Diversifying Your Nursing Career
CLINICAL NURSE SPECIALIST
Become a DNP-prepared Clinical Nurse Specialist while taking advantage of resources found only at Johns Hopkins. With a DNP, you’ll gain the analytical skills, evidence-based practice principles, and leadership expertise to drive health care innovation forward. The CNS track will develop your competencies in clinical theory and nursing practice, providing you with the tools to improve the delivery of patient care, manage resources while controlling costs, and promote education for the future nursing workforce.
Earn your DNP Clinical Nurse Specialist degree online at the Johns Hopkins School of Nursing with the added benefit of course immersions. The online DNP CNS track includes three mandatory and two optional course immersions that position students to take advantage of the rich and varied learning opportunities found only at Johns Hopkins. The immersions will specifically support the development of the DNP scholarly project, encouraging a thorough understanding of problem solving, translation of evidence, and evaluation methods to maximize the impact of the project outcomes.
World renowned faculty, who have broad experience in advanced clinical practice, leadership, and patient safety, have developed a curriculum and sequence of clinical experiences to provide students with a well-rounded education in comprehensive, coordinated first-contact, and longitudinal patient care. Through our immersive learning approach, get the professional development guidance you need to emerge as a nursing leader. Our faculty have identified superb mentors and will work with you to identify DNP projects that build upon work currently being done at Johns Hopkins and partner institutions.
The Doctor of Nursing Practice (DNP) Clinical Nurse Specialist Track at Johns Hopkins School of Nursing prepares nurses for advanced roles as clinical and health care leaders. You’ll build competencies in clinical theory and research-based nursing practice.
DNP-prepared clinical nurse specialists are certified in a niche nursing specialty where they can make an impact on patients, nurses, and/or health systems. Prepare to:
- Support patients and families when you manage the care of complex and vulnerable cases through knowledge of special populations;
- Improve the health care worker workforce by educating and supporting interprofessional staff to provide optimal care through evidence-based best practices;
- And facilitate a culture of safety that improves health care systems.
Students have options that facilitate flexible learning. Stay where you are and complete coursework online, and travel to Baltimore for onsite course immersions, or move to Baltimore and immerse yourself in the Johns Hopkins community (we call this the online local experience). If you choose to live in Baltimore, you’ll complete coursework online and faculty will work with you to set up clinical learning experiences within the Johns Hopkins network of partners, including settings such as Henderson Hopkins (a JHU community partnership school), the House of Ruth (a Baltimore domestic violence center), or in a Johns Hopkins Health System hospital or practice.
Students are prepared for licensure exams through the American Nurses Credentialing Center (ANCC) or the American Association of Critical-Care Nurses (AACN).
- Adult-Gerontological Health
- Adult-Gerontological Critical Care
- Pediatric Critical Care
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.
Johns Hopkins School of Nursing Assistant Professor Michelle Patch, PhD, MSN, RN, describes the Clinical Nurse Specialist role.
View the recording of the DNP Clinical Nurse Specialist Track virtual information session.
DNP Advanced Practice Roles: Clinical Nurse Specialist and Nurse Practitioner.
NP and CNS Role ComparisonWhat are the differences between a Nurse Practitioner and Clinical Nurse Specialist?
- Bachelor of Science in Nursing Degree or an entry-level nursing master's degree from an ACEN or CCNE accredited college or university or an equivalent degree from a comparable foreign institution
- Scholastic GPA of at least 3.0 on a 4.0 scale
- Applicants must submit evidence of current nursing license. Online students must have or obtain RN license from an authorized state.
- One year of related full-time RN experience preferred
- 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. Grade of B- will not be accepted.
State-Specific Information for Online Programs
Students currently cannot conduct clinical activities in Louisiana, New York and Oregon. For more information, please contact an admissions representative. Students should be aware of additional state-specific information for online programs.
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 online with course immersions format.
Program may be completed in 75 (Adult-Gerontological Health & Adult Critical Care tracks) or 76 (Pediatric Critical Care track) credits and provides 784 clinical nurse specialist clinical hours and 224 DNP practicum hours. Students have the option to take the Diagnostics Skills and Procedures for APN course as a 2 credit elective. Please note that this course requires an course immersion.
Please note below the semesters in which a course immersion is required.
