Best Online Nursing Programs in North Carolina – 2025 Accredited RN to BSN Programs

by Imed Bouchrika, Phd

Co-Founder and Chief Data Scientist

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In the U.S., nursing staffing shortages remain an ongoing issue that will increase in severity in the future. Models predict a nurse shortage in North Carolina of 16,700 RNs by 2033 if nurses exit the workforce two years early, and even if nurse graduates increase by 10%, the RN shortage would drop only by a small margin—from 12,500 to 10,000 (UNC, 2021).

The Bureau of Labor Statistics reports an estimated national employment figure of 3,072,700 for registered nurses with an average hourly wage of $42.80 or $89,010 annually, and annual salaries ranging from $61,250 to $129,400 (Bureau of Labor Statistics, 2023). To attract existing licensed RNs to a better career pathway and higher salaries, many RN to B.S. Nursing (BSN) programs have emerged, emulating the success of master’s and doctorate nursing degrees delivered in the online format.

Utilizing the latest metrics and data related to online nursing degree programs—including the highest level of nursing degree—and state and national statistics, our research team at Research.com created a list of recommendations for the best online accredited RN and BSN degree online nursing programs in North Carolina in 2024.

Best Online Nursing Programs in North Carolina Table of Contents

1. How to Become a Registered Nurse in North Carolina
2. What is the typical cost of a nursing program in North Carolina?
3. How long does it take to become a registered nurse in North Carolina?
4. Can you become a registered nurse in North Carolina with an online degree?
5. Online Nursing Programs in North Carolina for 2025
6. Is North Carolina good for registered nurses?
7. Key Considerations for Choosing a Nurse Practitioner Program in North Carolina
8. How can I advance my nursing career in North Carolina?
9. What are the current nursing license requirements in North Carolina?
10. Can an accelerated RN to BSN program boost my nursing career in North Carolina?
11. What can I do with a nursing degree in North Carolina?
12. Is an LPN Career a Strategic Stepping Stone in North Carolina's Nursing Landscape?
13. Is a Nursing Education in North Carolina a Worthwhile Investment?
14. How Can I Confirm the Accreditation and Quality of Online Nursing Programs in North Carolina?
15. What are the current career prospects for nurse practitioners in North Carolina?
16. How can pursuing allied healthcare roles, such as medical billing and coding, complement my nursing career in North Carolina?
17. How can I become a nurse midwife in North Carolina?
18. What continuing education opportunities are available for nurses in North Carolina?
19. Pathways for Non-Nurses: Entering Nursing in North Carolina
20. The Growing Demand of Psychiatric Nurse Practitioners in North Carolina
21. What financing options are available for nursing education in North Carolina?

In North Carolina, there were an estimated 104,300 registered nurses earning an average of $37.22 per hour, or $77,420 per year, which is above the $58,000 annual mean wage for all U.S. occupations. North Carolina has much fewer nurses in other categories, with only about 2,380 nurse anesthetists, 280 nurse midwives, and 8,040 nurse practitioners in 2022 (BLS, 2023). Projections of more nurse staffing are expected as many hospitals and healthcare facilities attempt to solve the nursing gap by increasing nurse recruitment and retention across the country.

How to Become a Registered Nurse in North Carolina

There are several pathways to becoming a North Carolina RN. RNs with education at the bachelor’s or associate’s level are eligible for licensure or endorsement for licensed practice in NC if they are licensed in other states as NC is a Compact state.

Note, though, that NC is aiming for an increase in bachelor’s level RNs as BSNs are increasingly considered better prepared to meet the complex healthcare needs of patients. Online nursing programs in North Carolina can help you get a BSN quickly. A level up would be direct entry MSN programs online.

Healthcare facilities and hospitals require role-specific training for specific jobs, but this is often done during on-site orientation and on-the-job training. Nurses who take on the role of sexual assault nurse examiner (SANE) are required to possess additional state-mandated requirements. CNA certification in North Carolina also has its own set of requirements.

One must pass the NCLEX-RN exam, have 15 contact hours of continued education, and 640 hours of active practice within the past two years. License renewal every two years and an unencumbered license are ideal to keep continuously practicing in the state of North Carolina.

In some cases, completion of a board-approved refresher course or post-licensure academic education related to nursing practice may be required. Other licensure pathways may be found on the NCBON website.

North Carolina Board of Nursing RN licensure

The North Carolina Board of Nursing (NCBON) is responsible for licensing registered nurses and practical nurses in the state of North Carolina. It also serves as the main North Carolina nursing portal.

