Best DNP Programs

Comparisons

DNP vs PhD In Nursing

Both are terminal degrees and neither outranks the other. The PhD produces new knowledge; the DNP takes knowledge that exists and changes what a clinic does with it. Choosing between them is choosing which of those you want to spend a career doing.
A gloved researcher using a pipette to fill a rack of test tubes holding colored liquid
By the Best DNP programs editorial team

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Key Takeaways

  1. 1

    Neither outranks the other. Both are terminal degrees in nursing. They lead to different work, not to different levels.

  2. 2

    The capstone is the clearest tell. A DNP ends in a practice-change project; a PhD ends in a dissertation producing original findings.

  3. 3

    Money runs in opposite directions. PhD students are frequently funded with a stipend; DNP students usually pay tuition while working.

  4. 4

    The DNP does not lead to a research career. If the destination is a funded research program and a tenure-track post, the PhD is the degree that route expects.

DNP vs PhD At A Glance

DNP PhD
Purpose Apply existing evidence to change practice Generate new knowledge
Capstone A scholarly project, implemented in a real setting A dissertation of original research
Typical destination Clinical leadership, quality, systems, policy Research faculty, funded investigation
Coursework leans Systems, informatics, quality improvement, policy Research methodology, statistics, theory
Funding norm Usually self- or employer-funded Often funded via assistantship or traineeship
Clinical practice Commonly continues alongside Commonly reduces or stops

The Capstone Is The Clearest Difference

A dissertation asks a question nobody has answered and answers it. A DNP project takes an answer that already exists in the literature and gets it implemented somewhere it currently is not, then measures whether the implementation worked.

These are not the same artifact and should never be described as one. A DNP project is also not a lesser dissertation; it fails for different reasons, usually organizational ones. Getting a unit to change a protocol is a different skill from designing a study, and the programs that prepare you for it teach different things.


Where each capstone starts, and what it leaves behind

The DNP Project

Starts in a building. What it leaves behind is a changed practice in that building.

  1. Find A Gap In Practice

    Something a unit does that the evidence says it should do differently. The problem is local, and it already exists before you arrive.

  2. Search The Evidence That Exists

    You are not producing findings here. You are establishing what is already known and whether it applies to your setting.

  3. Implement It Somewhere Real

    The hard part, and the part that fails. A protocol change needs a unit, a sponsor, and staff who will keep doing it after you leave.

  4. Measure Whether It Held

    Outcome data from the same setting, before and after. The question is whether the change worked here, not whether it works generally.

  5. The Change Stays

    The deliverable is the altered practice. It is written up, but the write-up is the record rather than the product.

The PhD Dissertation

Starts in a literature. What it leaves behind is a finding anyone can use.

  1. Find A Gap In Knowledge

    A question the literature has not answered. Establishing that it is genuinely unanswered is itself months of work.

  2. Design A Study To Answer It

    Methodology, sampling, instruments, and in most cases an ethics review before a single participant is approached.

  3. Collect And Analyze Original Data

    The long middle. Recruitment is the usual place a nursing dissertation stalls, and it is rarely under your control.

  4. Produce A Finding

    A defensible answer, with its limits stated. It may be null, and a null result is still a dissertation.

  5. The Finding Travels

    The deliverable is the knowledge. It is published so people who have never seen your setting can act on it.

Money Runs In Opposite Directions

This is the practical difference people discover late. PhD students in nursing are frequently funded, assistantships, traineeships, grant lines, and are often expected to study full-time and stop or reduce clinical work. DNP students typically pay, keep working, and study around shifts.

So the PhD can cost less in tuition and more in forgone clinical income, and the DNP the reverse. Comparing sticker tuition between the two without accounting for that is comparing the wrong number.

Which Pays More, A DNP Or A PhD?

Nobody can answer this from federal data, and any page that hands you a DNP salary next to a PhD salary made both numbers up. BLS classifies by occupation, not by credential: there is no DNP wage series, and every figure here covers everyone in the occupation regardless of which degree they hold.

What the data can tell you is what the JOBS pay, which is the more useful question anyway, because you are choosing a kind of work rather than a line on a resume. Most DNP graduates who stay clinical are counted as nurse practitioners, median $132,300 across 323,040 jobs. Most who move into running things land somewhere inside medical and health services managers, median $123,860, an occupation where the overwhelming majority hold no nursing credential at all. Most PhD graduates who take the academic route are counted as postsecondary nursing instructors, median $80,250.

