Regulated Nurses: Canadian Trends, 2004 to 2008 Updated February 2010

Regulated Nurses: Canadian Trends, 2004 to 2008 Updated February 2010
Regulated Nurses:
Canadian Trends,
2004 to 2008
Updated February 2010
Spending and Health Workforce
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Regulated Nurses: Canadian Trends, 2004 to 2008
Table of Contents
Executive Summary ................................................................................................. ix
Regulated Nursing Workforce Continues to Grow ...................................................... ix
Regulated Nursing Workforce Across Age Groups ..................................................... ix
Mobility Trends of Regulated Nursing Graduates ....................................................... ix
Registered Nurses ................................................................................................. ix
Licensed Practical Nurses ...................................................................................... x
Registered Psychiatric Nurses ................................................................................. x
About the Canadian Institute for Health Information ..................................................... xi
About This Report ................................................................................................. xiii
One Report for Three Nursing Professions .............................................................. xiii
What’s New This Year? ....................................................................................... xiii
Acknowledgements ................................................................................................ xv
Introduction ............................................................................................................ 1
The Canadian Regulated Nursing Workforce ............................................................. 2
Registered Nurses ................................................................................................. 3
Licensed Practical Nurses ...................................................................................... 3
Registered Psychiatric Nurses ................................................................................. 4
Notes to Readers .................................................................................................. 4
Chapter 1—Regulated Nurses in Canada: Trends of Registered Nurses............................ 5
Worforce Trends: How Many Registered Nurses? ...................................................... 5
Employment Trends: Is the Workforce Changing? ..................................................... 8
Registered Nurses Not Employed in Nursing .......................................................... 9
Employment Status .......................................................................................... 10
Multiple Employment ........................................................................................ 12
Place of Work ................................................................................................. 14
Position .......................................................................................................... 15
Area of Responsibility....................................................................................... 16
Demographic Trends: Sex and Age Composition of the Registered
Nursing Workforce .............................................................................................. 18
Average Age of the Workforce .......................................................................... 19
Exiting and Entering the Workforce .................................................................... 20
Aging of the Workforce .................................................................................... 21
Years Since Graduation .................................................................................... 23
Education Trends: Lifelong Learning ...................................................................... 24
Entry-to-Practice Education ............................................................................... 24
Higher Education for Registered Nurses .............................................................. 26
Average Age at Graduation ............................................................................... 27
Canadian Nurses Association Certification Program .............................................. 27
Mobility Trends: A Mobile Workforce .................................................................... 28
Migration Within Canada................................................................................... 29
Working Outside Province/Territory of Registration ............................................... 31
International Registered Nursing Graduates ......................................................... 32
Urban/Rural Distribution of the Workforce ........................................................... 34
Registered Nurses in the Territories: Characteristics of the Northern Workforce .......... 35
Nurse Practitioner Employment Trends: Is the Workforce Changing? .............................. 37
Place of Work ................................................................................................. 40
Area of Responsibility....................................................................................... 41
Nurse Practitioner Demographic Trends: Sex Composition ........................................ 42
Nurse Practitioner Education Trends: Lifelong Learning ............................................ 43
Nurse Practitioner Mobility Trends: A Mobile Workforce........................................... 44
Urban/Rural Distribution of the Nurse Practitioner Workforce ................................. 46
Methodological and Historical Changes to Registered Nursing Data, 2004 to 2008 ..... 47
Historical Review and Data Limitations ............................................................... 47
Chapter 2—Regulated Nurses in Canada: Trends of Licensed Practical Nurses ............... 51
Workforce Trends: How Many Licensed Practical Nurses? ........................................ 51
Employment Trends: Is the Workforce Changing? ................................................... 52
Licensed Practical Nurses Not Employed in Nursing .............................................. 54
Employment Status .......................................................................................... 55
Multiple Employment ........................................................................................ 56
Place of Work ................................................................................................. 58
Position .......................................................................................................... 58
Area of Responsibility....................................................................................... 60
Demographic Trends: Sex and Age Composition of the Licensed Practical
Nursing Workforce .............................................................................................. 61
Average Age of the Workforce .......................................................................... 62
Exiting and Entering the Workforce .................................................................... 63
Aging of the Workforce .................................................................................... 65
Years Since Graduation .................................................................................... 66
Education Trends: Lifelong Learning ...................................................................... 67
Entry-to-Practice Education ............................................................................... 67
Average Age at Graduation ............................................................................... 69
Mobility Trends: A Mobile Workforce .................................................................... 69
Migration Within Canada................................................................................... 70
Working Outside Province/Territory of Registration ............................................... 72
International Licensed Practical Nursing Graduates ............................................... 72
Urban/Rural Distribution of the Workforce ........................................................... 74
Licensed Practical Nurses in the Territories: Characteristics of the Northern Workforce...... 76
Methodological and Historical Changes to Licensed Practical Nursing Data,
2004 to 2008 .................................................................................................... 78
Historical Revisions and Data Limitations ............................................................ 78
ii
Chapter 3—Regulated Nurses in Canada: Trends of Registered Psychiatric Nurses ......... 81
Workforce Trends: How Many Registered Psychiatric Nurses? .................................. 81
Employment Trends: Is the Workforce Changing? ................................................... 83
Employment Status .......................................................................................... 84
Multiple Employment ........................................................................................ 86
Place of Work ................................................................................................. 89
Position .......................................................................................................... 89
Area of Responsibility....................................................................................... 91
Demographic Trends: Sex and Age Composition of the Registered Psychiatric
Nursing Workforce .............................................................................................. 92
Average Age of the Workforce .......................................................................... 94
Exiting and Entering the Workforce .................................................................... 96
Aging of the Workforce .................................................................................... 98
Years Since Graduation .................................................................................... 99
Education Trends: Lifelong Learning .................................................................... 100
Entry-to-Practice Education ............................................................................. 100
Higher Education for Registered Psychiatric Nurses ............................................ 100
Average Age at Graduation ............................................................................. 102
Mobility Trends: A Mobile Workforce .................................................................. 102
Migration Within Canada................................................................................. 103
International Registered Psychiatric Nursing Graduates ....................................... 104
Urban/Rural Distribution of the Workforce ......................................................... 107
Methodological and Historical Changes to Registered Psychiatric Nursing Data,
2004 to 2008 .................................................................................................. 108
Historical Revisions and Data Limitations .......................................................... 109
Chapter 4—Regulated Nursing Workforce by Health Region....................................... 111
Regulated Nursing Workforce by Health Region .................................................... 111
Assigning the Regulated Nursing Workforce to Health Regions ............................... 111
Health Region Peer Groups................................................................................. 111
Rates per 100,000 Population by Health Region ................................................... 112
Chapter 5—Methodological Notes .......................................................................... 117
Data Quality..................................................................................................... 117
Privacy and Confidentiality .............................................................................. 117
Data Collection .............................................................................................. 117
Population of Interest ..................................................................................... 118
Population of Reference and Collection Period ................................................... 118
Non-Practising Registrations ............................................................................ 118
First-Time Registrants .................................................................................... 118
Nurses on Leave ............................................................................................ 119
Non-Response ............................................................................................... 119
Duplicate Records .......................................................................................... 120
Defining the Workforce................................................................................... 120
Re-Coding Employment Status......................................................................... 120
Analytical Methods ........................................................................................ 123
iii
Urban/Rural Statistics ..................................................................................... 123
Comparability of Data..................................................................................... 124
Appendix A—Provincial/Territorial Nursing Workforce Highlights and Profiles ............... 125
Appendix B—Regulated Nursing Contact Information ................................................ 153
References ......................................................................................................... 161
List of Tables
Table 1
Registered Nurses, by Employment Status, Canada, 2004 to 2008............... 8
Table 2
Registered Nursing Workforce, by Jurisdiction and Canada, 2004 to 2008 .... 9
Table 3
Registered Nurses Not Employed in Nursing, by Employment Status,
by Age Group, Canada, 2004 to 2008 .................................................... 10
Table 4
Registered Nursing Workforce, by Employment Status, by Jurisdiction
and Canada, 2004 to 2008 ................................................................... 11
Table 5
Registered Nurses Employed in Nursing With Multiple Employers,
by Employment Status With Primary Employer, Canada, 2004 to 2008 ....... 13
Table 6
Registered Nursing Workforce, by Position, by Jurisdiction and Canada,
2004 to 2008 ...................................................................................... 16
Table 7
Registered Nursing Workforce, by Area of Responsibility, Canada, 2008 ..... 17
Table 8
Registered Nursing Workforce, by Sex, by Jurisdiction and Canada,
2004 to 2008 ...................................................................................... 18
Table 9
Average Age of the Registered Nursing Workforce, by Jurisdiction
and Canada, 2004 to 2008.................................................................... 20
Table 10
Registered Nurses: Rate of New Registrations and Exit Rates,
by Age Group, by Jurisdiction, 2004 to 2008 .......................................... 21
Table 11
Status of Baccalaureate Entry-to-Practice Requirements for Registered
Nurses, Canada .................................................................................... 24
Table 12
Registered Nursing Workforce, by Highest Education in Nursing,
by Jurisdiction and Canada, 2004 to 2008 .............................................. 26
Table 13
Registered Nursing Graduates and Average Age at Graduation, by Range
of Graduation Years, Canada, 1980 to 2008 ........................................... 27
Table 14
Registered Nurses With Valid CNA Certification, by Specialty, Canada,
2004 to 2008 ...................................................................................... 28
Table 15
Registered Nursing Workforce, by Location of Graduation, by Jurisdiction,
by Canada and International, 2004 to 2008............................................. 32
Table 16
Year of Implementation of Nurse Practitioner Legislation by Jurisdiction ........ 37
Table 17
Nurse Practitioner Workforce, by Employment Status, Canada,
2004 to 2008 ...................................................................................... 38
Table 18
Nurse Practitioner Workforce, by Jurisdiction and Canada, 2004 to 2008.... 39
Table 19
Nurse Practitioner Workforce, by Area of Responsibility, Canada, 2008....... 41
iv
Table 20
Nurse Practitioner Workforce, by Sex, Canada, 2004 to 2008 ................... 42
Table 21
Nurse Practitioner Workforce, by Highest Education in Nursing, Canada,
2004 to 2008 ...................................................................................... 43
Table 22
Nurse Practitioner Workforce, by Location of Graduation, by Canada
and International, 2004 to 2008 ............................................................ 44
Table 23
Licensed Practical Nurses, by Employment Status, Canada, 2004 to 2008 .. 53
Table 24
Licensed Practical Nursing Workforce, by Jurisdiction and Canada,
2004 to 2008 ...................................................................................... 53
Table 25
Licensed Practical Nurses Not Employed in Nursing, by Employment
Status, by Age Group, Canada, 2004 to 2008 ......................................... 54
Table 26
Licensed Practical Nursing Workforce, by Employment Status,
by Jurisdiction and Canada, 2004 to 2008 .............................................. 55
Table 27
Licensed Practical Nurses Employed in Nursing With Multiple Employers,
by Employment Status With Primary Employer, Canada, 2004 to 2008 ....... 56
Table 28
Licensed Practical Nursing Workforce, by Position, by Jurisdiction
and Canada, 2004 to 2008 ................................................................... 59
Table 29
Licensed Practical Nursing Workforce, by Area of Responsibility,
Canada, 2008 ...................................................................................... 60
Table 30
Licensed Practical Nursing Workforce, by Sex, by Jurisdiction and
Canada, 2004 to 2008 ......................................................................... 61
Table 31
Average Age of the Licensed Practical Nursing Workforce, by Jurisdiction
and Canada, 2004 to 2008 ................................................................... 63
Table 32
Licensed Practical Nurses: Rate of New Registrations and Exit Rates,
by Age Group, by Jurisdiction, 2004 to 2008 .......................................... 64
Table 33
Licensed Practical Nursing Workforce, by Education in Practical Nursing,
by Jurisdiction and Canada, 2004 to 2008 .............................................. 68
Table 34
Licensed Practical Nursing Graduates and Average Age at Graduation,
by Range of Graduation Years, Canada, 1980 to 2008 ............................. 69
Table 35
Licensed Practical Nursing Workforce, by Location of Graduation,
Canada and International, 2004 to 2008 ................................................. 73
Table 36
Registered Psychiatric Nurses, by Employment Status, Western
Provinces, 2004 to 2008 ...................................................................... 83
Table 37
Registered Psychiatric Nursing Workforce, by Province, 2004 to 2008 ........ 84
Table 38
Registered Psychiatric Nursing Workforce, by Employment Status,
by Province, 2004 to 2008 ................................................................... 85
Table 39
Registered Psychiatric Nurses Employed in Psychiatric Nursing With
Multiple Employers, by Employment Status With Primary Employer,
Western Provinces, 2004 to 2008 .......................................................... 87
Table 40
Registered Psychiatric Nursing Workforce, by Position, by Province,
2004 to 2008 ...................................................................................... 90
Table 41
Registered Psychiatric Nursing Workforce, by Area of Responsibility,
Western Provinces, 2008 ...................................................................... 91
v
Table 42
Registered Psychiatric Nursing Workforce, by Sex, by Province,
2004 to 2008 ...................................................................................... 93
Table 43
Average Age of the Registered Psychiatric Nursing Workforce,
by Province, 2004 to 2008 ................................................................... 95
Table 44
Registered Psychiatric Nurses: Rate of New Registrations and Exit
Rates, by Age Group, by Province, 2004 to 2008 .................................... 97
Table 45
Registered Psychiatric Nursing Workforce, by Highest Level of Education
in Psychiatric Nursing, Western Provinces, 2004 to 2008........................ 100
Table 46
Registered Psychiatric Nursing Graduates and Average Age at Graduation,
by Range of Graduation Years, Western Provinces, 1980 to 2008 ............ 102
Table 47
Registered Psychiatric Nursing Workforce, by Location of Graduation,
by Province, 2004 to 2008 ................................................................. 105
Table 48
Regulated Nursing Workforce by Health Region, Canada, 2008 ................ 112
Table 49
Principal Characteristics of Each Peer Group as Defined
by Statistics Canada ........................................................................... 116
Table 50
Percentage of Records Employed in Nursing With Not Stated Responses,
by Data Element and Province/Territory of Registration, Canada, 2008...... 119
List of Figures
Figure 1
Ratio of Practising Nurses to Practising Physicians Within Selected
Countries, 2006 ...................................................................................... 1
Figure 2
Practising Nurses per 10,000 Population Within Selected Countries, 2006 .... 2
Figure 3
Regulated Nursing Workforce (Employed in Nursing), Canada, 2008 ............. 3
Figure 4
Registered Nurses, by Employment Status, Canada, 2008 ........................... 5
Figure 5
Registered Nursing Workforce, Canada, 1980 to 2008................................ 6
Figure 6
Registered Nursing Workforce per 100,000 Population, Canada,
1986 to 2008 ........................................................................................ 7
Figure 7
Registered Nurses Employed in Nursing With Multiple Employers,
by Employment Status, by Age Group, Canada, 2008 ............................... 14
Figure 8
Registered Nursing Workforce, by Place of Work, by Jurisdiction
and Canada, 2004 and 2008 ................................................................. 15
Figure 9
Average Age of Registered Nursing Workforce Compared to Selected
Health Occupations, Canada, 2004 to 2008 ............................................ 19
Figure 10
Registered Nursing Workforce, by Age Groups 55+, 60+ and 65+,
by Jurisdiction and Canada, 2008 .......................................................... 22
Figure 11
Registered Nursing Workforce, by Years Since RN Graduation,
by Jurisdiction and Canada, 2004 and 2008 ............................................ 23
Figure 12
Registered Nurses Graduating From Diploma and Baccalaureate Programs,
Canada, 1998 to 2008 ......................................................................... 25
Figure 13
Registered Nursing Workforce by Jurisdiction of Graduation
and Registration, Canada, 2008 ............................................................. 29
vi
Figure 14
Top Three Destinations for Registered Nursing Graduates by Jurisdiction
of Graduation, Canada, 2008................................................................. 30
Figure 15
Registered Nurses Working Outside of Jurisdiction of Registration,
by Country of Employment, Canada, 2008 .............................................. 31
Figure 16
Internationally Educated Registered Nurses in the Workforce, by Country
of Graduation, 2008 ............................................................................. 33
Figure 17
Registered Nursing Workforce, by Urban/Rural/Remote Designation,
Canada, 2008 ...................................................................................... 34
Figure 18
Registered Nursing Workforce, by Urban/Rural/Remote Designation,
by Jurisdiction, 2008 ............................................................................ 35
Figure 19
Registered Nursing Workforce, by Place of Work, by Provincial or
Territorial Level, Canada, 2008 .............................................................. 36
Figure 20
Nurse Practitioner Workforce, by Place of Work, Canada, 2004, 2006
and 2008 ............................................................................................ 40
Figure 21
Nurse Practitioner Workforce, by Place of Work, by Provincial or Territorial
Level, Canada, 2008 ............................................................................ 45
Figure 22
Nurse Practitioner Workforce, by Urban/Rural/Remote Designation,
Canada, 2008 ...................................................................................... 46
Figure 23
Licensed Practical Nurses, by Employment Status, Canada, 2008 ............... 51
Figure 24
Licensed Practical Nursing Workforce per 100,000 Population, Canada,
2004 to 2008 ...................................................................................... 52
Figure 25
Licensed Practical Nurses Employed in Nursing With Multiple Employers,
by Employment Status, by Age Group, Canada, 2008 ............................... 57
Figure 26
Licensed Practical Nursing Workforce, by Place of Work, by Jurisdiction
and Canada, 2004 and 2008 ................................................................. 58
Figure 27
Average Age of Licensed Practical Nursing Workforce Compared
to Selected Health Occupations, Canada, 2004 to 2008 ........................... 62
Figure 28
Licensed Practical Nursing Workforce, by Age Groups 55+,
60+ and 65+, by Jurisdiction and Canada, 2008 .................................... 65
Figure 29
Licensed Practical Nursing Workforce, by Years Since LPN Graduation,
by Jurisdiction and Canada, 2004 and 2008 ............................................ 66
Figure 30
Licensed Practical Nursing Workforce by Jurisdiction of Graduation
and Registration, Canada, 2008 ............................................................. 70
Figure 31
Top Three Destinations for Licensed Practical Nursing Graduates,
by Jurisdiction of Graduation, Canada, 2008 ........................................... 71
Figure 32
Licensed Practical Nurses Working Outside of Jurisdiction of Registration,
by Country of Employment, Canada, 2008 .............................................. 72
Figure 33
Internationally Educated Licensed Practical Nurses in the Workforce,
by Country of Graduation, 2008............................................................. 74
Figure 34
Licensed Practical Nursing Workforce, by Urban/Rural/Remote Designation,
Canada, 2008 ...................................................................................... 75
Figure 35
Licensed Practical Nursing Workforce, by Urban/Rural/Remote Designation,
by Jurisdiction, 2008 ............................................................................ 76
vii
Figure 36
Licensed Practical Nursing Workforce, by Place of Work, by Provincial
or Territorial Level, Canada, 2008 .......................................................... 77
Figure 37
Registered Psychiatric Nurses, by Employment Status, Western
Provinces, 2008 ................................................................................... 81
Figure 38
Registered Psychiatric Nursing Workforce per 100,000 Population,
Western Provinces, 2004 to 2008 .......................................................... 82
Figure 39
Registered Psychiatric Nurses Employed in Psychiatric Nursing With
Multiple Employers, by Employment Status, by Age Group, Western
Provinces, 2008 ................................................................................... 88
Figure 40
Registered Psychiatric Nursing Workforce, by Place of Work, by Province,
2004 and 2008 ................................................................................... 89
Figure 41
Average Age of Registered Psychiatric Nursing Workforce Compared
to Selected Health Occupations, Canada, 2004 to 2008 ........................... 94
Figure 42
Registered Psychiatric Nursing Workforce, by Age Groups 55+,
60+ and 65+, by Province, 2008 .......................................................... 98
Figure 43
Registered Psychiatric Nursing Workforce, by Years Since RPN Graduation,
by Province, 2004 and 2008 ................................................................. 99
Figure 44
Registered Psychiatric Nurses Graduating From Diploma and Baccalaureate
Programs, Western Provinces, 2007 to 2008 ......................................... 101
Figure 45
Registered Psychiatric Nursing Workforce, by Province of Graduation
and Registration, 2008 ....................................................................... 103
Figure 46
Top Two Destinations for Registered Psychiatric Nursing Graduates,
by Province of Graduation, Western Provinces, 2008 .............................. 104
Figure 47
Internationally Educated Registered Psychiatric Nurses in the Workforce,
by Country of Graduation, 2008........................................................... 106
Figure 48
Registered Psychiatric Nursing Workforce, by Urban/Rural/Remote
Designation, Western Provinces, 2008 .................................................. 107
Figure 49
Registered Psychiatric Nursing Workforce, by Urban/Rural/Remote
Designation, by Province, 2008 ........................................................... 108
Figure 50
Tracking Regulatory Authority Data to CIHI: The Regulated
Nursing Workforce ............................................................................. 121
viii
Executive Summary
Executive Summary
Regulated Nurses: Canadian Trends, 2004 to 2008 draws on data from the Canadian
Institute for Health Information’s Nursing Database, which covers the three regulated
nursing professions in Canada: registered nurses (RNs), licensed practical nurses (LPNs)
and registered psychiatric nurses (RPNs). This report presents five-year workforce trends
across Canada, across regulated nursing professions and across a variety of demographic,
education, mobility and employment characteristics, in order to inform health human
resource planning in Canada.
