Candidate for Director-at-Large

Mark Majek, MA, PHR, SHRM-CP
Director, Operations, Texas Board of Nursing

Director-at-Large Responsibilities:

  • Serves as a representative of all member boards 
  • Transacts the business and affairs, and acts on behalf of NCSBN 

Describe all relevant professional, regulatory and community experience. 

Special Services Division Group, 1994; Delegate Assembly Page, 1995-2000; Licensure Verification Task Force, 1995-1997; Licensure Verification Task Force, Chair, 1996-1997; Information System Users Group, 1998-1999; Phase II User Group Nursys, 1999-2000; Nursys Advisory Panel, 2000-2001; NCSBN Board of Directors, Area III Director, 2001-2005; Member Board Leadership Development Advisory Panel, 2006-2007; Finance Committee, 2008-2011; Leadership Succession Committee, 2012-2015; and, Bylaws Committee, Chair, 2015-2017.

Professional Organizations:

  • Society for Human Resource Management
  • Texas State Human Resources Association
  • Texas Small Agency Task Force, Chair

Community Involvement:

  • Marbridge Foundation, Volunteer
  • Knights of Columbus Council 10209, Austin, Texas

What is your perspective regarding the following issues affecting nursing regulation?

  1. Borderless health care delivery 
    As barriers to borderless health care delivery dissipate, the question of quality must be addressed as to market access, regulation, standards, and information security. This is one area where regulation is lagging due to the rapid advances in telehealth and technology. As regulators, we are addressing some of the issues with the eNLC and NURSYS. The driver for borderless health care delivery will be how nurses are prepared to cross borders with their knowledge and experience and how we hold nurses accountable and protect all citizens. This could be addressed by the NCLEX or other national nursing examinations, which drive nursing education.
  2. Regulation of nursing education 
    There is tension regarding the oversight of nursing education between boards of nursing and policy makers. It is a tug-o-war of quality versus quantity and the pendulum swings between the two depending on costs and NCLEX pass rates. Finding a balance will be important as the complexity of nursing practice increases and is reflected in the NCLEX. There is a “caveat emptor” system in place for most health care disciplines, when it comes pass rates. Nursing Regulators must continue to provide evidence of the importance of quality factors which impact NCLEX pass rates and are vital to public protection.
  3. The role of regulation in evolving scopes of practice
    The role of boards of nursing is to seek out partnerships with health care associations, schools of nursing, public organizations and policy makers to forge common ground based on research and health care outcomes. We should focus on all levels of nursing and the NCSBN should be leading in research on how the appropriate expansion of scopes of practice would benefit citizens and drive down the cost of health care. As contentious as this may be, boards of nursing are key partners in the success of defining and pushing the envelope on this issue and need to be at the table as these discussions take place.

Please describe a strategy or activity to increase participation in the leadership of the organization.

Develop a formal mentorship program that creates a pool of seasoned NCSBN members such as current and former directors, committee chairs, and executive officers who can mentor prospective leaders on a one-to-one basis for up to one year. This program should also include the resources to allow prospective leaders to attend one delegate assembly and one board of directors meeting to be exposed to the dynamics and environment of the NCSBN. You must understand the NCSBN culture to be a successful leader in the organization and this strategy could form a cornerstone in building a stronger succession plan.