Read those three in order and the uncomfortable finding is that the research doctorate leads, at the median, to the lowest paid of the three destinations. Teaching pays $52,000 less than clinical practice at the median. That is not an argument against the PhD. It is an argument against choosing either doctorate from a salary figure, because these figures describe the work rather than the degree, and the work is the thing you will be doing every day for the rest of your career.

The honest summary: neither doctorate has a measurable wage premium in federal data, because federal data cannot see degrees. What each one has is a set of doors, and the doors are different. What the occupations DNP graduates enter actually pay sets out all of them with the same caveat attached.

DNP Or PhD For Nursing Education?

This is where the comparison usually lands, because faculty work is the one destination both degrees genuinely reach. The split is not which degree is allowed to teach. It is what kind of post you are being hired into.

A post built around running a funded research program, supervising doctoral students and publishing findings expects the PhD, and a DNP will not substitute for it however good the candidate. A post built around teaching clinical practice, running a simulation lab or directing a program is open to both, and frequently prefers the DNP, because the person teaching practice has recently been in it.

What is not in dispute is that schools want doctorates. AACN counted 1,588 full-time faculty vacancies across 863 schools in 2025, and 80.9% of those vacancies required or preferred a doctoral degree. The same survey counted 92,672 qualified applications turned away, with faculty shortage among the reasons given. Demand for doctorally-prepared teachers is real and it is measured.

Weigh that against the pay in the section above, which points the other way. Both are true at once, and a page that reports only the vacancy figure is recruiting rather than informing. What the faculty role involves and what it pays are set out separately.

DNP, PhD, DNAP And EdD

The comparison gets posed as two degrees and there are four letters in circulation, which is why people arrive here having already been confused by a third and a fourth.

DNAP is the Doctor of Nurse Anesthesia Practice, a practice doctorate specific to nurse anesthesia. It sits alongside the DNP rather than instead of it, and both routes lead to the same credential and the same license. Every accredited US nurse anesthesia program is at the doctoral degree level. That is a change in what it takes to get in rather than a change in what you may do once you are out, and it is why anyone entering nurse anesthesia now meets a doctorate whether they went looking for one or not. Which of the two letters your program awards is largely a matter of where it is housed inside the university.

EdD is a doctorate in education, and it turns up in nursing schools on the faculty side. It prepares people to run curricula, programs and educational systems rather than clinical services or research programs. A nurse who wants to lead a school of nursing might reasonably hold any of these; a nurse who wants to lead a clinical service almost never wants the EdD.

MSN is not a doctorate at all, and it belongs in this list because it is the option people forget they still have. It remains a complete qualifying degree for advanced practice, it is shorter and cheaper than any doctorate here, and the doctorate answers a different question. The degree against the role is where that one gets worked through.

Who Should Not Take The DNP

If you want to run a funded research program and hold a tenure-track research post, take the PhD. The DNP is not a route into that and treating it as one wastes years. Some institutions will hire DNP graduates into clinical-track faculty roles, which is a real and worthwhile career, but it is a different job from principal investigator and is usually paid and promoted differently.

If your goal is purely to practice clinically and nothing else, also think hard. The doctorate does not widen clinical scope, and a master's plus certification reaches the same license sooner and cheaper. The degree-versus-role distinction is worth reading before committing.

Who Should

People whose ambition is organizational: running a service, leading quality or informatics, shaping policy, or being the person in the room who can take an evidence base and turn it into a changed protocol that survives contact with a real ward. That is what the degree is built for, and it is a genuine gap in most health systems.

What Both Degrees Share

The differences get all the attention, so it is worth naming what does not differ. Both are terminal: there is no further nursing degree above either. Both take years of part-time study for most people, because most candidates for both are already working. And both are accredited doctorates, which is why the title question has the same answer for each.

Both also sit outside the licensure system entirely. Neither degree grants a scope of practice, neither is required to become a nurse practitioner, and neither changes what a state permits you to do with patients. That is set by a license, and it is worth being clear about before enrolling in either.

Where they genuinely converge is faculty work. Both appear in nursing schools, and the split is less about which degree teaches than about what kind of post it is: clinical and practice-focused teaching is open to both, while a post built around running a funded research program expects the PhD.

Reading The Primary Sources Yourself

A lot of people searching this comparison are looking for the scholarly literature rather than another explainer, usually because they have been asked to cite something. The argument between these two degrees is genuinely documented, and it is worth reading in the original rather than through a summary.

