Health

Exploring high-level nursing roles

Published

2 years ago

October 27, 2023

The healthcare system is evolving and requires high-level scientific knowledge and expert practice to achieve the best patient outcomes. Advanced education in nursing is becoming more popular, with nurses wanting more influence and autonomy. The Master of Science in Nursing (MSN) qualification brings new career opportunities for nurses, such as becoming family nurse practitioners, midwives and educators. The Doctor of Nursing Practice (DNP) builds on the master-level programs and can lead to various career paths including health care executive, nursing faculty and clinical researcher. Studying at this level takes commitment and dedication and brings the rewards of greater job opportunities and a rewarding work role.

Considering advanced nursing courses

Both the Master of Science in Nursing (MSN) and Doctor of Nursing Practice (DNP) are graduate nursing degrees but differ in course length and student career goals. In general, the MSN degree has traditionally been for nurses who are going to specialize clinically, whereas the DNP has been for nurses looking for leadership positions. However, there can be an overlap in the types of careers followed by graduates from both degrees. Nurses from both programs are prepared by their courses to work in advanced practice, and there are opportunities to work in such roles as nurse educators and nurse leaders. The DNP is the highest level of nursing degree, and students are prepared through the course for advanced practice roles related to leadership, administration and the analysis of evidence-based research.

Nurses who wish to deliver the most advanced nursing practice can progress from MSN to DNP by taking the Doctor of Nursing Practice (DNP); the highest level degree in nursing. Walsh University offers this clinically focused program, that prepares students for leadership roles where they can influence the future of healthcare.

Both the MSN and DNP programs equip graduates with the skills used in nursing such as solving problems, triaging patients and being a leader. Both degrees offer the opportunity to explore more specialized fields of study than the broader education provided by a bachelor’s degree. The main difference between the MSN and DNP is that the DNP is the highest level of degree in nursing and it prepares nurses for the highest level of practice, particularly leadership positions. The MSN does cover some of the same curriculum as the DNP but is designed to allow nurses to qualify as advanced practice registered nurses (APRNs). For example, a nurse practitioner with an MSN degree may work as a critical care practitioner delivering bedside care, while a nurse practitioner with a DNP degree may deliver care while also leading a nursing team. The DNP prepares nurses for specialization while also offering additional career opportunities, such as becoming a healthcare lobbyist or clinical researcher.

The need for nurses with advanced skills

The numbers of older people have increased and this has created a greater demand for healthcare services. More people are living with chronic diseases including arthritis, diabetes, hypertension, mental health conditions and cardiovascular disease. With the physician and nursing shortage, this means that advanced practice nurses are in great demand and play a significant role in primary and acute care. They make a difference in underserved communities, improving access to healthcare and advocating for better services. These nurses can provide some of the services offered by physicians as well as nursing care. With advanced degrees, nurses can provide critical healthcare services and meet the needs of diverse populations. They can improve access to healthcare and yield significant improvement in patient outcomes. Healthcare organizations need nurses with a specialized skillset to deliver quality care to patients and ensure health services are meeting population needs.

The Master of Science in Nursing (MSN) degree in detail

Pursuing an MSN degree brings new career opportunities for nurses in different settings. This degree program provides specialized education that can prepare students to become an APRN. Graduates have the knowledge and skills to participate in developing healthcare policies, providing advanced patient care and serving as leaders in the nursing profession. Students can focus on a master’s degree in a non-direct healthcare role – such as management, education or health information systems – or choose a direct patient care role through an APRN pathway which may lead to becoming a nurse practitioner. All APRNs must complete the MSN degree as well as certifications for their specialty.

Nurses are taught to assess, diagnose and treat patients as well as manage their overall care. Specializations include pediatrics, adult gerontology, psychiatric mental health and family practice. The MSN program teaches skills that will be used every day in nursing, such as prescribing medication, making decisions and how to conduct a physical examination. The scope of practice can differ depending on the career pathway a student chooses to pursue. For example, a nurse midwife program teaches prescribing medication, deciding treatments, diagnosis, and caring for women and babies. A nurse practitioner program teaches direct patient care skills including prescribing medication, performing check-ups, and diagnosing and treating illnesses or injuries.

The master’s program prepares nurses to work independently, but each state determines the scope of practice, including in relation to prescribing medication and deciding treatment options. Many MSN programs require applicants to have a bachelor’s degree in nursing (BSN) and a current RN license. Programs can have different work experience requirements, but they typically expect at least one or two more years of experience. On average, the MSN program takes two to three years, including a clinical placement. Coursework covers clinical practice, management, social sciences, nursing informatics, physical science and advanced nursing theory.