Regulated Nursing Workforce Continues to Grow
There were 341,431 regulated nurses working in nursing in Canada in 2008, 76.7% of whom
were RNs, 21.8% of whom were LPNs and 1.5% of whom were RPNs. These proportions
remained relatively steady over the last five years.
In 2008, as in previous years, the number of regulated nurses in the workforce grew, with
an annual percentage change of close to 2% every year since 2004. Both the RN and LPN
workforces grew at rates exceeding that of the Canadian population, and RPN workforce
growth kept pace with population growth in the western provinces over the five-year
period from 2004 to 2008.
Regulated Nursing Workforce Across Age Groups
In each of the regulated nursing professions, the average age of entry into the workforce
increased. Regulated nurses are now often age 30 or older when they graduate and begin
their nursing careers. In 2008, those age 40 to 60 dominated the nursing professions;
this age group constituted 58.3% of the RN workforce, 55.2% of the LPN workforce and
63.0% of the RPN workforce.
Mobility Trends of Regulated Nursing Graduates
Within Canada, the top three destinations for work for Canadian-educated regulated nursing
graduates who moved away from their province of graduation were British Columbia,
Alberta and Ontario. As RPNs are regulated in only the four western provinces, their top
two destinations for work were Alberta and British Columbia.
The proportion of regulated nurses educated internationally grew slightly over the last
five years. Overall, in 2008, 7.2% of the regulated nursing workforce was educated
outside of Canada.
Registered Nurses
The Canadian RN workforce grew by close to 2% each year since 2004, to a total
of 261,889 RNs in 2008. The proportion of females remained high, at 94.0%.
The average age of an RN in 2008 was 45.1, a slight increase of less than one year
(0.6 years) over the average age observed in 2004.
CIHI 2010
ix
Regulated Nurses: Canadian Trends, 2004 to 2008
RNs worked most often in hospitals (62.7%) in 2008; the community health sector
employed 14.2% of RNs.
In 2008, 30.2% of internationally educated RN graduates were educated in the Philippines
and 17.9% were educated in the United Kingdom. A total of 8.2% of the RN workforce
graduated from an international RN program, which represents the highest proportion of
international graduates among the Canadian nursing professions.
Between 2004 and 2008, the number of licensed nurse practitioners (NPs) in the workforce
more than doubled, from 800 in 2004, to 1,626 in 2008. As of 2007, all territories and
provinces except the Yukon had licensed NP programs.
Licensed Practical Nurses
The Canadian LPN workforce grew to 74,380 in 2008. This represents an increase
of 17.2% since 2004. The proportion of females remained steady at 92.8%.
The average age of an LPN was 43.4 in 2008, a decrease of one year, from 44.4, in 2004.
This is the only nursing profession of the three that showed a decrease in average age over
the time period studied. For LPNs who graduated between 2005 and 2008 and were in the
workforce in 2008, the average age of graduation was 31.0.
LPNs worked mostly in hospitals (45.8%) and in long-term care facilities (38.6%) in 2008.
This proportion remained relatively consistent over the last five years.
Of the LPNs educated outside Canada who specified a location of graduation in 2008,
26.5% were educated in the United Kingdom and 19.4% were educated in the Philippines.
A total of 2.0% of the LPN workforce in 2008 was educated outside Canada, an increase
from the 1.9% observed in 2007; this represents a substantially smaller proportion than
that observed for RPNs and RNs.
Registered Psychiatric Nurses
The total Canadian RPN workforce grew to 5,162 in 2008. This number fluctuated over
the five-year period; however, the percentage change was less than one percent from
2004 to 2008. Of the three nursing professions, RPNs have the highest proportion of
males, at close to 22.5%. This ratio has not changed substantially over the last five years.
The average age of an RPN was the highest of the three workforces, at 47.5 in 2008,
an increase approaching one year above the average age of an RPN in 2004.
RPNs worked mostly in the hospital sector in 2008 (41.0%).
Overall, 6.7% of the RPN workforce in 2008 was educated outside of Canada, the majority
of whom were educated in the United Kingdom (80.8%).
x
CIHI 2010
About the Canadian Institute for Health Information
About the Canadian Institute
for Health Information
The Canadian Institute for Health Information (CIHI) collects and analyzes information on health
and health care in Canada and makes it publicly available. Canada’s federal, provincial and
territorial governments created CIHI as a not-for-profit, independent organization dedicated
to forging a common approach to Canadian health information. CIHI’s goal: to provide
timely, accurate and comparable information. CIHI’s data and reports inform health policies,
support the effective delivery of health services and raise awareness among Canadians
of the factors that contribute to good health.
One of many databases maintained at CIHI is the Nursing Database (NDB), which holds
administrative data on each of the three regulated nursing professions in Canada. Regulated
nurses include registered nurses (including nurse practitioners), licensed practical nurses
and registered psychiatric nurses.
Any questions or requests regarding this publication or the data should be directed to:
Program Lead, Health Human Resources (Nursing)
Canadian Institute for Health Information
495 Richmond Road, Suite 600
Ottawa, Ontario K2A 4H6
Phone: 613-241-7860
Fax: 613-241-8120
Email: [email protected]
For more information, visit our website at www.cihi.ca.
CIHI 2010
xi
About This Report
About This Report
The Health Human Resources team at CIHI is pleased to present Regulated Nurses:
Canadian Trends, 2004 to 2008.
The data contained in this report, related to the supply and distribution of the regulated
nursing workforces, is a key component of health human resource planning in Canada and
is published annually by CIHI. This information has been used by governments, researchers,
stakeholders and advocacy groups, as well as private and public organizations, media and
regulated nurses. CIHI has been providing comprehensive data on the supply and distribution
of regulated nurses in Canada since 2002, and on registered nurses since 1999.
One Report for Three Nursing Professions
As of the 2007 publication year, information on each of the three regulated nursing
professions is in one publication.
What’s New This Year?
In addition to the profile tables, Appendix A—Provincial/Territorial Nursing Workforce
Profiles, now provides provincial, territorial and national workforce highlights.
CIHI 2010
xiii
Acknowledgements
Acknowledgements
The Canadian Institute for Health Information (CIHI) wishes to acknowledge and thank
the following individuals from the Health Human Resources—Nursing team at CIHI for their
contribution to this report:
•
Carol Brulé, Manager
•
Geoff Ballinger, Manager
•
Robert Pelletier, Program Lead
•
Margaret Mousseau, Project Manager/Analyst
•
Yi Chen, Senior Analyst
•
Jeannine Poston, Analyst
•
Martin Bauwens, Analyst
•
Puneet Dhillon, Intern
CIHI would additionally like to acknowledge and thank the following individuals at CIHI
for their noteworthy assistance with this report:
•
Leonid Papkov, Senior Analyst
•
Omar Kazmi, Analyst
•
Robyn Hastie, Analyst
CIHI would also like to thank the following organizations. A national database of regulated
nursing data could not exist without their effort, commitment and collaboration.
Regulatory Authorities for the Registered Nursing Profession
•
Association of Registered Nurses of Newfoundland and Labrador
•
Association of Registered Nurses of Prince Edward Island
•
College of Registered Nurses of Nova Scotia
•
Nurses Association of New Brunswick / Association des infirmières et infirmiers
du Nouveau-Brunswick
•
Ordre des infirmières et infirmiers du Québec
•
College of Nurses of Ontario / Ordre des infirmières et infirmiers de l’Ontario
•
College of Registered Nurses of Manitoba
•
Saskatchewan Registered Nurses’ Association
•
College & Association of Registered Nurses of Alberta
•
College of Registered Nurses of British Columbia
•
Yukon Registered Nurses Association
•
Registered Nurses Association of Northwest Territories and Nunavut
CIHI 2010
xv
Regulated Nurses: Canadian Trends, 2004 to 2008
Regulatory Authorities for the Licensed Practical Nursing Profession
•
College of Licensed Practical Nurses of Newfoundland and Labrador
•
Prince Edward Island Licensed Practical Nurses Registration Board
•
College of Licensed Practical Nurses of Nova Scotia
•
Association of New Brunswick Licensed Practical Nurses / Association des
infirmier(ère)s auxiliaires autorisé(e)s du Nouveau-Brunswick
•
Ordre des infirmières et infirmiers auxiliaires du Québec
•
College of Nurses of Ontario / Ordre des infirmières et infirmiers de l’Ontario
•
College of Licensed Practical Nurses of Manitoba
•
Saskatchewan Association of Licensed Practical Nurses
•
College of Licensed Practical Nurses of Alberta
•
College of Licensed Practical Nurses of British Columbia
•
Yukon Licensed Practical Nurses, Yukon Consumer Services
•
Northwest Territories Licensed Practical Nurses, Department of Health and Social
Services, Government of the Northwest Territories
Regulatory Authorities for the Registered Psychiatric Nursing Profession
•
College of Registered Psychiatric Nurses of Manitoba
•
Registered Psychiatric Nurses Association of Saskatchewan
•
College of Registered Psychiatric Nurses of Alberta
•
College of Registered Psychiatric Nurses of British Columbia
Note: Registered psychiatric nurses are educated and regulated in the four western
provinces in Canada.
National Organizations
•
Canadian Nurses Association / Association des infirmières et infirmiers du Canada
Please note: The analyses and conclusions in this document do not necessarily reflect
those of the individuals or organizations mentioned above.
Finally, we wish to extend our thanks and gratitude to all regulated nurses caring for
and improving the lives of Canadians.
xvi
CIHI 2010
Introduction
Introduction
The provision of high-quality health care services requires a workforce that is well
equipped not only to respond to current needs but also to face future challenges. We often
hear sentiments and questions about the supply and availability of heath care professionals:
“Are there enough regulated nurses in Canada? Will they be there when I need them?”
These questions highlight the public’s perspective on health care and remind us that health
human resource planning affects all of us.
Health care planners anticipate needs by comparing the existing health workforce supply
with expected future health care needs of the population. The gaps can then inform the
development and implementation of policies to ensure that the right people, with the right
skills, in the right settings are providing high-quality care. This report provides baseline
data for health human resource planners on the supply and selected characteristics of the
regulated nursing workforce across the country. Figure 1 compares the ratio of practising
nurses to practising physicians among selected countries.
Figure 1
Ratio of Practising Nurses to Practising Physicians Within Selected Countries, 2006
5.0
4.5
4.5
4.1
4.1
4.3
4.0
3.5
2.9
3.0
2.3
2.5
1.9
2.0
1.5
1.0
0.5
0.0
United
Kingdom
Canada
Japan
United
States
France
Germany
Italy
Notes
Data presented is from 2006 (the most recent year for which full data was available).
Refer to source for additional information regarding definitions.
Source
Organisation for Economic Co-operation and Development, OECD Health Data, 2009 Version: June 09 (Paris, France: OECD, 2009),
accessed from www.ecosante.org/index2.php?base=OCDE&langs=ENG&langh=ENG.
CIHI 2010
1
Regulated Nurses: Canadian Trends, 2004 to 2008
Figure 2 shows that Canada had the fifth-highest number of practising nurses per 10,000
population among selected countries. Similar to other countries, Canada faces various
health human resource challenges. Geography in particular may influence the distribution
of, and demand for, health resources, including health care providers.
Figure 2
Practising Nurses per 10,000 Population Within Selected Countries, 2006
120
100
105.0
100.3
88.2
98.7
93.5
78.8
80
70.7
60
40
20
0
United
Kingdom
Canada
Japan
United
States
France
Germany
Italy
Notes
Data presented is from 2006 (the most recent year for which full data was available).
Refer to source for additional information regarding definitions.
Source
Organisation for Economic Co-operation and Development, OECD Health Data 2009 Version: June 09 (Paris, France: OECD, 2009),
accessed from www.ecosante.org/index2.php?base=OCDE&langs=ENG&langh=ENG.
The Canadian Regulated Nursing Workforce
In Canada, the largest group within the paid health care workforce is regulated nurses,
with a total workforce of 341,431 in 2008. The regulated nursing workforce is made up
of three types of health care professionals: registered nurses (including nurse practitioners),
registered psychiatric nurses and licensed practical nurses. Each provincial and territorial
jurisdiction in Canada is responsible for the legislation covering the regulated nursing
professions, and each jurisdiction has its own regulatory body for each profession for the
regulation and licensing of its members.
2
CIHI 2010
Introduction
Figure 3
Regulated Nursing Workforce (Employed in Nursing), Canada, 2008
LPN 21.8%
74,380
RPN 1.5%
5,162
RN 76.7%
261,889
Note
Totals may not sum to 100% due to rounding.
Source
Nursing Database, Canadian Institute for Health Information.
Registered Nurses
Registered nurses (RNs) work both autonomously and in collaboration with others. RNs
coordinate health care, deliver direct services and support clients in their self-care decisions
and actions in health, illness, injury and disability in all stages of life. RNs contribute to
the health care system through their work in direct practice, education, administration,
research and policy in a wide array of settings.
Nurse practitioners (NPs) are RNs with additional educational preparation and experience.
NPs may order and interpret diagnostic tests, prescribe pharmaceuticals, medical devices
and other therapies and perform procedures. NPs often work in primary care settings, such
as community health centres or remote nursing stations. As well, NPs may work in other
work locations, including clinics, long-term care facilities and hospitals. Nurse practitioners
are licensed in all provinces and territories in Canada except the Yukon.
Licensed Practical Nurses
Licensed practical nurses (LPNs) work independently or in collaboration with other members
of the health care team. LPNs assess clients and work in health promotion and illness
prevention. They assess, plan, implement and evaluate care for clients. LPNs practise in
a variety of settings, such as hospitals, homes for the aged, public health units, community
nursing agencies, private practices, clinics, doctors’ offices, schools, adult day care centres,
private homes, community health centres, child care centres and children’s camps.
CIHI 2010
3
Regulated Nurses: Canadian Trends, 2004 to 2008
Registered Psychiatric Nurses
Registered psychiatric nurses (RPNs) are regulated separately from other regulated nursing
professionals in four provinces: Manitoba, Saskatchewan, Alberta and British Columbia. RPNs
provide services to clients whose primary care needs relate to mental and developmental
health. RPN duties include planning, implementing and evaluating therapies and programs
on the basis of psychiatric nursing assessments. They often work in acute psychiatry,
long-term geriatric care and home care, residential and community programs for the
developmentally handicapped, forensic psychiatry, institutional and community-based
corrections and community mental health programs.
Notes to Readers
1. The statistics presented in this publication and on the CIHI website were reviewed
and authorized by representatives of the provincial/territorial regulatory authorities
responsible for the regulation and licensure of regulated nurses, as listed in Appendix B
of this publication.
2. The term “regulated nursing workforce,” as used in this publication and accompanying
documents, includes members of the licensed practical nurse (LPN), registered nurse (RN)
and registered psychiatric nurse (RPN) workforces who reported being employed in their
profession at the time of annual registration.
3. CIHI statistics will differ from those published by provincial/territorial regulatory
authorities for the following reasons:
i.
Collection period—CIHI collects data after the first 6 months of the 12-month
registration period, in an effort to ensure timely information. The resulting
under-coverage has typically been only 1% to 5%; the counts released by CIHI
are generally lower than provincial/territorial statistics.
ii. Differences in definition—regulatory authorities typically report the total number
of active registrations received during the registration year. CIHI divides the active
total into four categories: employed in nursing, employed in other than nursing, not
employed and not stated. Regulated nurses employed in nursing are the focus of this
report, and those falling into the other categories are excluded from most analyses.
iii. Exclusions from CIHI data—CIHI statistics do not necessarily include regulated
nurses who were on leave at the time of annual registration or first-time registrants.
These regulated nurses may be included in statistics published by provincial/territorial
regulatory authorities.
iv. CIHI editing and processing—CIHI applies methodologies to standardize the information
about each regulated nursing workforce across the country. For example, potential
duplicate records are removed when the province of registration is not the same as
the province of employment. The footnotes and Chapter 5 provide more information
regarding the specific methodologies used and their application.
4. Because CIHI and the provincial/territorial regulatory authorities are continually working
to improve data quality, these figures may not be comparable to historical data.
Historical changes for each profession are listed at the end of each chapter.
See Chapter 5 (Methodological Notes) for more detailed explanations of these concepts.
4
CIHI 2010
Chapter 1—Regulated Nurses in Canada: Trends of Registered Nurses
Chapter 1—Regulated Nurses in Canada:
Trends of Registered Nurses
Workforce Trends: How Many Registered Nurses?
The regulated nursing workforce is of critical importance to the health of Canadians and thus
to health human resource planners. This chapter presents data on registered nurses (RNs),
including nurse practitioners (NPs), in Canada in 2008, and illustrates key trends over the
last five years. A section specific to NPs is included at the end of this chapter.
The RN workforce is defined as those RNs (including NPs) employed in nursing within
Canada. These nurses represented 76.7% of the total regulated nursing workforce in 2008.
The Employment Status indicator classifies RNs as either working in nursing, working
outside of nursing or not working. The indicator further classifies RNs in the workforce
as working in part-time, full-time or casual positions. As illustrated in Figure 4, the vast
majority of RNs who register in Canada are in the RN workforce, with more than half
of those employed in full-time positions (58.1%).
Figure 4
Registered Nurses, by Employment Status, Canada, 2008
Full Time
58.1%
Not Stated
1.7%
Not
Employed
2.8%
Employed
in Nursing
93.7%
Casual
10.8%
Employed in Other
Than Nursing
1.7%
Part Time
31.0%
Notes
Totals may not sum to 100% due to rounding.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
CIHI 2010
5
Regulated Nurses: Canadian Trends, 2004 to 2008
The size of the RN workforce has increased relatively steadily since 1980, when data first
became available. Figure 5 illustrates the growth trend of the RN workforce over time.
Figure 5
Registered Nursing Workforce, Canada, 1980 to 2008
275,000
250,000
225,000
200,000
175,000
150,000
19
8
19 0
8
19 1
8
19 2
8
19 3
8
19 4
8
19 5
8
19 6
8
19 7
8
19 8
8
19 9
9
19 0
9
19 1
9
19 2
9
19 3
94
19
9
19 5
96
19
9
19 7
98
19
9
20 9
00
20
0
20 1
02
20
0
20 3
0
20 4
0
20 5
0
20 6
0
20 7
08
125,000
Notes
In 1988, the decrease is largely attributed to a substantial increase in the number of Employment Status not stated records in the Ontario data
for that year.
In 2000, the increase is partially attributed to the identification of comparatively fewer duplicates in the Ontario and Quebec data that year.
In 2003, the increase is partially attributed to methodological changes in the submission of data that year.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
Three distinct trends are evident in Figure 5:
1. The average annual growth ratei of the RN workforce was approximately 3.3% between
1980 and 1993. A flattening of the growth curve was seen between 1993 and 2002,
reflecting a period of fiscal restraint in health care spending that also affected the
growth in the number of health care providers, resulting in an average annual growth
rate of the registered nursing workforce of approximately -0.2%.
2. The average annual growth rate between 2002 and 2008 was approximately 2.1%.
The previous high of 235,738 RNs in Canada in 1993 was surpassed in 2003. The
positive trend since 2002 may be due, in part, to reinvestment in health care, resulting
in an increase in the number of RNs in the workforce.
3. The number of RNs per 100,000 population shows a similar trend over the three time
periods (see Figure 6); however, the high ratio of the early 1990s (825 RNs per
100,000 population) has not been reached since. In 2008, there were 782 RNs per
100,000 population in Canada.
i.
6
See Chapter 5 (Methodological Notes) for average annual growth rate formula.
CIHI 2010
Chapter 1—Regulated Nurses in Canada: Trends of Registered Nurses
Figure 6
Registered Nursing Workforce per 100,000 Population, Canada, 1986 to 2008
840
820
800
780
760
740
720
700
19
91
19
92
19
93
19
94
19
95
19
96
19
97
19
98
19
99
20
00
20
01
20
02
20
03
20
04
20
05
20
06
20
07
20
08
89
90
19
88
19
19
19
19
86
87
680
Notes
In 1988, the decrease is largely attributed to a substantial increase in the number of Employment Status not stated records in the Ontario data
for that year.
In 2000, the increase is partially attributed to the identification of comparatively fewer duplicates in the Ontario and Quebec data that year.
In 2003, the increase is partially attributed to methodological changes in the submission of data that year.
In 2008, projected population estimates were used. Refer to Analytical Methods in the Methodological Notes section.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
CIHI 2010
7
Regulated Nurses: Canadian Trends, 2004 to 2008
Employment Trends: Is the Workforce Changing?
Table 1 shows the supply of all registered nurses (including nurse practitioners) over the
period 2004 to 2008. The total supply of RNs in Canada was 279,399 in 2008. This
represents an increase of 1.9% from 2007. Although the increase in the number of RNs
employed in nursing was not uniform across the country (see Table 2), each year between
2004 and 2008 saw an increase in the Canadian RN workforce of between 1% and 2%,
for an overall increase of 6.2% in the RN workforce over the period. Additional information
on RNs by jurisdiction is available in the data tables on CIHI’s website.