To be eligible for a license to practice nursing in North Carolina, one must pass a program approved by the board and the NCLEX-RN licensure exam, along with CE credits and work experience. As North Carolina is a Compact state, non-NC residents may practice in NC after licensure approval and/or endorsement, which can all be done online for a small fee.

Registered Nursing Examination (NCLEX-RN)

The main prerequisite for RN licensure is to pass the NCLEX-RN exam, short for the National Council Licensure Examination for Registered Nurses.

This standardized exam is used in the USA, Canada, and Australia to measure a nurse’s critical thinking ability to make correct decisions in real-world case studies. As a computerized adaptive test (CAT), questions are asked based on previous answer performance.

Scores are sent directly by the National Council of State Boards of Nursing (NCSBN) to the state licensing board and/or potential employers.

Nursing Practice Regulation in North Carolina

The U.S. Nurse Licensure Compact (NLC) is a common agreement among states that allows nurses to practice in multiple states after passing the NCLEX-RN exam and obtaining a license. Nurses with a license and residency in other states can be licensed to practice in North Carolina.

RN-BSN Completion Program

Registered nurses (RNs) who are Associate Degree in Nursing (ADN) and nursing diploma holders are eligible for online RN to BSN or RN-BSN programs. These online nursing programs in North Carolina are increasing in popularity as they allow for quick completion of a Bachelor of Science in Nursing (BSN) while working full-time.

The completion time is around one to two years, depending on several factors, including previous work experience and continuing education credits. A BSN degree leads to better career opportunities and higher salaries.

English Language Proficiency for Foreigners

Non-native English speakers who finished their RN degree abroad are required to have English language proficiency to work in the U.S. Common passing scores are shown in the following table (CGFNS International, Inc., 2023):

Criminal Background Check

Criminal background checks are necessary for all RN practice applicants. This is done to protect patients and healthcare institutions from potential crimes and lawsuits and to ensure proper standard nursing practices are observed.

Random Drug Tests

Random drug tests may also be conducted in the healthcare facility you are employed at. It is best to avoid doing drugs to prevent suspension or license revocation.

Considering all these requirements, you might ask if it is worth it to pursue nursing in North Carolina. The answer is yes, it is, as the state of health care in North Carolina needs a lot of help. The typical annual ratios of patients per provider in North Carolina are as follows: 1,399 patients for every primary care physician, 363 to 1 mental health provider, and 693 to 1 primary care provider (other types). These large ratios indicate a large need for care providers and registered nurses in North Carolina’s healthcare system.

License Renewal

License renewal is every two years or after a suspension or lapse of registration. It can be done online unless other requirements are asked of you.

What is the typical cost of a nursing program in North Carolina?

Tuition fees may vary widely, mainly based on the type of online nursing programs in North Carolina and in-state versus out-of-state tuition. Other costs like room and board also vary per location and university but are often not considered when you take programs online.

The cost of RN to BSN online programs varies. Appalachian State University charges $204 per credit hour from NC residents, while East Carolina University charges $169.69 per credit for residents and $883.00 for non-residents.|

The University of North Carolina-Charlotte charges residents $188.48/ credit hour ($5,843.00 est. program cost), non-residents outside of NC $347.32/ credit hour ($10,767.00 est. program cost), and non-residents $748.23/ credit hour ($23,196.00 est. program cost).

Western Carolina University is among the cheapest at $65.81/credit hour for residents and 232.47/credit hour for non-residents. The University of North Carolina-Wilmington charges a program total cost of $6,089.13 for N.C. residents.

You may find other cheap MSN programs as well. Bear in mind that you can also ask for financial aid from your employer, the state, the federal government, and other benefactors. Please always check your target university’s website or the latest fees and costs as they usually change per term.

How long does it take to become a registered nurse in North Carolina?

For different pathways, the time frame may vary, but it is usually two to three years for nursing diploma holders and around two years for associate degree holders. BSN degrees take around four years, but many RN to BSN degrees take only a few semesters to approximately one year of full-time study online; the caveat is that you should have obtained your RN license already.

The most important requirement is to pass the NCLEX-RN licensure exam. The licensure process takes around a few months depending on when and where you take the licensure exam.

All North Carolina RN licenses must be renewed every two years online.

If you want to become a certified nurse assistant (CNA), you may check the North Carolina CNA registry.

You may also want to pursue a Master in Nursing Administration degree afterward.

