Nurse Practitioner vs. CRNA | What Is the Difference? | Maryville Nursing (2024)

Registered nurses (RNs) have numerous opportunities for career advancement. By seizing these opportunities, RNs can broaden their skill sets, assume new levels of leadership responsibility, and continue to promote the health and well-being of their patients. Two possible advanced positions RNs might consider pursuing are nurse practitioner and certified registered nurse anesthetist (CRNA).

The job outlook for both roles is promising. In fact, the U.S. Bureau of Labor Statistics (BLS) places nurse practitioners and nurse anesthetists in the category of advanced practice registered nurses and projects jobs in the category will grow by 45% between 2019 and 2029.

For RNs seeking the next step in their clinical careers, exploring the differences between the two positions may be helpful. In this piece, we’ll consider nurse practitioner vs. CRNA roles, highlighting similarities as well as distinctions. To take the next step down either career path, nurses may consider earning anonline Master of Science in Nursingfrom Maryville University.

Definitions: Nurse Practitioner vs. CRNA

Both nurse practitioners and certified registered nurse anesthetists belong in the category of advanced practice registered nurses. However, each role has specific clinical responsibilities.

Nurse Practitioners

A nurse practitioner is a nurse who has developed specialized knowledge to care for patients as a primary care provider. A nurse practitioner may work in pediatrics, geriatrics, acute care, family care, and beyond. The practice settings for nurse practitioners are numerous, including private or group practices, health clinics, and hospitals. Some also work in rural healthcare or telehealth.

CRNAs

A certified registered nurse anesthetist is a nurse who treats patients of all ages during surgery, safely administering the anesthetic care they need for their procedure. Generally, CRNAs work in either hospitals or inpatient surgery centers. Some private practices that have a heavy surgical volume, such as plastic surgery centers, may also have CRNAs on staff.

Similarities Between Nurse Practitioners and CRNAs

When it comes to nurse practitioners vs. CRNAs, many similarities can be found between the two roles.

Advanced Degrees

One important similarity is that both of these career paths represent advancement options for RNs. That is, both nurse practitioners and CRNAs begin by earning their RN license, then pursue an advanced degree, such as amaster’sor even adoctorate. Then, before they may practice in their advanced role, they are required to be certified and licensed by the state. Specific criteria vary from one state to the next.

Common Skills

Additionally, successful nurse practitioners and CRNAs share some essential skills, including the following:

  • Compassion and empathy.Both roles are required to provide clinical care to patients who are nervous or in pain. The ability to empathize is essential.
  • Communication skills.Both nurse practitioners and CRNAs need to clearly explain treatments or diagnoses to patients and may also relay important information to physicians or other practitioners.
  • Calm demeanor.Nurse practitioners and CRNAs may both find themselves treating patients in stressful situations. The ability to remain level-headed is a must.

Nurse practitioners and CRNAs enjoy a similar level of autonomy. Specifically, nurse practitioners can work autonomously as primary care providers or work under the supervision of a doctor or physician; regulations that govern autonomy vary by state. Similarly, CRNAs can work under the supervision of anesthesiologists or can also work autonomously.

Differences Between Nurse Practitioners and CRNAs

As for distinctions between the nurse practitioner and CRNA roles, here are a few of the key differences.

Certification

Although both positions require nurses to pass a certifying exam, the boards that administer these exams are different. Nurse practitioners are certified through organizations including the American Association of Nurse Practitioners (AANP) or American Nurses Credentialing Center (ANCC), while CRNAs are certified through the National Board of Certification and Recertification for Nurse Anesthetists (NBCRNA).

Experience

The level of experience required to pursue each of these advanced nursing positions is also different. To enroll in a CRNA program, one year of acute care experience is required. Some programs require nurse practitioners to gain RN experience prior to applying, while some NPs may gain clinical hours as part of their degree program.

Salary Range

Finally, note that nurse practitioners and CRNAs have significantly different salaries. According to data from the BLS, the median annual salary for nurse practitioners is $109,820; for CRNAs, the median annual salary is $174,790. The salary range for both positions may vary depending on several factors:

  • Experience level.More years of clinical experience will typically translate into a higher salary range.
  • Education. Advanced degrees may lead to higher salary ranges.
  • Geographic location.Larger, more urban or metropolitan areas will often have more competitive salaries.

Explore an Advanced Nursing Career

Both the nurse practitioner and CRNA paths provide real opportunities for RNs to sharpen their skills, advance their careers, and make a big difference in the lives of their patients.Maryville University’s online Master of Science in Nursing (MSN) programis a student-centered program for experienced nurses ready to take on new challenges and become leaders in the ever-changing field of healthcare. Thecurriculumincludes concentrations focused on family health, pediatrics, adult-gerontology, and mental health.

ConsiderMaryville University’s online MSN, where you can hone the skills needed to succeed in advanced practice nursing.

  • Master of Science in Nursing
  • Doctor of Nursing Practice

Sources

Nurse Practitioner vs. CRNA | What Is the Difference? | Maryville Nursing (2024)

FAQs

Nurse Practitioner vs. CRNA | What Is the Difference? | Maryville Nursing? ›

Nurse practitioners are certified through organizations including the American Association of Nurse Practitioners (AANP) or American Nurses Credentialing Center (ANCC), while CRNAs are certified through the National Board of Certification and Recertification for Nurse Anesthetists (NBCRNA).

