertake a doctoral-level nursing education focusing on clinical practice, leadership, and application of research in healthcare, aiming for the highest level of nursing expertise.
  • NPs, typically holding a Master’s or Doctoral degree, concentrate on providing direct patient care, diagnosing, and managing health conditions.

DNP vs NP: Scope of Practice

  • DNPs often engage in system-wide healthcare improvement, policy-making, and leadership roles, influencing the broader aspects of healthcare services.
  • NPs primarily provide patient-centered care, including diagnosis, treatment, and management of acute and chronic diseases, often serving as primary care providers.

DNP vs NP: Salary

  • DNPs, given their advanced qualifications and leadership roles, typically command higher salaries, with specializations like CRNAs being among the highest-paid in the nursing field.
  • NPs have a solid earning potential, with salaries varying based on specialization; for example, AGNPs tend to earn more compared to FNPs and ACNPs, who also receive substantial compensation for their clinical expertise.

DNP vs NP: Career Opportunities

  • DNPs have diverse career paths in healthcare administration, academia, and advanced clinical practice, with a strong presence in policy development and organizational leadership.
  • NPs enjoy a wide range of opportunities in various clinical settings, such as hospitals, private practices, and specialty clinics, with a focus on direct patient care and health promotion.

NP vs DNP FAQs

What can a DNP do that an NP cannot?

A DNP can engage in higher levels of leadership and administration, influence health policy, and lead in academic settings, while an NP’s role is primarily focused on clinical practice and direct patient care.

Is DNP the highest degree in nursing?

Yes, the DNP (Doctor of Nursing Practice) is one of the highest nursing degrees, focusing on clinical practice as opposed to the research-focused Ph.D. in nursing.

Is a DNP higher than an NP?

In terms of education, yes, a DNP is a higher degree as it includes a doctoral-level qualification, whereas NP refers to a role or title one can assume after completing a master’s or doctoral degree.

Sources: NursingProcess, BLS, Nurse, Payscale, NurseJournal, Nurse