Can you become a registered nurse in North Carolina with an online degree?

Yes, you can become a registered nurse in North Carolina with a degree from online nursing programs in North Carolina accredited by a licensed U.S. accreditation board as long as you fulfill certain requirements.

Prospective RNs must satisfactorily complete a professionally accredited nursing program approved by the North Carolina Board of Nursing (NCBON) or by an equivalent board in another state. Online coursework is acceptable as long as the program is approved or accredited in the state it is located, and certain standards such as having a qualified faculty and providing adequate clinical experience are met. In fact, many schools in North Carolina offer online nursing degrees.
Passing the NCLEX-RN is required in order to be licensed, and it is administered at certain periods annually by the National Council of State Boards of Nursing (NCSBN).

Nurses must also meet the NCBON’s character and fitness requirements, including no criminal records and the ability to speak and write English fluently (important especially for foreign graduates).

Online or hybrid format nursing degrees are becoming more popular and more widely accepted among employers, though one’s nursing work experience and continuing education hours are considered by potential employers. RN to BSN degree students are already practicing nurses with RN licenses, so it is widely recognized by employers.

Increasingly, North Carolina nursing schools are offering 100% online-only coursework. Some may require in-class or physical internships in hospitals or healthcare facilities to develop hands-on skills, but these are usually covered by one’s current work experience as an RN.

In 2021, North Carolina was among the top five (fifth place) in the U.S. for nurses with the highest NCLEX pass rates over five years. The state’s NCLEX pass rate average from 2017-2021 was 91.12%. RN-Associate degree holders had a 2021 pass rate of 87.1% and RN-bachelor degree holders had a pass rate of 87.1% from a total number of 4,645 candidates (2021) (Nursejournal.org, 2023). A North Carolina nursing license is quite prestigious.

Online Nursing Programs in North Carolina for 2025

Our Research.com choices for accredited RN to BSN online nursing programs in North Carolina are enumerated as follows. Make sure to check the latest information on the schools’ websites as tuition fees and other costs may change frequently.

1. Appalachian State University

Appalachian State University offers a 100% online RN to BSN degree where students complete lessons with a total of 30 semester hours of coursework in an asynchronous format. Among online nursing programs in North Carolina, ASU offers three options: the one-year, two-year, and three-year RN to BSN with varying hours per week of coursework and semesters. The degree is designed for working nurses with an ADN (Associate Degree in Nursing) or a Diploma in Nursing who want to advance their careers and use their work experience. Skills development in community-based nursing, geriatric care, health assessment, informatics, leadership, research, and theory are coupled with non-traditional clinical requirements built into each course. Thirty RN to BSN program hours at App State and 30 hours awarded for clinical practice and prior learning are credited towards the degree.

1. Program Length: 1-3 years
2. Tracks/concentrations: N/A
3. Tuition cost per credit: $204(NC Residents)
4. Required Credits to Graduate: 60 credits
5. Accreditation: Commission on Collegiate Nursing Education (CCNE)

2. East Carolina University

East Carolina University offers a four-semester or 16-month online RN to BSN degree designed for working nurses to advance their careers and education. Hundred percent of classes are available online. The program is nationally ranked, and ECU is designated as a National League for Nursing Center of Excellence. A personalized educational experience, experienced faculty, dedicated staff, a supportive online community, and high completion rates are some of its strengths.

1. Program Length: 16 months
2. Tracks/concentrations: N/A
3. Tuition cost per credit: $169.69 for residents, $883.00 for nonresidents
4. Required Credits to Graduate: 60 credits
5. Accreditation: Commission on Collegiate Nursing Education (CCNE)

3. University of North Carolina-Charlotte

The University of North Carolina-Charlotte offers a 100% online RN to BSN completion program to provide registered nurses with associate degrees or nursing diplomas an opportunity to earn a Bachelor of Science in Nursing degree. No campus visits or face-to-face class meeting times are required as it is designed to be flexible for working professionals continuing their education. Among the online nursing programs in North Carolina, this can be completed in 12 months when enrolled full-time.

