How to Become a Registered Nurse

LearnHowToBecome Team
Ashlee Tilford
November 21, 2021

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The American healthcare industry is expanding at a rapid pace, creating an immediate need for medical professionals. Registered nurses (RNs) are currently in high demand for many reasons, including the development of new technology, an aging population, and current nurses retiring.

When viewing all of these factors alongside the satisfaction that comes from helping people, the benefits of becoming a registered nurse have never been better. This guide delves into what it's like to be a registered nurse, outlines available educational paths, highlights skills needed to succeed, reviews current salaries, and provides an interview with a professional currently working in the field.

What Does a Registered Nurse Do?

RN Career Basics

According to theU.S. Bureau of Labor Statistics (BLS), more than 3 million registered nurses are employed in the United States, and approximately 60% work in hospitals. RNs may also find themselves in clinics, physicians

与执业护士或职业护士相比,注册护士的教育和培训要求有所提高,但工资的增长也很显著。Payscale的数据显示,一名注册护士的收入比一名执业或职业护士高出约40%。

RN Salaries and Job Outlook

Salary Figures

Registered nurses' compensation reflects the high demand and advanced levels of training and education required. You may choose to become a nurse for reasons other than financial, but a national average median salary of $75,330 in 2020 does make registered nursing an attractive career if you're looking at the bottom line.

地理位置和生活成本也影响护士的收入。Below is a list of five states with the highest average wage for registered nurses:

  • California
  • Hawaii
  • Massachusetts
  • Alaska
  • Oregon
State

Registered Nurse Job Projections

The BLS expects tremendous job growth for registered nurses, with a 7% expansion expected between 2019 and 2029. Several reasons for this exist, including an aging population and wider healthcare availability through the Affordable Care Act.

Patients will increasingly need nurses to educate them on and care for their chronic health problems, such as:

  • Arthritis
  • Obesity
  • Dementia

The BLS says that the increased demand for registered nurses will come from facilities other than hospitals, such as outpatient and long-term care centers.

可以预期的是,就业增长不一定是全国性的。The below table lists the top 10 states where growth is expected to be the highest from 2018 to 2028.

1.35%
Arizona
2.29.5%
Colorado
3.28.2%
Utah
4.24.6%
New York
5.22.5%
Georgia
6.22.3%
Nevada
7.21.7%
Maryland
8.20.5%
Washington
9.20%
Delaware
10.19.9%
Idaho

Steps to Becoming a Registered Nurse

Step 1 Complete an accredited registered nurse program

为了成为一名注册护士,学生必须从认证课程毕业。Several options are available, including nursing diplomas, associate degrees or bachelor's degrees.
An associate degree in nursing typically takes two years to complete, though accelerated programs can shorten this timeframe. A bachelor's degree in nursing takes about four years of full-time study, or two years for those in an associate-to-bachelor's RN program.
Another expedited option is to attend a school that offers a “second degree” program if you already hold a bachelor's degree in a field other than nursing. You may also decide to complete a four-year bachelor's program at the start of your education, allowing you to move into roles such as:
  • 政府
  • Nursing consulting
  • Research
  • Advanced nursing
  • Teaching

Bachelor's degree programs require students to complete general education classes in addition to their nursing coursework. While many of the same topics taught at the associate level are covered in a bachelor's degree, a four-year program will provide a more in-depth set of knowledge and skills. As the field of nursing becomes more competitive, more employers are requiring newly appointed RNs to hold a bachelor's degree.
Common nursing coursework includes the following topics:
  • Anatomy and Physiology
  • Biochemistry
  • Statistics
  • Chemistry
  • Health care law and ethics
  • Health Care policy
  • Microbiology
  • Nutrition
  • Patient care
  • Psychology
  • Nursing Research
  • Introduction to Professional Nursing

Step 2: Take and pass the NCLEX-RN examinatio

Registered nursing programs should help prepare you to pass the NCLEX-RN examination. Upon graduation, you should register with theNational Council of State Boards of Nursingto sign up for the exams. Candidates will receive an Authorization to Test notification when it is time to sign up for the examination.
This computerized test has an average of 119 questions and must be completed within six hours. Those who do not pass must wait at least 45 days to retake the exam. The national average NCLEX-RN passage rate is around 70-75%.

Step 3: Obtain a state license

Every US state and territory, as well as the District of Columbia, requires employed registered nurses to have proper licensure. Mandates vary by state, so you should contact your state board of nursing to see if there are any additional steps, such as a background check.

Step 4: Obtain employment as a registered nurse

Registered nurses are in high demand, so recent graduates from RN programs often have multiple options when it comes to deciding where they would like to work. Remember that much of what it takes to be a registered nurse or any other medical professional is learned with actual experience.

