Nursing Career Progression: The Different Levels of Nurses

In the current healthcare landscape, nurses can choose from various career paths, each with unique responsibilities, requirements, and rewards.

By Tessi FloodApril 9, 2024

Scroll to the bottom for a TL;DR!

What is Nursing?

In this blog post, we will explore the different levels of nurses, what each level entails, the required skills, qualifications, and the career progression opportunities available for aspiring nursing professionals!

Nursing is one of the most critical healthcare fields globally, with an ever-growing demand for skilled and competent professionals. Nurses play a vital role in enhancing patient care, promoting health, and aiding recovery. In the current healthcare landscape, nurses can choose from various career paths, each with unique responsibilities, requirements, and rewards.

Whether you are a healthcare professional seeking clarity or an aspiring nurse eager to chart your own course, this blog will answer all your questions!

Why are there different levels of nurses?

The nursing profession has different levels of nurses, each of which is necessary to support patient care and promote better outcomes. The different levels of nursing ensure that there are trained and qualified professionals at every stage of patient care. The levels of nurses are differentiated by their education, level of experience, and specialty. The world of healthcare is diverse and complex, and it takes a team of skilled professionals to provide comprehensive patient care. Every team member is vital to a facility's success and ensuring patient care.

Certified Nursing Assistant ( CNA )

A certified nursing assistant (CNA) is the entry point into nursing. Becoming a CNA is a great way to get a feel for the profession and decide if nursing is your true calling. It provides invaluable hands-on experience and a deep understanding of patient care.

What Does a CNA Do?

CNAs work under the supervision of licensed nurses or doctors and provide basic patient care, such as assisting with bathing, dressing, and feeding patients. Other responsibilities include taking vital signs , maintaining patient records, and reporting changes to the nurse in charge. hey often work in many healthcare environments, including hospitals, nursing homes, and personal residences.

What Are The Requirements to Become a CNA?

To become a CNA, one must complete a state-approved training program and pass a competency exam.

Licensed Practical Nurse (LPN)

Unlike CNAs, LPNs have more autonomy and can work without constant supervision. LPNs play a critical role in the healthcare ecosystem. Their in-depth training equips them with a broader skill set than CNAs, allowing them to perform more complex procedures and administer medication to patients under the supervision of a Registered Nurse ( RN ) or physician.

Moreover, they play a significant role in preventive healthcare by educating patients about healthy lifestyle habits and disease management. With their compassionate care and patient education, LPNs contribute to improving the overall patient experience and healthcare outcomes. Their role is indispensable in providing comprehensive and quality patient care, making them an integral part of the healthcare team.

What Does an LPN Do?

Licensed Practical Nurses (LPNs) provide basic patient care, administer medication, monitor symptoms, and oversee nursing aides and CNAs. LPNs are also responsible for collecting patient data such as medical histories and symptoms and for conducting routine laboratory tests. LPNs often serve as patients' first point of contact, offering medical care and emotional support. They observe patients' conditions, taking note of any changes and relaying this information to doctors and RNs, thereby facilitating timely and effective treatment.

What Are The Requirements to Become an LPN?

To become an LPN, you must complete a state-approved nursing program and pass the National Council Licensure Examination ( NCLEX -PN).

Registered Nurse (RN)

Registered Nurses (RNs) are at the forefront of patient care and work in various healthcare settings.

Registered nurses also play a vital role in health promotion and disease prevention. They educate patients about early signs and symptoms of diseases, preventive measures, and post-treatment care. This education goes a long way in reducing hospital readmissions and improving community health overall.

An RN's role spans multiple aspects of healthcare, from direct patient care to health education, making them an indispensable part of the healthcare team.

What Does an RN Do?

They are responsible for administering medication, conducting diagnostic tests, assessing the patient's needs, developing care plans, and collaborating with other healthcare professionals. RNs also supervise LPNs, CNAs, and other nursing staff. RNs hold an essential role in the healthcare system, often going beyond basic patient care to extend their responsibilities to critical decision-making processes. Moreover, RNs often act as a liaison between the patient, the patient's family, and the doctor, ensuring the information is accurately communicated. This role becomes critical in ensuring the patient and their family understand the diagnosis, proposed treatment plan, and necessary home care instructions.

What Are the Requirements to Become an RN?

To become an RN, one must complete an accredited nursing program, pass the NCLEX-RN exam, and obtain a state license.

Advanced Practice Registered Nurse ( APRN )

Advanced Practice Registered Nurses (APRNs) are highly skilled nursing professionals with advanced degrees and specialized training.

