Words and terms, when used in this chapter, shall have the
following meanings unless the context clearly indicates otherwise:
(1) Affidavit of Graduation--an official Board form
required in the initial licensure process that is signed by the approved
nursing program dean/director verifying that the applicant has successfully
completed all requirements for graduation from an approved professional
nursing program that meets the requirements set forth in §215.9
of this title (relating to Program of Study).
(2) Affiliating agency or clinical facility--a health
care facility or agency providing clinical learning experiences for
(3) Alternative practice settings--settings providing
opportunities for clinical learning experiences, including those whose
primary function is not the delivery of health care.
(4) Approved professional nursing education program--a
Board-approved professional nursing education program that meets the
requirements set forth in §215.9 of this title and prepares graduates
to provide safe nursing care using concepts identified in the Differentiated
Essential Competencies (DECs).
(5) Articulation--a planned process between two (2)
or more educational systems to assist students in making a smooth
transition from one (1) level of education to another without duplication
(6) Board--the Texas Board of Nursing composed of members
appointed by the Governor for the State of Texas.
(7) CANEP (Compliance Audit for Nursing Education Programs)--a
document required by the Board to be submitted by the professional
nursing education program's dean/director that serves as verification
of the program's adherence to the requirements of this chapter.
(8) Career school or college--an educational entity
as defined in Title 3, Texas Education Code, §132.001(1) as a
"career school or college".
(9) Classroom instruction hours-hours allocated to
didactic instruction and testing in nursing and non-nursing Board-required
courses and content.
(10) Clinical learning experiences--faculty-planned
and guided learning activities designed to assist students to meet
the stated program and course outcomes and to safely apply knowledge
and skills when providing nursing care to clients across the life
span as appropriate to the role expectations of the graduates. These
experiences occur in actual patient care clinical learning situations
and in associated clinical conferences; in nursing skills and computer
laboratories; and in simulated clinical settings, including high-fidelity,
where the activities involve using planned objectives in a realistic
patient scenario guided by trained faculty and followed by debriefing
and evaluation of student performance. The clinical settings for faculty-supervised
hands-on patient care include a variety of affiliating agencies or
clinical practice settings, including, but not limited to: acute care
and rehabilitation facilities; primary care settings; extended care
facilities (long-term care and nursing homes); residential care settings;
respite or day care facilities; community or public health agencies;
and other settings where actual patients receive nursing care.
(11) Clinical preceptor--a registered nurse who meets
the requirements in §215.10(j)(6) of this title (relating to
Clinical Learning Experiences), who is not employed as a faculty member
by the governing entity, and who directly supervises clinical learning
experiences for no more than two (2) students. A clinical preceptor
assists in the evaluation of the student during the experiences and
in acclimating the student to the role of nurse. A clinical preceptor
facilitates student learning in a manner prescribed by a signed written
agreement between the governing entity, preceptor, and affiliating
agency (as applicable).
(12) Clinical teaching assistant--a registered nurse
licensed in Texas, who is employed to assist in the clinical area
and work under the supervision of a Master's or Doctorally prepared
nursing faculty member and who meets the requirements of §215.10(j)(8)
of this title.
(13) Conceptual framework--theories or concepts giving
structure to the curriculum and guiding faculty in making decisions
about curriculum development, implementation, and evaluation.
(14) Correlated theory and clinical practice--didactic
and clinical experiences that have a reciprocal relationship or mutually
complement each other.
(15) Course--organized subject content and related
activities, that may include face-to-face and/or online didactic,
laboratory, and/or clinical experiences, planned to achieve specific
objectives within a given time period.
(16) Curriculum--course offerings, which in aggregate,
make up the total learning activities in a program of study.
(17) Dean/director--a registered nurse who is accountable
for administering a professional nursing education program, who meets
the requirements as stated in §215.6(f) of this title (relating
to Administration and Organization), and is approved by the Board.
(18) Declaratory Order of Eligibility--an order issued
by the Board pursuant to Texas Occupations Code §301.257, determining
the eligibility of an individual for initial licensure as a vocational
or registered nurse and setting forth both the basis for potential
ineligibility and the Board's determination of disclosed eligibility
(19) Differentiated Essential Competencies (DECs)--the
expected educational outcomes to be demonstrated by nursing students
at the time of graduation, as published in the Differentiated
Essential Competencies of Graduates of Texas Nursing Programs Evidenced
by Knowledge, Clinical Judgment, and Behaviors: Vocational (VN), Diploma/Associate
Degree (Diploma/ADN), Baccalaureate Degree (BSN), October 2010 (DECs).
(20) Examination year--the period beginning January
1 and ending December 31 used for the purposes of determining a professional
nursing education program's annual NCLEX-RN® examination pass
(21) Extension site/campus--a location other than the
program's main campus where a portion or all of the curriculum is
(22) Faculty member--an individual employed to teach
in the professional nursing education program who meets the requirements
as stated in §215.7 of this title (relating to Faculty).
(23) Faculty waiver--a waiver granted by a dean or
director of a professional nursing education program to an individual
who meets the criteria specified in §215.7(e)(1) - (3) of this
(24) Governing entity--the body with administrative
and operational authority over a Board-approved professional nursing
(25) Health care professional--an individual other
than a registered nurse who holds at least a bachelor's degree in
the health care field, including, but not limited to: a respiratory
therapist, physical therapist, occupational therapist, dietitian,
pharmacist, physician, social worker, and psychologist.
(26) MEEP (Multiple Entry-Exit Program)--an exit option
which is a part of a professional nursing education program designed
for students to complete course work and apply to take the NCLEX-PN®
examination after they have successfully met all requirements needed
for the examination.