1. Program Length: 12 months
2. Tracks/concentrations: N/A
3. Tuition cost: Resident: $188.48/ credit hour ($5,843.00 est. program cost); Outside of NC Non-Resident: $347.32/ credit hour ($10,767.00 est. program cost); Non-Resident: $748.23/ credit hour ($23,196.00 est. program cost)
4. Required Credits to Graduate: 31
5. Accreditation: Commission on Collegiate Nursing Education (CCNE)

4. Western Carolina University

Western Carolina University offers a 100% online BSN degree for registered nurses (RNs) in as short as four semesters. The program allows for building upon one’s basic nursing education, broadening one’s perspective of current clinical practice, enhancing leadership potential, and preparing for graduate study in nursing. Make sure to avail of the Reduced Tuition Through NC Promise for both in-state and out-of-state students.

1. Program Length: 4 semesters
2. Tracks/concentrations: N/A
3. Tuition cost per credit: $65.81/credit hour for residents; 232.47/credit hour for non-residents
4. Required Credits to Graduate: 60 credits
5. Accreditation: Commission on Collegiate Nursing Education (CCNE)

5. University of North Carolina-Wilmington

The University of North Carolina-Wilmington offers an RN to BSN online program through state-of-the-art, real-world experiential learning. Among the online nursing programs in North Carolina, this one prepares students to work in interprofessional teams and develop decision-making skills to become successful healthcare professionals. These are obtained through internships, study abroad, and research and community service. Coursework includes professional nursing practice, gerontological nursing, community health nursing, and core leadership and management concepts. The UNCW School of Nursing has been educating nurses for over four decades utilizing their teaching faculty’s extensive real-world nursing experience.

1. Program Length: 12 months
2. Tracks/concentrations: N/A
3. Tuition cost [program]: $6,089.13 for N.C. residents [program cost]
4. Required Credits to Graduate: 29 credits
5. Accreditation: Commission on Collegiate Nursing Education (CCNE)

In the 2022 NCLEX-RN exams of students from nursing schools in North Carolina, the pass rates of first-time U.S.-educated test takers and candidates for U.S. RN licensure are shown in the following chart.

RN-Diploma holders had a 75% pass rate. Those with an RN-Associate degree had pass rates of 86%, 87.3%, and 74.3% while RN-Baccalaureate degree holders had 86.9%, 89.5%, and 78.4% pass rates for the three exam periods in 2022, yielding a total pass rate for North Carolina of 86.5%, 88.1%, and 76.5% for the three exam periods (National Council of State Boards of Nursing, 2023).

Is North Carolina good for registered nurses?

North Carolina has a relatively low cost of living index among the 52 U.S. states. In Q1 2023, the best cost of living index was in Mississippi at 85.3 (1st). North Carolina was 9th at 90.3, while the states with the worst values were New York with 125.1 (48th) and the District of Columbia with 148.7 (51st), with Hawaii in last place at 179.0 (52nd) (MERIC, 2023). In addition, there are quite a few great online nursing programs in North Carolina.

Statistics show that the number of registered nurses in North Carolina in 2022 was 104,300 with mean earnings annually of $77,420. In addition, NC has a population of 2,380 nurse anesthetists and 8,040 nurse practitioners (Bureau of Labor Statistics, 2023), indicating upward career mobility for those who want to specialize more.

Despite the lower salary average, North Carolina has a much lower cost of living in comparison to more than 40 other U.S. states. This means more bang for the buck and a greater purchasing power of your money compared to larger and more expensive cities and states. The cost of living will be much cheaper, allowing you to save more money and spend less.

Key Considerations for Choosing a Nurse Practitioner Program in North Carolina

When advancing your nursing career, selecting the right nurse practitioner program is one of the most critical decisions you can make. North Carolina offers a wide variety of programs tailored to meet specialized healthcare needs. These programs aim to equip registered nurses with the skills required to transition into advanced practice roles while catering to the state's growing demand for nurse practitioners, particularly in rural and underserved areas.

When evaluating nurse practitioner programs in North Carolina, key factors like program accreditation, clinical placement opportunities, faculty expertise, and curriculum design should be thoroughly reviewed. Accreditation ensures that the program meets national standards of nursing education and adequately prepares students for certification exams. Additionally, strong clinical placement networks guarantee real-world experience in healthcare settings that reflect the state’s unique demographic challenges and health indicators.

For nurses looking for flexible nurse practitioner programs in North Carolina, several institutions in the state offer online or hybrid learning formats. Such programs allow working professionals to balance their personal and professional commitments while advancing their qualifications. 

Specializations available within nurse practitioner programs include family practice, acute care, geriatrics, and psychiatric-mental health, reflecting the state's diverse healthcare needs. Graduating from one of these programs not only provides professional growth but also plays a vital role in addressing North Carolina’s healthcare shortages, ensuring improved care delivery across communities.

