How Hard is a Direct-Entry MSN Program – (10 Biggest Challenges & How to Overcome)


Written By: Darby Faubion, RN, BSN, MBA

Are you a college graduate with a bachelor’s degree who now wants to become a nurse? Does the idea of going back to school make you wonder where to begin? One option that many baccalaureate-prepared students often consider is a direct-entry MSN program. If you have heard of this type of program, you may wonder, “How hard is a direct-entry MSN program?” Like any graduate degree program, direct-entry MSN programs can be challenging. However, if you know what to expect, you can better prepare and set yourself up for success!

In this article, I will share with you the 10 biggest challenges you will face in a direct-entry MSN program and how to successfully overcome them. After reading this article, you will have enough information to weigh the pros and cons and decide if earning your degree through a direct-entry MSN program is the path you wish to pursue.



What Topics are Covered in a Direct-Entry MSN Program?


Direct-entry MSN programs cover a broad range of topics to prepare non-nursing college graduates for advanced practice nursing roles. When you pursue your degree through one of these programs, you can expect to learn about topics including pharmacology, pathophysiology, health assessment, ethics and healthcare law, and evidence-based practice.



Is a Direct-Entry MSN Program Hard?


Yes, a direct-entry MSN program is hard. The programs focus on advanced nursing theory and competencies, which is a new pathway for non-nursing degree holders. However, with planning, good time management, and solid study habits, you can succeed!



What Makes a Direct-Entry MSN Program Hard?

(The following are the 10 biggest challenges you will face in Direct-Entry MSN programs and ways you can successfully overcome them.)


CHALLENGE #1: The Admission Process is Competitive


About the Challenge:

The competitive admission process is one of the things that makes a direct-entry MSN program hard. The programs are designed for individuals with a non-nursing bachelor's degree and, therefore, have several criteria that must be met. For example, in addition to having a baccalaureate degree in a field other than nursing, you must have a minimum college GPA of 3.0 and complete the required prerequisites. Additionally, you must provide glowing letters of recommendation and a professional resume and submit personal statements or essays. Finally, you will likely be asked to participate in an admissions interview with faculty to determine if you are truly a good fit for the program.

How to Overcome:

I understand that the thought of a grueling admissions process is enough to make you second-guess your decision to earn an MSN, but if you really want this career, you can overcome the challenges. Once you determine which school or schools interest you most, I recommend getting a list of the admission criteria for each and reviewing them carefully.

Try to complete as many prerequisite courses as possible before applying. Also, if your college GPA is close to the minimum required for admission, consider taking a few classes to help raise your average. The higher your GPA, the more competitive an applicant you become. Also, write a compelling admission essay or personal statement, and prepare for your admissions interview by practicing a mock interview with a friend or family member. Finally, consider getting some kind of experience in healthcare, whether paid or volunteer, as this shows genuine interest in the field.


CHALLENGE #2: A Rigorous Curriculum


About the Challenge:

Direct-entry MSN programs are designed to equip students with non-nursing backgrounds to become advanced practice registered nurses. As such, the programs feature a rigorous curriculum to help students develop essential nursing knowledge and skills. The curriculum includes foundational nursing courses such as health assessment, pharmacology, pathophysiology, and evidence-based practice. It also includes classes in ethics and legal issues, leadership and management, health promotion and disease prevention, and advanced nursing concepts.

How to Overcome:

The curriculum for direct-entry MSN programs is rigorous, to say the least, and it is one reason these types of programs are so challenging. However, with determination and a clear plan, you can conquer the difficult curriculum and succeed in the program!

One of the first things I recommend is talking with an academic advisor. Your advisor will go over the requirements of the curriculum with you and discuss options for the path that will help you succeed. It is important to be honest with your advisor about things that take up your time outside of school, such as family or a job. Your current responsibilities and commitments can help you decide if part-time or full-time enrollment is best for you. Also, your advisor can help you decide which classes to take and develop a curriculum plan tailored to your needs.


CHALLENGE #3: Major Time Commitment


About the Challenge:

Direct-entry MSN programs are hard, and one of the reasons is that they require a considerable time commitment. From an intensive class schedule to odd clinical hours and study time, you may feel like there are not enough hours in the day. Some programs may even require weekend or evening clinical rotations, which means being flexible with your time is a must.

How to Overcome:

In my experience advising students, one thing I always recommend is to create a personal schedule that you can really work with. Consider everything important that requires your time, from school to children and family and your job. Decide how much time you can devote to school each week, including time for independent study. Then, create a schedule that includes everything you need to do weekly and stick to it! Somehow, having a schedule to refer to makes staying on track easier, and staying on track is imperative if you want to succeed in a direct-entry MSN program.