Start with the position statement that created the DNP. AACN adopted it in 2004, and it is the document that proposed moving advanced practice preparation to the doctorate by 2015, a target that never became a requirement. Read alongside it the current Essentials, which is what accredited programs are actually built against today, and the 1,000-hour supervised practice expectation that separates a practice doctorate from a research one.

For the PhD side, the useful primary source is not a position paper but the funding record. NIH RePORT lists every funded nursing study and the institution behind it, so you can see what a research career in this field is actually made of and which schools are doing it. That is a more honest picture of the PhD destination than any prospectus.

All of the above are linked in Sources at the foot of this page, with what each one is good for. This site does not paraphrase a document it has not read, and where a figure here comes from one of them, the link goes to the page carrying the figure rather than to a homepage.

Frequently Asked Questions

Is a DNP or a PhD better?

Neither. They are terminal degrees preparing people for different work, the PhD for producing knowledge, the DNP for applying it. The useful question is which of those you want to spend a career doing.

Is a DNP a doctorate degree?

Yes. It is the terminal practice doctorate in nursing, and it is accredited as a doctorate. It is not a research doctorate, which is a different thing rather than a lesser one.

Can you teach nursing with a DNP?

Frequently yes, particularly in clinical and practice-focused teaching. Tenure-track posts built around running a funded research program generally expect the PhD, which is the distinction that matters if academia is the destination.

Can you do a PhD after a DNP?

Yes, and some people do, but it is a second doctorate rather than a continuation, with little of the first counting toward it. Anyone weighing both should choose deliberately rather than treat the DNP as a stepping stone.

Is the DNP going to be required to become a nurse practitioner?

It is a target rather than a rule, and it has been one for twenty years. NONPF committed in 2018 to moving entry-level NP education to the DNP by 2025, and reaffirmed it in 2023. What a professional body wants programs to offer is a separate thing from what a state requires for a license, and no state requires a doctorate to license a nurse practitioner. A master's still qualifies you.

What is the difference between a DNP and a DNAP?

Both are practice doctorates and both lead to the same nurse anesthesia credential and license. Every accredited US nurse anesthesia program is at the doctoral degree level. Which letters a program awards depends largely on where it sits inside its university rather than on what it teaches.

Which pays more, a DNP or a PhD?

Neither question has a clean answer, because BLS classifies by occupation, not by credential: there is no DNP wage series, and every figure here covers everyone in the occupation regardless of which degree they hold. What is visible is the occupations: clinical practice and health-services management are the routes DNP graduates take, at medians of $132,300 and $123,860 respectively.

How long is a PhD in nursing compared with a DNP?

A DNP runs three to four years from a bachelor's and one to two from a master's. A research PhD is typically longer and is more variable, because it ends when the dissertation is done rather than when the credits are.

Sources

  1. 1 AACN, Frequently Asked Questions: DNP Programs & CCNE Accreditation, Q9 The 1,000-hour practice expectation that separates the DNP from a research doctorate.
  2. 2 CCNE Accredited Program Directory The accreditation spine behind the institution count on this page.
  3. 3 BLS OEWS, May 2025, Nurse practitioners (29-1171) Median $132,300. The clinical destination most DNP graduates reach.
  4. 4 BLS OEWS, May 2025, Medical and Health Services Managers (11-9111) Median $123,860, and the caveat that most people in it hold no nursing credential at all.
  5. 5 NIH Research Portfolio Online Reporting Tools (RePORT) Where the research-doctorate funding picture described in "How they are paid for" can be checked directly.
  6. 6 AACN, DNP fact sheet AACN's own summary of the degree, its history and its enrollment numbers.
  7. 7 AACN, The Essentials: Core Competencies for Professional Nursing Education What accredited programs are built against. The competency framework, not a ranking of degrees.
  8. 8 AACN, The State of Doctor of Nursing Practice Education in 2022 The survey of graduates, administrators and academic leaders that the case for DNP entry rests on.
  9. 9 NONPF, Reaffirming the Doctor of Nursing Practice Degree: Entry to Nurse practitioner Practice by 2025 (April 2023) The 2025 target restated, with the program and graduate growth NONPF cites for it.
  10. 10 AACN, Nursing Faculty Shortage fact sheet The 1,588 vacancies and the 80.9% doctoral share behind the faculty section.

Every federal figure on this site is read from the administering agency’s own page, never from a secondary aggregator, and the reading date is recorded beside it.

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