Table 1
Registered Nurses, by Employment Status, Canada, 2004 to 2008
Employed in Nursing
Regular
Basis,
Full Time
Regular
Basis,
Part Time
Casual
Basis
Not Employed in Nursing
Regular Basis,
Status
Unknown
Sub-Total
Employed in Other
Than Nursing
B
C
D
E=A+B+C+D
2004
2005
2006
2007
2008
125,791
137,045
141,047
146,052
151,420
79,252
82,224
82,120
81,929
80,879
24,818
28,043
27,366
27,197
28,219
16,710
3,930
3,286
2,783
1,371
246,571
251,242
253,819
257,961
261,889
2004
2005
2006
2007
2008
–
8.9%
2.9%
3.5%
3.7%
–
3.8%
-0.1%
-0.2%
-1.3%
–
13.0%
-2.4%
-0.6%
3.8%
–
-76.5%
-16.4%
-15.3%
-50.7%
–
1.9%
1.0%
1.6%
1.5%
2004
2005
2006
2007
2008
47.8%
51.1%
52.1%
53.3%
54.2%
30.1%
30.6%
30.3%
29.9%
28.9%
9.4%
10.4%
10.1%
9.9%
10.1%
6.3%
1.5%
1.2%
1.0%
0.5%
93.6%
93.6%
93.7%
94.1%
93.7%
Sub-Total
Not Seeking
Employment
Seeking
Employment
in Nursing
Not Seeking
Employment
in Nursing
G
H
I
J
K=F+G+H+I+J
L=E+K
2,349
2,767
2,396
2,428
2,268
6,820
6,145
6,155
6,025
5,643
2,561
3,213
3,699
2,955
4,703
16,766
17,155
17,026
16,313
17,510
263,337
268,397
270,845
274,274
279,399
(Annual Percentage Change)
–
–
–
-21.3%
2.5%
17.8%
-12.7%
-4.3%
-13.4%
-3.2%
3.2%
1.3%
-3.0%
0.0%
-6.6%
–
-9.9%
0.2%
-2.1%
-6.3%
–
25.5%
15.1%
-20.1%
59.2%
–
2.3%
-0.8%
-4.2%
7.3%
–
1.9%
0.9%
1.3%
1.9%
2.6%
2.3%
2.3%
2.2%
2.0%
1.0%
1.2%
1.4%
1.1%
1.7%
6.4%
6.4%
6.3%
5.9%
6.3%
100.0%
100.0%
100.0%
100.0%
100.0%
Seeking
Employment
A
Not Employed
Grand Total
Not
Stated
F
549
432
377
365
354
(Count)
4,487
4,598
4,399
4,540
4,542
(Percentage Distribution)
0.2%
1.7%
0.2%
1.7%
0.1%
1.6%
0.1%
1.7%
0.1%
1.6%
0.9%
1.0%
0.9%
0.9%
0.8%
Notes
– Data is not applicable or does not exist.
Totals may not sum to 100% due to rounding.
RNs employed in a jurisdiction different from their jurisdiction of registration are excluded to avoid duplication.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
8
CIHI 2010
Chapter 1—Regulated Nurses in Canada: Trends of Registered Nurses
RNs employed in nursing but reported as employed—status unknown are those who reported
employment data but who failed to indicate their status as full time, part time or casual.
Accordingly, they are included in the workforce but are excluded from some analyses in
the report, as indicated in table footnotes. The number of RNs whose Employment Status
is reported as employed—status unknown decreased every year since 2004 and represented
only 0.5% of the workforce by 2008.
Table 2
Registered Nursing Workforce, by Jurisdiction and Canada, 2004 to 2008
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
Sask.
Alta.
B.C.
Y.T.
N.W.T./
Nun.
Canada
2004
2005
2006
2007
2008
5,452
5,496
5,515
5,574
5,724
1,377
1,443
1,428
1,435
1,479
8,602
8,733
8,790
8,843
8,871
7,375
7,526
7,680
7,726
7,757
63,455
63,827
64,014
64,955
65,531
86,099
89,429
90,061
90,978
92,884
(Count)
10,628
10,811
10,902
10,825
10,902
8,481
8,549
8,480
8,669
8,823
25,600
26,355
26,752
27,527
28,501
28,289
27,814
28,840
30,059
29,863
283
302
324
322
334
930
957
1,033
1,048
1,220
246,571
251,242
253,819
257,961
261,889
2004
2005
2006
2007
2008
–
0.8%
0.3%
1.1%
2.7%
–
4.8%
-1.0%
0.5%
3.1%
–
1.5%
0.7%
0.6%
0.3%
–
2.0%
2.0%
0.6%
0.4%
–
0.6%
0.3%
1.5%
0.9%
(Annual Percentage Change)
–
–
–
3.9%
1.7%
0.8%
0.7%
0.8%
-0.8%
1.0%
-0.7%
2.2%
2.1%
0.7%
1.8%
–
2.9%
1.5%
2.9%
3.5%
–
-1.7%
3.7%
4.2%
-0.7%
–
6.7%
7.3%
-0.6%
3.7%
–
2.9%
7.9%
1.5%
16.4%
–
1.9%
1.0%
1.6%
1.5%
2004
2005
2006
2007
2008
2.2%
2.2%
2.2%
2.2%
2.2%
0.6%
0.6%
0.6%
0.6%
0.6%
3.5%
3.5%
3.5%
3.4%
3.4%
3.0%
3.0%
3.0%
3.0%
3.0%
25.7%
25.4%
25.2%
25.2%
25.0%
(Percentage Distribution)
34.9%
4.3%
3.4%
35.6%
4.3%
3.4%
35.5%
4.3%
3.3%
35.3%
4.2%
3.4%
35.5%
4.2%
3.4%
10.4%
10.5%
10.5%
10.7%
10.9%
11.5%
11.1%
11.4%
11.7%
11.4%
0.1%
0.1%
0.1%
0.1%
0.1%
0.4%
0.4%
0.4%
0.4%
0.5%
100.0%
100.0%
100.0%
100.0%
100.0%
Notes
– Data is not applicable or does not exist.
Totals may not sum to 100% due to rounding.
In 2004, data collection in the Northwest Territories/Nunavut improved, increasing the number of registrations.
Northwest Territories and Nunavut data is combined, as RNs did not specify in which territory they worked the majority of the time.
Data released by CIHI may differ from data from other sources due to CIHI’s nationally standardized methodology.
RNs employed in a jurisdiction different from their jurisdiction of registration are excluded to avoid duplication.
Northern territories data may include inter-jurisdictional duplicates.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
Registered Nurses Not Employed in Nursing
Effective health human resource planning requires an understanding of both the current
and the potential workforce. While the analysis in this chapter focuses on registered nurses
currently employed in nursing, it is also important to understand the profile of the RN profession
as a whole and to investigate trends with respect to RNs who register but do not work
in nursing.
As shown in Table 3, RNs in the 50+ age groups account for the largest proportion of RNs
who were not seeking employment between 2004 and 2008. RNs who were seeking
employment were distributed across all age groups.
CIHI 2010
9
Regulated Nurses: Canadian Trends, 2004 to 2008
Table 3
Registered Nurses Not Employed in Nursing, by Employment Status,
by Age Group, Canada, 2004 to 2008
<30
30–39
Not Employed
in Nursing But Seeking
Nursing Employment
2004
2005
2006
2007
2008
390
450
339
324
309
654
793
640
611
504
Not Employed
in Nursing and Not
Seeking Nursing
Employment
2004
2005
2006
2007
2008
318
262
228
202
178
1,753
1,500
1,365
1,208
1,100
Not Employed
in Nursing But Seeking
Nursing Employment
2004
2005
2006
2007
2008
–
15.4%
-24.7%
-4.4%
-4.6%
–
21.3%
-19.3%
-4.5%
-17.5%
Not Employed
in Nursing and Not
Seeking Nursing
Employment
2004
2005
2006
2007
2008
–
-17.6%
-13.0%
-11.4%
-11.9%
–
-14.4%
-9.0%
-11.5%
-8.9%
Not Employed
in Nursing But Seeking
Nursing Employment
2004
2005
2006
2007
2008
13.5%
14.1%
12.2%
11.6%
11.8%
22.6%
24.8%
23.1%
21.9%
19.2%
Not Employed
in Nursing and Not
Seeking Nursing
Employment
2004
2005
2006
2007
2008
2.8%
2.4%
2.2%
1.9%
1.7%
15.5%
14.0%
12.9%
11.4%
10.8%
40–49
50–59
60+
Canada
767
772
725
672
683
339
425
424
480
528
2,898
3,198
2,773
2,792
2,622
3,917
3,779
3,691
3,670
3,446
2,476
2,668
2,941
3,270
3,396
11,307
10,743
10,554
10,565
10,185
–
25.4%
-0.2%
13.2%
10.0%
–
10.4%
-13.3%
0.7%
-6.1%
–
-3.5%
-2.3%
-0.6%
-6.1%
–
7.8%
10.2%
11.2%
3.9%
–
-5.0%
-1.8%
0.1%
-3.6%
(Percentage Distribution)
25.8%
26.5%
23.7%
24.1%
23.3%
26.1%
25.3%
24.1%
22.8%
26.0%
11.7%
13.3%
15.3%
17.2%
20.1%
100.0%
100.0%
100.0%
100.0%
100.0%
21.9%
24.8%
27.9%
31.0%
33.3%
100.0%
100.0%
100.0%
100.0%
100.0%
(Count)
748
758
645
705
598
2,843
2,534
2,329
2,215
2,065
(Annual Percentage Change)
–
–
1.3%
0.7%
-14.9%
-6.1%
9.3%
-7.3%
-15.2%
1.6%
–
-10.9%
-8.1%
-4.9%
-6.8%
25.1%
23.6%
22.1%
21.0%
20.3%
34.6%
35.2%
35.0%
34.7%
33.8%
Notes
– Data is not applicable or does not exist.
Employment Status not employed in nursing includes RNs who are not working or working in positions outside of nursing.
Totals may not sum to 100% due to rounding.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
Employment Status
Table 4 shows that the majority of registered nurses employed in nursing are employed on
a regular basis in full-time positions, and that their number steadily increased over the past
five years. In 2008, 151,420 (58.1% of the workforce) RNs were working in full-time positions.
10
CIHI 2010
Chapter 1—Regulated Nurses in Canada: Trends of Registered Nurses
Table 4
Registered Nursing Workforce, by Employment Status, by Jurisdiction
and Canada, 2004 to 2008
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
Sask.
Alta.
B.C.
Y.T.
N.W.T./
Nun.
Canada
Employed,
Full Time
2004
2005
2006
2007
2008
3,909
3,853
3,794
3,946
4,229
691
770
729
695
779
5,321
5,446
5,565
5,656
5,685
4,682
4,806
4,865
4,890
4,987
32,842
34,081
35,172
36,111
36,755
44,566
53,696
55,462
57,403
60,236
(Count)
4,963
5,184
5,204
5,146
5,190
4,622
4,685
4,713
4,845
5,054
9,950
10,074
10,286
10,711
11,196
14,122
14,316
15,119
16,499
16,531
123
134
138
150
160
–
–
–
–
618
125,791
137,045
141,047
146,052
151,420
Employed,
Part Time
2004
2005
2006
2007
2008
963
979
982
932
876
640
532
546
554
547
2,371
2,377
2,346
2,353
2,290
2,215
2,195
2,235
2,260
2,222
20,312
20,637
20,684
20,903
20,948
24,123
27,846
27,218
26,308
25,208
4,876
4,800
4,871
4,867
4,850
2,957
2,859
2,819
2,783
2,649
12,176
11,548
11,782
12,118
12,582
8,525
8,351
8,535
8,762
8,609
94
100
102
89
98
–
–
–
–
–
79,252
82,224
82,120
81,929
80,879
Employed,
Casual
2004
2005
2006
2007
2008
580
664
739
696
619
29
140
153
183
153
910
910
879
834
895
478
525
580
576
548
6,752
7,035
7,376
7,433
7,459
6,480
7,887
7,381
7,267
7,440
694
767
788
788
862
902
978
948
1,024
1,119
2,786
3,923
3,813
3,700
3,725
5,143
5,147
4,625
4,617
4,723
64
67
84
79
74
–
–
–
–
602
24,818
28,043
27,366
27,197
28,219
Employed,
Status
Unknown
2004
2005
2006
2007
2008
–
–
–
–
–
17
1
–
3
–
–
–
–
–
1
–
–
–
–
–
3,549
2,074
782
508
369
10,930
–
–
–
–
95
60
39
24
–
–
27
–
17
1
688
810
871
998
998
499
–
561
181
–
2
1
–
4
2
930
957
1,033
1,048
–
16,710
3,930
3,286
2,783
1,371
Employed,
Full Time
2004
2005
2006
2007
2008
–
-1.4%
-1.5%
4.0%
7.2%
–
11.4%
-5.3%
-4.7%
12.1%
–
2.3%
2.2%
1.6%
0.5%
–
2.6%
1.2%
0.5%
2.0%
–
3.8%
3.2%
2.7%
1.8%
(Annual Percentage Change)
–
–
–
20.5%
4.5%
1.4%
3.3%
0.4%
0.6%
3.5%
-1.1%
2.8%
4.9%
0.9%
4.3%
–
1.2%
2.1%
4.1%
4.5%
–
1.4%
5.6%
9.1%
0.2%
–
8.9%
3.0%
8.7%
6.7%
–
–
–
–
–
–
8.9%
2.9%
3.5%
3.7%
Employed,
Part Time
2004
2005
2006
2007
2008
–
1.7%
0.3%
-5.1%
-6.0%
–
-16.9%
2.6%
1.5%
-1.3%
–
0.3%
-1.3%
0.3%
-2.7%
–
-0.9%
1.8%
1.1%
-1.7%
–
1.6%
0.2%
1.1%
0.2%
–
15.4%
-2.3%
-3.3%
-4.2%
–
-1.6%
1.5%
-0.1%
-0.3%
–
-3.3%
-1.4%
-1.3%
-4.8%
–
-5.2%
2.0%
2.9%
3.8%
–
-2.0%
2.2%
2.7%
-1.7%
–
6.4%
2.0%
-12.7%
10.1%
–
–
–
–
–
–
3.8%
-0.1%
-0.2%
-1.3%
Employed,
Casual
2004
2005
2006
2007
2008
–
14.5%
11.3%
-5.8%
-11.1%
–
382.8%
9.3%
19.6%
-16.4%
–
0.0%
-3.4%
-5.1%
7.3%
–
9.8%
10.5%
-0.7%
-4.9%
–
4.2%
4.8%
0.8%
0.3%
–
21.7%
-6.4%
-1.5%
2.4%
–
10.5%
2.7%
0.0%
9.4%
–
8.4%
-3.1%
8.0%
9.3%
–
40.8%
-2.8%
-3.0%
0.7%
–
0.1%
-10.1%
-0.2%
2.3%
–
4.7%
25.4%
-6.0%
-6.3%
–
–
–
–
–
–
13.0%
-2.4%
-0.6%
3.8%
Employed,
Full Time
2004
2005
2006
2007
2008
71.7%
70.1%
68.8%
70.8%
73.9%
50.8%
53.4%
51.1%
48.5%
52.7%
61.9%
62.4%
63.3%
64.0%
64.1%
63.5%
63.9%
63.3%
63.3%
64.3%
54.8%
55.2%
55.6%
56.0%
56.4%
(Percentage Distribution)
59.3%
47.1%
54.5%
60.0%
48.2%
55.0%
61.6%
47.9%
55.6%
63.1%
47.6%
56.0%
64.9%
47.6%
57.3%
39.9%
39.4%
39.7%
40.4%
40.7%
50.8%
51.5%
53.5%
55.2%
55.4%
43.8%
44.5%
42.6%
47.2%
48.2%
–
–
–
–
50.7%
54.7%
55.4%
56.3%
57.2%
58.1%
Employed,
Part Time
2004
2005
2006
2007
2008
17.7%
17.8%
17.8%
16.7%
15.3%
47.1%
36.9%
38.2%
38.7%
37.0%
27.6%
27.2%
26.7%
26.6%
25.8%
30.0%
29.2%
29.1%
29.3%
28.6%
33.9%
33.4%
32.7%
32.4%
32.1%
32.1%
31.1%
30.2%
28.9%
27.1%
46.3%
44.6%
44.8%
45.1%
44.5%
34.9%
33.5%
33.2%
32.2%
30.0%
48.9%
45.2%
45.5%
45.7%
45.7%
30.7%
30.0%
30.2%
29.3%
28.8%
33.5%
33.2%
31.5%
28.0%
29.5%
–
–
–
–
–
34.5%
33.2%
32.8%
32.1%
31.0%
Employed,
Casual
2004
2005
2006
2007
2008
10.6%
12.1%
13.4%
12.5%
10.8%
2.1%
9.7%
10.7%
12.8%
10.3%
10.6%
10.4%
10.0%
9.4%
10.1%
6.5%
7.0%
7.6%
7.5%
7.1%
11.3%
11.4%
11.7%
11.5%
11.4%
8.6%
8.8%
8.2%
8.0%
8.0%
6.6%
7.1%
7.3%
7.3%
7.9%
10.6%
11.5%
11.2%
11.8%
12.7%
11.2%
15.4%
14.7%
13.9%
13.5%
18.5%
18.5%
16.4%
15.5%
15.8%
22.8%
22.3%
25.9%
24.8%
22.3%
–
–
–
–
49.3%
10.8%
11.3%
10.9%
10.7%
10.8%
Notes
– Data is not applicable or does not exist.
Totals may not sum to 100% due to rounding.
Employed RNs with employed—status unknown are excluded from the percentage distribution.
From 2004 to 2007, the Northwest Territories/Nunavut submitted all Employment Status records as unknown.
In 2004, data collection in the Northwest Territories/Nunavut improved, increasing the number of registrations.
Northwest Territories and Nunavut data is combined, as RNs did not specify in which territory they worked the majority of the time.
Data released by CIHI may differ from data from other sources due to CIHI’s nationally standardized methodology.
RNs employed in a jurisdiction different from their jurisdiction of registration are excluded to avoid duplication.
Northern territories data may include inter-jurisdictional duplicates.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
CIHI 2010
11
Regulated Nurses: Canadian Trends, 2004 to 2008
As Table 4 demonstrates, the percentage of the RN workforce employed on a full-time
basis varied across jurisdictions in 2008, from 73.9% in Newfoundland and Labrador and
64.9% in Ontario to 40.7% in Alberta and 47.6% in Manitoba. The proportion of RNs
in part-time positions ranged from 45.8% in Alberta and 44.5% in Manitoba to 15.3% in
Newfoundland and Labrador and 25.8% in Nova Scotia. The average age of full-time RNs
was 44.9, the average age of part-time workers was 45.1 and the average age of casual
worker RNs was 47.0.
There was a larger proportion of male RNs employed in full-time positions in 2008 than
of female RNs. In that year, 73.7% of male RNs were employed full time, compared to
57.6% of female RNs. Only 17.6% of male RNs had part-time employment, compared
to 31.3% of female RNs. Casual employment rates followed a similar pattern, with 11.0%
of female RNs and 8.7% of male RNs employed on a casual basis.
Multiple Employment
It is not uncommon for RNs to have more than one nursing job, often with multiple employers.
In 2008, 13.4% of the RN workforce reported having more than one employer in nursing,
and the proportion was consistently higher for those working on a part-time or casual basis.
Although 41.8% of the 2008 workforce reported working in part-time or casual positions,
the total number of hours worked by those in multiple positions may equal or exceed the
total of a full-time position.
12
CIHI 2010
Chapter 1—Regulated Nurses in Canada: Trends of Registered Nurses
Table 5
Registered Nurses Employed in Nursing With Multiple Employers,
by Employment Status With Primary Employer, Canada, 2004 to 2008
Employed,
Full Time
Employed,
Part Time
2004
2005
2006
2007
2008
11,773
13,321
13,271
15,408
16,170
12,510
13,795
13,129
13,752
13,155
2004
2005
2006
2007
2008
–
13.1%
-0.4%
16.1%
4.9%
–
10.3%
-4.8%
4.7%
-4.3%
2004
2005
2006
2007
2008
39.4%
39.9%
41.7%
44.7%
46.6%
41.8%
41.3%
41.3%
39.9%
37.9%
Employed,
Casual
Employed,
Position Status
Unknown
(Count)
5,632
6,270
5,399
5,335
5,344
Total With
Multiple Employers
851
653
299
439
204
30,766
34,039
32,098
34,934
34,873
(Annual Percentage Change)
–
11.3%
-13.9%
-1.2%
0.2%
–
–
–
–
–
–
10.6%
-5.7%
8.8%
-0.2%
(Percentage Distribution)
18.8%
18.8%
17.0%
15.5%
15.4%
–
–
–
–
–
100.0%
100.0%
100.0%
100.0%
100.0%
Notes
– Data is not applicable or does not exist.
Non-response for Multiple Employment (% of RN workforce): 2004, n = 680 (0.3%); 2005, n = 1,156 (0.5%); 2006, n = 1,944 (0.8%);
2007, n = 872 (0.3%); 2008, n = 1,833 (0.7%).
Totals may not sum to 100% due to rounding.
RNs with Multiple Employment and Employment Status unknown are excluded from percentage distribution.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
CIHI 2010
13
Regulated Nurses: Canadian Trends, 2004 to 2008
Figure 7 shows the distribution by age group of RNs working for multiple employers; RNs
age 40 to 49 comprised the largest group in 2008. Further breakdown by Employment Status
indicates that, in 2008, a high number of full-time RNs in each age group was working
in multiple positions.
Figure 7
Registered Nurses Employed in Nursing With Multiple Employers,
by Employment Status, by Age Group, Canada, 2008
35%
30%
3.8%
25%
3.6%
3.5%
12.6%
20%
9.5%
9.3%
15%
10%
5%
1.9%
3.7%
12.8%
14.3%
30–39
40–49
12.2%
2.6%
2.8%
2.1%
50–59
60+
5.2%
0%
<30
Age Groups
Full Time
Part Time
Casual
Notes
Non-response for Multiple Employment (% of RN workforce): 2008, n = 1,833 (0.7%).
In 2007 and 2008, the College of Registered Nurses of Manitoba submitted aggregate tables for age group.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
Place of Work
The hospital sector employed 62.7% of the RN workforce in Canada in 2008. Figure 8
shows a slight increase in the proportion of RNs employed in the community health sector
in Canada, from 13.8% in 2004, to 14.2% in 2008. The greatest proportion of nurses
working in this sector in 2008 was in the Northwest Territories and Nunavut, at 44.6%.
