Avenues for the preparation of nurses who wish to pursue administrative careers continue to be debated. The author reports changes in the numbers and enrollments of master of science in nursing/master of business administration(MSN/MBA) programs as well as trends in MSN in nursing administration programs since 1993. Respondents to a survey of all U.S. nursing graduate programs indicated that both types of programs have undergone substantial changes on a variety of measures. The author considers these results in suggestions for building new approaches to administrative preparation.