How can I advance my nursing career in North Carolina?

Nurses seeking career advancement in North Carolina can leverage specialized leadership training and targeted certifications to transition into roles in management, education, and policy-making. Healthcare institutions are increasingly offering mentorship programs, structured residencies, and professional development workshops that hone decision-making and team management skills. Exploring opportunities to serve as nurse educators or administrators can further broaden influence in strategic healthcare planning and improve patient care outcomes. For actionable steps on embarking on this progression, learn how to become an RN in North Carolina.

What are the current nursing license requirements in North Carolina?

Understanding and complying with state-specific licensure regulations is critical for practicing safely and legally. Ensure that all documentation, examination results, and background verifications are in order to meet eligibility criteria and maintain active status. For detailed guidance on application processes, eligibility nuances for internationally educated nurses, and cyclical renewal protocols, visit nursing license requirements in North Carolina.

Can an accelerated RN to BSN program boost my nursing career in North Carolina?

Accelerated RN to BSN programs offer a streamlined path for working nurses to expand their qualifications without compromising professional responsibilities. These intensive programs incorporate advanced clinical training and online coursework designed to accommodate a busy schedule while delivering essential skills for leadership and specialized patient care. Enrolling in an accelerated route can significantly reduce time to degree completion and enhance opportunities for promotion and salary growth in North Carolina’s competitive healthcare market. For a faster transition, consider the 6 month RN to BSN program, which is structured to meet evolving industry demands and supports career advancement with a robust curriculum that emphasizes both theoretical knowledge and practical application.

What can I do with a nursing degree in North Carolina?

North Carolina has very serious healthcare needs statewide. Some 2021 key health indicators compiled by the North Carolina Institute of Medicine are shown in the following table—and they are very telling.

In NC, adult obesity is at 32.8%, with overweight and obese adolescents at 30.7%, or a third of all adults and adolescents! This subset is very susceptible to diabetes and chronic illnesses associated with obesity, which is not surprising as physical activity is only at 45.2% of the population! To make matters worse, fruit and vegetable consumption is very low at 14.8%.

Adult smoking is at 17%, with youth tobacco use at a much higher 28.8%. Low birth weight incidence is at 9.1% and tooth decay is at a very high 45.5%! Poverty incidence is at 13.6, exacerbating healthcare access for many poor state residents (North Carolina Institute of Medicine, 2023).

The stats are compelling, and many NC residents will require skilled nursing care and support through chronic illnesses and their complications into the foreseeable future.

As experienced by many U.S. states for quite some time now, registered nurse shortages and lack of healthcare access for many people have been worsening and are expected to worsen even more throughout the decade.

North Carolina’s 2033 projected RN workforce shortages are 9,927 for hospitals, 1,888 for nursing home/extended care/assisted living facilities, 1,535 in home health/hospice settings, 132 in nursing education, 128 in correctional facilities, and 26 in mental health hospitals/facilities. surpluses are expected for community and population health (+86) and ambulatory care (+363) (UNC, 2021).

On the positive side, there are multiple benefits of a nursing career.

Is an LPN Career a Strategic Stepping Stone in North Carolina's Nursing Landscape?

Licensed Practical Nurses (LPNs) play a significant role in the healthcare system as they provide essential patient care, offering a practical entry point into the nursing profession. Many LPNs use this experience as a springboard for career advancement through bridge programs leading to Registered Nurse (RN) status or specialized practice roles. The streamlined nature of LPN programs can facilitate an earlier entry into the workforce, allowing professionals to accumulate valuable clinical experience while considering further education. Additionally, understanding the nuances of career progression—including detailed insights into LPN salary—can help candidates evaluate the return on investment and long-term benefits of starting as an LPN in North Carolina. This pathway may offer increased opportunities for mentorship, financial stability, and professional growth while meeting the critical demand for diverse nursing expertise across the state.

Is a Nursing Education in North Carolina a Worthwhile Investment?

Evaluating a nursing education requires a careful analysis of long-term career benefits relative to the upfront tuition and associated costs. Graduates often experience progressive salary increases and enhanced job security as they advance into specialized roles or leadership positions. An evidence-based review of employment trends combined with post-graduation earnings data shows that the financial investment is typically recouped through improved compensation and diverse career opportunities. Prospective students can refine their decision-making process by reviewing program performance metrics and outcomes from accredited nursing schools in North Carolina, ensuring they choose programs that deliver both academic rigor and robust return on investment.