Step 5: Pursue additional training or education

If a registered nurse decides to become an advanced practice registered nurse and specialize their knowledge, they will need a master's degree. After completing this education, you can apply for roles including:
  • Certified nurse specialist
  • Nurse practitioner
  • Nurse anesthetist
  • Nurse midwife

If you want to go further, you might choose to enter a doctoral program. DNP or PhD programs are appealing to those aspiring to positions as scientific researchers or university professors in the nursing sciences. You may also undertake further certifications in areas such as critical care, acute care, or nursing management.

Understanding RN Programs

为了成为一名注册护士,你必须获得学位或护理文凭,最常见的途径是副学士或学士课程。

A nursing diploma is less popular due to the fact that it still takestwo years to completebut does not provide a degree upon completion. Additionally, many nursing organizations and associations are calling for the diploma to be phased out completely, encouraging aspiring nurses to opt for a bachelor's degree.

A master's degree in nursing is also available, and registered nurses who wish to specialize their knowledge or take the first step in receiving a doctorate level nursing degree usually obtain them.

Nursing Diploma

护理文凭是以医院为基础的课程,在护理课程的同时提供强化的动手训练。该项目还要求在传统教育机构的解剖学、生物学和心理学等领域的必要课程。

这种体验式的学习方式为您提供了基础护理知识。你还将接受数学和科学方面的补充教育。下面的图表提供了一个典型的护理文凭课程的快照。

Anatomy and Physiology

Basics of human systems will be covered, as well as identification of human body components. Areas include cell metabolism and the circulatory, nervous, and muscular systems.

Skills & Knowledge Gained

  • Basic understanding of human anatomy and how parts work together
  • Familiarization with proper names and wording for bodily processes and parts
  • Developed vocabulary of medical terminology

Psychology

Students will be introduced to the basic principles of the human mind and behavior. Topics include personality, motivation, learning, perception, and mental disorders

Skills & Knowledge Gained

  • Awareness of methodologies used to study and treat the human mind
  • Understanding of human psychology
  • Ability to effectively diagnose and treat patients

Theoretical Foundations in Nursing

Teaches fundamentals of the nursing profession by introducing students to theories forming the basis for patient assessment, laboratory testing, and medical safety.

Skills & Knowledge Gained

  • Ability to apply theoretical frameworks to clinical settings
  • Development of basic medical care skills, including taking vital signs and providing assessments

Transition into Practice

Through clinical practice, students will demonstrate their nursing competencies, study nursing and medical literature, and explore future trends in the field.

Skills & Knowledge Gained

  • Refinement of nursing skills
  • Awareness of nursing trends and issues and how to effectively handle them

Associate Degree in Nursing

While the curriculum of an associate degree in nursing shares similarities with vocational nursing and nursing diploma programs, the breadth and depth of material covered is significantly different.

General education requirements of an associate degree provide a more holistic educational experience, while advanced nursing classes and additional clinical experience equip graduates with a nuanced understanding of the field. The table below reviews common classes and highlights how topics covered translate to nursing practice.

Microbiology and Immunology

This course involves the study of microorganisms and how they affect human health.

Skills & Knowledge Gained

  • Understanding of how microorganisms work and how they affect humans
  • Awareness of infection and immunity principles

Nursing Care of Patients with Complex Needs

Students learn about the nursing care process and how it is used to treat patients throughout their lives. Special emphasis is placed on increasingly complex medical issues seen in patients, such as obesity, heart disease and diabetes.

Skills & Knowledge Gained

  • Experience in clinical settings
  • Ability to provide treatment with lessened supervision, especially for patients with complex issues

Nursing Management of Patient Care

Patient management techniques will be covered, preparing students to effectively serve patients with a wide range of medical issues while maintaining a high level of care.

Skills & Knowledge Gained

  • Development of patient advocacy skills
  • Understanding of how to collaborate with other health professionals to provide holistic care

Professional Issues in Nursing

Students will be exposed to recurring and potential nursing issues, such as legal and ethical dilemmas, healthcare leadership conflicts, and healthcare policies.

Skills & Knowledge Gained

  • Students will be exposed to recurring and potential nursing issues, such as legal and ethical dilemmas, healthcare leadership conflicts, and healthcare policies.
  • Development of leadership strategies
  • Ability to resolve legal and ethical issues arising during care provision

Bachelor of Science in Nursing

A bachelor's degree in nursing builds on the associate degree curriculum by exposing you to an even wider range of nursing and healthcare-related concepts and theories. Emphasis is placed on research and related medical concepts, equipping you with a broader theoretical foundation.

如果你已经拥有非护理本科学位,你可以参加一个加速课程来获得护理学士学位。另一个受欢迎的选择是,考虑到现有的经验和教育,让已经从事护理工作的专业人士在更短的时间内获得学士学位。

下面列出了在学士学位课程中常见的班级例子。

Health Care of Women

Commonly encountered issues in women's health are addressed in this course, with added emphasis on reproductive concepts and pregnant patients.