Which is higher, nurse practitioner or CRNA? ›

Both a CRNA and a Nurse Practitioner are advance practice designations. Their specialized bodies of knowledge are simply different. CRNA programs are more competitive for admission than the average NP program, and the CRNA average wage is higher, but that isn't why one is picked over the other.

Is nurse practitioner the highest level of nursing? ›

What Are The Different Levels Of Nursing In The USA?
  • Level 1 - Certified Nursing Assistant (CNA)
  • Level 2 - Licensed Practical Nurse (LPN) or Licensed Vocation Nurse (LVN)
  • Level 3 - Registered Nurse (RN)
  • Level 4 - Nurse Practitioner (NP)
  • Level 5 - Advanced Practice Registered Nurse (APRN)
  • Choosing Your Desired Path.
Aug 4, 2022

Which is better CRNA or DNP? ›

While the DNP and DNAP both prepare students to be practicing CRNAs, the DNP is the only degree recognized as “terminal”. If you want to pursue a faculty position at some point, the DNP is preferred, as it qualifies you for tenure.

Is a nurse practitioner better than a nurse? ›

Although both registered nurses and nurse practitioners focus on patient observation and care, the largest difference between the two roles is that NPs are permitted to prescribe treatments, order tests, and diagnose patients—duties normally performed by physicians—whereas RNs are not.

Can CRNA write prescriptions? ›

5 To be clear, CRNAs do not have the authority to write prescriptions.

What is higher than a CRNA? ›

Anesthesiologists attend medical school, complete four years of residency, and hold a medical (MD) or doctor of osteopathic medicine (DO) degree. They supervise anesthesia assistants and CRNAs. Anesthesiologists can practice independently and supervise CRNAs and anesthesia assistants anywhere they practice.

What is the top salary for a nurse practitioner? ›

Nurse Practitioner Salary in California
Annual SalaryWeekly Pay
Top Earners$177,642$3,416
75th Percentile$148,000$2,846
Average$124,323$2,390
25th Percentile$106,600$2,050

What is the highest position in nursing? ›

Positions that require doctoral nursing degrees include certain types of advanced practice registered nurses (APRNs), as well as leadership positions such as chief nursing officer or director of nursing. In a traditional hospital setting, the chief nursing officer is the topmost nursing position.

What is the highest paid nurse? ›

The highest paid nurse is a Certified Registered Nurse Anesthetist (CRNA). Professionals in this field earn as low as USD 101,000 and as high as USD 174,000, with an average salary of USD 124,00.

Is CRNA a master's or Doctorate? ›

Becoming a CRNA requires more time and education than some other nursing specialties. While a Master of Science in Nursing (MSN) is currently the minimum degree requirement, the profession will require a doctoral degree by 2025, per the American Association of Nurse Anesthetists (AANA).

Who is the highest paid CRNA? ›

Top 10 highest-paying states for nurse anesthetists
RankStateAverage CRNA Salary
1Connecticut$276,540
2New Jersey$263,850
3Illinois$250,280
4West Virginia$247,650
6 more rows
Nov 22, 2023

What is a CRNA degree called? ›

There are two common types of doctoral degrees for aspiring CRNAs: the Doctorate of Nurse Practice (DNP) and the Doctorate of Nursing Anesthesia Practice (DNAP).

Is a PA higher than a NP? ›

It's important to note that both PAs and NPs are mid-level medical professionals. They're basically at the same level. However, NPs can work independently in many states that PAs can't. So, it places nurse practitioners above physical assistants in terms of practice independence.

How do doctors feel about nurse practitioners? ›

Amid Provider Shortage, California Doctors Oppose Expanding Nurse Practitioner Abilities. The California Medical Association is concerned that nurse practitioners lack the training to provide adequate care without the supervision of a physician. July 3, 2019, at 2:30 p.m.

Why do patients prefer nurse practitioners? ›

Research has found that patients under the care of NPs have fewer unnecessary hospital readmissions, fewer potentially preventable hospitalizations, higher patient satisfaction and fewer unnecessary emergency room visits than patients under the care of physicians.

Is a nurse practitioner higher than a masters in nursing? ›

MSN vs DNP

In a nutshell, MSN students are trained for direct practice and patient care, while DNP students are trained in healthcare research and policy in addition to this patient care. As such, the DNP is often considered to be a terminal role for nurses, and the highest level of education that one might pursue.

What is the highest degree for CRNA? ›

While the new certification requirements do not specify the type of doctoral degree CRNAs must pursue, the most common choice likely will be the Doctor of Nursing Practice (DNP). Other options will be: Doctor of Philosophy (PhD) Doctor of Education (EdD)

What is the highest paying nurse practitioner field? ›

10 Highest Paid Nurse Practitioner Specialties in 2024
  • Aesthetic Nurse Practitioner. ...
  • Neonatal Nurse Practitioner. ...
  • Emergency Nurse Practitioner. ...
  • Orthopedic Nurse Practitioner. ...
  • Oncology Nurse Practitioner. ...
  • Family Nurse Practitioner. ...
  • Acute Care Nurse Practitioner. ...
  • Psychiatric Nurse Practitioner.

What is the highest a CRNA can get paid? ›

$190,500 is the 25th percentile. Salaries below this are outliers. $348,000 is the 75th percentile.

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