Employment in the nursing home/long-term care sector fluctuated in Canada between
10.8% and 10.1% over the five-year period.
14
CIHI 2010
Chapter 1—Regulated Nurses in Canada: Trends of Registered Nurses
13.0%
10.1%
14.2%
11.1%
10.8%
13.8%
16.8%
18.3%
2.2%
40.2%
44.6%
39.3%
36.9%
35.9%
1.7%
12.3%
8.0%
16.3%
12.3%
10.2%
9.9%
29.7%
15.7%
10.5%
7.0% 13.1%
12.9%
14.3%
14.0%
65.6%
13.0%
8.3%
13.6%
12.1%
10.4%
65.1%
11.7%
12.0%
18.1%
11.9%
11.4%
16.3%
60.4%
18.2%
11.3%
8.4% 10.1%
11.6%
16.1%
14.6%
65.3%
62.6%
18.2%
8.6% 10.5%
13.6%
14.9%
10.3%
11.6%
13.3%
66.1%
6.0%
13.1%
11.0%
9.8%
10.5%
11.6% 10.0% 10.8%
11.0% 10.6%
8.9%
13.8%
11.5%
14.9%
9.9%
11.9%
10.7%
9.4%
16.0%
60.0%
11.3%
70.0%
12.6%
80.0%
Registered Nursing Workforce, by Place of Work, by Jurisdiction and Canada,
2004 and 2008
10.6%
90.0%
11.2%
100.0%
11.1% 8.7%
Figure 8
20.0%
62.7%
64.3%
43.9%
61.8%
44.2%
62.6%
59.4%
58.1%
57.8%
61.9%
73.2%
67.6%
67.9%
69.8%
60.0%
67.2%
30.0%
61.5%
40.0%
69.0%
50.0%
10.0%
0.0%
2004 2008 2004 2008 2004 2008 2004 2008 2004 2008 2004 2008 2004 2008 2004 2008 2004 2008 2004 2008 2004 2008 2004 2008 2004 2008
N.L.
P.E.I.
N.S.
Hospital
N.B.
Que.
Ont.
Community Health
Man.
Sask.
Nursing Home/ LTC
Alta.
B.C.
Y.T.
N.W.T./
Nun.
Canada
Other Place of Work
Notes
Non-response for Place of Work (% of RN workforce): 2004, n = 6,990 (2.9%); 2008, n = 2,130 (0.8%).
Hospital includes data from hospital (general, maternal, pediatric, psychiatric), mental health centre and rehabilitation/convalescent centre.
Community Health includes data from community health centre, home care agency, nursing station (outpost or clinic) and public health
department/unit.
Nursing Home/LTC includes data from nursing home/long-term care facility.
Other Place of Work includes data from business/industry/occupational health office, private nursing agency/private duty, self-employed,
physician’s office/family practice unit, educational institution, association/government and other.
Totals may not sum to 100% due to rounding.
Northwest Territories and Nunavut data is combined, as RNs did not specify in which territory they worked the majority of the time.
Data released by CIHI may differ from data from other sources due to CIHI’s nationally standardized methodology.
RNs employed in a jurisdiction different from their jurisdiction of registration are excluded to avoid duplication.
Northern territories data may include inter-jurisdictional duplicates.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
In 2008, the average age of RNs working in the hospital sector was 43.4, compared to
the average age of 46.9 for RNs employed in community health and 48.8 for RNs employed
in the nursing home/long-term care sector.
Position
In 2008, 202,258 (78.1%) RNs were employed as staff nurses/community health nurses
in Canada, an increase of 1.3% from 199,752 in 2007 (see Table 6).
CIHI 2010
15
Regulated Nurses: Canadian Trends, 2004 to 2008
Table 6
Registered Nursing Workforce, by Position, by Jurisdiction and Canada,
2004 to 2008
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
Sask.
Alta.
B.C.
Y.T.
N.W.T./
Nun.
Canada
6,887
6,913
6,872
6,957
7,066
20,302
21,043
20,574
21,814
22,193
22,411
21,965
22,673
23,391
22,913
202
218
236
239
249
702
679
782
766
886
185,751
192,821
195,250
199,752
202,258
Staff Nurse
2004
2005
2006
2007
2008
4,345
4,369
4,380
4,332
4,440
994
1,074
1,090
1,084
1,131
6,861
6,941
6,935
6,934
6,855
5,962
6,120
6,241
6,239
6,230
48,148
47,990
49,763
51,149
51,800
61,084
67,418
67,514
68,699
70,308
(Count)
7,853
8,091
8,190
8,148
8,187
Manager
2004
2005
2006
2007
2008
566
580
558
580
597
254
211
180
175
167
1,044
1,005
996
967
979
793
836
877
900
896
4,104
4,066
4,214
4,256
4,068
5,380
5,326
5,493
5,525
5,529
877
837
821
842
841
771
750
701
734
729
1,640
1,643
1,693
1,843
1,913
2,118
2,119
2,225
2,343
2,468
22
26
26
29
31
79
86
81
89
136
17,648
17,485
17,865
18,283
18,354
Other Positions
2004
2005
2006
2007
2008
541
526
573
652
686
129
158
157
175
181
697
782
855
934
1,026
619
570
562
587
631
4,651
7,071
8,349
8,634
8,472
13,109
14,182
14,624
15,407
15,942
1,809
1,859
1,850
1,782
1,846
806
872
899
976
1,001
3,432
3,450
3,554
3,822
3,852
3,317
3,286
3,447
3,772
4,356
59
58
56
54
45
118
151
135
162
168
29,287
32,965
35,061
36,957
38,206
Staff Nurse
2004
2005
2006
2007
2008
–
0.6%
0.3%
-1.1%
2.5%
–
8.0%
1.5%
-0.6%
4.3%
–
1.2%
-0.1%
0.0%
-1.1%
–
2.7%
2.0%
0.0%
-0.1%
–
-0.3%
3.7%
2.8%
1.3%
(Annual Percentage Change)
–
–
–
10.4%
3.0%
0.4%
0.1%
1.2%
-0.6%
1.8%
-0.5%
1.2%
2.3%
0.5%
1.6%
–
3.6%
-2.2%
6.0%
1.7%
–
-2.0%
3.2%
3.2%
-2.0%
–
7.9%
8.3%
1.3%
4.2%
–
-3.3%
15.2%
-2.0%
15.7%
–
3.8%
1.3%
2.3%
1.3%
Manager
2004
2005
2006
2007
2008
–
2.5%
-3.8%
3.9%
2.9%
–
-16.9%
-14.7%
-2.8%
-4.6%
–
-3.7%
-0.9%
-2.9%
1.2%
–
5.4%
4.9%
2.6%
-0.4%
–
-0.9%
3.6%
1.0%
-4.4%
–
-1.0%
3.1%
0.6%
0.1%
–
-4.6%
-1.9%
2.6%
-0.1%
–
-2.7%
-6.5%
4.7%
-0.7%
–
0.2%
3.0%
8.9%
3.8%
–
0.0%
5.0%
5.3%
5.3%
–
18.2%
0.0%
11.5%
6.9%
–
8.9%
-5.8%
9.9%
52.8%
–
-0.9%
2.2%
2.3%
0.4%
Other Positions
2004
2005
2006
2007
2008
–
-2.8%
8.9%
13.8%
5.2%
–
22.5%
-0.6%
11.5%
3.4%
–
12.2%
9.3%
9.2%
9.9%
–
-7.9%
-1.4%
4.4%
7.5%
–
52.0%
18.1%
3.4%
-1.9%
–
8.2%
3.1%
5.4%
3.5%
–
2.8%
-0.5%
-3.7%
3.6%
–
8.2%
3.1%
8.6%
2.6%
–
0.5%
3.0%
7.5%
0.8%
–
-0.9%
4.9%
9.4%
15.5%
–
-1.7%
-3.4%
-3.6%
-16.7%
–
28.0%
-10.6%
20.0%
3.7%
–
12.6%
6.4%
5.4%
3.4%
Staff Nurse
2004
2005
2006
2007
2008
79.7%
79.8%
79.5%
77.9%
77.6%
72.2%
74.4%
76.4%
75.6%
76.5%
79.8%
79.5%
78.9%
78.5%
77.4%
80.9%
81.3%
81.3%
80.8%
80.3%
84.6%
81.2%
79.8%
79.9%
80.5%
(Percentage Distribution)
76.8%
74.5%
81.4%
77.6%
75.0%
81.0%
77.0%
75.4%
81.1%
76.6%
75.6%
80.3%
76.6%
75.3%
80.3%
80.0%
80.5%
79.7%
79.4%
79.4%
80.5%
80.3%
80.0%
79.3%
77.1%
71.4%
72.2%
74.2%
74.2%
76.6%
78.1%
74.1%
78.4%
75.3%
74.5%
79.8%
79.3%
78.7%
78.3%
78.1%
Manager
2004
2005
2006
2007
2008
10.4%
10.6%
10.1%
10.4%
10.4%
18.4%
14.6%
12.6%
12.2%
11.3%
12.1%
11.5%
11.3%
10.9%
11.0%
10.8%
11.1%
11.4%
11.6%
11.6%
7.2%
6.9%
6.8%
6.6%
6.3%
6.8%
6.1%
6.3%
6.2%
6.0%
8.3%
7.8%
7.6%
7.8%
7.7%
9.1%
8.8%
8.3%
8.5%
8.3%
6.5%
6.3%
6.6%
6.7%
6.8%
7.6%
7.7%
7.8%
7.9%
8.3%
7.8%
8.6%
8.2%
9.0%
9.5%
8.8%
9.4%
8.1%
8.8%
11.4%
7.6%
7.2%
7.2%
7.2%
7.1%
Other Positions
2004
2005
2006
2007
2008
9.9%
9.6%
10.4%
11.7%
12.0%
9.4%
10.9%
11.0%
12.2%
12.2%
8.1%
9.0%
9.7%
10.6%
11.6%
8.4%
7.6%
7.3%
7.6%
8.1%
8.2%
12.0%
13.4%
13.5%
13.2%
16.5%
16.3%
16.7%
17.2%
17.4%
17.2%
17.2%
17.0%
16.5%
17.0%
9.5%
10.2%
10.6%
11.3%
11.4%
13.5%
13.2%
13.8%
13.9%
13.8%
11.9%
12.0%
12.2%
12.8%
14.6%
20.8%
19.2%
17.6%
16.8%
13.8%
13.1%
16.5%
13.5%
15.9%
14.1%
12.6%
13.6%
14.1%
14.5%
14.8%
Notes
– Data is not applicable or does not exist.
Non-response for Position (% of RN workforce): 2004, n = 13,885 (5.6%); 2005, n = 7,971 (3.2%); 2006, n = 5,643 (2.2%);
2007, n = 2,969 (1.2%); 2008, n = 3,071 (1.2%).
Staff Nurse includes staff nurse/community health nurse.
Manager includes chief nursing officer/chief executive officer, director/assistant director and manager/assistant manager.
Other Positions includes instructor/professor/educator, researcher, consultant, clinical specialist, nurse midwife, nurse practitioner and other.
Totals may not sum to 100% due to rounding.
In 2006, in the Northwest Territories and Nunavut, relief nurses identified themselves under the category other positions.
Northwest Territories and Nunavut data is combined, as the RNs did not specify in which territory they worked the majority of the time.
Data released by CIHI may differ from data from other sources due to CIHI’s nationally standardized methodology.
RNs employed in a jurisdiction different from their jurisdiction of registration are excluded to avoid duplication.
Northern territories data may include inter-jurisdictional duplicates.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
Area of Responsibility
The proportion of the registered nursing workforce in direct care ranged from 91.8% in
Alberta and 91.2% in the Northwest Territories to 86.7% in Quebec and 86.8% in Manitoba.
Many health human resource planners are interested in these totals, as the numbers
represent RNs providing services directly to patients.
16
CIHI 2010
Chapter 1—Regulated Nurses in Canada: Trends of Registered Nurses
Areas of responsibility covered by RNs that fall outside of direct care include administration,
education and research. The proportion of RNs employed in administration in 2008 was
highest in the Yukon (8.4%) and Quebec (8.2%) and lowest in Alberta, British Columbia
and Newfoundland and Labrador (less than 5.0%).
Overall, RNs who provide direct care to patients are younger than RNs in administration,
education and research. In 2008, the average age was 44.6 for RNs in direct care, 49.4
for RNs working in administration, 48.7 for RNs working in education and 46.5 for RNs
working in research.
Table 7
Registered Nursing Workforce, by Area of Responsibility, Canada, 2008
Direct Care
Medical/Surgical
Geriatric/Long-Term Care
Critical Care (Burn)
Emergency Room
Maternal/Newborn
Psychiatric/Mental Health
Community Health
Operating Room
Nursing in Several Clinical Areas
Home Care
Pediatric
Public Health
Ambulatory Care
Rehabilitation
Oncology
Occupational Health
Telehealth
Other Patient Care
Total Direct Care
Administration
Nursing Service
Nursing Education
Other Administration
Total Administration
Education
Teaching—Students
Teaching—Employees
Teaching—Patients/Clients
Other Education
Total Education
Research
Nursing Reseach Only
Other Research
Total Research
Total
Count
Percentage
44,068
25,413
18,440
16,640
14,463
13,220
13,151
12,583
9,298
7,351
7,234
6,488
5,948
3,956
3,351
2,952
1,074
23,210
228,840
17.2%
9.9%
7.2%
6.5%
5.6%
5.1%
5.1%
4.9%
3.6%
2.9%
2.8%
2.5%
2.3%
1.5%
1.3%
1.1%
0.4%
9.0%
89.1%
11,048
429
5,495
16,972
4.3%
0.2%
2.1%
6.6%
4,657
896
691
2,903
9,147
1.8%
0.3%
0.3%
1.1%
3.6%
923
1,017
1,940
256,899
0.4%
0.4%
0.8%
100.0%
Notes
Non-response for Area of Responsibility (% of RN workforce): n = 4,990 (1.9%).
Totals may not sum to 100% due to rounding.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
CIHI 2010
17
Regulated Nurses: Canadian Trends, 2004 to 2008
In 2008, consistent with past trends, the greatest proportion of RNs worked in medicine/surgery
and geriatric/long-term care. The area of responsibility with the most RNs, medicine/surgery,
also attracted the most recent graduates. In 2008, RNs in their first five years of nursing
accounted for 33.4% of the RNs working in medicine/surgery. RNs who graduated more
than 30 years ago represented 11.1% of medical/surgical RNs in 2008. The areas of
responsibility most frequently identified by males in 2008 were medicine/surgery (17.4%)
and psychiatric/mental health (13.3%).
Demographic Trends: Sex and Age Composition of the
Registered Nursing Workforce
Almost all RNs (94.0%) in the Canadian workforce were female in 2008, a proportion that
has not changed substantially over five years. The proportion of males increased by slightly
more than one-half of one percentage point over the five-year period (see Table 8).
Additional information on RN demographic characteristics and trends by jurisdiction
is available in the data tables on the CIHI website.
Table 8
Registered Nursing Workforce, by Sex, by Jurisdiction and Canada, 2004 to 2008
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
Sask.
Alta.
B.C.
Y.T.
N.W.T./
Nun.
Canada
Female
2004
2005
2006
2007
2008
5,215
5,252
5,271
5,311
5,445
1,342
1,405
1,390
1,396
1,442
8,338
8,447
8,479
8,513
8,513
7,086
7,220
7,354
7,392
7,418
57,673
58,008
58,166
58,915
59,321
82,557
85,553
86,093
86,854
88,575
(Count)
10,065
10,215
10,290
10,240
10,266
8,208
8,255
8,180
8,347
8,473
24,678
25,351
25,704
26,366
27,268
26,938
26,415
27,361
28,410
28,146
263
276
289
291
300
829
860
943
955
1,101
233,192
237,257
239,520
242,990
246,268
Male
2004
2005
2006
2007
2008
237
244
244
263
279
35
38
38
39
37
264
286
311
330
358
289
306
326
334
339
5,782
5,819
5,848
6,040
6,210
3,542
3,876
3,968
4,124
4,309
563
596
612
617
636
273
294
300
322
350
922
1,004
1,048
1,161
1,233
1,351
1,399
1,479
1,649
1,717
20
26
35
31
34
101
97
90
93
119
13,379
13,985
14,299
15,003
15,621
Female
2004
2005
2006
2007
2008
–
0.7%
0.4%
0.8%
2.5%
–
4.7%
-1.1%
0.4%
3.3%
–
1.3%
0.4%
0.4%
0.0%
–
1.9%
1.9%
0.5%
0.4%
–
0.6%
0.3%
1.3%
0.7%
(Annual Percentage Change)
–
–
–
3.6%
1.5%
0.6%
0.6%
0.7%
-0.9%
0.9%
-0.5%
2.0%
2.0%
0.3%
1.5%
–
2.7%
1.4%
2.6%
3.4%
–
-1.9%
3.6%
3.8%
-0.9%
–
4.9%
4.7%
0.7%
3.1%
–
3.7%
9.7%
1.3%
15.3%
–
1.7%
1.0%
1.4%
1.3%
Male
2004
2005
2006
2007
2008
–
3.0%
0.0%
7.8%
6.1%
–
8.6%
0.0%
2.6%
-5.1%
–
8.3%
8.7%
6.1%
8.5%
–
5.9%
6.5%
2.5%
1.5%
–
0.6%
0.5%
3.3%
2.8%
–
7.7%
2.0%
7.3%
8.7%
–
8.9%
4.4%
10.8%
6.2%
–
3.6%
5.7%
11.5%
4.1%
–
30.0%
34.6%
-11.4%
9.7%
–
-4.0%
-7.2%
3.3%
28.0%
–
4.5%
2.2%
4.9%
4.1%
Female
2004
2005
2006
2007
2008
95.7%
95.6%
95.6%
95.3%
95.1%
97.5%
97.4%
97.3%
97.3%
97.5%
96.9%
96.7%
96.5%
96.3%
96.0%
96.1%
95.9%
95.8%
95.7%
95.6%
90.9%
90.9%
90.9%
90.7%
90.5%
(Percentage Distribution)
95.9%
94.7%
96.8%
95.7%
94.5%
96.6%
95.6%
94.4%
96.5%
95.5%
94.3%
96.3%
95.4%
94.2%
96.0%
96.4%
96.2%
96.1%
95.8%
95.7%
95.2%
95.0%
94.9%
94.5%
94.3%
92.9%
91.4%
89.2%
90.4%
89.8%
89.1%
89.9%
91.3%
91.1%
90.2%
94.6%
94.4%
94.4%
94.2%
94.0%
Male
2004
2005
2006
2007
2008
4.3%
4.4%
4.4%
4.7%
4.9%
2.5%
2.6%
2.7%
2.7%
2.5%
3.1%
3.3%
3.5%
3.7%
4.0%
3.9%
4.1%
4.2%
4.3%
4.4%
9.1%
9.1%
9.1%
9.3%
9.5%
3.6%
3.8%
3.9%
4.2%
4.3%
4.8%
5.0%
5.1%
5.5%
5.7%
7.1%
8.6%
10.8%
9.6%
10.2%
10.9%
10.1%
8.7%
8.9%
9.8%
5.4%
5.6%
5.6%
5.8%
6.0%
–
9.4%
2.4%
3.9%
4.5%
4.1%
4.3%
4.4%
4.5%
4.6%
–
5.9%
2.7%
0.8%
3.1%
5.3%
5.5%
5.6%
5.7%
5.8%
3.2%
3.4%
3.5%
3.7%
4.0%
Notes
– Data is not applicable or does not exist.
Totals may not sum to 100% due to rounding.
In 2007 and 2008, the College of Registered Nurses of Manitoba submitted aggregate tables for sex.
Northwest Territories and Nunavut data is combined, as the RNs did not specify in which territory they worked the majority of the time.
Data released by CIHI may differ from data from other sources due to CIHI’s nationally standardized methodology.
RNs employed in a jurisdiction different from their jurisdiction of registration are excluded to avoid duplication.
Northern territories data may include inter-jurisdictional duplicates.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
18
CIHI 2010
Chapter 1—Regulated Nurses in Canada: Trends of Registered Nurses
More than one-third of all male RNs in the workforce were employed in Quebec in 2008.
In that year, 6,210 males accounted for 9.5% of the province’s workforce. The territories
had similar ratios of males in the workforce. In contrast, 2.5% of Prince Edward Island’s
RNs and 4.0% of the workforce in Nova Scotia and Saskatchewan were male. The average
age of male RNs was 42.6 in 2008, compared to 45.3 for females.
Although male RNs constituted only 6.0% of the RN workforce in 2008, they accounted
for 17.4% of all RNs employed in medicine/surgery.
Average Age of the Workforce
Average age may be used in addition to age groupings to describe trends and to make
comparisons between the RN workforce and other professions. As Figure 9 shows,
the average age of selected health occupations increased over the period 2004 to 2008.
The average age of the RN workforce increased over this period as well, but at a slower
rate (less than one year change over five years).
In addition to the aging of each worker, several variables affect the rate at which the
average age of the workforce changes. They include the rates of entry into and exit from
the workforce and the ages of the workers entering and exiting the workforce.
Figure 9
Average Age of Registered Nursing Workforce Compared to Selected Health
Occupations, Canada, 2004 to 2008
52.0
50.0
48.0
46.0
44.0
42.0
40.0
38.0
36.0
34.0
2004
2005
2006
2007
2008
Specialist Physicians
General Practitioners
Pharmacists
Physiotherapists
Occupational Therapists
Registered Nurses
Licensed Practical Nurses
Registered Psychiatric Nurses
Notes
The RPN workforce of the four western provinces represents the total RPN workforce in Canada.