Skills & Knowledge Gained

  • Familiarity with common female health issues, including pregnancy complications and menopause

Introduction to Nursing Research

Research related concepts and practice methods are covered. Topics such as scientific methods and statistical analysis will be explained.

Skills & Knowledge Gained

  • Development of critical analyzing skills for health research data
  • Ability to identify specific methods used while conducting medical research

Public Health Nursing

This course focuses on the delivery of medical care to communities and to different populations. Public health and nursing theories will also be discussed.

Skills & Knowledge Gained

  • Awareness of best practices for studying population-based health issues
  • Understanding of preventative care provisions

Chemistry and Physics for Nurse Anesthesia

The basic scientific principles for effective nurse anesthesia will be taught in this course. Chemistry and physics concepts forming the basis of anesthesiology will also be reviewed.

Skills & Knowledge Gained

  • Knowledge of physical laws of fluid, matter, gas, and electricity and how they apply to anesthetics
  • Understanding of how anesthesia is administered to patients

The MSN Degree

A master's degree in nursing allows RNs to specialize in a particular area or take the first step in achieving a nursing degree at the doctoral level. While undergraduate degrees and programs prepare students to be registered nurses, master's level degrees emphasize a nursing specialty. Below is a brief list of skills students can expect to possess upon graduation.

Understanding of health care policy

During the course of their studies, students will develop a complex understanding of how and why medical care is provided in a certain way. They will know learn why specific medical techniques or treatments are used over others, with consideration given to prevailing societal, cultural, political, and business influences.

Use of specialized medical technology

A major reason many nurses choose to pursue a master's degree is to learn a specialization. The use of medical tools and techniques specific to that concentration will be taught at the graduate level. For example, a registered nurse specializing in pediatric care will develop a detailed understanding of incubators found in neonatal intensive care units.

Implementing advanced research methods

Many medical care technologies and methodologies originated from historical research and subsequent discoveries, and recent medical developments always revolve around research. Graduate level nurses learn about a spectrum of research methods with great depth, allowing them to effectively analyze data or design and undertake independent research projects.

Nursing management

Providing effective medical care is a team effort, and successful nurses understand how to balance providing excellent care to multiple patients while working with a variety of healthcare professionals. A master's degree in nursing offers guidance to help nurses provide more efficient care, move into leadership roles, and manage others.

Areas of Concentration for Registered Nurses

Most registered nurses choose to specialize in one particular area of healthcare, such as emergency care, geriatrics, informatics, or neonatal. The following table highlights numerous concentrations available to registered nurses.

Critical Care Midwifery Research Anesthesia Informatics
I want to work with the critically ill and patients who are at high risk for life-threatening conditions, diseases, and health problems.
I want to work with pregnant women, those trying to get pregnant, or patients who have just given birth.
I would like to help patients reduce or manage pain and keep them as comfortable as possible during their medical care.
I like working with computers as much as I like working with people. I would also like to help run computer and information systems that monitor and manage patient care.
我喜欢数字、统计数据和帮助病人的新医学发现的发展。

Online RN Programs

Though the majority of RN classes were administered through traditional campus-based programs in the past, today, a large number of institutions offer online nursing degrees at undergraduate and postgraduate levels.

In most cases, you should expect online programs to be equally as rigorous and respected as those being taught at brick-and-mortar institutions. When researching potential online programs, look for a few specific components, including:

Reputation

What is the school's reputation, especially at local hospitals and medical facilities? Does the online degree have brand recognition on a regional or national level? Depending on future goals, the marketability of a nursing degree may be a serious factor to consider.

Quality of Faculty

The quality of a degree depends not only on the level of student commitment, but also the effectiveness of their professors. Teachers with terminal degrees in their specialty, recent clinical experience and a widely published oeuvre are much more likely to be dynamic and knowledgeable educators.

NCLEX-RN Licensure Prep

Before students can become active registered nurses, they must first pass the NCLEX-RN examination, so selecting a program that properly equips graduates is a crucial step. Does the school offer adequate preparation for students? Outside of logistical and financial considerations, a school's ability to groom students for successful licensure is the most important factor when selecting an RN program.

NCLEX-RN Passage Rates

Another crucial factor in selecting a program is its licensure passage rate. Most schools will list these statistics on their website, but they can also be accessed by calling the school's admissions department. The national average is around 70-75 percent; a school posting results lower than these figures should be carefully researched to understand the reason.

Components of a Successful Nursing Career

Skills

The most successful registered nurses possess a wide spectrum of clinical and administrative skills. Critical thinking is crucial, as nurses often work in emergency situations requiring snap decisions. Communication also plays a vital role when forming a proper diagnosis and conveying treatment plans to other medical staff. Attention to detail can mean the difference between life and death: forgetting to add a decimal point in the correct location on a patient's record could mean providing a very incorrect dosage of medicine.

