Build a Foundation
Discover a rich academic and clinical environment that facilitates the diagnosis and management of acute and chronic health problems in adult and elder patients. As a student, you will build your abilities in physical and psychosocial assessment, clinical decision-making, health promotion and disease prevention, ordering and interpreting diagnostic tests, prescribing medications and other therapies while taking advantage of resources found only at the Hopkins medical institutions.
Expect the Best
World renowned faculty develop a curriculum and sequence of clinical experiences concentrating on the care of diverse, complex acutely ill adult and elder patients who are physiologically unstable, technologically dependent who require frequent monitoring and intervention that are highly vulnerable for health complications. Each student will receive a well-rounded, comprehensive education as well as advanced preparation for certification exams.
Students are eligible to apply for American Nurses Credentialing Center (ANCC) or American Association of Critical Care Nurses (AACN) certification as an Adult-Gerontological Acute Care Nurse Practitioner.
The Path to Your Destination
Nurses who want to improve outcomes for acutely and critically ill adult patients will experience a vigorous academic setting and benefit from rich and varied clinical opportunities to manage adult patients across the continuum of acute, chronic, and critical care. With access to unparalleled Hopkins resources, clinical sites, and faculty, you will learn to develop and apply your assessment, diagnostic, and treatment skills for fast-paced environments where patients are physiologically unstable, technologically dependent, and highly vulnerable to complications.
The curriculum builds your knowledge of nursing theory, research, nursing informatics, statistics, ethics, and the various medical technology and life support devices required to evaluate and treat a demanding patient population.
Those who earn the Doctor of Nursing Practice (DNP) Adult-Gerontological Acute Care Nurse Practitioner degree:
- Work in acute and complex care settings such as critical care, and hospital-based medical and surgical intensive care units and step-down units; specialty services; specialty services; and medical evacuation and transport units
- Diagnose and treat medical conditions, develop pharmacologic and nonpharmacologic care plans, and review conditions and treatment options with adult and elder patients
- Provide direct patient management from admission to discharge, in collaboration with other members of the healthcare team
Check out the chart to see the online availability of the track that best fits your career goals.
DNP Final Project
DNP graduates remain in practice, leading cross-professional teams in the improvement and provision of informed quality healthcare. The knowledge, skills, and abilities to conduct such work is developed across the program and applied in the conduct of the DNP final project. The DNP final project is the student’s original work that establishes them as a Hopkins Nursing clinical scholar.
Rebecca Lee discusses why she wants to work with older adult populations and the endless opportunities available as a nurse.
View the recording of the DNP Advanced Practice track virtual information session.
NP vs CNSWhat are the differences between a Nurse Practitioner and Clinical Nurse Specialist?
I feel a responsibility to be a nurse leader.
Lynn Gordy found her perfect first nursing job in a medical/surgical intensive care unit. "My patients were very sick, and I loved taking care of them," she says. Five years later, she was ready to learn more and develop as a leader in the field.
After a cursory look at nursing programs, Gordy knew that Johns Hopkins offered the perfect choice.
- Bachelor of Science degree in nursing or an entry-level nursing master’s degree (from an accredited college or university)
- Scholastic GPA of at least 3.0 on a 4.0 scale
- Proof of current nursing licensure. Students must have or obtain Maryland RN licensure for matriculation
- In the two years prior to beginning clinical courses applicant must complete at least one year of full-time RN experience in an acute care setting engaged in the direct care of adults within an inpatient environment (critical care, intermediate care, or medical surgical nursing unit).
- Three Letters of Recommendation (both academic and professional references)*
- Official Transcripts (from all previous colleges/universities)
- Current Resume/CV
- Goal statement
- GRE scores are accepted but not required
- Interview with faculty (if moved forward by admissions committee)
- TOEFL or IELTS if English is not your first language
*References should be recent, written for the purpose of your application to this program and from professors who know you as a student or employers who know you as a professional in a job setting preferably in a supervisory role. Personal references from colleagues, friends, or family members do not meet the requirement.
