You’re a rock star among kids, the RN that every parent wants to talk to, and you’re looking for the next challenge. It’s time to become a PNP. If you’re already set on earning a clinical doctorate, skip ahead to our program listings. But if you’d like some background on the job, a list of PNP certification requirements, and tips on what to expect from a DNP curriculum, read on!
Becoming a Pediatric Nurse Practitioner
The Modern Pediatric Nurse Practitioner
Pediatric nurse practitioners – known in the nursing world as PNPs – provide comprehensive care to kids aged 21 and younger. From newborns to toddlers to adolescents, PNPs tackle a complex range of childhood health issues. Every day, they help prevent or treat pediatric illnesses, manage chronic conditions and infections, and counsel families on health and wellness. It’s known as a hands-on job. The National Association of Pediatric Nurse Practitioners (NAPNAP) reports that “PNPs and other pediatric advanced practice nurses (APRNs) spend significant one-on-one time with patients and families to answer their questions and discuss any concerns they may have.”
PNPs are split into two groups. PC PNPs work in primary care environments (e.g. doctors’ offices, healthcare clinics, schools, etc.) and AC PNPs work in acute care environments (e.g. hospitals, ERs, homecare settings, etc.). PC PNPs are often responsible for administering immunizations, performing physicals or developmental screenings, visiting homes and communities, and even prescribing medication. AC PNPs tend to deal with patients who have complex acute, critical, and chronic health conditions. They may be in charge of monitoring and managing intensive therapies and handling urgent health crises. Both PC PNPs and AC PNPs work under the supervision of a practicing physician.
PNP Certification Requirements
In order to practice as a PNP, you must complete a master’s degree or DNP in nursing with a pediatric nurse practitioner focus. Most employers and states also require board certification from the Pediatric Nursing Certification Board (PNCB), which awards Certified Pediatric Nurse Practitioner – Acute Care (CPNP-AC ) and Certified Pediatric Nurse Practitioner – Primary Care (CPNP-PC) credentials.
Check with your State Board of Nursing to ensure you are earning the appropriate certification. DNP programs should clearly state that they are accredited and able to prepare you for PNP certification exams. If you can’t find the information on the program website, ask the school for its pass rates.
CPNP-PC Requirements
- Hold a current, active RN license.
- Earn a master’s, post-master’s qualification, or DNP from a pediatric primary care nurse practitioner program accredited by the Commission on Collegiate Nursing Education (CCNE) or the Accreditation Commission for Education in Nursing (ACEN).
- Complete a minimum of 500 supervised direct care clinical practice hours in primary care pediatrics.
- Complete graduate-level courses in advanced physiology/pathophysiology, advanced health assessment, and advanced pharmacology.
- Pass the CPNP-PC exam administered by the Pediatric Nursing Certification Board (PNCB).
- Maintain your certification & licensure through continuing education.
CPNP-AC Requirements
- Hold a current, active RN license.
- Earn a master’s, post-master’s qualification, or DNP from a pediatric acure care nurse practitioner program accredited by the Commission on Collegiate Nursing Education (CCNE) or the Accreditation Commission for Education in Nursing (ACEN).
- Complete a minimum of 500 supervised direct care clinical practice hours in acute care pediatrics (PNCB strongly recommends 600 hours).
- Complete graduate-level courses in advanced physiology/pathophysiology, advanced health assessment, and advanced pharmacology.
- Pass the CPNP-AC exam administered by the Pediatric Nursing Certification Board (PNCB).
- Maintain your certification & licensure through continuing education.
Helpful Professional Organizations
- American Association of Colleges of Nursing (AACN)
- American Association of Nurse Practitioners (AANP)
- Association of Faculties of Pediatric Nurse Practitioners (AFPNP)
- American Nurses Credentialing Center (ANCC)
- Association of Pediatric Oncology Nurses (APON)
- National Association of Pediatric Nurse Practitioners (NAPNAP)
- Pediatric Nursing Certification Board (PNCB)
- Society of Pediatric Nurses (SPN)
The Pediatric Nurse Practitioner DNP
Typical DNP-PNP Curriculum
Most PNP programs are listed as “graduate tracks” or “concentrations” in DNP degrees. In other words, you start by taking general APRN courses and gradually concentrate on pediatrics. Since children have different health issues than adults, a DNP PNP must prepare you for complicated problems in a range of healthcare environments. Look for programs that take into account the roles that family, community, and cultures play in children’s health.
Above all, a good DNP curriculum should focus on core PNP competencies. For instance, in order to qualify for CPNP certification, you must complete courses in advanced physiology/pathophysiology, advanced health assessment, and advanced pharmacology. You may also find yourself taking classes in evidence-based practice, theory and research, leadership and systems management, healthcare policy, and other areas laid out in AACN Competencies. These courses are intended to prepare you to be an expert practitioner and nursing leader in pediatric care.
Unsurprisingly, your DNP capstone project and clinical practice hours will play a huge part in your training. To prepare you for real-life scenarios, schools often mix skills labs and simulations with supervised clinical experiences in hospitals, homes, and primary care settings. Try to stretch your boundaries into unfamiliar territories (e.g. rural areas, underserved cities, etc.). Working with vulnerable populations, the chronically ill, and kids of all ages during this time will serve you well after graduation.
Experience Requirements
Experience requirements for DNP programs vary. Depending on your area of interest, schools may ask you to have at least one year of experience in acute care or primary care. For AC PNPs, this might include work in an ER, ICU, inpatient unit, surgical unit, or pediatric post-anesthesia unit. Aspiring PC PNPs could consider practicing as a school nurse, pediatric office nurse, or a subspecialty clinic nurse. You may also be required to be Pediatric Advanced Life Support (PALS) certified or complete certification in your specialty area. Schools often recommend that you spend some time shadowing an APRN in your field before you decide on pursuing a DNP.
Examples of DNP-PNP Capstone Projects
- The Evaluation of a Depression Screening Protocol in a Pediatric Primary Care Office (Ohio State University)
- Integrating Preventive Dental Care in a Pediatric Oncology Center (New York University)
- Screening for Vitamin D Deficiency in Children with Epilepsy: Improving Adherence to AAP Clinical Guidelines (Medical University of South Carolina)
DNP Programs with a Pediatric Nurse Practitioner Focus (DNP-PNP)
Skip to State
- Alabama
- Arizona
- Arkansas
- California
- Colorado
- Florida
- Georgia
- Illinois
- Indiana
- Iowa
- Kentucky
- Louisiana
- Maryland
- Massachusetts
- Michigan
- Minnesota
- Missouri
- Nebraska
- New Jersey
- New York
- North Carolina
- Ohio
- Oregon
- Pennsylvania
- South Carolina
- Tennessee
- Texas
- Virginia
- Washington
- Wisconsin