The Doctor of Nursing Practice (DNP) degree in detail

The DNP is a prestigious qualification. It provides an advanced nursing practice degree and it is an alternative to research-based doctoral programs. The DNP prepares nurse leaders for the highest level of nursing to improve patient care and use research to inform practice. DNP nurses may choose to specialize in one of many different fields and can potentially hold leadership positions. They can become nurse educators and use their specialized knowledge to teach nurses in college. They can also become patient advocates and guide patients through the healthcare system, ensuring they connect with the correct resources and their needs are met. In addition to these upper-level, specialized roles, a DNP degree can prepare students for some of the same roles as the MSN, including family nurse practitioner and nurse anesthetist.

The doctorate builds on the MSN curriculum to develop competent and highly qualified providers in various fields. Graduates bring high levels of scientific knowledge and practice expertise to achieving quality patient outcomes. The DNP curriculum goes beyond master-level programs by including systems leadership, quality improvement, team management and evidence-based practice. DNPs play an important role in healthcare through direct patient care, organizational leadership and health policy implementation. This degree brings opportunities for expanded responsibility, research and clinical decision-making. Nurses prepared through the DNP degree gain advanced clinical skills and systems thinking, allowing them to take responsibility for individual and population health needs. The DNP qualification allows nurses to consider many career options, whether caring for a vulnerable population, mentoring other nurses or leading change in practice.

The DNP program includes clinical experience and classroom instruction, allowing nurses to enhance their knowledge and skills, and provide high-quality practice. It can benefit nurses to gain experience as a registered nurse and complete the MSN before applying for the DNP. The DNP program can take as little as five semesters for full-time students and eight for part-time students. Nurses with DNPs are sought after by employers and have many opportunities to work overseas. They have nursing expertise and are considered influential figures in healthcare.

Opportunities for nurses with advanced skills

Nurses work closely with patients and play a significant part in advancing healthcare. Nurses are the largest group of healthcare professionals and are essential in keeping patients at the center of healthcare and providing high-quality care. The American Association of Colleges of Nurses (AACN’s) Position Statement recommended that all nursing leaders should have a doctoral degree. A survey on DNP graduates was conducted by the RAND Corporation in 2015, sponsored by AACN, and found that they add unique value to their organizations, and many employers feel that they can see the bigger picture and bring about change. DNP graduates were highly satisfied with their decision to obtain a DNP degree; 95% were satisfied, including 71% who were extremely satisfied.

Online degree programs can work well for full-time nurses who want to further their education. Technology advances have resulted in well-designed online degrees and effective teaching methods. Lectures are recorded so studying can take place at a convenient time. Students can interact virtually and learn from others in different roles and settings. Nurses can apply what they learn to the workplace, making learning more meaningful.

Qualifying with advanced degrees can allow nurses to pursue many career pathways. The MSN and DNP programs prepare nurses to work in advanced practice and leadership positions. The MSN allows nurses to qualify as APRNs and specialize in roles such as becoming a nurse practitioner. The DNP is the highest possible nursing degree that builds on the MSN curriculum and prepares nurses for the highest levels of practice and leadership positions. The shortage of nurses and physicians, and greater demands on healthcare, have created a need for highly qualified nurses who can improve patient outcomes, deliver care in underserved communities and make valuable contributions in leadership roles. Healthcare organizations recognize that nursing expertise is vital to future healthcare services.

Health

How a Quiet Fulham Clinic Became London’s Most Coveted Wellness Secret

Published

2 weeks ago

October 2, 2025

Michelle Langton

Photo Courtesy of: Spa & Massage

Byline: Gerome Alvarez

In London’s cutthroat wellness landscape, few businesses manage to capture community attention without fanfare or celebrity endorsements. Yet Spa & Massage Fulham has accomplished exactly this, weaving itself into the cultural fabric of one of London’s most discerning neighborhoods within weeks of its September 2025 opening. The phenomenon began as whispers among friends, colleagues, and neighbors—all independently discovering what would soon become known across social media platforms as “the best massage in London.”

This organic word-of-mouth growth reveals something deeper than marketing prowess; it signals a genuine transformation in how Londoners approach wellness and self-care. The clinic at 709 Fulham Road represents more than successful business expansion; it embodies a broader cultural shift toward viewing therapeutic massage as essential healthcare rather than occasional luxury.