How Can I Confirm the Accreditation and Quality of Online Nursing Programs in North Carolina?

To ensure your online nursing program meets rigorous quality standards, verify that it holds accreditation from recognized bodies such as the Commission on Collegiate Nursing Education (CCNE) or the Accreditation Commission for Education in Nursing (ACEN). Check that the program’s curriculum aligns with state licensure requirements and that it incorporates industry-standard clinical simulation and practice components. Evaluating factors such as graduation rates, NCLEX pass statistics, and faculty expertise will further help determine the program’s overall quality. For additional career pathway insights, review how to become an LVN nurse in North Carolina.

What are the current career prospects for nurse practitioners in North Carolina?

Nurse practitioners in North Carolina are increasingly recognized for their ability to fill gaps in primary and specialized care, with employers offering competitive salaries and leadership opportunities in both urban and rural settings. This emerging role is bolstered by evolving healthcare policies and the integration of innovative clinical practices. Establishing advanced clinical competencies and pursuing specialized certifications can further enhance career growth. For detailed guidance on advancing your clinical practice and taking the next step in your nursing career, review our article on how to become a nurse practitioner in North Carolina.

How can pursuing allied healthcare roles, such as medical billing and coding, complement my nursing career in North Carolina?

Diversifying your expertise by integrating allied healthcare roles can enhance clinical effectiveness and administrative insight. Leveraging skills in medical billing and coding provides nurses with an opportunity to address operational challenges, streamline documentation processes, and secure alternative revenue streams. This complementary pathway supports improved patient care coordination and facilitates a deeper understanding of healthcare systems from multiple perspectives. For professionals considering this route, review our article on how to become a medical biller and coder in North Carolina for detailed career insights.

How can I become a nurse midwife in North Carolina?

Nurse midwifery offers a specialized career path within women’s health that addresses both clinical expertise and community care in North Carolina. With only a limited number of licensed professionals currently in practice, the role presents significant opportunities for growth and leadership. Prospective candidates must complete accredited midwifery education that integrates advanced clinical training with a comprehensive understanding of maternal and neonatal care. Certification and licensure processes emphasize both theoretical knowledge and hands-on experience, ensuring practitioners can deliver high-quality, evidence-based care. For detailed guidance on educational pathways and certification requirements, explore our guide on how to become a nurse midwife in North Carolina.

What continuing education opportunities are available for nurses in North Carolina?

Continuing education (CE) is crucial for nurses to maintain their licenses and stay updated with advancements in healthcare. In North Carolina, the Board of Nursing requires nurses to complete specific continuing education hours every two years to ensure that they remain competent in their practice. However, beyond the regulatory requirements, there are many opportunities for nurses in North Carolina to expand their skills, advance their careers, and specialize in new areas.

• State-Sponsored Programs. The North Carolina Nurses Association (NCNA) offers a range of CE programs, webinars, and workshops tailored to nurses at all career stages. Topics cover emerging healthcare trends, patient safety, leadership skills, and more.
• University Partnerships. Several universities in North Carolina, such as Duke University and the University of North Carolina, offer continuing education courses in specialized areas like nurse leadership, informatics, and public health. Nurses can take advantage of these programs to gain certifications or explore new career pathways.
• Online CE Courses. For nurses seeking flexibility, numerous online platforms like Nurse.com, the American Nurses Association (ANA), and Medline University provide accredited CE courses on a wide range of topics. These can be completed at one’s own pace and help nurses meet their CE requirements from the comfort of their homes.
• Specialized Training Programs. For those looking to advance into specialty fields, North Carolina hospitals and healthcare systems often offer training programs in areas like critical care, pediatrics, and gerontology. These programs provide both CE credits and valuable hands-on experience.

Pathways for Non-Nurses: Entering Nursing in North Carolina

With North Carolina’s projected shortage of registered nurses, there is an urgent need to broaden pathways for individuals interested in starting a nursing career, even if they don’t have prior experience in the field. For those without an RN license, several nursing programs offer accelerated and bridge options specifically designed for career changers and those new to nursing. These programs allow students to earn an RN degree efficiently, providing a direct route to licensure and employment in healthcare settings.

Many of these programs are available in online formats, making it easier for aspiring nurses to balance studies with other commitments. For those interested, exploring online RN programs for non-nurses can be a great way to start, combining flexibility with rigorous training to prepare for the NCLEX-RN and a rewarding nursing career in North Carolina.

