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As some of the most advanced nursing professionals, nurse practitioners make more decisions when it comes to exams, treatments and next steps. They go beyond the reach of RNs and may work with physicians closely. Some states with large rural or shortages in primary care physician have even legislation passed allowing NPs to stand in for physicians in certain situations. Nurse practitioners typically earn a Master of Science in Nursing (MSN) or, increasingly, a Doctor of Nursing Practice (DNP). They also earn additional certifications in specialized disciplines such as critical care, family medicine and pediatrics. Nursing has long been a hot job, but aging baby boomers, health care reform and medical advances have kicked demand for these professionals into even higher gear. The Bureau of Labor Statistics (BLS) expects employment for registered nurses, licensed practical and vocational nurses and advanced practice nurses, including nurse practitioners and clinical nursing specialists, to significantly outpace the national average in the decade preceding 2022.
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