The Science-Backed Foundation

The surging demand for massage therapy is not merely about relaxation; it is rooted in substantial scientific evidence that validates what clients experience firsthand. Research consistently demonstrates that massage therapy reduces cortisol levels by up to 31% while increasing mood-regulating neurotransmitters serotonin and dopamine by 28% and 31% respectively. These physiological changes translate into tangible benefits: improved sleep quality, enhanced focus, reduced chronic pain, and strengthened immune function.

“Massage therapy works in multiple ways to help reduce stress. First and foremost, it helps to lower levels of cortisol, the primary stress hormone,” explains recent research on therapeutic massage. For London’s high-pressure lifestyle, this represents more than indulgence; it is preventive healthcare. The integration of scientific expertise sets Spa & Massage apart from typical wellness businesses, with Professor Eyal Lederman, a world-renowned expert in neurophysiology and manual therapy, serving as the company’s medical director.

The Visionary Origins

The story begins in 2007 when entrepreneurs Alykhan and Nicole Thobani, inspired by journeys through Thailand, recognized a fundamental gap in London’s wellness market. Rather than treating massage as an expensive luxury, the couple witnessed how Eastern cultures integrated therapeutic touch as essential to balanced living, as fundamental as diet and exercise. This revelation sparked the mission to bring accessible, high-quality massage therapy to London’s high streets.

“What sets us apart from other massage therapy providers is having Professor Eyal Lederman as part of our team,” Thobani explains. Professor Lederman’s research at King’s College London on the neurophysiology of manual therapy provides the scientific foundation that distinguishes Spa & Massage from competitors. Nearly two decades later, the company now serves over 2,500 clients weekly across seven London locations, with each expansion building upon lessons learned from previous successes.

The Fulham Experience Defined

The newest location deliberately avoids ostentatious luxury, instead creating what insiders describe as “understated sophistication”—an environment that whispers quality rather than shouting opulence. Central to the experience is the signature bespoke tea blend, crafted in-house to begin each client’s journey toward relaxation. This attention to detail extends throughout the treatment, where therapists like Roxanne—with backgrounds in clinical physiotherapy and experience from London’s most prestigious five-star spas—deliver what clients describe as transformative sessions.

The clinic’s approach attracts therapists of exceptional caliber, including professionals like Olga, who draws “many celebrity clients and high-profile athletes” for her transformative skills. Operating seven days a week from 9:00 AM to 10:00 PM, the clinic makes professional massage therapy accessible to busy Londoners seeking consistent, science-backed wellness solutions. The discrete nature of the clientele, protected by sunglasses and an air of privacy, has only added to the brand’s mystique and appeal.

Building an Extraordinary Following

Since its inception, Spa & Massage Fulham has cultivated what can only be described as a devoted following that transcends typical service provider relationships. “Our team is obsessed with making sure that each client has an expert massage, with a positive health and wellbeing outcome,” Thobani notes. This focus on measurable results rather than superficial relaxation has attracted clients who view regular massage not as an occasional indulgence but as essential maintenance for peak performance.

Client testimonials consistently emphasize transformational outcomes that extend far beyond the treatment room. “I have been coming for my regular massage every week for years now, I just sleep better, I am happier, calmer, and perform at my very best. With massage therapy I live my best life. It is like I feel superhuman during the week,” shares one long-term client. This level of commitment reflects a fundamental shift in how affluent Londoners prioritize health and wellbeing, with weekly bookings becoming the norm rather than the exception among regular clients.

The Future of London Wellness

Perhaps most intriguingly, Spa & Massage has attracted backing from heavyweight private equity professionals and investment banking leaders, not as corporate investments, but as personal commitments from individuals who became clients first. These investors, who Thobani diplomatically describes as preferring discretion, represent a fascinating convergence of professional success and personal wellness priorities. This phenomenon reflects broader trends in the wellness investment landscape, where private equity firms increasingly recognize the substantial returns in premium wellness services.

As Spa & Massage Fulham establishes itself in one of London’s most competitive wellness markets, it represents the evolution of urban healthcare toward proactive, science-backed solutions. The clinic’s success suggests that Londoners are ready to embrace massage therapy as an essential component of modern urban living, challenging traditional notions of luxury and self-care. In this context, the quiet revolution unfolding at 709 Fulham Road points toward a future where wellness is not an afterthought but a cornerstone of how successful professionals maintain an edge in an increasingly demanding world.