For 2007, Manitoba RN data was excluded from average age calculation for Canada, as the College of Registered Nurses of Manitoba
submitted aggregate tables for average age.
For 2008, Manitoba RN and LPN data was excluded from average age calculation for Canada, as the College of Registered Nurses of Manitoba
and the College of Licensed Practical Nurses of Manitoba submitted aggregate tables for average age.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Sources
Nursing Database and Scott’s Medical Database, Canadian Institute for Health Information; and Labour Force Survey, Statistics Canada.
CIHI 2010
19
Regulated Nurses: Canadian Trends, 2004 to 2008
Table 9 shows the range of average ages across the country from 2004 to 2008. In each
case, the change from the previous year was relatively small; over five years, the average age
increased by half a year for all Canadian RNs. The largest increases were in Nova Scotia,
at 1.4 years, and Newfoundland and Labrador and Manitoba, where the average age
increased by 1.1 years from 2004, followed closely by Ontario (1.0 years). The average
age fell slightly in Quebec over the period.
Table 9
Average Age of the Registered Nursing Workforce, by Jurisdiction and Canada,
2004 to 2008
Sask.
Alta.
B.C.
Y.T.
N.W.T./
Nun.
Canada
45.4
45.6
45.9
46.0
45.9
44.6
44.6
44.8
44.6
44.6
45.8
46.4
46.4
46.2
46.5
45.1
44.7
44.7
45.6
45.3
43.7
43.8
44.3
44.6
44.5
44.6
44.7
44.9
45.0
45.1
Annual Increase/Decrease in Average Age
–
–
–
–
–
0.0
0.1
0.2
0.2
0.0
0.0
0.3
0.2
0.2
0.1
-0.1
0.4
0.5
0.1
-0.2
-0.1
0.2
0.2
-0.1
0.0
–
0.5
0.0
-0.1
0.3
–
-0.3
0.0
0.9
-0.3
–
0.1
0.4
0.3
-0.1
–
0.1
0.2
0.1
0.1
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
2004
2005
2006
2007
2008
41.6
41.9
42.2
42.5
42.7
45.6
45.6
45.8
46.2
46.3
45.2
45.5
45.8
46.2
46.6
43.7
43.9
44.2
44.5
44.7
43.5
43.4
43.5
43.4
43.3
45.1
45.2
45.6
45.9
46.1
2004
2005
2006
2007
2008
–
0.3
0.3
0.3
0.2
–
0.0
0.2
0.4
0.1
–
0.3
0.3
0.3
0.4
–
0.2
0.3
0.2
0.3
Man.
Average Age
45.0
45.2
45.4
45.9
46.1
Notes
– Data is not applicable or does not exist.
In 2007 and 2008, the College of Registered Nurses of Manitoba submitted aggregate tables for average age.
Northern territories data may include inter-jurisdictional duplicates.
Northwest Territories and Nunavut data is combined, as RNs did not specify in which territory they worked the majority of the time.
Data released by CIHI may differ from data from other sources due to CIHI’s nationally standardized methodology.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
Exiting and Entering the Workforce
Table 10 represents all RNs who registered with a specific jurisdiction, not only the workforce.
A new registrant may be a new graduate, an immigrant, an interprovincial migrant or an
RN re-registering following an absence of one year or more. An exit may be an RN who left
the profession (either permanently or temporarily) or retired, or an RN who is registered
in another jurisdiction or country in year “x” and may still be practising nursing in another
province, territory or country.
Table 10 shows new registration rates and exit rates by jurisdiction and by age group. Exit
rates show that RNs in the 60 and older age group had the highest prevalence of leaving
nursing across all regions in Canada (with the exception of Nova Scotia) in 2008. The highest
exit rates were seen with RNs age 60 and older in the Yukon (38.1%), Quebec (20.7%)
and Newfoundland and Labrador (20.6%). Higher exit rates were also seen in the youngest
age group, with high exit rates in RNs younger than 30 in the Yukon (24.0%), the Northwest
Territories (17.2%) and Nova Scotia (16.4%). Given the low registration rates for the group
of RNs age 60 and older, it is plausible that a sizable portion of RNs age 60 and older who did
not re-register in 2008 (2007 exits) retired from nursing. The RNs younger than 30 who did
not re-register may have moved to another jurisdiction within or outside of Canada to continue
practising nursing, left the profession temporarily to pursue education, taken a leave of
absence or left the profession permanently. Note that many RNs who take a leave of absence
or pursue further education maintain their registration and are thus not counted as exits.
20
CIHI 2010
Chapter 1—Regulated Nurses in Canada: Trends of Registered Nurses
Table 10
Registered Nurses: Rate of New Registrations and Exit Rates, by Age Group,
by Jurisdiction, 2004 to 2008
Age
Group
New
Registration
Rates
Exit Rates
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
Sask.
Alta.
B.C.
Y.T.
N.W.T./
Nun.
0–29
2005
2006
2007
2008
25.9%
26.8%
29.3%
29.1%
44.7%
30.1%
27.4%
30.4%
38.8%
39.0%
31.4%
31.7%
38.0%
29.9%
29.5%
30.9%
24.1%
23.0%
24.4%
22.6%
30.3%
22.3%
23.8%
30.1%
31.9%
31.0%
17.3%
28.3%
33.4%
27.3%
28.1%
30.9%
34.0%
31.5%
34.7%
31.4%
20.9%
34.4%
40.2%
26.0%
53.8%
45.5%
44.0%
48.4%
47.2%
46.8%
51.7%
53.3%
30–39
2005
2006
2007
2008
8.2%
8.4%
9.3%
10.4%
11.6%
10.4%
15.3%
12.5%
11.8%
12.4%
15.2%
14.4%
13.0%
13.9%
13.0%
10.3%
5.7%
6.0%
8.1%
8.2%
12.5%
7.8%
6.6%
6.3%
9.7%
10.1%
6.6%
10.1%
7.8%
6.8%
10.1%
10.0%
12.6%
11.4%
14.1%
15.0%
12.0%
18.1%
17.7%
12.0%
18.2%
16.2%
16.4%
28.2%
23.8%
28.4%
21.9%
27.7%
40–49
2005
2006
2007
2008
1.9%
1.7%
1.9%
2.3%
4.9%
4.2%
4.8%
4.1%
4.2%
3.7%
4.4%
3.6%
4.0%
4.7%
3.2%
3.7%
2.0%
1.8%
2.8%
2.7%
7.3%
5.0%
4.3%
3.7%
3.7%
3.2%
2.6%
3.5%
2.6%
3.1%
3.1%
2.7%
4.7%
4.2%
6.1%
5.7%
4.2%
6.0%
5.2%
4.5%
12.5%
13.1%
12.0%
8.4%
20.7%
20.8%
15.4%
27.6%
50–59
2005
2006
2007
2008
0.9%
2.0%
1.8%
2.3%
4.5%
1.9%
4.0%
3.3%
3.0%
3.4%
2.7%
2.5%
3.9%
3.9%
2.5%
3.2%
1.2%
1.4%
1.7%
1.5%
5.0%
3.6%
3.7%
3.5%
2.2%
1.9%
1.2%
1.7%
1.9%
1.6%
2.4%
2.1%
2.5%
2.7%
3.5%
3.6%
2.9%
3.8%
3.4%
2.3%
9.6%
17.9%
9.9%
12.9%
18.0%
18.5%
18.2%
19.8%
60+
2005
2006
2007
2008
1.1%
5.4%
4.9%
3.8%
3.9%
2.2%
6.1%
6.0%
3.9%
3.1%
3.4%
4.1%
2.9%
4.9%
2.5%
6.2%
3.0%
5.1%
4.0%
5.0%
6.3%
5.2%
5.3%
4.9%
1.7%
2.2%
1.7%
1.6%
1.0%
1.2%
3.4%
2.1%
1.9%
2.1%
2.9%
3.2%
3.2%
4.8%
4.4%
3.1%
8.7%
13.0%
4.8%
26.9%
13.0%
23.2%
17.9%
23.9%
0–29
2004
2005
2006
2007
11.9%
14.7%
14.5%
10.0%
8.4%
18.2%
19.1%
8.1%
16.6%
17.4%
18.2%
16.4%
16.8%
13.9%
15.0%
14.7%
5.3%
6.3%
6.5%
6.3%
6.0%
6.3%
5.6%
4.4%
6.9%
9.8%
6.5%
9.1%
9.8%
8.5%
6.5%
6.9%
9.6%
12.1%
11.5%
11.0%
12.8%
11.2%
11.4%
10.8%
15.8%
15.4%
36.4%
24.0%
26.5%
24.5%
22.9%
17.2%
30–39
2004
2005
2006
2007
4.9%
5.1%
5.8%
6.1%
7.4%
6.9%
9.3%
4.0%
7.2%
10.2%
9.8%
10.5%
8.8%
8.7%
7.2%
8.7%
3.5%
4.0%
4.2%
4.1%
4.7%
4.4%
3.9%
3.3%
5.6%
6.8%
4.3%
5.4%
5.9%
6.6%
4.2%
4.9%
7.8%
8.3%
9.7%
9.8%
11.6%
7.8%
8.1%
10.2%
8.3%
7.6%
18.9%
15.1%
19.7%
23.4%
24.4%
18.6%
40–49
2004
2005
2006
2007
2.7%
2.0%
2.4%
1.6%
3.5%
3.7%
5.6%
3.5%
3.0%
4.1%
3.0%
3.1%
3.6%
3.2%
4.1%
2.8%
1.7%
1.8%
1.7%
2.0%
4.1%
3.8%
3.3%
2.8%
2.3%
3.1%
2.4%
2.6%
2.7%
2.9%
2.1%
2.3%
3.5%
4.0%
3.9%
3.7%
3.6%
3.0%
3.0%
3.9%
6.7%
11.5%
10.1%
15.2%
19.9%
18.3%
21.5%
16.9%
50–59
2004
2005
2006
2007
5.6%
7.4%
6.1%
4.9%
5.2%
7.6%
6.3%
4.9%
5.6%
5.1%
5.3%
5.0%
6.3%
6.7%
6.0%
6.9%
7.5%
7.7%
7.2%
8.2%
6.5%
5.9%
5.3%
4.6%
5.0%
4.3%
4.3%
4.6%
3.7%
4.8%
3.5%
4.3%
4.6%
4.7%
5.7%
5.1%
6.0%
4.8%
4.1%
5.4%
12.9%
10.8%
8.4%
13.5%
16.1%
15.6%
14.8%
13.4%
60+
2004
2005
2006
2007
19.9%
26.8%
20.3%
20.6%
7.1%
15.5%
13.8%
12.9%
15.4%
14.4%
16.4%
14.1%
19.2%
17.1%
17.5%
20.1%
21.9%
21.0%
21.5%
20.7%
17.5%
17.9%
15.0%
13.1%
15.2%
16.2%
14.7%
14.3%
13.9%
19.8%
16.2%
16.0%
12.6%
14.2%
17.6%
12.5%
18.8%
17.5%
16.2%
16.2%
26.7%
34.8%
17.4%
38.1%
27.8%
13.0%
25.3%
18.8%
Notes
Rates will not sum to 100%.
CIHI collects data after the first 6 months of the 12-month registration period. This may result in 1% to 5% under-coverage (loss of new
registrants who registered after month 6 of the registration period).
Northern territories data may include inter-jurisdictional duplicates.
Northwest Territories and Nunavut data is combined, as the RNs did not specify in which territory they worked the majority of the time.
Data released by CIHI may differ from data from other sources due to CIHI’s nationally standardized methodology.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
Aging of the Workforce
Figure 10 highlights the proportion of the RN workforce in each province/territory at or
above three typical ages of retirement in 2008: 55, 60 and 65. Note that this illustration
is cumulative. An RN at age 65 is counted in all three categories and an RN at age 60
is counted in two categories.
Information on the age of the RN workforce across Canada shows that a large portion
of nurses within these age groups (55 and older, at 23.3%, 60 and older, at 9.7%, and
65 and older, at 2.7%) may be preparing for retirement in the near future.
CIHI 2010
21
Regulated Nurses: Canadian Trends, 2004 to 2008
Figure 10
Registered Nursing Workforce, by Age Groups 55+, 60+ and 65+,
by Jurisdiction and Canada, 2008
30.0%
25.0%
20.0%
15.0%
10.0%
5.0%
ad
a
Ca
n
un
.
.
.W
.T
./N
Y.
T
65+
N
C.
B.
.
A
lta
.
Sa
sk
an
.
M
O
nt
.
.
Q
ue
.B
.
N
.S
.
N
.I.
P.
E
N
.L
.
0.0%
55+
60+
Notes
Totals may not sum to 100% due to rounding.
Northwest Territories and Nunavut data is combined, as the RNs did not specify in which territory they worked the majority of the time.
Data released by CIHI may differ from data from other sources due to CIHI’s nationally standardized methodology.
RNs employed in a jurisdiction different from their jurisdiction of registration are excluded to avoid duplication.
In 2007 and 2008, the College of Registered Nurses of Manitoba submitted aggregate tables for age group.
Northern territories data may include inter-jurisdictional duplicates.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
22
CIHI 2010
Chapter 1—Regulated Nurses in Canada: Trends of Registered Nurses
Years Since Graduation
Since employment patterns of RNs change as their careers evolve, assumptions and
analyses based on age indicators alone may be incomplete. It may be useful as well to
consider the number of years since graduation from an RN program.
Figure 11 illustrates the distribution of RNs by number of years since graduation. Note
that this indicates the maximum number of years an RN could have been in the workforce
and does not necessarily reflect the actual number of years worked, because time spent
out of the workforce (such as in continuing education or family leave) is not accounted for.
Figure 11
Registered Nursing Workforce, by Years Since RN Graduation, by Jurisdiction
and Canada, 2004 and 2008
26.0%
24.5%
22.8%
22.0%
19.0%
26.9%
25.3%
24.2%
23.9%
27.3%
35.1%
23.0%
16.9%
22.8%
25.4%
22.2%
34.8%
29.6%
26.5%
23.7%
25.7%
22.5%
28.5%
27.6%
26.0%
24.5%
28.0%
21.1%
21.6%
24.2%
28.8%
24.6%
27.3%
24.2%
24.1%
20.9%
24.9%
19.8%
22.3%
24.9%
27.4%
25.3%
24.0%
30.0%
24.1%
25.9%
28.9%
25.5%
27.9%
26.4%
22.6%
18.8%
20.3%
25.7%
31.9%
22.1%
29.1%
25.3%
25.1%
24.3%
25.4%
26.5%
23.0%
21.2%
18.7%
29.7%
21.5%
25.1%
26.3%
25.3%
29.1%
28.0%
20.4%
19.7%
17.3%
20.2%
15.3%
16.0%
25.9%
24.7%
20.0%
10.0%
24.3%
23.3%
28.3%
19.4%
30.7%
28.5%
30.6%
32.3%
23.7%
30.0%
28.8%
29.0%
31.7%
40.0%
29.1%
50.0%
21.4%
30.5%
24.7%
31.2%
60.0%
28.8%
27.6%
70.0%
27.1%
80.0%
25.6%
26.2%
14.7%
90.0%
19.1%
100.0%
0.0%
2004 2008 2004 2008 2004 2008 2004 2008 2004 2008 2004 2008 2004 2008 2004 2008 2004 2008 2004 2008 2004 2008 2004 2008 2004 2008
N.L.
P.E.I.
N.S.
N.B.
0–10
Que.
Ont.
11–20
Man.
Sask.
21–30
Alta.
B.C.
Y.T.
N.W.T./
Nun.
Canada
31+
Notes
Non-response for Year of Graduation (% of RN workforce): 2004, n = 52 (<0.1%); 2008, n = 55 (<0.1%).
Totals may not sum to 100% due to rounding.
Northwest Territories and Nunavut data is combined, as the RNs did not specify in which territory they worked the majority of the time.
Data released by CIHI may differ from data from other sources due to CIHI’s nationally standardized methodology.
RNs employed in a jurisdiction different from their jurisdiction of registration are excluded to avoid duplication.
Northern territories data may include inter-jurisdictional duplicates.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
The trend from 2004 to 2008 shows an increase in every province in the 31+ years since
graduation group. The cohort 0 to 10 years since graduation increased noticeably more in
Quebec, Alberta and the Yukon than in other jurisdictions, and the proportion of RNs in this
youngest cohort decreased in Newfoundland and Labrador and Ontario.
CIHI 2010
23
Regulated Nurses: Canadian Trends, 2004 to 2008
Education Trends: Lifelong Learning
Entry-to-Practice Education
The education programs that qualify individuals to become registered nurses in Canada,
and those available to RNs, have evolved over the past five decades. During the 1960s
and 1970s, many nursing students graduated from a two- or three-year hospital-based
program, earning a diploma in nursing. By the 1990s, most education programs in Canada
were offered either at community colleges (three-year diploma) or at universities (four-year
baccalaureate). In addition to completing the entry-to-practice education requirements,
all RNs, except those registering in Quebec, must pass a national exam administered
by the Canadian Nurses Association.
Table 11 shows the different stages of the transition from diploma to baccalaureate
entry-to-practice requirements for RNs in each jurisdiction. Additional information on RN
education characteristics and trends by jurisdiction is available in the data tables on the
CIHI website.
Table 11
Status of Baccalaureate Entry-to-Practice Requirements for Registered
Nurses, Canada
Jurisdiction
Target Year and Status
Atlantic Provinces (Prince
Edward Island, Newfoundland
and Labrador, New Brunswick
and Nova Scotia)
1998 completed
Saskatchewan
2000 completed
Ontario
2005 completed
British Columbia
2006 completed
Manitoba
In progress: a few diploma programs remain in Manitoba
Alberta
2009 in progress: Alberta converted to degree programs with a diploma
exit option for some students and has proposed that the transition to
baccalaureate be complete by the end of December 2009
Northwest Territories
and Nunavut
2010 in progress: the Registered Nurses Association of the Northwest
Territories and Nunavut will complete the transition to baccalaureate
as entry to practice by the year 2010
Quebec
In progress: Quebec continues to provide diploma programs while
supporting the development of baccalaureate partnerships between
Collèges d’enseignement général et professionnel (CEGEP) and universities
Yukon
Yukon has no entry-level educational programs
Source
Canadian Nurses Association, 2008.
24
CIHI 2010
Chapter 1—Regulated Nurses in Canada: Trends of Registered Nurses
Of the 261,889 RNs employed in nursing in Canada in 2008, 21.5% earned a baccalaureate
before entering practice. The percentage of RNs entering practice with a diploma decreased
to 78.4% in 2008, from 84.8% in 2004, while the percentage that earned a master’s degree
before entering practice climbed from 0.04% in 2004 to 0.05% in 2008.
Graduation data collected through the National Student and Faculty Survey of Canadian
Schools of Nursing, released by the Canadian Nurses Association (CNA) and the Canadian
Association of Schools of Nursing (CASN), illustrates the trend toward baccalaureate
education in nursing, as the number of students graduating from nursing diploma programs
continues to decrease (see Figure 12).
Figure 12
Registered Nurses Graduating From Diploma and Baccalaureate Programs,
Canada, 1998 to 2008
Total Number of Graduates
8,000
7,000
6,000
5,000
4,000
3,000
2,000
1,000
20
08
20
07
20
06
20
05
20
04
20
03
20
02
20
01
20
00
19
99
19
98
0
Year of Graduation
Diploma Program
Baccalaureate Program
Notes
Graduate refers to the number of students who successfully graduated from the program. Graduate data is collected on a calendar-year basis.
Diploma includes diploma, diploma exit, diploma bridge to RN and DEC.
Baccalaureate includes standard, generic, collaborative, accelerated, fast track, advanced, compressed, technology in nursing and psychiatric
nurse to RN baccalaureate.
For more detailed notes, please refer to the Student and Faculty Survey of Canadian Schools of Nursing Survey methodology document,
available from the CNA and CASN.
Sources
Canadian Nurses Association and Canadian Association of Schools of Nursing.
CIHI 2010
25
Regulated Nurses: Canadian Trends, 2004 to 2008
Higher Education for Registered Nurses
In 2008, a total of 90,965 (34.7%) RNs in the workforce had obtained a baccalaureate
as their highest education in nursing (see Table 12).
Table 12
Registered Nursing Workforce, by Highest Education in Nursing,
by Jurisdiction and Canada, 2004 to 2008
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
Sask.
Alta.
B.C.
Y.T.
N.W.T./
Nun.
