Bachelor of Science in Nursing (BSN) Overview

Morganne Skinner, RN
By
Updated on October 8, 2024
Edited by
Reviewed by
Our Integrity Network

NurseJournal.org is committed to delivering content that is objective and actionable. To that end, we have built a network of industry professionals across higher education to review our content and ensure we are providing the most helpful information to our readers.

Drawing on their firsthand industry expertise, our Integrity Network members serve as an additional step in our editing process, helping us confirm our content is accurate and up to date. These contributors:

  • Suggest changes to inaccurate or misleading information.
  • Provide specific, corrective feedback.
  • Identify critical information that writers may have missed.

Integrity Network members typically work full time in their industry profession and review content for NurseJournal.org as a side project. All Integrity Network members are paid members of the Red Ventures Education Integrity Network.

Explore our full list of Integrity Network members.

Learn about bachelor of science in nursing (BSN) programs, including RN-to-BSN degrees. Explore BSN pathways, requirements, and jobs after graduation.
Featured ImageCredit: Wavebreakmedia / iStock / Getty Images Plus

For the first time ever, more than 70% of U.S. nurses have a bachelor of science in nursing (BSN) degree or higher, according to the 2022 National Nursing Workforce Survey. And more than half of nurses enter the workforce with a BSN degree.

Many healthcare employers prefer or even require registered nurses (RNs) to have a BSN to practice in an ever-more complex healthcare system.

Discover the different types of BSN programs, including RN-to-BSN bridge programs, nursing license requirements, and careers after graduation.

mini logo

Are you ready to earn your online nursing degree?

Bachelor of Science in Nursing Degree At a Glance

Average Program Length
4 years

Average Program Cost
$39,000–$70,800
(excluding room and board)

Average Annual Salary
$95,000

Source: NCES and Payscale

A BSN program covers the foundations of nursing. Some common courses include (but are not limited to):

  • Pathophysiology (the study of disease and injury)
  • Assessing patients
  • Nursing at a community level
  • Leadership skills
  • Research fundamentals
  • Medical ethics

Your nursing classes will be paired with labs and clinical rotations, which add hands-on practice through lab simulation and similar activities.

You have different pathways for obtaining your BSN. For example, if you’re in an RN-to-BSN bridge program, your classes will focus on advanced health assessment, leadership, and evidence-based practice. Students in this program are RNs and have already earned their associate degrees in nursing (ADNs) or a similar credential, meaning classes in this bridge program will build on previous course credits.

Accelerated BSN programs are intensive but can be completed in as little as one year. (Check to ensure every program you take is properly accredited, so that credits can easily transfer between institutions.) Finally, graduate-level programs like the master of science in nursing (MSN) degree also typically require a BSN as a condition of enrollment.

Program length, format, and admission requirements will also vary by nursing program type.

Popular Nursing Programs: A Side-by-Side Comparison

BSN Degree

  • Can be completed online or in-person
  • Can enroll after completing high school and prerequisite coursework
  • Takes around four years to complete

RN-to-BSN Degree

  • Usually completed online
  • Requires an active RN license
  • Can be completed in as little as 12 months

Accelerated BSN Degree

  • Usually completed online
  • For non-nurses with a bachelor degree in another field
  • Takes around 1-2 years

MSN Degree

  • Can be completed online or in-person
  • Often requires a RN license and BSN to enroll
  • Takes 6 years for direct-entry, or 2 years after a BSN

Bachelor of Science in Nursing Degree: The Pros and Cons

Your personal financial situation, time constraints, and family obligations may impact your decision to pursue a four-year degree. Consider the pros and cons of pursuing a bachelor’s degree in nursing:

Advantages to a BSN

  • BSN-prepared nurses have greater career advancement opportunities than ADN-prepared nurses. For example, most nursing administrative and supervisory positions require at least a BSN.
  • Allows you to pursue master’s or doctoral nursing programs to become an advanced practice nurse and earn higher salaries.
  • The critical thinking skills you develop in a BSN program can translate to improved patient care and safety.
  • A BSN is increasingly becoming the minimum education requirement for RNs.
  • The average ADN-prepared nurse salary is $77,000 per year compared to $95,000 for BSN nurses.

Disadvantages to a BSN

  • Baccalaureate study means that candidates spend four years in a program before earning an income as a nurse.
  • Tuition for four years is significantly more expensive than for two years, and often means additional years of student debt.
  • In nursing positions that do not require a bachelor’s degree in nursing, a BSN does not necessarily equate to a higher starting salary.
  • Work-life balance. It can be challenging to balance classwork and clinical exercises with personal and work commitments.
  • Attending nursing school with an advanced curriculum can be stressful and overwhelming.

How to Get a BSN Degree

  1. 1

    Decide on the Type of BSN Program

    Traditional, bridge, and accelerated BSN programs are available online, in-person, or hybrid. You’ll also want to consider school type, as cost varies widely between public and private schools. Don’t forget to check out financial aid, grants, scholarships, and loans to help cover tuition. Use our degree finder to discover programs that fit your criteria.

  2. 2

    Meet Your Requirements

    Requirements vary by student status, such as freshman or international student. However, common application requirements include:

    • 2.5 or 3.0 minimum GPA
    • SAT or ACT scores
    • Essay
    • References
    • CV or resume
    • Volunteer experience
    • High school diploma
    • High school or college transcripts
    • Background check
    • Prerequisite courses such as statistics, microbiology, and chemistry.

