Nursing

Nursing

What defines nursing and sets it apart from other health care professions, particularly medicine with which it has long been considered part and parcel? It is nurses’ focus – in theory and practice – on the response of the individual and the family to actual or potential health problems. Nurses are educated to be attuned to the whole person, not just the unique presenting health problem. While a medical diagnosis of an illness may be fairly circumscribed, the human response to a health problem may be much more fluid and variable and may have a great effect on the individual’s ability to overcome the initial medical problem. It is often said that physicians cure, and nurses care. In what some describe as a blend of physiology and psychology, nurses build on their understanding of the disease and illness process to promote the restoration and maintenance of health in their clients.

Nurses’ broad-based education and holistic focus positions them as the logical network of providers on which to build a true health care system for the future. An acknowledged realization that individuals have considerable responsibility for their personal health has driven an increasing recognition that there is a professional group, whose focus is education and practice, that can facilitate efforts of individuals to reach their fullest health potential. This profession is that of registered nurses.

Washington University students who want to pursue nursing can complete a non-nursing degree and then attend an Accelerated (or Second Degree) Program, which leads to a Bachelor of Science in Nursing in 12-16 months. 

Exposure to the Field

Shadowing & Volunteering

Shadowing a nurse is an excellent way to get a first-hand look at the work nurses do, to explore various specializations, and to see whether this career is a good fit for you. Washington University students can shadow a variety of different kinds of nurses at Children's Hospital.

Learn More about Shadowing & Volunteering, Contact the PreNursing Advisor

The Application Process

Requirements for an Accelerated Program

All Accelerated Programs require a bachelor’s degree, but they vary in terms of prerequisite courses and other admissions requirements.

The following is one example. Since schools vary in their prerequisites, students must research individual programs to determine what is required for admission. A typical program, like the Goldfarb School of Nursing at Barnes-Jewish, requires a 3.2 cumulative undergraduate GPA and the following 27 credit hours with a C or better in each course:

  • Anatomy and Physiology I with lab
  • Anatomy and Physiology II with lab
  • English Composition
  • Microbiology with lab (introductory Chemistry and Biology are prereqs)
  • Nutrition
  • Statistics
  • General Psychology
  • Human Growth and Developmental Psychology (across the lifespan)

Some but not all programs require clinical or volunteer experience. Even when programs do not require these experiences, students should seek them out to help them discern whether nursing is truly the path they want to pursue. Students should contact a Prehealth Advisor to explore shadowing prospects, informational interviews, internships, work experience, or volunteer opportunities.

Selecting an Accelerated (or Second Degree) Program

The first step is to identify programs that interest you. Look through the list of programs at the American Association of Colleges of Nursing.

Timing the Application

Contact your school of interest to find out how early you can apply. Many nursing schools have recently had lengthy waiting lists for admission. If you apply to an Accelerated Program in a timely way, perhaps well before you have finished your degree at WashU, you can hopefully graduate from WashU at approximately the time you start your nursing program. That said, you will need to check with each nursing school to which you intend to apply.

Professional Opportunities

There are dozens of specialized fields of nursing. Some of the most popular include nurse anesthetist, family nurse practitioner, nurse educator, nurse researcher, forensic, pediatric, critical (or acute care), neonatal, and home healthcare nurse. All require critical thinking, problem solving, interpersonal skills, flexibility and a strong background in mathematics and science.

Nursing offers a diverse range of work settings and specializations, tremendous opportunities for career development and advancement, and the satisfaction of making a difference in other people’s lives. To be successful, nurses must care deeply about and enjoy working with other people. Nursing also brings job security and a highly competitive salary. It has a bright outlook for employment, with 1,088,000 job openings for Registered Nurses (RNs) anticipated to open from 2014 to 2024 and a competitive salary averaging almost $68,000 annually. Nurses also have many opportunities for advancement from Advanced Practice Nursing to doctoral work in nursing with salaries ranging from $92,000 to $157,000 annually (Bureau of Labor and Statistics, onetonline.com).

  • Registered Nurse (RN) - The RN is the most common type of nurse and represents the largest healthcare occupation, with over 2.75 million jobs. (Bureau of Labor Statistics). RN’s supervise Licensed Practical (or Vocational) Nurses and nursing assistants; assist physicians; manage administrative tasks; and provide direct care to patients. They are found in a wide variety of health-care settings, reflecting their vital role as care givers, leaders, and medical authorities.
  • Nursing Specialties - Some nursing positions require additional training and education beyond those required to become licensed as a Registered Nurse. The number of specialties are too numerous to list here, but they include such areas as acute, infectious, cardiovascular, geriatric, pediatric, school, and public health nursing. The following information is condensed and adapted from "All Nursing Schools."
  • Advanced Practice Nursing -
    • Nurse Practitioner (NP) works in specific fields (such as family care, acute care, pediatrics, geriatrics, or psychiatrics, to name a few examples) to provide clinical health care, including writing prescriptions.
    • Clinical Nurse Specialist (CNS) focuses on specific populations and may focus on a particular disease. Compared to a nurse practitioner, a CNS has a more focused set of skills, focusing on one area of specialty and serving less as a clinician than as an administrator, researcher, policy-maker, educator and consultant.
    • Certified Nursing Midwife (CNM) specializes in delivering babies and providing prenatal and postpartum care to women. In addition, a CNM provides family planning and birth control counseling, and normal gynecological services such as physical and breast exams, pap smears, and preventive health screening.
    • Certified Registered Nurse Anesthetist (CRNA) delivers anesthesia in the same manner as an anesthesiologist (MD) and works closely with surgeons, dentists, podiatrists and anesthesiologists.