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Scope of Practice

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Salem Johnson

on 7 July 2013

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Transcript of Scope of Practice

Program Standard Appraisal
Texas Board of Nursing
Accreditation Commission for Educating in Nursing
The Commission has authority and accountability inherent in the application of standards and criteria, accreditation processes, and the affairs, management, policy-making, and general administration of the ACEN.
Commission on Collegiate Nursing Education
All nursing programs in Texas must be approved by the Texas BON
The Texas Board of Nursing states that their mission is to protect and promote the welfare of the people of Texas by ensuring that each person holding a license as a nurse in the State of Texas is competent to practice safely.
Ongoing approval status is based on:
•NCLEX-PN/RN® examination pass rate
•review of program's Annual Report
•program's compliance as evaluated with survey visit, as appropriate
•program's ongoing compliance with the education rules (Rule 214 and 215)

Factors which jeopardize program approval include:
•deficiencies in compliance with the rules
•utilization of students to meet staffing needs in health care facilities
•noncompliance with school's stated philosophy/mission
•continual failure to submit records and reports to the Board office within designated time frames
•failure to provide sufficient variety and number of clinical learning opportunities for students to achieve stated objectives/outcomes

Nursing Program Requirements
•failure to comply with Board requirements or to respond to recommendations within the specified time
•student enrollments without sufficient faculty, facilities and/or patient census
•failure to maintain a 80% passing rate on the licensing examination by first-time candidates
•failure of the program dean or director to document annually the currency of faculty licenses
•other activities or situations that demonstrate to the Board that a program is not meeting legal requirements and standards
For information about starting a new nursing program, visit:
The activities involved in regulation include overseeing nursing educational programs, monitoring National Council Licensure Examination (NCLEX) pass rates, investigating complaints of unsafe nursing practice, and ensuring the continued competency of licensed nurses over many years after initial licensure (Thomas, Benbow, & Ayars, 2010).
Professional nursing education (RN) programs are required to include basic curriculum content:
•non-nursing courses which provide supportive areas of study in biological and behavioral sciences and the humanities
•nursing courses providing didactic and clinical learning experiences in the 4 content areas:
•maternal/child health
•mental health
•a systematic approach to clinical decision making to prepare students to safely practice professional nursing through the promotion, prevention, rehabilitation, maintenance, and restoration of the health of individuals of all ages
•Nursing Practice Act and Rules & Regulations
•professional values including ethics, safety, diversity, and confidentiality
•issues in health care

The ACEN supports the interests of nursing education, nursing practice, and the public by the functions of accreditation. Accreditation is a voluntary, self-regulatory process by which non-governmental associations recognize educational institutions or programs that have been found to meet or exceed standards and criteria for educational quality. Accreditation also assists in the further improvement of the institutions or programs as related to resources invested, processes followed, and results achieved. The monitoring of certificate, diploma, and degree offerings is tied closely to state examination and licensing rules, and to the oversight of preparation for work in the profession.
The ACEN is the entity that is responsible for the specialized accreditation of nursing education programs.
•Promulgate a common core of standards and criteria for the accreditation of nursing programs found to meet those standards and criteria.
•Strengthen educational quality through assistance to associated programs and schools, and evaluation processes, functions, publications, and research.
•Advocate self-regulation in nursing education.
•Promote peer review.
•Foster educational equity, access, opportunity, and mobility, and preparation for employment based upon type of nursing education.
•Serve as gatekeeper to Title IV-HEA programs for which the ACEN is the accrediting agency.

Candidacy is the first step toward ACEN Accreditation. Nursing education units considering accreditation who contact ACEN are assigned a member of the professional staff as their mentor after eligibility requirements have been met. Candidate status is granted after an ACEN professional staff review of a nursing program’s potential to achieve ACEN accreditation. The ACEN is the only nursing accrediting agency that accredits all six (6) program types (clinical doctorate, master’s, baccalaureate, associate, diploma, and practical), and the only nursing accrediting agency recognized by both the USDOE and CHEA to accredit all types of nursing programs.
Only those diploma and practical nursing programs not affiliated with a regionally accredited college or university may use ACEN accreditation to establish eligibility for federal student financial assistance under Title IV of the Higher Education Act (Overbay & Aaltonen, 2001).

The Task Force on Accreditation of Health Professions Education conducted a survey that identified the reasons for choosing one accrediting body over the other. Among the reasons for their responses were a preference to be accredited by an agency that accredits only baccalaureate and higher degree programs, ACEN's positive past history as an accrediting agency, ACEN's DOE status, and the cost of the accreditation process (Overbay & Aaltonen, 2001).
CCNE is intended to accomplish at least five general purposes:

1. To hold nursing programs accountable to the community of interest – the nursing profession, consumers, employers, higher education, students and their families, nurse residents – and to one another by ensuring that these programs have mission statements, goals, and outcomes that are appropriate to prepare individuals to fulfill their expected roles.
2. To evaluate the success of a nursing program in achieving its mission, goals, and expected outcomes.
3. To assess the extent to which a nursing program meets accreditation standards.
4. To inform the public of the purposes and values of accreditation and to identify nursing programs that meet accreditation standards.
5. To foster continuing improvement in nursing programs – and, thereby, in professional practice.

A program begins the accreditation review process by requesting applicant status. New applicants for accreditation are eligible for a maximum accreditation term of 5 years.

an autonomous accrediting agency, contributing to the improvement of the public's health.
ensures the quality and integrity of baccalaureate, graduate, and residency programs in nursing.
serves the public interest by assessing and identifying programs that engage in effective educational practices.
accreditation supports and encourages continuing self-assessment by nursing programs and supports continuing growth and improvement of collegiate professional education
CCNE accreditation is a nongovernmental peer review process that operates in accordance with nationally recognized standards established for the practice of accreditation in the United States.
(Spector, & Woods, 2013)
The purposes of the CCNE are to hold programs accountable to the community of interest (profession, consumers, employers, higher education, students and their families); evaluate success in terms of achieving mission, goals, and outcomes; assess the extent to which programs meet accreditation standards; inform the public of purposes and values of accreditation and identify those programs meeting standards; and foster continuing improvement in programs (Overbay & Aaltonen, 2001).
About ACEN. Accreditation Commission for Education in Nursing. Retrieved July, 1st,
2013, from http://www.acenursing.org/about

Commission on Collegiate Nursing Education. American Association of Colleges of
Nursing. Retrieved June, 30th, 2013, from http://www.aacn.nche.edu/ccne- accreditation/standards- procedures-resources/baccalaureate-graduate.

Nursing Education Information. Texas Board of Nursing. Retrieved June, 30th, 2013,
from http://www.bon.texas.gov/nursingeducation/.

Overbay, J., & Aaltonen, P. (2001). A comparison of NLNAC and CCNE accreditation...
Commission on Collegiate Nursing Education... National League for Nursing Accrediting Commission. Nurse Educator, 26(1), 17-22.

Spector, N., & Woods, S. L. (2013). A collaborative model for approval of
prelicensure nursing programs. Journal Of Nursing Regulation, 3(4), 47-52.

Thomas, M., Benbow, D., & Ayars, V. (2010). Continued competency and board
regulation: One state expands options. Journal Of Continuing Education In Nursing, 41(11), 524-528. doi:10.3928/00220124-20100701-04

(Overbay & Aaltonen, 2001)
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