CHALLENGE #4: Balancing School and Life


About the Challenge:

Direct-entry MSN programs can make managing school and your personal life feel like you are in a balancing act in the circus! If you have a family or job, finding time to keep your personal life and school in a healthy balance may be one of the biggest challenges you face in your program.

How to Overcome:

While direct-entry MSN programs are hard, and creating balance can be challenging, it is possible. The first step in overcoming this challenge is to prioritize everything that requires your time and allocate time for each thing accordingly. Create a realistic schedule using calendars or apps to keep yourself on track. Also, identify and lean on a good support network. Your family and friends can help by sharing non-school tasks and responsibilities and providing emotional support. No matter how organized you are, unexpected things happen. When the unexpected occurs, be willing to adapt and forgive yourself on days when you do not have time to accomplish everything you want to do.


CHALLENGE #5: Grasping Medical Concepts


About the Challenge:

Another major challenge that makes direct-entry MSN programs hard is having to grasp medical concepts. As a student with a non-nursing background, you may feel like you are in uncharted territory when it comes to learning about medical concepts.

How to Overcome:

There is a lot of information to learn in a direct-entry MSN program. One important thing you can do to help you is participate in active learning. Active learning means engaging with your course materials, such as taking thorough notes, participating in class or web-based discussions, and asking questions when you need help. Use mnemonics to help you understand and remember complex topics such as pharmacology, anatomy, and physiology. Most importantly, be consistent with your study routine!


CHALLENGE #6: Learning Clinical Competencies


About the Challenge:

Clinical competencies often present challenges for students in direct-entry MSN programs. In this program, you will learn to apply judgment and critical thinking to clinical patient situations, which requires a different mindset and approach than you may be accustomed to using. The program requires you to adapt to patient diversity, integrate medical terminology into your vocabulary, and bridge theoretical knowledge with clinical skills.

How to Overcome:

Learning clinical competencies can feel a bit overwhelming, especially at first. Don’t worry, though! You can do this! First, work on building good relationships with your clinical preceptors; seek their feedback and guidance. Utilize opportunities to participate in laboratory simulations where you can practice critical thinking, communication, and procedures in a safe, controlled environment. Also, be as engaged as possible during clinical rotations. Ask questions, practice skills, and observe experienced nurses as they provide care.


CHALLENGE #7: Choosing a Specialty


About the Challenge:

Now that you have decided you want to become a registered nurse, what do you plan on doing with your career? One of the great things about earning a Master of Science in Nursing is that there are endless options to choose from when it comes to a career focus. If you are just now considering your nursing career, however, you may find choosing a specialty challenging.

How to Overcome:

I love nursing, and one of the things I love most about it is that there is so much to learn. There really is no limit to the opportunities you have if you just go for it! Although choosing an MSN specialty may seem a bit overwhelming, don’t fret!

What I recommend is thinking about the things that interest you most about nursing and healthcare. For example, would you like to care for patients by providing primary care services, diagnosing illnesses, and prescribing medications or treatments? If so, you could choose an APRN (advanced practice registered nurse) specialty such as Family Nurse Practitioner, Pediatric Nurse Practitioner, or Women's Health Nurse Practitioner. You could also choose a non-APRN specialty such as Clinical Nurse Leader, Nursing Executive/Administrator, Nurse Researcher, or Nursing Informaticist.


CHALLENGE #8: Preparing for the NCLEX-RN


About the Challenge:

The NCLEX-RN, which stands for the National Council Licensure Exam for Registered Nursing, is a test you must take and pass to become a licensed registered nurse. The test is designed to assess your ability to analyze scenarios and apply nursing knowledge using critical thinking and reasoning.

How to Overcome:

While the timeline for each school may vary, direct-entry MSN programs typically have a time within the program's curriculum designated for students to take the NCLEX-RN. Many schools integrate NCLEX preparation into their curriculum. While you may feel anxious about taking the exam, remember your instructors are there to guide you and help you prepare.

Although the NCLEX-RN is hard, there are some things you can do to help prepare. Also, I recommend buying an NCLEX prep guide and using the practice tests to help prepare you for the exam. You can also access the NCLE-RN test plan on the National Council of State Boards of Nursing website. The plan includes an overview of the content categories that you can use as a guide to help you prepare.


CHALLENGE #9: Completing Your Scholarly Project


About the Challenge:

In addition to studying and completing clinicals, most direct-entry MSN programs require students to complete a scholarly project. The project may take various forms, such as a literature review, quality improvement initiative, or research study. The scholarly project is your opportunity to demonstrate your understanding of nursing concepts and your ability to analyze and synthesize critical information.