The Growing Demand of Psychiatric Nurse Practitioners in North Carolina

A particularly rewarding path in mental health nursing is becoming a Psychiatric Mental Health Nurse Practitioner (PMHNP). These advanced practice nurses provide critical care to individuals with mental health challenges and play a key role in diagnosing, treating, and managing mental health conditions. In North Carolina, the demand for PMHNPs is growing as healthcare systems focus on improving access to mental health services, particularly in underserved areas.

Why Consider the PMHNP Path?

Nurses who want to specialize in mental health care can pursue online RN to MSN PMHNP programs. These programs allow registered nurses (RNs) to advance their education and move into the psychiatric mental health nurse practitioner role, often with flexible online coursework that can be completed while maintaining a work-life balance. As a PMHNP, you’ll be able to assess, diagnose, and treat patients, prescribe medications, and provide psychotherapy—all crucial components of mental health care.

With a shortage of mental health providers across the country, especially in rural and underserved areas of North Carolina, pursuing a career as a PMHNP offers strong job security and the ability to make a significant difference in your community. As a PMHNP, you’ll also enjoy higher earning potential compared to traditional registered nurses, along with the opportunity to work in a variety of settings, including private practices, hospitals, rehabilitation centers, and more.

Support for Mental Health Nurses in North Carolina

North Carolina is home to several professional organizations and resources for nurses interested in mental health care. The North Carolina Nurses Association (NCNA) and the North Carolina Psychiatric Nurses Association (NCPNA) offer networking opportunities, continuing education, and advocacy for nurses specializing in mental health. These organizations can also provide valuable resources for career advancement, helping nurses stay up-to-date on best practices, mental health policies, and emerging trends in the field.

What financing options are available for nursing education in North Carolina?

Nursing education investments can be managed through a variety of financial support mechanisms. Prospective students may leverage merit-based and need-based scholarships, state grants, and federal loan programs that are tailored to healthcare studies. Employer-sponsored tuition reimbursement initiatives also provide an opportunity for working professionals to advance their education cost-effectively. Local community programs and institutional financial aid offices can help identify bespoke funding options aligned with individual career goals. Additionally, exploring allied pathways—such as medical assistant programs in North Carolina—may offer alternative routes with lower financial commitment. Careful evaluation of these resources can lead to a financially sustainable pathway into advanced nursing careers.

The Future of Online RN Degrees

The situation for many U.S. states is becoming markedly more dire. Around 75.4% of U.S. hospitals have a greater than 10% nurse vacancy rate (NSI Nursing Solutions, 2023), which is pushing healthcare capacities to unsustainable levels in the near future. These nationwide vacancy rates and difficulty in recruiting experienced RNs will continue to be challenges that need to be addressed. The North Carolina nurses registry must increase significantly.

With more people reaching retirement age, an increased life expectancy, and an increasing prevalence of chronic illnesses, the need for RNs is the greatest and most urgent gap that states must fill. With NC’s health indicators, it is imperative that reforms be made in nursing education, staffing, and retention.

Completing RN to BSN degrees faster for ADN and diploma holders should be a state priority, and financial support for universities and online teaching and learning should be increased.

Technological innovations should be encouraged, and in fact, online simulations are now standard parts of any BSN online curricula. Leveraging artificial intelligence in teaching and learning will help students and schools to determine optimal learning paths and maximized learning outcomes.

We hope this article helps you decide to get an online BSN degree and do your nursing practice in North Carolina. You will help a lot of people and perhaps fulfill your future calling. Maybe you can start as a CNA and be listed in the CNA registry in North Carolina first. Or perhaps get another degree for a public health job that costs less.

We wish you all the best!

Key Insights

• Severe Nursing Shortages: North Carolina faces a projected shortage of 16,700 RNs by 2033, highlighting the urgent need for more nurses.
• High Earning Potential: The average annual salary for registered nurses in North Carolina is $77,420, higher than the national average for all occupations.
• Online RN to BSN Programs: Several accredited online RN to BSN programs in North Carolina offer flexible options for working nurses to advance their education and career.
• Compact State Licensure: North Carolina is a Nurse Licensure Compact (NLC) state, allowing nurses licensed in other compact states to practice in North Carolina.
• Diverse Nursing Opportunities: Nurses in North Carolina can work in various settings, including hospitals, nursing homes, home health, education, and mental health facilities.
• Significant Healthcare Needs: The state faces high rates of obesity, tobacco use, and low physical activity, necessitating a strong nursing workforce to manage chronic illnesses.
• Economic Advantages: North Carolina has a relatively low cost of living, making it an attractive state for nurses to live and work.