    For an RN-to-BSN degree program, you’ll also need an active, unencumbered RN license and a nursing diploma or ADN degree. If you’re applying to an accelerated BSN program, you’ll need a bachelor’s degree in a non-nursing field.

  3. 3

    Complete Your BSN Program

    Complete the required coursework and clinical hours, which may vary depending on the program. An RN-to-BSN online program may be more convenient, for example, while an in-person program may offer more structured learning opportunities.

    While nursing programs set clinical requirements, it’s important to check with the state where you plan to work to ensure the program meets state licensing requirements. This will help ensure you’re eligible to apply for a nursing license when you graduate.

    Learn to manage patient care independently, make critical decisions, and collaborate with members of the healthcare team to gain competence and confidence as a nurse.

  4. 4

    Take the NCLEX

    If you attended a traditional or accelerated BSN program, you can take the NCLEX-RN exam and become an RN. Regardless of your starting point, a BSN enables you to advance your education and earn an MSN.

What Do You Learn in a BSN Program?

A BSN program features a mix of lectures, coursework, lab simulations, and clinical rotations.

Examples of the core BSN courses include:

  • Anatomy
  • Community health nursing
  • Pharmacology
  • Leadership and management
  • Research and statistics
  • Pathophysiology
  • Psychology
  • Upper-division courses explore specialty areas such as gerontology, global public health, maternal-child care, and pediatrics.

Pharmacology has a reputation for being one of the hardest nursing courses since you have to learn drug calculation, brand and generic drug names, their contraindications and side effects, and their uses and how they work within a patient. While your BSN courses will require a significant amount of reading and studying, you’ll likely spend a lot of time in clinical rotations outside of the classroom.

Clinical and Lab Components

Clinical hours are completed as clinical rotations, or “clinicals,” where nursing students work shifts in a hospital or clinic under an RN’s supervision. During these experiences, students administer medications, assess patients, plan nursing interventions, and monitor outcomes. Clinicals offer the opportunity to:

  • Shadow working RNs
  • Apply classroom skills in real-world settings
  • Network with future employers
  • Build confidence and competence

Classes focused on a specific population, such as behavioral health, will be paired with a clinical rotation. Nursing classes that teach technical skills, such as health assessment, will be paired with a laboratory simulation. Some classes, like maternal child health, require both a clinical rotation and laboratory simulation.

In a BSN program, you’ll complete 400-1,000 clinical hours, depending on your state and program. Clinicals typically last 8-12 hours and occur one day per week. If you’re in the RN-to-BSN program, your required clinical hours will be less as you’ve already completed a significant amount of clinical hours in your previous training. For in-person BSN programs, the faculty usually secures your clinical site, while online students are responsible for finding a local setting to complete their clinical hours.

Nurses With a BSN Degree: Career and Salary Outlook

Beyond working in hospitals as RNs, individuals with a BSN degree can find careers as public health nurses, nurse managers, and nursing informatics. The Bureau of Labor Statistics (BLS) projects that registered nursing jobs will grow 6% from 2023-2033, faster than the average 4% for all occupations.

Public Health Nurse

A public health nurse (PHN) is an RN who works to promote and protect community health. They often work in government agencies, public health departments, community health clinics, and federally qualified health centers. Typical duties include assessing community healthcare needs, vaccine administration, communicable disease reporting and assessment, public health education, collaborating with community organizations, and advocating for public policy.

  • Average Salary:$78,437
  • Job Outlook: 6% growth from 2023-33

Nurse Manager

A nurse manager oversees nursing staff and facilitates the clinical operations of a nursing unit or department. They often work in hospitals, clinics, and outpatient centers. Typical duties include managing the nursing schedule, recruiting and hiring new employees, training nurses, and collaborating with medical staff.

  • Average Salary:$102,684
  • Job Outlook: 6% growth from 2023-33

Nursing Informatics

A nurse informaticist works with data to improve patient care and outcomes. They often work in hospitals, academic settings, or for multi-facility health systems. Typical duties include analyzing electronic healthcare data, optimizing workflows to make electronic charting more efficient, and educating staff on new technology.

  • Average Salary:$98,409
  • Job Outlook: 6% growth from 2023-33

Clinical Nursing Instructor

A nursing educator or instructor oversees a group of nursing students during their clinical rotations. They typically work for university hospitals, community colleges, and universities. Typical duties include teaching nursing skills, selecting patient assignments for nursing students, and monitoring nursing students during clinical tasks like medication administration.

Utilization Review Nurse

A utilization review nurse ensures patients receive appropriate care in a cost-effective manner. They typically work for insurance companies, hospitals, and private practices. Typical duties include obtaining prior authorization, collaborating with insurance and medical providers, reviewing electronic health records, and investigating insurance denials.

  • Average Salary:$87,946
  • Job Outlook: 6% growth from 2023-33

Frequently Asked Questions About the Bachelor of Science in Nursing Degree

A BSN is a bachelor’s degree in nursing. It’s a four-year program that covers nursing foundations like the study of injury and disease, patient assessment, public health, pediatric nursing, ethics, and research, among other topics. It prepares students to take the NCLEX-RN exam and work as RNs in various healthcare settings.