Undergraduate Statistics Take at Hopkins Nursing. Course must be completed at a regionally accredited college or university with a letter grade of B or better.
This program does not qualify for F-1 or J-1 student sponsorship. Legal Permanent Residents and non-immigrants who are otherwise physically present in the U.S. and in a status that allows for full or part-time study, may pursue this program.
This program is offered in the hybrid format. Students are required to be on campus.
Program may be completed in 78 credits and provides 784 acute care clinical hours and 224 DNP practicum hours.
Plan of Study
4 Year Plan
Fall I (5 Credits)
- Biostatistics for Evidence-Based Practice (3)
- Health Finance (2)
Spring I (7 Credits)
- The Research Process and Its Application to Evidence-Based Practice (3)
- Advanced Pathophysiology/Physiology (4)
Summer I (6 Credits)
- Health Promotion and Risk Reduction Across the Lifespan (2)
- Clinical Pharmacology (4)
Fall II (8 Credits)
- Context of Healthcare for Advanced Nursing Practice (3)
- Advanced Health Assessment and Measurement (3)
- Health Information Systems and Patient Care Technology (2)
Spring II (7 Credits)
- Philosophical, Theoretical & Ethical Basis of ANP (3)
- Diagnostics Skills and Procedures for APN (2)
- Advanced Nursing Health Policy (2)
Summer II (6 Credits, 112 Clinical Hours)
- Intro to Acute Care (4, 56cl)
- Problem Identification (1)
- DNP Practicum (1, 56cl)
Fall III (9 Credits. 168 Clinical Hours)
- Acute Care I (6, 168cl)
- Nursing Inquiry for EBP (3)
Spring III (9 Credits, 224 Clinical Hours)
- Translating Evidence into Practice (3)
- Acute Care II (4, 168cl)
- Project Development (1)
- DNP Practicum (1, 56cl)
Summer III (7 Credits, 168 Clinical Hours)
- Analysis and Evaluation of Individuals and Populations (3)
- Acute Care III (4, 168cl)
Fall IV (8 Credits, 280 Clinical Hours)
- Acute Care IV (6, 224cl)
- Project Implementation (1)
- DNP Practicum (1, 56cl)
Spring IV (6 Credits, 56 Clinical Hours)
- Organizational and Systems Leadership (2)
- Clinical Data Management (2)
- Project Evaluation (1)
- DNP Practicum (1, 56cl)
* Curriculum, credit hours, and sequencing are subject to change.
** Up to 16 credits can be applied from the JHSON MSN (Entry into Nursing) Program to the DNP Advanced Practice Track.
***A minimum of 1000 practice hours is required for DNP.
Tuition & Other Costs
(September 2019 - August 2020)
|Tuition:||$48,3211 (full-time per year)|
|Matriculation fee:||$500 (one time only fee for first-time enrolled JHU students)|
|Total Billed Expenses:||$53,464|
Estimated Other Expenses3
|Room and Board:||$19,800|
|Books & Supplies:||$1,500|
1Full-time: 9 credits per semester. Tuition is billed at $1,772 per credit and is less for students enrolling in less than full-time.
2All students must have health coverage. Purchase of the School’s plan is optional.
3Amounts for other expenses vary based upon student's selection of books, supplies, and living arrangements.
Billed expenses are subject to change without prior notice. Changes to a student’s program or course load may result in additional tuition charges and fees.
Frequently Asked Questions
What is a DNP?
The DNP is a doctoral degree focused on the clinical practice of nursing. The degree represents the highest academic preparation for nursing practice. The DNP curriculum focuses on the knowledge needed to provide comprehensive direct care across settings. It can be conferred in conjunction with any specialty in advanced practice.
What academic preparation is preferred in a DNP Advanced Practice candidate?
A strong foundation in courses such as anatomy and physiology, microbiology, pharmacology, and physical assessment with a grade of B or above is one key to success.
What is the program of study?
The curricular content will enable the graduate to make complex diagnoses, provide evidence-based treatment modalities, utilize sophisticated informatics and decision-making technology, and assimilate in-depth knowledge of biophysical, psychosocial, behavioral and clinical sciences.
