22 Tex. Admin. Code § 214.2 - Definitions
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 director/coordinator verifying that the applicant has
successfully completed all requirements for graduation from an approved
vocational nursing program that meets the requirements set forth in §
214.9 of this chapter (relating to
Program of Study).
(2) Affiliating
agency or clinical facility--a health care facility or agency providing
clinical learning experiences for students.
(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 vocational nursing education
program--a Board-approved vocational nursing education program that meets the
requirements set forth in §
214.9 of this chapter 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 in
education.
(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 vocational nursing education program's director/coordinator
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 licensed nurse who meets the requirements in §
214.10(i)(6) of
this chapter (relating to Clinical Learning Experiences), who practices in the
clinical setting, 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) Conceptual framework--theories or
concepts giving structure to the curriculum and guiding faculty in making
decisions about curriculum development, implementation, and
evaluation.
(13) Correlated theory
and clinical practice--didactic and clinical experiences that have a reciprocal
relationship or mutually complement each other.
(14) 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.
(15)
Curriculum--course offerings which, in aggregate, make up the total learning
activities in a program of study.
(16) 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 issues.
(17) 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), 2021
(DECs).
(18) Director/coordinator--a
registered nurse who is accountable for administering a pre-licensure
vocational nursing education program, who meets the requirements as stated in
§
214.6(f) of this
chapter (relating to Administration and Organization), and is approved by the
Board.
(19) Examination year--the
period beginning January 1 and ending December 31 used for the purpose of
determining a vocational nursing education program's annual NCLEX-PN
examination pass rate.
(20)
Extension site/campus--a location other than the program's main campus where a
portion or all of the curriculum is provided.
(21) Faculty member--an individual employed
to teach in the vocational nursing education program who meets the requirements
as stated in §
214.7 of this chapter (relating to
Faculty).
(22) Faculty waiver--a
waiver granted by a director or coordinator of a vocational nursing education
program to an individual who meets the criteria specified in §
214.7(e) of this
chapter.
(23) Governing entity--the
body with administrative and operational authority over a Board-approved
vocational nursing education program.
(24) Health care professional--an individual
other than a licensed 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.
(25) 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.
(26) Mobility--the
ability to advance without educational barriers.
(27) NEPIS (Nursing Education Program
Information Survey)--a document required by the Board to be submitted by the
vocational nursing education program director/coordinator to provide annual
workforce data.
(28) Non-nursing
faculty--instructors who teach non-nursing content, such as pharmacology,
pathophysiology, anatomy and physiology, growth and development, and nutrition,
and who have educational preparation appropriate to the assigned teaching
responsibilities.
(29) Nursing
Clinical Judgment--the observed outcome of critical thinking and
decision-making that uses nursing knowledge to observe and access presenting
situations, identify a prioritized client concern, and generate the best
possible evidence-based solutions in order to deliver safe client care. It is a
decision-making model that is consistent with the nursing process model where
the nurse determines and implements nursing interventions based on recognizing
and analyzing patient cues (assessment and analysis), prioritizing hypotheses
and generating solutions (planning), taking action (implementation), and
evaluating outcomes.
(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 (19) of this section, who pass the National
Council Licensure Examination for Vocational Nurses
(NCLEX-PN®).
(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) Program of study--the courses and
learning experiences that constitute the requirements for completion of a
vocational nursing education program.
(35) 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.
(36) Requirement--mandatory criterion based
on program assessment that is directly related to the rules that must be
addressed in the manner prescribed.
(37) Shall--denotes mandatory
requirements.
(38)
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.
(39) Staff--employees of the Texas Board of
Nursing.
(40)
Supervision--immediate availability of a faculty member or clinical preceptor
to coordinate, direct, and observe first-hand the practice of
students.
(41) Survey visit--a
virtual or on-site visit to a vocational 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. A visit to a program with an approval status other than full
approval focuses on examining factors that may have contributed to the changed
approval status and implementation of corrective measures.
(42) Systematic approach--the organized
nursing process approach that provides individualized, goal-directed nursing
care whereby the licensed vocational nurse role engages in:
(A) collecting data and performing focused
nursing assessments of the health status of an individual;
(B) participating in the planning of the
nursing care needs of an individual based upon analyzing patient
cues;
(C) participating in the
development and modification of the nursing care plan based on the vocational
nurse's nursing clinical judgment;
(D) participating in health teaching and
counseling to promote, attain, and maintain the optimum health level of an
individual; and
(E) assisting in
the evaluation of an individual's response to a nursing intervention and the
identification of an individual's needs.
(43) Texas Higher Education Coordinating
Board (THECB)--the state agency described in Texas Education Code, Title 3,
Subtitle B, Chapter 61.
(44) Texas
Workforce Commission (TWC)--the state agency described in Texas Labor Code,
Title 4, Subtitle B, Chapter 301.
(45) Vocational nursing education program--an
educational unit within the structure of a school, including a college,
university, or career school or college or a hospital or military setting that
provides a program of nursing study preparing graduates who are competent to
practice safely and who are eligible to take the
NCLEX-PN® examination.
Notes
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