(27) Mobility--the ability to advance without educational
(28) NEPIS (Nursing Education Program Information Survey)--a
document required by the Board to be submitted by the professional
nursing education program dean/director to provide annual workforce
(29) Non-nursing faculty--instructors who teach non-nursing
content, such as pharmacology, pathophysiology, research, management
and statistics, and who have educational preparation appropriate to
the assigned teaching responsibilities.
(30) Objectives/Outcomes--expected student behaviors
that are attainable and measurable.
(A) Program Objectives/Outcomes--broad statements describing
student learning outcomes achieved upon graduation.
(B) Clinical Objectives/Outcomes--expected student
behaviors for clinical learning experiences that provide evidence
of progression of students' cognitive, affective, and psychomotor
achievement in clinical practice across the curriculum.
(C) Course Objectives/Outcomes--expected student outcomes
upon successful completion of specific course content, serving as
a mechanism for the evaluation of student progression.
(31) Observation experience--a clinical learning experience
where a student is assigned to follow a health care professional in
a facility or unit and to observe activities within the facility/unit
and/or the role of nursing within the facility/unit, but where the
student does not participate in hands-on patient/client care.
(32) Pass rate--the percentage of first-time candidates
within the examination year, as that term is defined in paragraph
(20) of this section, who pass the National Council Licensure Examination
for Registered Nurses (NCLEX-RN®).
(33) Philosophy/Mission--statement of concepts expressing
fundamental values and beliefs as they apply to nursing education
and practice and upon which the curriculum is based.
(34) Professional Nursing Education Program--an education
unit that offers courses and learning experiences preparing graduates
who are competent to practice nursing safely and who are eligible
to take the NCLEX-RN® examination, often referred to as a pre-licensure
nursing program. Types of pre-licensure professional nursing education
(A) Associate degree nursing education program--a program
leading to an associate degree in nursing conducted by an education
unit in nursing within the structure of a public institution of higher
education or a private or independent institution of higher education,
as defined in Texas Education Code §61.003; a private postsecondary
educational institution, as defined in Texas Education Code §61.302;
or a career school or college, as defined in Texas Education Code §132.001
authorized to grant associate degrees.
(B) Baccalaureate degree nursing education program--a
program leading to a bachelor's degree in nursing conducted by an
education unit in nursing which is a part of a public institution
of higher education or a private or independent institution of higher
education, as defined in Texas Education Code §61.003; a private
postsecondary educational institution, as defined in Texas Education
Code §61.302; or a career school or college, as defined in Texas
Education Code §132.001 authorized to grant baccalaureate degrees.
(C) Master's degree pre-licensure nursing education
program--a program leading to a master's degree, which is an individual's
first professional degree in nursing, and conducted by an education
unit in nursing within the structure of a college or university authorized
to grant graduate degrees.
(D) Diploma nursing education program--a program leading
to a diploma in nursing conducted by a single purpose school, usually
under the control of a hospital.
(35) Program of study--the courses and learning experiences
that constitute the requirements for completion of a professional
nursing education program.
(36) Recommendation--a specific suggestion based upon
program assessment that is indirectly related to the rules to which
the program must respond but in a method of their choosing.
(37) Requirement--mandatory criterion based upon program
assessment that is directly related to the rules that must be addressed
in the manner prescribed.
(38) Shall--denotes mandatory requirements.
(39) Simulation--activities that mimic the reality
of a clinical environment and are designed to demonstrate procedures,
decision-making, and critical thinking. A simulation may be very detailed
and closely imitate reality, or it can be a grouping of components
that are combined to provide some semblance of reality. Components
of simulated clinical experiences include providing a scenario where
the nursing student can engage in a realistic patient situation guided
by trained faculty and followed by a debriefing and evaluation of
student performance. Simulation provides a teaching strategy to prepare
nursing students for safe, competent, hands-on practice.
(40) Staff--employees of the Texas Board of Nursing.
(41) Supervision--immediate availability of a faculty
member, clinical preceptor, or clinical teaching assistant to coordinate,
direct, and observe first hand the practice of students.
(42) Survey visit--an on-site visit to a professional
nursing education program by a Board representative. The purpose of
the visit is to evaluate the program of study by gathering data to
determine whether the program is in compliance with Board requirements.
(43) Systematic approach--the organized nursing process
approach that provides individualized, goal-directed nursing care
whereby the registered nurse engages in:
(A) performing comprehensive nursing assessments regarding
the health status of the client;
(B) making nursing diagnoses that serve as the basis
for the strategy of care;
(C) developing a plan of care based on the assessment
and nursing diagnosis;
(D) implementing nursing care; and
(E) evaluating the client's responses to nursing interventions.
(44) Texas Higher Education Coordinating Board (THECB)
the state agency described in Texas Education Code, Title 3, Subtitle
B, Chapter 61.
(45) Texas Workforce Commission (TWC)--the state agency
described in Texas Labor Code, Title 4, Subtitle B, Chapter 301.
|Source Note: The provisions of this §215.2 adopted to be effective January 9, 2005, 29 TexReg 12190; amended to be effective February 19, 2008, 33 TexReg 1328; amended to be effective October 19, 2008, 33 TexReg 8509; amended to be effective December 27, 2010, 35 TexReg 11668; amended to be effective October 23, 2012, 37 TexReg 8304; amended to be effective August 9, 2018, 43 TexReg 5074; amended to be effective February 15, 2021, 46 TexReg 1059; amended to be effective November 23, 2021, 46 TexReg 7879