It needs the approval of the Ministry of Education. According to the Education Law of the People's Republic of China and the Higher Education Law, the establishment of majors in colleges and universities needs to be approved by the Ministry of Education or the provincial education administrative department. This major belongs to medical specialty, which involves human health and life safety. Therefore, colleges and universities offering nursing specialty need to have certain teachers and teaching facilities, and at the same time, they need to meet the relevant regulations and standards of the Ministry of Education. Only with the approval of the Ministry of Education or the provincial education administrative department can the nursing specialty be formally established.