How is this different from current APN practice?
The expanded competencies of the Doctor of Nursing Practice enable graduates to independently provide complex care across all settings including ambulatory, acute, community and home settings. For example, the expanded curriculum will focus on the utilization of evidence-based decision-making to admit and co-manage hospitalized patients, to provide advice and treatment initiated over the phone, and to initiate specialist referrals and evaluate the subsequent advice and initiate and participate in co-management.
How long will it take to complete?
The DNP Adult-Gerontological Acute Care NP Track offers a 4-year plan of study only.
Can I work while in the program?
During the first several semesters, when core classes are given on-line, it is possible to work. Some students may be able to work full-time. However, individual student needs and their particular work/life balance will dictate how many hours can be worked while maintaining the DNP Adult-Gerontological Acute Care NP prescribed plan of study. Once an DNP Adult-Gerontological Acute Care NP student starts their clinical practicums in the 7th semester of the program, work hours will need to be specifically evaluated and adjusted. It will not be feasible to maintain full-time employment throughout the entire program. For many students, there will need to be a decrease in hours after the first couple of semesters even prior to semester 7.
How does the DNP differ from the PhD or other research doctorates?
The DNP, or clinical doctorate, prepares the graduate to practice independently with the most complex patients, in any setting where the patient requires care, utilizing complicated informatics and evidence-based decision-making. Research doctorates prepare graduates to initiate and conduct sophisticated research projects, serving as the principal investigator.
How many credits can I transfer?
The school accepts up to six credits of transfer from outside the Johns Hopkins University School of Nursing. Once admitted into the program you can request to transfer credits by completing the transfer of graduate credit form.
What academic terms do students attend?
The School of Nursing follows the regular academic schedule (prospective students should note that these courses are not self-paced). Students are enrolled for the fall, spring, and summer terms. Prospective students should refer to the plans of study found on the curriculum pages for each specialty.
What is the cost per credit hour?
Please visit School of Nursing’s Tuition and Fees page for the current program costs.
How are courses delivered?
For students admitted to the DNP Nurse Practitioner tracks, please note that while this is an on-campus program, many of the courses and course content will be delivered in an online format. Please refer to the course schedule for the upcoming semester for specific course delivery information.
How will I get clinical experience if I don’t have experience working as a RN?
The DNP program requires a minimum of 1000 practice hours. The majority of these hours will be in the clinical practicum where you will apply what you learn in the theory courses to gain the competence required for your particular specialty. The balance of the practice hours are devoted to the DNP practicum which focuses on the DNP Scholarly Project. Ideally, you will have one-year of RN experience before starting the first specialty clinical.
How many students are in a class?
Many of the core courses will be taken by all DNP students at the same time. This could be as many as 60 students. However, the track specialty courses will be taken with only students in that specific specialty. In clinical courses, there is a ratio of 1 to 6 students per clinical instructor with each student assigned to a preceptor.
Do we attend the same classes with our cohort?
Students in the same specialty and the same plan of study (3- or 4-year) will move through as a cohort.
If I have a specific area that I would like to focus in, for example oncology, are there additional electives I can take or other opportunities where I could gain more insight and experience in that particular area?
It is possible for students to negotiate a clinical site within their area of interest, but these cannot be guaranteed. The DNP Scholarly Project could allow students to identify a problem within a specific area and bring that together with the specialty role.
Would it be doable to live in another state and come in during the week for classes/clinicals?
This is not advisable, but students can choose to live where they wish provided they can attend all required on-site courses and complete clinical requirements. The schedules for clinicals will be widely varied and could prove difficult for a long commute (may include long hours, weekends, and evenings). Students must hold a RN license for Maryland and be prepared to participate in clinicals and projects in the MD area.
What is the role of the Acute Care Nurse Practitioner?