How to Overcome:

Overcoming the challenges of your MSN scholarly project requires planning and strategic execution of your plan. First, choose a topic that aligns with your interests, trying to avoid overly broad or complex subjects. Create a timeline by breaking your project down into smaller tasks with deadlines. Also, do not be afraid to seek guidance by collaborating with faculty and other mentors.


CHALLENGE #10: Finding Time for Self-Care


About the Challenge:

Anyone who knows me or who has read my articles knows I am a strong advocate for nurses participating in self-care measures, and this is especially important while you are in your direct-entry MSN program. Self-care is important because balance in life helps improve mental clarity and overall health. After all, if you are not well, how can you properly care for others?

How to Overcome:

I know some people who have very in-depth self-care routines. In fact, if I had to follow their routines, I may avoid self-care altogether. Self-care does not have to be difficult, though. The most important steps you can follow include eating a well-balanced diet and getting plenty of exercise, rest, and sleep. Take time to connect with friends and loved ones, and schedule time for leisure and recreational activities, as these give your mind a break. Anything you enjoy doing that creates a sense of calm or peace is something you can implement into your self-care routine.



My Final Thoughts


If you are a college graduate considering going back to school to become a registered nurse, you have probably found there are many avenues to obtain your education. With a bachelor’s degree in a non-nursing field, a direct-entry MSN program is an excellent choice worth considering. If you have heard of this type of program, you may have wondered, “How hard is a direct-entry MSN program?”

In this article, I shared with you the 10 biggest challenges you will face in a direct-entry MSN program and how to successfully overcome them. Although there are challenges to earning your degree through a direct-entry MSN program, the benefits far outweigh the challenges. If you feel becoming a nurse and earning a Master of Science in Nursing is the right path for you, I encourage you to research schools that offer these programs and start your journey today. The opportunities are truly endless!



Frequently Asked Questions Answered By Our Expert


1. How Long Does A Direct-Entry MSN Program Take?

Direct-entry MSN programs typically take two to three years to complete. However, if you pursue the degree part-time, you could take longer to earn the degree.


2. What Are The Hardest Classes In A Direct-Entry MSN Program?

Each student has strengths and weaknesses, which means there is a difference of opinion about which classes are hardest. Typically, the most challenging classes are Advanced Health Assessment, Pathophysiology, and Research and Evidence-Based Practices.


3. How Many Hours Do I Need To Study In A Direct-Entry MSN Program?

One of the things that makes direct-entry MSN programs hard is the time commitment, which includes the time you spend on independent study. Because all students learn differently, the amount of time you need to spend studying may vary from other students. On average, program faculty recommend students set aside three to four hours each week for every credit hour they are enrolled in. What that means is if you are registered to take 15 credit hours, you should dedicate 45 to 60 hours per week to studying.


4. Is It Hard To Work During A Direct-Entry MSN Program?

Balancing a work schedule with a direct-entry MSN program can be challenging. The program consists of intense coursework and clinicals and requires many hours of independent study. However, by managing time wisely and arranging flexible work assignments, some students do manage to work while enrolled.


5. What Next After Failing A Direct-Entry MSN Program?

No one wants to fail, but if you do start a direct-entry MSN program, you still have options. The first step is to think about your goals and what you want to accomplish academically and professionally. If you genuinely want to earn a Master of Science in Nursing degree, consider visiting the program director and your academic advisor to discuss options for reentering the program. If, on the other hand, you decide that the program is too much, there are many healthcare degrees and pathways you can consider that will help build upon your current knowledge and skills and provide excellent career opportunities.



List Of Sources Used For This Article


1. “Types of MSN Specialties- Which One Is Right for You?” (nursingprocess.org)
2. “How Hard is the NCLEX-RN? (16 Biggest Challenges & Ways to Overcome)” (nursingprocess.org)
3. “Test Plans: An In-Depth Look at Exam Content, Administration, Item Writing, & Clinical Judgment” (NCSBN.org)
4. “Self-Care for Nurses- 25 Prove Strategies to Take Better Care of Yourself” (nursingprocess.org)


Darby Faubion, RN, BSN, MBA
Darby Faubion is a nurse and allied health instructor with over 20 years of clinical experience. Her work history includes clinical experience in pediatrics, mental health, addiction and behavioral disorders, geriatrics, wound management, and communicable disease. Darby has worked in hospitals, long-term care facilities, and home health and hospice agencies. Darby also has experience as a nursing and allied health educator at both community college and university levels. Her love for nursing and nursing education led to her becoming a test-taking strategist and NCLEX prep coach.