Credentials

Aside from passing the NCLEX-RN examination, there are numerous other credentials or certifications available to registered nurses. The American Nurses Credentialing Center provides many certification programs, some of which are listed below:

根据认证和提供认证的组织,大多数必须在一段时间后更新,通常每隔几年更新一次。

Tools and Technology

Registered nurses use a wide range of tools and technologies in the course of their work. A few of the most common types are reviewed below:

Medical Instruments Stethoscope, pulse oximeter, syringes and lancets, thermometer, defibrillator, forceps, hemostats, medical suction equipment, catheters, blood pressure monitor, and automated IV pumps
Medical software IDX Systems database software, Misys Healthcare Systems medical software, Microsoft Word, Microsoft Excel, and Kronos Workforce Timekeeper, Drug reference guides
Protective gear 一次性手套、一次性防护口罩、一次性防护服、一次性发套、一次性鞋套。

Spotlight Career Interview

Mary A. Osborne, BA,BSN, RN, and award winning author of Alchemy's Daughter has provided the following insight into what it's like to be a registered nurse.

What led to your decision to become a registered nurse?

As a first-time college student I had no definite career path in mind, but I wanted a job that would allow me to make a positive difference in people's lives. With the thought of working as a health care professional in some capacity, I earned my first my first bachelor's degree in chemistry while also pursuing studies in creative writing. As my love for writing grew, I ultimately came to the conclusion that becoming an RN would lead to a solid career path while also allowing me the flexibility to pursue my artistic ambitions.

What was your educational path?

在诺克斯学院获得化学学士学位两年后,我进入了拉什大学护理学院。因为我已经在诺克斯完成了学士学位,只需要再学习两年就可以获得护理学学士学位。

在我还是学生的时候,Rush的项目已经改变了,现在提供“直接进入大师”项目。该课程为获得认证学校学士学位的非护士提供了在两年内获得护理硕士学位和参加NCLEX-RN考试的机会。高学历提供了一个明显的优势,因为雇主们都在寻找能够在当今复杂的医疗保健世界中承担更多责任的护士。

What were some of your favorite courses and why?

在护理学校,我对药理学课程非常着迷。我喜欢学习生物化学或化学途径,使药物以特定的方式在人体中发挥作用。我也很喜欢技能实验室,我们这些学生在那里互相练习新学到的护理技能,比如测量血压或听肺音,或者在人体模型上练习,这些都是对我们早期错误的原谅。

你的日常工作包括什么?

As a nurse care manager for an eldercare company, I help manage the complex medical care of older adults who wish to remain at home as well as those who are in assisted living or skilled nursing facilities. I conduct nursing assessments to determine the specific needs of our clients, develop professional plans of care, and communicate with physicians. I also supervise and instruct nursing assistants, who help our clients with their activities of daily living. As a per diem nurse care manager, I decide when I am available to work (and when I write my novels). Typically, I provide coverage during busy periods. Per diem nurse jobs are available in a variety of health care settings, such as hospitals, clinics, and rehab centers.

Do you have any advice for students interested in becoming a registered nurse?

护理是一个有益的职业,可以提供终身的工作满意度和工作保障。拥有学士学位的护士有各种各样的工作机会,而硕士学位的护士有能力在毕业后直接进入领导岗位。

Similar Healthcare Careers

By now, interested individuals know there are other health care professions related to registered nursing. However, what type of education is required? Is the growth rate expected to be better or worse than that of registered nurses? The table below will help answer those questions.

Licensed practical/
vocational nurse
9%
Salary

$48,820

Education and Training:

Post-secondary non-degree award

Nurse practitioner
45%
Salary

$117,670

Education and Training:

Master's degree

Nurse midwife
45%
Salary

$117,670

Education and Training:

Master's degree

Dental Hygienist
6%
Salary

$77,090

Education and Training:

Associate degree

Diagnostic medical
sonographer
12%
Salary

$70,380

Education and Training:

Associate degree

Physician assistant
31%
Salary

$115,390

Education and Training:

Master's degree

EMT/paramedic
6%
Salary

$36,650

Education and Training:

Post-secondary non-degree award

Marriage and family
therapists
22%
Salary

$51,340

Education and Training:

Master's degree

Physical therapist
18%
Salary

$91,010

Education and Training:

Doctorate

相似的职业会带来什么?

There are other careers similar to registered nursing that may be of interest to those looking to work in the healthcare field. The chart below lists a few related occupations as well as their salaries.

Registered Nurse and Related Job Salaries

Related Careers at a Glance

Become Team
Ashlee Tilford
Contributing Writer

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