FAQ

1. How do I become a registered nurse in North Carolina?

To become a registered nurse in North Carolina, you need to complete an accredited nursing program (associate’s or bachelor’s degree), pass the NCLEX-RN exam, and apply for licensure through the North Carolina Board of Nursing (NCBON).

2. What is the typical cost of a nursing program in North Carolina?

The cost of nursing programs varies. For example, Appalachian State University charges $204 per credit hour for residents, while East Carolina University charges $169.69 for residents and $883.00 for non-residents. Financial aid and scholarships may be available to help offset costs.

3. How long does it take to become a registered nurse in North Carolina?

Becoming a registered nurse typically takes two to three years for an associate’s degree or about four years for a bachelor’s degree. Online RN to BSN programs for already licensed nurses can be completed in approximately one year of full-time study.

4. Can I become a registered nurse in North Carolina with an online degree?

Yes, you can become a registered nurse in North Carolina with an online degree from an accredited program. You must also pass the NCLEX-RN exam and meet state licensure requirements.

5. What are the advantages of pursuing an RN to BSN program online in North Carolina?

Online RN to BSN programs offer flexibility for working nurses, allowing them to complete their degrees at their own pace while continuing to work. These programs often provide a more affordable option compared to traditional on-campus programs.

6. Are online nursing degrees recognized by employers in North Carolina?

Yes, online nursing degrees from accredited programs are widely recognized and accepted by employers in North Carolina. Employers value the flexibility and commitment demonstrated by nurses who pursue online education.

7. What types of jobs can I get with a nursing degree in North Carolina?

With a nursing degree, you can work in various settings such as hospitals, nursing homes, home health agencies, educational institutions, mental health facilities, and correctional facilities. Advanced roles include nurse practitioner, nurse anesthetist, and nurse midwife.

8. What is the NCLEX-RN exam, and why is it important?

The NCLEX-RN (National Council Licensure Examination for Registered Nurses) is a standardized exam that measures the competencies needed to perform safely and effectively as a newly licensed, entry-level nurse. Passing the NCLEX-RN is required to obtain RN licensure.

9. How often do I need to renew my nursing license in North Carolina?

Nursing licenses in North Carolina must be renewed every two years. Renewal requires completing continuing education credits and meeting other state requirements.

10. What is the job outlook for registered nurses in North Carolina?

The job outlook for registered nurses in North Carolina is positive, with a significant demand for nursing professionals across various healthcare settings. The state’s growing healthcare needs and nursing shortages present numerous opportunities for employment and career advancement.

References:

1. Amccartney. (2023, April 25). States With The Highest NCLEX Pass Rates | NurseJournal.org. NurseJournal.
2. American Association of Colleges of Nursing. (2023). State Sheet NORTH CAROLINA. American Association of Colleges of Nursing.
3. Data USA. (2022). North Carolina | Data USA. Data USA.
4. Education NC. (2022). N.C. nursing shortage likely to increase, report shows. Can community colleges help? North Carolina Health News.
5. Logic, S. (2023). Continuing Competence | North Carolina Board of Nursing. North Carolina Board of Nursing.
6. Missouri Economic Research and Information Center. (2023). Cost of Living Data Series | Missouri Economic Research and Information Center. Missouri Economic Research and Information Center.
7. North Carolina Institute of Medicine. (2021, February 9). NC County Health Data NCIOM. North Carolina Institute of Medicine.
8. NSI Nursing Solutions, Inc. (2023). 2023 NSI National Health Care Retention & RN Staffing Report. NSI Nursing Solutions, Inc.
9. NursingLicensure.org. (2021, September 21). Become an RN in North Carolina | NursingLicensure.org NC NursingLicensure.org. NursingLicensure.org a More Efficient Way to Find Nursing License Requirements in Your State. NursingLicensure.org.
10. U.S. Bureau of Labor Statistics. (2023, April 25). North Carolina May 2022 OEWS state occupational employment and wage estimates. U.S. Bureau of Labor Statistics.
11. UNC Program on Health Workforce & Research. (2021). NC NurseCast Nurse Workforce Projections by setting NC Nursing Supply & demand. UNC Program on Health Workforce & Research.
12. UNC Program on Health Workforce & Research. (2023). Key findings NC nursing supply & demand. UNC Program on Health Workforce & Research.