Canada
6,013
5,826
5,576
5,497
5,306
15,511
15,436
15,142
15,019
14,957
18,034
17,293
17,299
16,653
15,799
158
159
163
156
150
594
678
706
686
742
167,413
165,718
162,896
159,125
162,979
Diploma
2004
2005
2006
2007
2008
3,867
3,788
3,678
3,575
3,518
945
928
884
868
1,061
5,889
5,813
5,578
5,438
5,258
4,436
4,367
4,317
4,162
3,986
40,231
38,375
38,179
38,141
45,033
64,508
65,850
64,319
62,025
60,439
(Count)
7,227
7,205
7,055
6,905
6,730
Baccalaureate
2004
2005
2006
2007
2008
1,478
1,594
1,706
1,852
2,040
409
486
517
531
418
2,502
2,698
2,954
3,137
3,323
2,787
2,998
3,175
3,378
3,541
21,852
23,803
24,156
25,064
18,704
19,65†
21,432
23,384
26,325
29,506
3,168
3,385
3,595
3,668
3,900
2,366
2,596
2,763
3,005
3,332
9,340
10,110
10,820
11,715
12,624
9,417
9,666
10,618
12,332
12,942
12†
138
152
158
178
313
265
312
344
457
73,407
79,171
84,152
91,509
90,965
Master’s/Doctorate
2004
2005
2006
2007
2008
107
113
131
147
166
23
29
27
32
–
211
222
258
268
290
152
161
188
186
230
1,372
1,649
1,679
1,750
1,794
1,93†
2,147
2,358
2,628
2,939
233
221
252
252
272
96
121
136
163
185
744
801
781
781
920
838
855
923
1,069
1,122
*
5
9
8
6
20
12
14
18
21
5,736
6,336
6,756
7,302
7,945
Diploma
2004
2005
2006
2007
2008
–
-2.0%
-2.9%
-2.8%
-1.6%
–
-1.8%
-4.7%
-1.8%
22.2%
–
-1.3%
-4.0%
-2.5%
-3.3%
–
-1.6%
-1.1%
-3.6%
-4.2%
–
-4.6%
-0.5%
-0.1%
18.1%
(Annual Percentage Change)
–
–
–
2.1%
-0.3%
-3.1%
-2.3%
-2.1%
-4.3%
-3.6%
-2.1%
-1.4%
-2.6%
-2.5%
-3.5%
–
-0.5%
-1.9%
-0.8%
-0.4%
–
-4.1%
0.0%
-3.7%
-5.1%
–
0.6%
2.5%
-4.3%
-3.8%
–
14.1%
4.1%
-2.8%
8.2%
–
-1.0%
-1.7%
-2.3%
2.4%
Baccalaureate
2004
2005
2006
2007
2008
–
7.8%
7.0%
8.6%
10.2%
–
18.8%
6.4%
2.7%
-21.3%
–
7.8%
9.5%
6.2%
5.9%
–
7.6%
5.9%
6.4%
4.8%
–
8.9%
1.5%
3.8%
-25.4%
–
†
†
12.6%
12.1%
–
6.8%
6.2%
2.0%
6.3%
–
9.7%
6.4%
8.8%
10.9%
–
8.2%
7.0%
8.3%
7.8%
–
2.6%
9.8%
16.1%
4.9%
–
†
†
3.9%
12.7%
–
-15.3%
17.7%
10.3%
32.8%
–
7.9%
6.3%
8.7%
-0.6%
Master’s/Doctorate
2004
2005
2006
2007
2008
–
5.6%
15.9%
12.2%
12.9%
–
26.1%
-6.9%
18.5%
–
–
5.2%
16.2%
3.9%
8.2%
–
5.9%
16.8%
-1.1%
23.7%
–
20.2%
1.8%
4.2%
2.5%
–
†
†
11.5%
11.8%
–
-5.2%
14.0%
0.0%
7.9%
–
26.0%
12.4%
19.9%
13.5%
–
7.7%
-2.5%
0.0%
17.8%
–
2.0%
8.0%
15.8%
5.0%
–
†
†
-11.1%
-25.0%
–
-40.0%
16.7%
28.6%
16.7%
–
10.5%
6.6%
8.1%
8.8%
Diploma
2004
2005
2006
2007
2008
70.9%
68.9%
66.7%
64.1%
61.5%
68.6%
64.3%
61.9%
60.7%
71.7%
68.5%
66.6%
63.5%
61.5%
59.3%
60.1%
58.0%
56.2%
53.9%
51.4%
63.4%
60.1%
59.6%
58.7%
68.7%
(Percentage Distribution)
74.9%
68.0%
70.9%
73.6%
66.6%
68.2%
71.4%
64.7%
65.8%
68.2%
63.8%
63.4%
65.1%
61.7%
60.1%
60.6%
58.6%
56.6%
54.6%
52.5%
63.7%
62.2%
60.0%
55.4%
52.9%
56.0%
52.6%
50.3%
48.4%
44.9%
64.1%
71.0%
68.4%
65.5%
60.8%
67.9%
66.0%
64.2%
61.7%
62.2%
Baccalaureate
2004
2005
2006
2007
2008
27.1%
29.0%
30.9%
33.2%
35.6%
29.7%
33.7%
36.2%
37.1%
28.3%
29.1%
30.9%
33.6%
35.5%
37.5%
37.8%
39.8%
41.3%
43.7%
45.6%
34.4%
37.3%
37.7%
38.6%
28.5%
†
24.0%
26.0%
28.9%
31.8%
29.8%
31.3%
33.0%
33.9%
35.8%
27.9%
30.4%
32.6%
34.7%
37.8%
36.5%
38.4%
40.5%
42.6%
44.3%
33.3%
34.8%
36.8%
41.0%
43.3%
†
45.7%
46.9%
49.1%
53.3%
33.8%
27.7%
30.2%
32.8%
37.5%
29.8%
31.5%
33.2%
35.5%
34.7%
Master’s/Doctorate
2004
2005
2006
2007
2008
2.0%
2.1%
2.4%
2.6%
2.9%
1.7%
2.0%
1.9%
2.2%
–
2.5%
2.5%
2.9%
3.0%
3.3%
2.1%
2.1%
2.4%
2.4%
3.0%
2.2%
2.6%
2.6%
2.7%
2.7%
†
2.4%
2.6%
2.9%
3.2%
2.2%
2.0%
2.3%
2.3%
2.5%
1.1%
1.4%
1.6%
1.9%
2.1%
2.9%
3.0%
2.9%
2.8%
3.2%
3.0%
3.1%
3.2%
3.6%
3.8%
†
1.7%
2.8%
2.5%
1.8%
2.2%
1.3%
1.4%
1.7%
1.7%
2.3%
2.5%
2.7%
2.8%
3.0%
Notes
– Data is not applicable or does not exist.
* Value suppressed in accordance with CIHI privacy policy; cell value is from 1 to 4.
† Digit suppressed to ensure confidentiality; digit value is from 0 to 9 and corresponding percentage value.
Non-response for Highest Education in Registered Nursing (% of RN workforce): 2004, n = 15 (<0.1%); 2005, n = 17 (<0.1%);
2006, n = 15 (<0.1%); 2007, n = 25 (<0.1%).
Master’s/doctorate are combined to avoid cell suppression due to small values.
Totals may not sum to 100% due to rounding.
Northwest Territories and Nunavut data is combined, as RNs did not specify in which territory they worked the majority of the time.
Data released by CIHI may differ from data from other sources due to CIHI’s nationally standardized methodology.
RNs employed in a jurisdiction different from their jurisdiction of registration are excluded to avoid duplication.
Northern territories data may include inter-jurisdictional duplicates.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
26
CIHI 2010
Chapter 1—Regulated Nurses in Canada: Trends of Registered Nurses
How many RNs generally return to school after completing their entry-to-practice education?
In 2008, the largest proportion of the workforce seeking advanced education, following
entry-to-practice education, were those returning for a post-diploma baccalaureate. Of
these, 41.6% (37,841) initially earned a diploma in nursing, then returned to school for
a baccalaureate; 56,331 RNs had already earned a baccalaureate before entering nursing
practice, bringing the total number of RNs in the workforce holding baccalaureates to
34.7% (90,965). In addition, a total of 7,945 RNs obtained either a master’s degree
or doctorate as their highest education in nursing following entry-to-practice education
(this includes RNs who initially obtained a diploma).
Average Age at Graduation
The age at which a student graduates from a nursing program and is eligible to enter the
RN workforce is an important indicator of the number of years the average RN will contribute
to the workforce.
The trend of increasing age at graduation slowed since the changes seen in the early 1990s.
However, the proportion of RNs graduating and entering the workforce at age 30 or older
remained stable since 2004. In 2008, 28.5% of the workforce that had graduated in the
previous four years were age 30 or older when they graduated.
Table 13
Registered Nursing Graduates and Average Age at Graduation, by Range
of Graduation Years, Canada, 1980 to 2008
Graduation Year
1980–1984
1985–1989
1990–1994
1995–1999
2000–2004
2005–2008
Number of Graduates
Average Age
at Graduation
30,723
34,496
34,121
27,697
31,025
22,664
23.0
24.6
26.1
26.1
26.8
26.4
Notes
Manitoba RN graduate age data for 2007 and 2008 is excluded from average age at graduation calculation; graduate counts include Manitoba
RN graduates to reflect total RN workforce.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
Canadian Nurses Association Certification Program
Since 2003, the CNA has offered a voluntary national certification program in a broad
selection of specialties. The certification program has grown both in the number of programs
available and in the number of RNs writing the qualifying examinations.
When looking at Table 14, keep in mind that certification is not mandatory, that all areas of
specialty do not have certification programs and that RNs may have more than one specialty.
Accordingly, the total number certified does not represent all RNs working in a specific
area of responsibility.
CIHI 2010
27
Regulated Nurses: Canadian Trends, 2004 to 2008
Table 14
Registered Nurses With Valid CNA Certification, by Specialty, Canada,
2004 to 2008
Cardiovascular
Community Health
Critical Care
Critical Care—Pediatrics
Emergency
Gastroenterology
Gerontology
Hospice Palliative Care
Nephrology
Neuroscience
Occupational Health
Oncology
Orthopedics
Perinatal
Perioperative
Psychiatric/Mental Health
Rehabilitation
Total
2004
2005
2006
2007
2008
546
–
1,235
46
1,305
87
1,628
491
921
192
988
1,137
–
578
1,777
1,763
–
12,694
660
–
1,263
61
1,353
147
1,822
756
963
207
952
1,231
–
619
1,672
1,761
–
13,467
713
148
1,223
94
1,307
171
1,937
916
1,019
223
926
1,332
73
621
1,585
1,729
71
14,088
722
216
1,166
104
1,323
205
1,988
1,103
1,052
237
908
1,323
125
642
1,552
1,734
121
14,521
774
338
1,190
100
1,345
235
2,104
1,247
1,080
258
888
1,360
153
665
1,566
1,750
172
15,225
Note
– Data is not applicable or does not exist.
Source
Canadian Nurses Association, Regulatory Policy Department.
Mobility Trends: A Mobile Workforce
Regulated nurses are in demand in Canada and around the world. As a result, graduates
from regulated nursing programs often have numerous options as to where they will practise.
Canadian graduates may choose to remain in their current province or territory, to migrate
to another Canadian province or territory or to emigrate to another country. International
graduates may choose to immigrate to Canada, either through their own initiative or through
a provincial nursing recruitment program.
As CIHI does not collect citizenship or immigration data, the mobility trends in this chapter
related to interprovincial and international mobility are based on indicators developed by CIHI
using data on employment, location of residence and location of graduation. Additional
information on RN mobility trends is available in the data tables on the CIHI website.
28
CIHI 2010
Chapter 1—Regulated Nurses in Canada: Trends of Registered Nurses
Migration Within Canada
Each provincial and territorial workforce combines registered nursing graduates from within
the jurisdiction, graduates from other Canadian jurisdictions and graduates from outside
the country. Overall, nearly 9 out of 10 graduates (87.6%) of Canadian registered nursing
programs who were working in Canada in 2008 either did not move after graduation or
eventually returned to their jurisdiction of graduation.
Figure 13
Registered Nursing Workforce by Jurisdiction of Graduation and Registration,
Canada, 2008
N.L. Grads
30.5%
69.5%
P.E.I. Grads
28.5%
71.5%
N.S. Grads
N.B. Grads
21.9%
78.1%
Que. Grads
5.8%
94.2%
Ont. Grads
8.5%
91.5%
Man. Grads
25.5%
74.5%
Sask. Grads
30.7%
69.3%
17.3%
82.7%
Alta. Grads
B.C. Grads
9.2%
90.8%
N.W.T. Grads
0.0%
24.1%
75.9%
32.9%
67.1%
20.0%
40.0%
Graduates Retained
60.0%
80.0%
100.0%
Graduates Lost to Another Jurisdiction
Notes
Includes only graduates of Canadian nursing programs employed in Canada in 2008 (N = 239,460).
Totals may not sum to 100% due to rounding.
Northwest Territories and Nunavut data is combined, as RNs did not specify in which territory they worked the majority of the time.
Data released by CIHI may differ from data from other sources due to CIHI’s nationally standardized methodology.
RNs employed in a jurisdiction different from their jurisdiction of registration are excluded to avoid duplication.
Northern territories data may include inter-jurisdictional duplicates.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
Among Canadian graduates employed in 2008, those graduating from registered nursing
programs in Quebec (94.2%), Ontario (91.6%) and British Columbia (90.8%) were the
most likely to be employed in their province of graduation (see Figure 13).
In contrast, among the in-province graduates from registered nursing programs in
Saskatchewan who were employed in Canada in 2008, 69.3% were employed in the
province. Similarly, 69.5% of Newfoundland and Labrador graduates and 69.5% of Prince
Edward Island graduates remained in those provinces.
CIHI 2010
29
Regulated Nurses: Canadian Trends, 2004 to 2008
Figure 14 shows the top three destinations for those who moved some time between
their graduation year and 2008, as a comparison of the jurisdiction of graduation to the
jurisdiction of current registration. The data does not account for mobility and migration
in the intervening years.
Figure 14
Top Three Destinations for Registered Nursing Graduates by Jurisdiction
of Graduation, Canada, 2008
N.L. Grads
Ont.
P.E.I. Grads
N.S.
N.S. Grads
N.B. Grads
Alta.
Ont.
Alta.
B.C.
Ont.
Que. Grads
B.C.
Alta.
Que.
B.C.
Alta.
Que.
B.C.
Man. Grads
Alta.
Ont.
N.S.
Ont.
Ont. Grads
N.S.
Alta.
Ont.
Alta.
Sask. Grads
B.C.
Alta. Grads
Alta.
B.C. Grads
Ont.
B.C.
Sask. Ont.
N.W.T./Nun.
Alta.
N.W.T. Grads
0%
5%
Ont.
Ont.
10%
Sask.
15%
20%
25%
30%
Notes
Includes only graduates of Canadian nursing programs employed in Canada in 2008 (N = 239,460).
Totals may not sum to 100% due to rounding.
Northwest Territories and Nunavut data is combined, as the RNs did not specify in which territory they worked the majority of the time.
Data released by CIHI may differ from data from other sources due to CIHI’s nationally standardized methodology.
RNs employed in a jurisdiction different from their jurisdiction of registration are excluded to avoid duplication.
Northern territories data may include inter-jurisdictional duplicates.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
Overall, the provinces of British Columbia, Alberta and Ontario figure prominently as
destinations for migrant graduates from across the country. In contrast, only 1.0% of the
RN workforce in the Yukon and 1.2% in Newfoundland and Labrador graduated from Canadian
nursing programs outside their province of registration, the lowest rates in the country.
30
CIHI 2010
Chapter 1—Regulated Nurses in Canada: Trends of Registered Nurses
Working Outside Province/Territory of Registration
RNs who work outside their province or territory of registration may be working outside
Canada or in another jurisdiction within Canada. Note that CIHI can report on RNs working
outside Canada only if they maintain registration with a Canadian province or territory.
Figure 15 illustrates the top destinations for RNs who are registered in a Canadian province
or territory but working either abroad or in another jurisdiction in Canada. Of the 6,607 RNs
who are not working in their province/territory of registration, 3,478 (52.6%) are employed
in the United States, with an additional 10.3% employed in other locations.
Figure 15
Registered Nurses Working Outside of Jurisdiction of Registration, by Country
of Employment, Canada, 2008
United Kingdom
1.2%
Hong Kong
1.8%
Other International
5.2%
Saudi Arabia
2.1%
Canada
36.9%
United States
52.6%
Notes
Includes only those who worked outside of their jurisdiction of registration (N = 6,607) in 2008.
Totals may not sum to 100% due to rounding.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
CIHI 2010
31
Regulated Nurses: Canadian Trends, 2004 to 2008
International Registered Nursing Graduates
In the absence of citizenship and immigration data, CIHI uses the location of graduation
as an indicator of trends in immigration. The assumption is made that a registered nurse
who studied outside of Canada immigrated, but the total number also includes Canadian
citizens and residents who studied abroad.
Table 15
Registered Nursing Workforce, by Location of Graduation, by Jurisdiction,
by Canada and International, 2004 to 2008
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
Sask.
Alta.
B.C.
Y.T.
N.W.T./
Nun.
Canada
Canada
2004
2005
2006
2007
2008
5,346
5,390
5,411
5,481
5,630
1,343
1,409
1,396
1,404
1,447
8,395
8,526
8,573
8,631
8,650
7,277
7,436
7,579
7,613
7,641
61,872
62,268
62,489
63,425
63,943
76,121
78,507
78,687
79,521
81,315
(Count)
9,957
10,087
10,169
10,103
10,187
8,124
8,209
8,169
8,341
8,482
22,726
23,511
23,921
24,628
25,698
23,915
23,420
24,297
25,247
25,051
261
278
298
296
304
827
865
930
946
1,112
226,164
229,906
231,919
235,636
239,460
International
2004
2005
2006
2007
2008
106
103
96
91
85
30
32
30
29
29
207
207
217
212
221
98
90
100
107
115
1,583
1,559
1,525
1,528
1,586
9,878
10,684
11,231
11,320
11,430
671
724
733
722
715
251
239
224
240
247
1,090
1,167
1,190
1,259
2,726
4,234
4,258
4,414
4,686
4,695
22
24
26
25
25
98
90
101
100
106
18,268
19,177
19,887
20,319
21,980
Canada
2004
2005
2006
2007
2008
–
0.8%
0.4%
1.3%
2.7%
–
4.9%
-0.9%
0.6%
3.1%
–
1.6%
0.6%
0.7%
0.2%
–
2.2%
1.9%
0.4%
0.4%
–
0.6%
0.4%
1.5%
0.8%
(Annual Percentage Change)
–
–
–
3.1%
1.3%
1.0%
0.2%
0.8%
-0.5%
1.1%
-0.6%
2.1%
2.3%
0.8%
1.7%
–
3.5%
1.7%
3.0%
4.3%
–
-2.1%
3.7%
3.9%
-0.8%
–
6.5%
7.2%
-0.7%
2.7%
–
4.6%
7.5%
1.7%
17.5%
–
1.7%
0.9%
1.6%
1.6%
International
2004
2005
2006
2007
2008
–
-2.8%
-6.8%
-5.2%
-6.6%
–
6.7%
-6.3%
-3.3%
0.0%
–
0.0%
4.8%
-2.3%
4.2%
–
-8.2%
11.1%
7.0%
7.5%
–
-1.5%
-2.2%
0.2%
3.8%
–
-4.8%
-6.3%
7.1%
2.9%
–
7.1%
2.0%
5.8%
116.5%
–
0.6%
3.7%
6.2%
0.2%
–
9.1%
8.3%
-3.8%
0.0%
–
-8.2%
12.2%
-1.0%
6.0%
–
5.0%
3.7%
2.2%
8.2%
Canada
2004
2005
2006
2007
2008
98.1%
98.1%
98.3%
98.4%
98.5%
97.8%
97.8%
97.9%
98.0%
98.0%
97.6%
97.6%
97.5%
97.6%
97.5%
98.7%
98.8%
98.7%
98.6%
98.5%
97.5%
97.6%
97.6%
97.6%
97.6%
(Percentage Distribution)
88.5%
93.7%
97.0%
88.0%
93.3%
97.2%
87.5%
93.3%
97.3%
87.5%
93.3%
97.2%
87.7%
93.4%
97.2%
95.4%
95.3%
95.3%
95.1%
90.4%
85.0%
84.6%
84.6%
84.3%
84.2%
92.2%
92.1%
92.0%
92.2%
92.4%
89.4%
90.6%
90.2%
90.4%
91.3%
92.5%
92.3%
92.1%
92.1%
91.6%
International
2004
2005
2006
2007
2008
1.9%
1.9%
1.7%
1.6%
1.5%
2.2%
2.2%
2.1%
2.0%
2.0%
2.4%
2.4%
2.5%
2.4%
2.5%
1.3%
1.2%
1.3%
1.4%
1.5%
2.5%
2.4%
2.4%
2.4%
2.4%
4.6%
4.7%
4.7%
4.9%
9.6%
15.0%
15.4%
15.4%
15.7%
15.8%
7.8%
7.9%
8.0%
7.8%
7.6%
10.6%
9.4%
9.8%
9.6%
8.7%
7.5%
7.7%
7.9%
7.9%
8.4%
–
8.2%
5.1%
0.8%
1.0%
11.5%
12.0%
12.5%
12.5%
12.3%
–
7.9%
1.2%
-1.5%
-1.0%
6.3%
6.7%
6.7%
6.7%
6.6%
3.0%
2.8%
2.7%
2.8%
2.8%
Notes
– Data is not applicable or does not exist.
Non response for Location of Graduation (% of RN workforce): 2004, n = 2,139 (0.9%); 2005, n = 2,159 (0.9%); 2006, n = 2,013 (0.8%);
2007, n = 2,006 (0.8%); 2008, n = 449 (0.2%).
Totals may not sum to 100% due to rounding.
Northwest Territories and Nunavut data is combined, as the RNs did not specify in which territory they worked the majority of the time.
Data released by CIHI may differ from data from other sources due to CIHI’s nationally standardized methodology.
RNs employed in a jurisdiction different from their jurisdiction of registration are excluded to avoid duplication.
Northern territories data may include inter-jurisdictional duplicates.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
32
CIHI 2010
Chapter 1—Regulated Nurses in Canada: Trends of Registered Nurses
Of the RNs employed in Canada who reported their location of graduation in 2008,
91.6% (239,460) graduated from a nursing program in Canada and 8.4% (21,980)
graduated from an international nursing program.