APRNs play a crucial role in healthcare, providing specialized care to patients. Their advanced training enables them to diagnose, manage diseases, and prescribe medications, thereby bridging gaps in healthcare accessibility.

What Does an APRN Do?

They provide higher patient care, often serving as primary care providers in medically underserved areas. APRNs include nurse practitioners, clinical nurse specialists, nurse anesthetists, and nurse midwives.

How to Become an APRN?

To become an APRN, you must hold a master's or doctoral degree in nursing, have a current RN license, and pass a national certification exam.

The Highest Level of Nurse - Doctor of Nursing Practice (DNP)

The Doctor of Nursing Practice (DNP) degree is the highest level of nurse education and prepares nurses for leadership positions, research, and advanced clinical practice.

DNPs drive innovations, implement evidence-based practice, and improve patient outcomes on a system-wide level.

What Does a DNP Do?

DNPs are experts in the healthcare industry, focusing on patient outcomes, quality improvement , and evidence-based practice. They work in academic settings, hospitals, clinics, and research facilities.

What Are The Requirements to Become a DNP?

To become a DNP, you must hold a master's degree in nursing, have a current RN license, and complete a DNP program accredited by the Commission on Collegiate Nursing Education (CCNE) or the Accreditation Commission for Education in Nursing (ACEN).

Conclusion:

The nursing profession offers a variety of career paths that cater to different educational backgrounds, experience levels, and interests. As you progress through the different nursing levels, you gain more autonomy, responsibility, and career advancement opportunities. Choosing a career path that aligns with your strengths, interests, and long-term goals is essential. Whichever level of nursing you choose, always focus on improving patient outcomes, enhancing your clinical skills, and seeking opportunities for continued professional development.

In the ever-evolving field of health care, nursing professionals are the cornerstone, at Assemble we know that more than anyone– I mean, have you seen our community page?!. The opportunity to make a real difference in people's lives is one of the most rewarding aspects of nursing. Remember that each stage of your nursing career is a stepping stone to the next, filled with learning and growth opportunities. Be patient with yourself, pursue continued professional development with dedication, and embrace the journey. As a nurse, your impact extends beyond patient care — you have the ability to lead, research, educate, and advocate for better health policies and procedures. Whether you're an LPN, RN, APRN, or DNP, every role you fill is essential in shaping the future of health care.

FAQ’s 

  1. What are the levels of nursing in order? Let’s start with the backbone of medical facilities, Nursing Assistants (CNAs), then climb up to Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) if you're in California. Next up, it's the mighty Registered Nurses (RNs), and finally, we reach the summit with the Advanced Practice Registered Nurses (APRNs).
  2. Are there different levels of nursing? Absolutely! Nursing is like a multi-layered cake. Each layer has its own flavor and flair, but they all contribute to the deliciousness of patient care. Whether you're just starting as a CNA or rocking it as an APRN, you're part of the same sweet confection.
  3. What level of nursing is the highest? The highest level of the nursing world is the APRN level. If you imagine a hierarchy of nursing, APRNs sit at the top. But remember, each level is essential and important. In the hierarchy of healthcare, all levels of nurses sit comfortably, at the top.

TL;DR

  • Nursing encompasses a broad spectrum of roles, from Certified Nursing Assistants (CNAs) to Doctor of Nursing Practice (DNP) holders, each offering unique contributions to patient care and healthcare delivery.
  • The career path in nursing allows for progression from foundational roles like CNA, through intermediate levels such as Licensed Practical Nurse (LPN) and Registered Nurse (RN), to advanced positions including Advanced Practice Registered Nurse (APRN) and DNP. This structure ensures a continuum of learning, specialization, and advancement opportunities.
  • Specific qualifications are required at each level, with responsibilities increasing in complexity and autonomy as nurses advance. CNAs provide basic care under supervision, LPNs handle more complex procedures, RNs manage comprehensive patient care, APRNs deliver specialized services, and DNPs lead in clinical practice, education, and policy advocacy.
  • Nursing offers a fulfilling career path with the potential for significant impact on individual patients and public health. It combines patient care, health promotion, and disease prevention, with opportunities for specialization in areas of personal interest.
  • As the healthcare landscape evolves, nurses remain essential at all levels, contributing to healthcare teams, leading initiatives, and improving outcomes. Each step in a nurse’s career provides opportunities for personal growth and professional development.
  • FAQs highlight the nursing hierarchy, emphasizing the structured progression and the critical role nurses play in healthcare. Understanding these levels helps aspiring nurses make informed decisions about their education and career trajectory, ensuring they are equipped to meet healthcare challenges.