The DNP Adult-Gerontological Acute Care NP Track provides care to adults and older adults with acute, critical, and complex chronic physical and mental illnesses across the entire adult age spectrum from young adults (including late adolescents), to adults and older adults (including frail older adults). DNP Adult-Gerontological Acute Care Nurse Practitioners are prepared to provide services ranging from disease prevention to critical care to stabilize the patient’s condition, prevent complications, restore maximum health and/or provide palliative care. This practice focuses on patients who are characterized as “physiologically unstable, technologically dependent, and/or are highly vulnerable to complications”. These patients require ongoing monitoring and intervention. The patients with acute, critical, and complex chronic physical and mental illnesses may be encountered across the continuum of care settings. The scope of practice is not setting specific but rather is based on patient care needs. The DNP Adult-Gerontological Acute Care Nurse Practitioner also coordinates comprehensive care in and across care settings to ensure that the acute and chronic illness needs of patients are met during care transitions.
What clinical experience is preferred by an applicant to the DNP Adult-Gerontological Acute Care NP track?
- Current acute, critical care experience in the following areas: ICU, intermediate care units or telemetry units (CVPCU, PCCU) and Oncology (specialized care).
- Certificate within a specialty area, e.g., Critical Care Registered Nurse, Cardiac Nurse Certification, Progressive Care Certified Nurse.
- A understanding of patient hemodynamics and mechanical ventilation.
- Completion of Advanced Cardiac Life Support will be required prior to starting the first clinical rotation in the DNP AGACNP track.
- Evidence of leadership such as membership in a specialty organization (American Association of Critical Care Nurses, Society of Critical Care Medicine, Society of Trauma Nurses) and unit-based or hospital-based committee work.
How are clinical sites for clinical practicum determined?
Clinical practicum experiences are determined by the student’s NP or CNS focus area, student interest, site and preceptor availability, and the student’s programmatic needs. The specialty track coordinator and clinical course coordinator select clinical sites and clinical preceptors for the clinical practicum experiences and student learning needs. These decisions are based on the competencies required for each specialty for the Nurse Practitioner (NP) and Clinical Nurse Specialist (CNS). CNS students provide preceptor names to the CNS track coordinator and clinical course coordinator for potential clinical sites. The CNS track coordinator will make the final decision on the preceptor based on appropriate fit for the course. NP students can suggest particular clinical sites and preceptors with the NP track coordinator and clinical course coordinator making the final section decision. Flexibility is key as students are expected to meet the clinical preceptor/site availability.
What is included in a DNP Project?
The American Association of Colleges of Nursing requires that all DNP Projects should:
- Focus on a change that impacts healthcare outcomes either through direct or indirect care.
- Have a systems (micro-, meso-, or macro- level) or population/aggregate focus.
- Demonstrate implementation in the appropriate arena or area of practice.
- Include a plan for sustainability (e.g. financial, systems or political realities, not only theoretical abstractions).
- Include an evaluation of processes and/or outcomes (formative or summative). DNP Projects should be designed so that processes and/or outcomes will be evaluated to guide practice and policy. Clinical significance is as important in guiding practice as statistical significance is in evaluating research.
- Provide a foundation for future practice scholarship.
What is the process for the DNP practicum?
There are four DNP Scholarly Project courses that sequentially reflect the stages of evidence based practice quality improvement: Project Identification, Project Proposal, Project Implementation, and Project Evaluation. Each of the four courses has an associated practicum. The first course for the DNP Scholarly Project, DNP Problem Identification has an accompanying DNP practicum. The DNP Scholarly Project is situated in the clinical setting where the student will carry it out. As the project is a quality improvement focus, key stakeholders in the practice setting are necessary to identify clinical problems they want to address and for which they want to partner with a student or team of students. See your plan of study for the number of practicum hours associated with each course associated with the DNP Scholarly Project.
Scholarships & Grants
Grants are awards based on financial need that do not have to be repaid. Many students also benefit from scholarships and awards based on merit.
Many students will avail themselves of loans to help finance their School of Nursing Education. If necessary, we encourage you to borrow only what is absolutely essential to cover your educational costs.
Many students locate part-time employment to help pay education expenses. Numerous positions are available on campus and within various community based organizations. These jobs provide students with opportunities to gain practical work experience. Most positions are funded through the Federal Work-Study Program.