Table 15 shows that the RN workforces of British Columbia (15.8%), Ontario (12.3%) and
Alberta (9.6%) had the highest concentrations of internationally educated graduates in 2008.
In contrast, only 1.5% of the RN workforce in New Brunswick, as well as in Newfoundland
and Labrador, graduated from an international nursing school.
Figure 16
Internationally Educated Registered Nurses in the Workforce, by Country
of Graduation, 2008
Other International
29.0%
Philippines
30.2%
France
2.1%
United Kingdom
17.9%
Poland
3.2%
Hong Kong
4.6%
India
5.7%
United States
7.3%
Notes
Includes only RNs who were educated outside of Canada (N = 21,980) in 2008.
Totals may not sum to 100% due to rounding.
Data released by CIHI may differ from data from other sources due to CIHI’s nationally standardized methodology.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
For the 21,980 registered nurses in Canada who graduated from an international nursing
program in 2008, the seven most frequently identified countries of graduation are identified
in Figure 16. Almost half of all international graduates attended nursing programs in the
Philippines or the United Kingdom. Graduates from the United States comprised 7.3% of
all internationally educated graduates in the RN workforce.
CIHI 2010
33
Regulated Nurses: Canadian Trends, 2004 to 2008
Urban/Rural Distribution of the Workforce
Geographical differences in Canada create numerous challenges for health care providers
and planners. The urban/rural distribution of the population is a challenge not only in the
northern territories but also in each of the provinces.
To determine if RNs were practising in a rural or an urban setting, a postal code analysis
was performed. In most cases, the postal code used was that of the workplace; however,
where the postal code of the workplace was not submitted to CIHI, the postal code of
residence was used.ii Figures 17 and 18 illustrate the urban/rural/remote distribution of the
RN workforce in Canada in 2008. In 2008, 88.9% of the RN workforce worked in urban
areas of Canada, ranging from highs of 99.1% in the Yukon and 93.8% in Ontario to lows
of 56.6% in the Northwest Territories/Nunavut and 68.2% in Newfoundland and Labrador.
Figure 17
Registered Nursing Workforce, by Urban/Rural/Remote Designation, Canada, 2008
Rural
4.7%
Urban
88.9%
Other
11.1%
Remote
6.2%
Territories
0.2%
Notes
Totals may not sum to 100% due to rounding.
Urban areas are defined as communities with populations greater than 10,000 persons.
Rural areas are defined as communities in relatively close proximity to urban areas.
Remote areas are defined as those communities with relatively little social and economic interaction with urban areas.
Territories are defined as areas outside of Whitehorse and Yellowknife in the northern territories.
Postal code analysis for Quebec RN workforce provided by l’Ordre des infirmières et infirmiers du Québec.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
ii. See Chapter 5 (Methodological Notes) for a description of the postal code analysis.
34
CIHI 2010
Chapter 1—Regulated Nurses in Canada: Trends of Registered Nurses
Figure 18
Registered Nursing Workforce, by Urban/Rural/Remote Designation,
by Jurisdiction, 2008
90.0%
2.4%
3.9%
100.0%
27.5%
80.0%
9.8%
19.6%
25.4%
0.9%
5.5%
5.2%
11.0%
7.9%
4.1%
13.4% 14.5%
3.8%
9.5%
5.3%
4.3%
1.9%
6.8%
40.8%
6.5%
70.0%
0.5%
60.0%
50.0%
89.2%
40.0%
30.0%
68.2% 68.6%
93.8%
75.1% 79.2%
88.0%
77.0% 78.7%
93.7%
99.1%
2.2%
56.5%
20.0%
10.0%
Urban
Rural
Remote
Territories
un
.
.T
./N
Y.
T.
N
.W
B.
C.
.
A
lta
.
Sa
sk
an
.
M
O
nt
.
.
Q
ue
.B
.
N
.S
.
N
P.
E.
I.
N
.L
.
0.0%
Notes
Totals may not sum to 100% due to rounding.
Urban areas are defined as communities with populations greater than 10,000 persons.
Rural areas are defined as communities in relatively close proximity to urban areas.
Remote areas are defined as those communities with relatively little social and economic interaction with urban areas.
Territories are defined as areas outside of Whitehorse and Yellowknife in the northern territories.
Northwest Territories and Nunavut data is combined, as RNs did not specify in which territory they worked the majority of the time.
Postal code analysis for Quebec RN workforce provided by l’Ordre des infirmières et infirmiers du Québec.
Data released by CIHI may differ from data from other sources due to CIHI’s nationally standardized methodology.
RNs employed in a jurisdiction different from their jurisdiction of registration are excluded to avoid duplication.
Northern territories data may include inter-jurisdictional duplicates.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
Registered Nurses in the Territories: Characteristics
of the Northern Workforce
The nature and delivery of nursing services in the northern territories differ from those
in the Canadian provinces. It is not uncommon for registered nurses to travel north on
short-term work contracts and to return to their home province for the remainder of the
year. Therefore, in addition to the RNs who are registered and working only in the northern
territories, those RNs who are registered in a territory and another jurisdiction are also
included in the northern RN workforce.
Some of the employment patterns described in this section also exist in northern or rural
areas of each Canadian province. The health region analysis in Chapter 4 of this report
provides insight into some of the characteristics and services of each health region.
CIHI 2010
35
Regulated Nurses: Canadian Trends, 2004 to 2008
Figure 19 shows that the majority of RNs working in the territories worked at the
community level. Notably, 42.7% of RNs in the territories were employed at community
health centres, home care agencies or nursing stations. In contrast, 14.0% of RNs
employed in the provinces worked in these types of facilities.
Figure 19
Registered Nursing Workforce, by Place of Work, by Provincial or Territorial
Level, Canada, 2008
Territories
Nursing
.
Home/LTC
3.0%
Provinces
Other Place
.of Work
15.8%
Nursing
Home/LTC
10.2%
.
Other Place
.
of Work
13.0%
Hospital
38.4%
Hospital
62.8%
Community Health
42.7%
.
Community
Health
14.0%
Notes
Non-response for Place of Work (% of RN workforce): n = 2,130 (0.8%).
Hospital includes data from hospital (general, maternal, pediatric, psychiatric), mental health centre and rehabilitation/convalescent centre.
Community Health includes data from community health centre, home care agency, nursing station (outpost or clinic) and public health
department/unit.
Nursing Home includes data from nursing home/long-term care facility.
Other includes data from business/industry/occupational health office, private nursing agency/private duty, self-employed, physician’s
office/family practice unit, educational institution, association/government and other.
Totals may not sum to 100% due to rounding.
Data released by CIHI may differ from data from other sources due to CIHI’s nationally standardized methodology.
RNs employed in a jurisdiction different from their jurisdiction of registration are excluded to avoid duplication.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
36
CIHI 2010
Chapter 1—Regulated Nurses in Canada: Trends of Registered Nurses
In 2008, 36.9% of the RN workforce in the Northwest Territories and Nunavut and 43.9%
of the Yukon RN workforce were employed in the hospital sector. The community health
sector accounted for 44.6% of the RN workforce in the Northwest Territories and Nunavut
and 35.9% of the Yukon RN workforce.
Among RNs employed in the territories, the three most frequently identified areas of
responsibility were community health (28.5%), medicine/surgery (9.9%) and emergency
care (9.1%). Registered nurses employed in the provinces most frequently identified
medicine/surgery (17.2%), geriatric/long-term care (9.9%) and other patient care (9.1%)
as their area of responsibility. More than 70% of RNs in both the territories (74.9%) and
the provinces (78.2%) identified their position as staff nurse/community health nurse.
In 2008, 40.9% of the territorial workforce had a baccalaureate, with an additional 1.7%
having a master’s degree or doctorate in nursing, compared to 34.7% and 2.9%, respectively,
in the provinces.
Internationally educated RNs comprised a similar percentage of the territorial workforce (8.5%)
as the provincial workforce (8.4%).
Among the Canadian-trained RN workforce, Ontario graduates comprised more than
one-quarter (26.8%) of the workforce in the northern territories, while Alberta graduates
comprised 13.3% and British Columbia graduates comprised 10.7%. With only one RN
education program in the territories, graduates from the north accounted for only 8.7%
of Canadian-trained RNs in the territorial workforce.
Nurse Practitioner Employment Trends: Is the Workforce Changing?
The previous section on registered nurses included data on nurse practitioners (NPs). In
this section, a selection of data is presented only for NPs, to illustrate some trends relevant
to this emerging specialty. A nurse practitioner is an advanced practice registered nurse
with additional education in health assessment, diagnosis and management of illness and
injuries, including ordering tests and prescribing drugs.1 Nurse practitioners have been
regulated in all provinces and territories except the Yukon since 2006.
Table 16
First Year
of Regulation
Year of Implementation of Nurse Practitioner Legislation by Jurisdiction
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
Sask.
Alta.
B.C.
Y.T.
N.W.T.
Nun.
1997
2006
2002
2002
2003
1997
2005
2003
1996
2005
RP
2004
2004
Notes
RP: regulation pending.
From 1996 to 2002, NPs in Alberta were referred to as registered nurses providing extended services. In June 2002, regulations were changed
to refer to these nurses as nurse practitioners. Refer to the College and Association of Registered Nurses of Alberta for additional information.
CIHI 2010
37
Regulated Nurses: Canadian Trends, 2004 to 2008
Table 17 illustrates the supply trends of all NPs between 2004 and 2008. The total number
of NPs employed in nursing in Canada was 1,626 in 2008, representing an increase of 21.0%
since 2007, but representing only 0.6% of the total RN workforce. The years between
2004 and 2008 saw a doubling of the NP workforce in Canada. The percentage change
must be interpreted with caution as the number of NPs is small.
Table 17
Nurse Practitioner Workforce, by Employment Status, Canada, 2004 to 2008
Employed in Nursing
Regular Basis, Regular Basis,
Full Time
Part Time
Casual
Basis
2004
2005
2006
2007
2008
554
720
858
964
1,275
123
168
198
273
267
25
31
47
62
75
2004
2005
2006
2007
2008
–
30.0%
19.2%
12.4%
32.3%
–
36.6%
17.9%
37.9%
-2.2%
–
24.0%
51.6%
31.9%
21.0%
2004
2005
2006
2007
2008
66.7%
73.8%
73.8%
69.2%
76.4%
14.8%
17.2%
17.0%
19.6%
16.0%
3.0%
3.2%
4.0%
4.5%
4.5%
Not Employed in Nursing
Regular Basis,
Sub-Total
Status Unknown
98
24
26
45
9
Employed in Other
Than Nursing
or Not Employed
(Count)
800
943
1,129
1,344
1,626
Not Stated
Grand Total
Sub-Total
27
24
24
42
28
4
9
9
7
15
31
33
33
49
43
831
976
1,162
1,393
1,669
(Annual Percentage Change)
–
–
–
-75.5%
-11.1%
17.9%
8.3%
0.0%
19.7%
73.1%
75.0%
19.0%
-80.0%
-33.3%
21.0%
–
125.0%
0.0%
-22.2%
114.3%
–
6.5%
0.0%
48.5%
-12.2%
–
17.4%
19.1%
19.9%
19.8%
0.5%
0.9%
0.8%
0.5%
0.9%
3.7%
3.4%
2.8%
3.5%
2.6%
100.0%
100.0%
100.0%
100.0%
100.0%
(Percentage Distribution)
11.8%
96.3%
2.5%
96.6%
2.2%
97.2%
3.2%
96.5%
0.5%
97.4%
3.2%
2.5%
2.1%
3.0%
1.7%
Notes
– Data is not applicable or does not exist.
Number of jurisdictions submitting NP data: 7 in 2004; 9 in 2005; 10 in 2006; 11 in 2007 and 2008.
Totals may not sum to 100% due to rounding.
For the Northwest Territories and Nunavut in 2005, 2006 and 2007, full time, part time and casual are included in Employment Status
employed—status unknown.
NPs employed in a jurisdiction different from their jurisdiction of registration are excluded to avoid duplication.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
Nurse practitioners employed in nursing but reported as employed—status unknown are those
who reported a workplace but failed to indicate their status (full time, part time or casual).
Accordingly, they are included in the workforce but are excluded from some analyses in the
report,
as indicated in table footnotes. The number of NPs reported as employed—status unknown
decreased every year since 2004. They represented 0.5% of the NP workforce in 2008.
38
CIHI 2010
Chapter 1—Regulated Nurses in Canada: Trends of Registered Nurses
The majority of NPs working in nursing are employed on a regular basis in full-time positions;
this number steadily increased over the past five years. In 2008, 1,275, or 78.9%, NPs were
working in regular full-time positions.
Table 18
Nurse Practitioner Workforce, by Jurisdiction and Canada, 2004 to 2008
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
Sask.
Alta.
B.C.
Y.T.
N.W.T./
Nun.
Canada
2004
2005
2006
2007
2008
61
66
89
96
99
–
–
–
*
*
30
37
61
72
80
14
19
24
29
49
–
–
17
17
29
536
590
639
731
872
(Count)
–
*
*
3†
4†
41
74
88
97
98
106
130
156
176
210
–
*
3†
50
88
–
–
–
–
–
12
19
16
42
52
800
943
1,129
1,344
1,626
2004
2005
2006
2007
2008
–
8.2%
34.8%
7.9%
3.1%
–
–
–
–
†
–
23.3%
64.9%
18.0%
11.1%
–
35.7%
26.3%
20.8%
69.0%
–
–
–
0.0%
70.6%
(Annual Percentage Change)
–
–
–
10.1%
–
80.5%
8.3%
†
18.9%
14.4%
†
10.2%
19.3%
†
1.0%
–
22.6%
20.0%
12.8%
19.3%
–
–
†
†
76.0%
–
–
–
–
–
–
58.3%
-15.8%
162.5%
23.8%
–
17.9%
19.7%
19.0%
21.0%
2004
2005
2006
2007
2008
7.6%
7.0%
7.9%
7.1%
6.1%
–
–
–
†
†
3.8%
3.9%
5.4%
5.4%
4.9%
1.8%
2.0%
2.1%
2.2%
3.0%
–
–
1.5%
1.3%
1.8%
(Percentage Distribution)
67.0%
–
5.1%
62.6%
†
7.8%
56.6%
†
7.8%
54.4%
†
7.2%
53.6%
†
6.0%
13.3%
13.8%
13.8%
13.1%
12.9%
–
†
†
3.7%
5.4%
–
–
–
–
–
1.5%
2.0%
1.4%
3.1%
3.2%
100.0%
100.0%
100.0%
100.0%
100.0%
Notes
– Data is not applicable or does not exist.
* Value suppressed in accordance with CIHI privacy policy; cell value is from 1 to 4.
† Digit suppressed to ensure confidentiality; digit value is from 0 to 9 and corresponding percentage value.
Number of jurisdictions submitting NP data: 7 in 2004; 9 in 2005; 10 in 2006; 11 in 2007 and 2008.
Totals may not sum to 100% due to rounding.
Northwest Territories and Nunavut data is combined, as NPs did not specify in which territory they worked the majority of the time.
Data released by CIHI may differ from data from other sources due to CIHI’s nationally standardized methodology.
NPs employed in a jurisdiction different from their jurisdiction of registration are excluded to avoid duplication.
Northern territories data may include inter-jurisdictional duplicates.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
As Table 18 shows, the size of the nurse practitioner workforce varies substantially by
jurisdiction, and no data is available for the Yukon. This variability is likely due to the
timing of the implementation of nurse practitioner legislation in each Canadian jurisdiction.
As of 2008, the Yukon did not have legislation regulating nurse practitioners.
CIHI 2010
39
Regulated Nurses: Canadian Trends, 2004 to 2008
Place of Work
The most commonly reported location of work by NPs is in community health, including
community health centres, home care agencies, nursing stations and public health units.
Figure 20 shows that, while community health has historically been the main employer
for NPs, the proportion of NPs employed in the hospital sector has increased.
Figure 20
Nurse Practitioner Workforce, by Place of Work, Canada, 2004, 2006 and 2008
60.0%
50.0%
40.0%
30.0%
20.0%
10.0%
0.0%
Hospital
Community Health
2004
Nursing Home/LTC Other Place of Work
2006
2008
Notes
Number of jurisdictions submitting NP data: 7 in 2004; 9 in 2005; 10 in 2006; 11 in 2007 and 2008.
Non-response for Place of Work (% of NP workforce): 2004, n = 57 (7.1%); 2006, n = 66 (5.8%); 2008, n = 37 (2.3%).
Hospital includes data from hospital (general, maternal, pediatric, psychiatric), mental health centre and rehabilitation/convalescent centre.
Community Health includes data from community health centre, home care agency, nursing station (outpost or clinic) and public health
department/unit.
Nursing Home/LTC includes data from nursing home/long-term care facility.
Other Place of Work includes data from business/industry/occupational health office, private nursing agency/private duty, self-employed,
physician’s office/family practice unit, educational institution, association/government and other.
Totals may not sum to 100% due to rounding.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
40
CIHI 2010
Chapter 1—Regulated Nurses in Canada: Trends of Registered Nurses
Area of Responsibility
The highest proportion of NPs, 51.0%, reported their area of responsibility as other patient
care in 2008.
Table 19
Nurse Practitioner Workforce, by Area of Responsibility, Canada, 2008
Count
Percentage
111
94
82
71
64
63
48
36
33
19
16
14
12
8
†
*
803
1,480
7.1%
6.0%
5.2%
4.5%
4.1%
4.0%
3.0%
2.3%
2.1%
1.2%
1.0%
0.9%
0.8%
0.5%
†
†
51.0%
94.0%
Administration
Nursing Service
Nursing Education
Other Administration
Total Administration
21
*
1†
3†
1.3%
†
†
†
Education
Teaching—Students
Teaching—Employees
Teaching—Patients/Clients
Other Education
Total Education
34
*
–
1†
55
2.2%
†
–
†
3.5%
*
*
*
1,574
†
†
†
100.0%
Direct Care
Community Health
Medical/Surgical
Emergency Room
Ambulatory Care
Nursing in Several Clinical Areas
Geriatric/Long-Term Care
Critical Care (Burn)
Pediatric
Public Health
Maternal/Newborn
Psychiatric/Mental Health
Oncology
Occupational Health
Rehabilitation
Home Care
Operating Room
Other Patient Care
Total Direct Care
Research
Nursing Reseach Only
Other Research
Total Research
Total
Notes
– Data is not applicable or does not exist.
* Value suppressed in accordance with CIHI privacy policy; cell value is from 1 to 4.
† Digit suppressed to ensure confidentiality; digit value is from 0 to 9 and corresponding percentage value.
Number of jurisdictions licensing NPs: 11 in 2008.
Non-response for Area of Responsibility (% of all NPs): n = 52 (3.2%).
Totals may not sum to 100% due to rounding.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
CIHI 2010
41
Regulated Nurses: Canadian Trends, 2004 to 2008
Nurse Practitioner Demographic Trends: Sex Composition
Almost all NPs in the Canadian workforce (94.6%) were female in 2008, a proportion that
has not changed substantially over five years (see Table 20). This resembles the pattern
in the RN workforce as a whole.
Table 20
Nurse Practitioner Workforce, by Sex, Canada, 2004 to 2008
Female
Male
(Count)
2004
2005
2006
2007
2008
757
887
1,064
1,236
1,582
43
56
65
77
90
2004
2005
2006
2007
2008
(Annual Percentage Change)
–
–
17.2%
30.2%
20.0%
16.1%
16.2%
18.5%
28.0%
16.9%
2004
2005
2006
2007
2008
(Percentage Distribution)
94.6%
5.4%
94.1%
5.9%
94.2%
5.8%
94.1%
5.9%
94.6%
5.4%
Notes
– Data is not applicable or does not exist.
Number of jurisdictions submitting NP data: 7 in 2004; 9 in 2005; 10 in 2006; 11 in 2007 and 2008.
Totals may not sum to 100% due to rounding.
In 2007 and 2008, the College of Registered Nurses of Manitoba submitted aggregate tables for sex.
NPs employed in a jurisdiction different from their jurisdiction of registration are excluded to avoid duplication.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
42
CIHI 2010
Chapter 1—Regulated Nurses in Canada: Trends of Registered Nurses
Nurse Practitioner Education Trends: Lifelong Learning
In the 2008 nurse practitioner workforce, more than half of the NPs in Canada had obtained
a baccalaureate as their highest education in nursing (see Table 21). More than 36% of the
NP workforce held a master’s degree or doctorate, substantially more than the proportion
of RNs in the workforce with either degree (3.0%).
Table 21
Nurse Practitioner Workforce, by Highest Education in Nursing, Canada,
2004 to 2008
Diploma
2004
2005
2006
2007
2008
151
157
160
182
195
2004
2005
2006
2007
2008
2004
2005
2006
2007
2008
Baccalaureate
494
587
652
731
834
Master’s/Doctorate
(Count)
Canada
154
199
317
431
597
799
943
1,129
1,344
1,626
–
4.0%
1.9%
13.8%
7.1%
(Annual Percentage Change)
–
–
18.8%
29.2%
11.1%
59.3%
12.1%
36.0%
14.1%
38.5%
–
18.0%
19.7%
19.0%
21.0%
18.9%
16.6%
14.2%
13.5%
12.0%
(Percentage Distribution)
61.8%
19.3%
62.2%
21.1%
57.8%
28.1%
54.4%
32.1%
51.3%
36.7%
100.0%
100.0%
100.0%
100.0%
100.0%
Notes
– Data is not applicable or does not exist.
Number of jurisdictions submitting NP data: 7 in 2004; 9 in 2005; 10 in 2006; 11 in 2007 and 2008.