Course Immersion Dates
- Fall 2021 Semester Dates
- November 9-11, 2021 8am-5pm Location: School of Nursing (Group 1)
Advanced Health Assessment and Measurement (NR.210.601)—DNP CNS Adult/Gero Health Students Admitted Fall 2020 4-Year Only
- November 16-18, 2021 8am-5pm Location: School of Nursing (Group 2)
Advanced Health Assessment and Measurement (NR.210.601)—DNP CNS Adult/Gero Critical Care Students Admitted Fall 2020 Only
- November 30-December 2, 2021 8am-5pm Location: School of Nursing (Group 3)
Advanced Health Assessment and Measurement (NR.210.601)—DNP CNS Pediatric Critical Care Students Admitted Fall 2020 4-Year Only
- November 9-11, 2021 8am-5pm Location: School of Nursing (Group 1)
- Spring 2022 Semester Dates N/A
- Summer 2022 Semester Dates TBD
* = Dates do not include remediation dates.
Plan of Study
4 Year Plan
Fall I (8 Credits)
- Biostatistics for Evidence-Based Practice (3)
- Context of Healthcare for Advanced Nursing 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 (6 Credits) *** - Required Immersion, Dates TBD, Onsite or Online
- Philosophical, Theoretical & Ethical Basis of ANP (3)
- Advanced Health Assessment and Measurement (3)
- Human Growth and Development (1) ***
Spring II (6 Credits)
- Organization and Systems Leadership (2)
- Advanced Nursing Health Policy (2)
- Health Information Systems and Patient Care Technology (2)
Summer II (5 Credits, 56 Clinical Hours)
- Clinical Judgement I (3)
- Problem Discovery (2, 56 cl)
Fall III (9 Credits, 168 Clinical Hours)
- Nursing Inquiry for EBP (3)
- Clinical Judgement II (3)
- Clinical Practicum I (3, 168 cl)
Spring III (9 Credits, 280 Clinical Hours) - Required Onsite Immersion, Dates TBD
- Translating Evidence into Practice (3)
- Clinical Practicum II (4, 224cl)
- Project Advancement (2, 56cl)
Summer III (9 Credits, 168 Clinical Hours)
- Analysis and Evaluation of Individual & Population Health (3)
- Clinical Judgement III (3)
- Clinical Practicum III (3, 168cl)
Fall IV (6 Credits, 280 Clinical Hours)
- Clinical Practicum IV (4, 224 cl)
- Project Application (2, 56 cl)
Spring IV (4 Credits, 112 Clinical Hours) - Required Immersion, Dates TBD, Onsite or Online
- Clinical Data Management (2)
- Project Evaluation and Dissemination (2, 56 cl)
* 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.
*** Human Development Across the Lifespan is a required course for CNS Pediatric Critical Care students only.
**** A minimum of 1000 practice hours is required for DNP.
Tuition & Other Costs
(September 2021 - August 2022)
|Tuition:||$50,6341 (full-time per year)|
|Matriculation fee:||$500 (one time only fee for first-time enrolled JHU students)|
|Total Billed Expenses:||$56,340|
Estimated Other Expenses3
|Room and Board:||$21,024|
|Books & Supplies:||$1,500|
1Full-time: 9 credits per semester. Tuition is billed at $1,863 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 knowledge and skills will I gain through this 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?
Through expanded preparation to become a Clinical Nurse Specialist, graduates learn to independently manage the care of complex and vulnerable populations across all settings, including ambulatory, acute, community and home settings, at the doctoral-level. The expanded curriculum will focus on implementing evidence-based decisions at the system level to improve patient outcomes.
How long will it take?
The DNP Clinical Nurse Specialist tracks are all four year programs. They do not offer a part time plan of study.
Can I work while in the program?
The DNP Advanced Practice Track is completed over a four year period. Students may be able to work in the first year as a Registered Nurse in settings that offer flexible scheduling. As students begin to take specialized courses that prepare them for the respective role (i.e., NP or CNS), they will be engaged in settings to learn their future role and in which the DNP Project is situated. Hence, it will be challenging to maintain employment that is not flexible beyond the first year.
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?
CNS coursework is delivered online with periodic onsite immersions.
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 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 Advanced Practice 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.
What is the difference between a Nurse Practitioner and a Clinical Nurse Specialist?
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 student will work collaboratively with the specialty Track Coordinator and the Clinical Placement Team to request sites and preceptors, with final approval by the Track Coordinator. There will be an orientation to the Exxat software system where the student will take responsibility to complete requests and upload appropriate documentation. The Clinical Placement Team will work with each student several months prior to a placement to ensure a site contract is in place. Closer to the clinical semester preceptors will be requested through the placement office. The student is encouraged to work collaboratively and proactively with the team on an all-hands approach for optimal preceptor opportunities.
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 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.