Totals may not sum to 100% due to rounding.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
CIHI 2010
43
Regulated Nurses: Canadian Trends, 2004 to 2008
Nurse Practitioner Mobility Trends: A Mobile Workforce
Of the nurse practitioners employed in Canada who reported their location of graduation in
2008, Table 22 shows that 95.7%, or 1,460, graduated from a nursing program in Canada,
and 4.3%, or 66, graduated from an international nursing program. Since 2004, the
proportion of internationally educated graduates in the Canadian NP workforce remained
stable at close to 4.0%.
Table 22
Nurse Practitioner Workforce, by Location of Graduation, by Canada
and International, 2004 to 2008
Canada
International
(Count)
2004
2005
2006
2007
2008
727
824
991
1,189
1,460
28
36
42
50
66
2004
2005
2006
2007
2008
(Annual Percentage Change)
–
–
13.3%
28.6%
20.3%
16.7%
20.0%
19.0%
22.8%
32.0%
2004
2005
2006
2007
2008
(Percentage Distribution)
96.3%
3.7%
95.8%
4.2%
95.9%
4.1%
96.0%
4.0%
95.7%
4.3%
Notes
– Data is not applicable or does not exist.
Saskatchewan NP counts are not included in totals, as Location of Graduation was not provided.
Number of jurisdictions submitting NP data: 7 in 2004; 9 in 2005; 10 in 2006; 11 in 2007 and 2008.
Non-response for Location of Graduation (% of NP workforce): 2004, n = 4 (0.5%); 2005, n = 9 (1.0%); 2006, n = 8 (0.7%);
2007, n = 8 (0.6%); 2008, n = 2 (0.1%).
Totals may not sum to 100% due to rounding.
Data released by CIHI may differ from data from other sources due to CIHI’s nationally standardized methodology.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
44
CIHI 2010
Chapter 1—Regulated Nurses in Canada: Trends of Registered Nurses
Figure 21 shows that the majority of NPs working in the territories worked at the
community level. Notably, 42.0% of NPs in the territories were employed at community
health centres, home care agencies or nursing stations (outposts or clinics). In contrast,
38.9% of NPs employed in the provinces worked in these types of facilities.
Figure 21
Nurse Practitioner Workforce, by Place of Work, by Provincial or Territorial
Level, Canada, 2008
Territories
Other Place
of Work
40.0%
.
Provinces
Hospital
18.0%
Other Place
of Work
27.5%
.
Hospital
31.2%
Community Health
42.0%
Community Health
38.9%
Nursing
.
Home/LTC
2.5%
Notes
Number of jurisdictions licensing NPs: 11 in 2008.
Non-response for Place of Work (% of NP workforce): n = 37 (2.3%).
Hospital includes data from hospital (general, maternal, pediatric, psychiatric), mental health centre and rehabilitation/convalescent centre.
Community Health includes data from community health centre, home care agency, nursing station (outpost or clinic) and public health
department/unit.
Nursing Home includes data from nursing home/long-term care facility.
Other includes data from business/industry/occupational health office, private nursing agency/private duty, self-employed, physician’s
office/family practice unit, educational institution, association/government and other.
Totals may not sum to 100% due to rounding.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
CIHI 2010
45
Regulated Nurses: Canadian Trends, 2004 to 2008
Urban/Rural Distribution of the Nurse Practitioner Workforce
Figure 22 illustrates the urban/rural distribution of the NP workforce in Canada. In 2008,
76.1% of NPs worked in urban Canada, 11.1% worked in rural settings, 11.6% worked
in remote settings and 1.2% worked in the territories. The distribution was different than
for the RN workforce: 88.9% of RNs worked in urban settings, 4.7% worked in rural
settings, 6.2% worked in remote settings and 0.2% worked in the territories.
Figure 22
Nurse Practitioner Workforce, by Urban/Rural/Remote Designation, Canada, 2008
Rural
11.1%
Urban
76.1%
Other
23.9%
Remote
11.6%
Territories
1.2%
Notes
Number of jurisdictions licensing NPs: 11 in 2008.
Totals may not sum to 100% due to rounding.
Urban areas are defined as communities with populations greater than 10,000 persons.
Rural areas are defined as communities in relatively close proximity to urban areas.
Remote areas are defined as those communities with relatively little social and economic interaction with urban areas.
Territories are defined as areas outside of Whitehorse and Yellowknife in the northern territories.
Postal code analysis for Quebec NP workforce provided by l’Ordre des infirmières et infirmiers du Québec.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
46
CIHI 2010
Chapter 1—Regulated Nurses in Canada: Trends of Registered Nurses
Methodological and Historical Changes to Registered Nursing
Data, 2004 to 2008
Methodological and historical changes to the data make it difficult to compare data across
time. CIHI and the regulatory authorities are continually striving to improve data quality;
therefore, the following information must be taken into consideration when making historical
comparisons and consulting previous CIHI publications. In all cases, comparisons should be
made with caution and in consideration of the historical and methodological changes made.
RN data for the years 1994 to 2001 was published in the CIHI series Supply and Distribution
of Registered Nurses, and RN data for the 2002 data year was published in the report
Workforce Trends of Registered Nurses, 2002.
Historical Review and Data Limitations
For a complete list of the data elements related to RNs, please access the Registered Nurses
System Data Dictionary and Processing Manual on the CIHI website at www.cihi.ca.
Nurse Practitioner
In 2008, the nurse practitioner data was incorporated into the Nursing Database, back
to data year 2003. Consistent methodology was applied to the NP records, including the
removal of duplicates and the six-month cut-off for data collection, resulting in a change
from NP totals published in previous reports.iii
Employment
British Columbia—Employment Status
For the 2005 data year, Employment Status was not re-coded to unknown, thus leading
to an under-reporting of the workforce.
Northwest Territories and Nunavut—Employment Status
The RN workforce relies on a core of full-time resident RNs plus a large number of short-term
relief staff from across Canada each year. While some RNs will return each year, some will
register in the northern territories only once. This lack of stability in the workforce will
result in greater variability in the data.
Data for the Northwest Territories and Nunavut is provided by the Registered Nurses
Association of Northwest Territories and Nunavut (RNANT/NU). For the 2005 to 2008 data
years, it is not possible to accurately divide registered nurses between the two territories;
as a result, data for the Northwest Territories and Nunavut is combined under a single set
of statistics.
For the data years 2005 to 2007, all RNs and NPs employed in registered nursing in the
Northwest Territories and Nunavut were coded as employed in nursing—status unknown.
In 2008, the RNANT/NU provided data for the RN and NP full-time and casual categories,
while in the past, years 2004 to 2007, they were reported under employed in nursing—
status unknown.
iii. See Chapter 5 (Methodological Notes) for more information on the re-coding of the Employment Status element.
CIHI 2010
47
Regulated Nurses: Canadian Trends, 2004 to 2008
Prince Edward Island—Employment Status
According to the Association of Registered Nurses of Prince Edward Island (ARNPEI), P.E.I.
has made an effort to increase the number of full-time nurses. This resulted in a decrease
in the number of part-time nurses for data year 2006. Additionally, the province has seen
an increase in formerly retired RNs who have re-entered the workforce on a casual basis.
Ontario—Employment Status
According to the College of Nurses of Ontario (CNO), for data year 2006, the changes
in the variable Employment Status were a result of refinements in the renewal process
and resulted in changes to those employed in nursing—status unknown.
Quebec—Place of Work, Area of Responsibility, Position
L’Ordre des infirmières et infirmiers du Québec (OIIQ) made changes to its registration form
in 2005, resulting in changes to the employment fields. The OIIQ campaign for an increase
in accuracy of the information reported resulted in a decrease in the category not stated
for these fields.
The ambulatory care sub-component was removed from the list of practice areas on the 2008
registration form. The vast majority of registered nurses who reported in that area are now
reporting under primary care. After discussion with various Quebec stakeholders, it was
agreed that the registered nurses who reported under primary care would be counted under
the community health practice area. This explains the large increase in this sub-component.
Ontario—Place of Work, Area of Responsibility, Position
In 2004, the CNO implemented the CNO Practice and Employment Definition to aid members
in providing information. These definitions added granularity to the data but resulted in shifts
in values for these categories.
Quebec—Multiple Employment Status
The number of nurses with multiple employers decreased in Quebec as a result of the
creation of the health and social service centres (CSSSs). Nurses identifying a CSSS as
their employer may be working in more than one facility operated by the CSSS; while they
may be working in multiple facilities, they have only one employer.
Ontario—Place of Work
According to the CNO, refinements in the renewal process for data year 2006 enabled
the CNO to reduce the number of not stated responses to this category.
New Brunswick—Place of Work
The decrease in the number of RNs selecting hospital for the field Place of Work (Primary
Employer) is the result of a coding change. Extramural nurses, previously coded in the field
hospital, are now coded under community health centre.
During 2005–2006, the government of New Brunswick changed a number of small
hospitals into community health centres (CHCs). This resulted in an initial increase of RNs
reported in CHCs in 2005 and a subsequent decrease reported in 2006 as the RN staff
was realigned to reflect staffing levels appropriate to CHCs.
48
CIHI 2010
Chapter 1—Regulated Nurses in Canada: Trends of Registered Nurses
Quebec—Place of Work
The Quebec Ministère de la santé et des services sociaux merged most of the province’s
public-sector hospitals, long-term care facilities and community health centres into 95 CSSSs.
In 2006, more than 800 nurses identified CSSSs as their place of work. CIHI does not
have an element in its data dictionary that corresponds to this element. As a result, the
Place of Work for these RNs was defaulted to other.
Saskatchewan—Place of Work
In 2006, the decrease in the field community health centre was the result of the addition
of the new field public health department/unit.
Ontario—Position
In 2008, the number of nurses selecting NP under the Position field increased substantially.
This resulted in a concomitant decrease in the number of nurses selecting other under the
Position field.
Northwest Territories and Nunavut—Position
According to the RNANT/NU, relief nurses are identifying themselves under the category other
position rather than staff or community health nurse. This was reflected in the 2006 data.
Newfoundland and Labrador—Position
According to the Association of Registered Nurses of Newfoundland and Labrador (ARNNL),
nine NP registrants should have been categorized as nurse practitioner under the Primary
Position field and not senior manager, staff or community health nurse, instructor/
professor/educator and other positions categories, for the year 2007.
Demographics
Manitoba—Birth Year and Sex
In 2007 and 2008, the College of Registered Nurses of Manitoba (CRNM) submitted age
groups and aggregate tables instead of Birth Year and Sex as a result of changes to
provincial privacy legislation.
Manitoba—Age Group
In 2007, the CRNM did not provide Age Group information for NPs.
Education
Prince Edward Island—Other Education in Nursing and Education in Other Than Nursing
Since 2006, the ARNPEI has continued to emphasize the need for increased accuracy
in regard to the information reported by registrants of the province. This has resulted in a
decrease in the responses under the category not stated and an increase in the responses
under the category none in the Other Education in Nursing and Education in Other Than
Nursing fields.
CIHI 2010
49
Regulated Nurses: Canadian Trends, 2004 to 2008
Manitoba—Other Education in Nursing
In 2006, the CRNM made a substantial correction to the 2005 data for the field Other
Education in Nursing. This reduced the number of RNs in the category baccalaureate.
Northwest Territories/Nunavut—Other Education in Nursing
In 2008, the RNANT/NU provided data for the field Other Education in Nursing for the
category baccalaureate. This reduced the number of RNs in the category none.
Alberta—Education in Other Than Nursing
The College & Association of Registered Nurses of Alberta (CARNA) made a substantial
change to the 2008 data for the field Education in Other Than Nursing. This reduced the
number of RNs in the category none and increased the number in the baccalaureate and
master’s categories.
Alberta—Location of Graduation
In the 2008 data, there was an increase for the categories of United Kingdom, United
States, Hong Kong and other foreign for the field Location of Graduation. This reduced
the number of RNs in the category not stated.
Saskatchewan—Location of Graduation
The SRNA nurse practitioners did not provide a Location of Graduation for 2008.
Quebec—Postal Code
For all data years, postal codes were not submitted to CIHI for the fields Postal Code
of Employer (Worksite) and Postal Code of Residence by the OIIQ.
Manitoba—Postal Code
For all data years, postal codes were not submitted to CIHI by the CRNM. In addition,
only partial postal codes were submitted for the field Postal Code of Residence.
Alberta—Postal Code
Until (and including) 2006, partial postal codes were submitted to CIHI for the field Postal
Code of Employer (Worksite) by the CARNA.
50
CIHI 2010
Chapter 2—Regulated Nurses in Canada: Trends of Licensed Practical Nurses
Chapter 2—Regulated Nurses in Canada:
Trends of Licensed Practical Nurses
Workforce Trends: How Many Licensed Practical Nurses?
The regulated nursing workforce is of critical importance to the health of Canadians, and
thus to health human resource planners. This chapter presents data on licensed practical
nurses (LPNs) working in Canada in 2008 and illustrates key trends over the last five years.
The LPN workforce is defined as LPNs employed in practical nursing within Canada. They
represented 21.8% of the total regulated nursing workforce in 2008. The Employment Status
indicator classifies LPNs as working either in nursing or outside of nursing, or as not working.
The indicator further classifies LPNs in the workforce as working in part-time, full-time
or casual positions. As Figure 23 shows, the vast majority of LPNs who register in Canada
are in the LPN workforce, and close to half (49.0%) are employed in full-time positions.
Figure 23
Licensed Practical Nurses, by Employment Status, Canada, 2008
Full Time
49.0%
Not Stated
1.6%
Not
Employed
3.8%
Employed
in Practical
Nursing
91.7%
Casual
16.4%
Employed in Other
Than Nursing
3.0%
Part Time
34.6%
Notes
Totals may not sum to 100% due to rounding.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
CIHI 2010
51
Regulated Nurses: Canadian Trends, 2004 to 2008
Figure 24 illustrates the growth trend of the LPN workforce per 100,000 population
between 2004 and 2008, when there were 222 LPNs per 100,000 population in Canada.
Since 2004, the growth of the LPN workforce has consistently been higher than the rate
of population growth.
Figure 24
Licensed Practical Nursing Workforce per 100,000 Population, Canada,
2004 to 2008
240
230
220
210
200
190
180
170
2004
2005
2006
2007
2008
Notes
In 2008, projected population estimates were used. Refer to Analytical Methods in the Methodological Notes section.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
Employment Trends: Is the Workforce Changing?
Table 23 shows the supply of licensed practical nurses in Canada over the period 2004
to 2008, when there were 81,121 LPNs in Canada, 3.9% more than in 2007, and 13.8%
more than in 2004. The number of LPNs employed in nursing increased every year
between 2004 and 2008, though the increase was not uniform across the country (see
Table 24). Additional information on LPNs by jurisdiction is available in the data tables
on the CIHI website.
52
CIHI 2010
Chapter 2—Regulated Nurses in Canada: Trends of Licensed Practical Nurses
Table 23
Licensed Practical Nurses, by Employment Status, Canada, 2004 to 2008
Employed in Practical Nursing
Regular
Basis,
Full Time
Regular
Basis,
Part Time
Not Employed in Practical Nursing
Regular Basis,
Status
Unknown
Casual
Basis
Sub-Total
Employed in Other
Than Practical Nursing
Seeking
Employment
A
B
C
D
E=A+B+C+D
F
Not Seeking
Employment
G
285
229
214
201
223
Not Employed
Grand Total
Not
Stated
Sub-Total
J
K=F+G+H+I+J
Seeking
Employment
in Practical
Nursing
H
Not Seeking
Employment
in Practical
Nursing
I
1,113
1,140
1,522
1,402
1,630
1,804
1,606
1,553
1,584
1,434
2,394
2,059
2,163
2,952
1,304
7,838
7,468
7,668
8,371
6,741
71,281
72,421
74,968
78,080
81,121
–
2.4%
33.5%
-7.9%
16.3%
–
-11.0%
-3.3%
2.0%
-9.5%
–
-14.0%
5.1%
36.5%
-55.8%
–
-4.7%
2.7%
9.2%
-19.5%
–
1.6%
3.5%
4.2%
3.9%
1.6%
1.6%
2.0%
1.8%
2.0%
2.5%
2.2%
2.1%
2.0%
1.8%
3.4%
2.8%
2.9%
3.8%
1.6%
11.0%
10.3%
10.2%
10.7%
8.3%
100.0%
100.0%
100.0%
100.0%
100.0%
(Count)
2,242
2,434
2,216
2,232
2,150
2004
2005
2006
2007
2008
27,958
30,217
31,282
32,909
36,408
22,281
23,395
23,991
23,927
25,751
9,165
10,754
11,485
12,535
12,185
4,039
587
542
338
36
63,443
64,953
67,300
69,709
74,380
2004
2005
2006
2007
2008
–
8.1%
3.5%
5.2%
10.6%
–
5.0%
2.5%
-0.3%
7.6%
–
17.3%
6.8%
9.1%
-2.8%
–
-85.5%
-7.7%
-37.6%
-89.3%
–
2.4%
3.6%
3.6%
6.7%
(Annual Percentage Change)
–
–
-19.6%
8.6%
-6.6%
-9.0%
-6.1%
0.7%
10.9%
-3.7%
2004
2005
2006
2007
2008
39.2%
41.7%
41.7%
42.1%
44.9%
31.3%
32.3%
32.0%
30.6%
31.7%
12.9%
14.8%
15.3%
16.1%
15.0%
5.7%
0.8%
0.7%
0.4%
0.0%
89.0%
89.7%
89.8%
89.3%
91.7%
(Percentage Distribution)
0.4%
3.1%
0.3%
3.4%
0.3%
3.0%
0.3%
2.9%
0.3%
2.7%
L=E+K
Notes
– Data is not applicable or does not exist.
Totals may not sum to 100% due to rounding.
LPNs employed in a jurisdiction different from their jurisdiction of registration are excluded to avoid duplication.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
LPNs employed in nursing but reported as employed—status unknown are those who reported
employment data but who failed to indicate their status as full time, part time or casual.
Accordingly, they are included in the workforce but are excluded from some analyses
in the report, as indicated in table footnotes. The number of LPNs reported as employed—
status unknown decreased every year since 2004, and represented only 0.05% of the
total number by 2008.
Table 24
N.L.
Licensed Practical Nursing Workforce, by Jurisdiction and Canada, 2004 to 2008
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
Sask.
Alta.
B.C.
Y.T.
N.W.T.
Canada
24,467
24,458
25,084
26,126
27,435
(Count)
2,415
2,590
2,652
2,671
2,615
2,131
2,194
2,224
2,381
2,514
5,051
5,313
5,614
5,986
6,232
4,811
4,884
5,412
5,791
6,705
53
56
60
59
62
91
101
92
88
94
63,443
64,953
67,300
69,709
74,380
2004
2005
2006
2007
2008
2,710
2,698
2,639
2,598
2,530
628
606
599
623
631
3,058
3,127
3,174
3,160
3,250
2,556
2,633
2,646
2,734
2,731
15,472
16,293
17,104
17,492
19,581
2004
2005
2006
2007
2008
–
-0.4%
-2.2%
-1.6%
-2.6%
–
-3.5%
-1.2%
4.0%
1.3%
–
2.3%
1.5%
-0.4%
2.8%
–
3.0%
0.5%
3.3%
-0.1%
–
5.3%
5.0%
2.3%
11.9%
(Annual Percentage Change)
–
–
–
0.0%
7.2%
3.0%
2.6%
2.4%
1.4%
4.2%
0.7%
7.1%
5.0%
-2.1%
5.6%
–
5.2%
5.7%
6.6%
4.1%
–
1.5%
10.8%
7.0%
15.8%
–
5.7%
7.1%
-1.7%
5.1%
–
11.0%
-8.9%
-4.3%
6.8%
–
2.4%
3.6%
3.6%
6.7%
2004
2005
2006
2007
2008
4.3%
4.2%
3.9%
3.7%
3.4%
1.0%
0.9%
0.9%
0.9%
0.8%
4.8%
4.8%
4.7%
4.5%
4.4%
4.0%
4.1%
3.9%
3.9%
3.7%
24.4%
25.1%
25.4%
25.1%
26.3%
(Percentage Distribution)
38.6%
3.8%
3.4%
37.7%
4.0%
3.4%
37.3%
3.9%
3.3%
37.5%
3.8%
3.4%
36.9%
3.5%
3.4%
8.0%
8.2%
8.3%
8.6%
8.4%
7.6%
7.5%
8.0%
8.3%
9.0%
0.1%
0.1%
0.1%
0.1%
0.1%
0.1%
0.2%
0.1%
0.1%
0.1%
100.0%
100.0%
100.0%
100.0%
100.0%
Notes
– Data is not applicable or does not exist.
Totals may not sum to 100% due to rounding.
Data released by CIHI may differ from data from other sources due to CIHI’s nationally standardized methodology.
LPNs employed in a jurisdiction different from their jurisdiction of registration are excluded to avoid duplication.
Northern territories data may include inter-jurisdictional duplicates.
Data is not collected for Nunavut.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
CIHI 2010
53
Regulated Nurses: Canadian Trends, 2004 to 2008
Licensed Practical Nurses Not Employed in Nursing
Effective health human resource planning requires an understanding of both the current
and the potential workforce. While this report focuses on licensed practical nurses currently
employed in nursing, it is also important to understand the profile of the LPN profession as a
whole and to investigate trends with respect to LPNs who register but do not work in nursing.
Table 25 shows that the largest proportion of LPNs who were seeking employment were
younger than 30. The majority of LPNs not employed in nursing who were age 50 to 59
were not seeking employment between 2004 and 2008.
Table 25
Licensed Practical Nurses Not Employed in Nursing, by Employment Status,
by Age Group, Canada, 2004 to 2008
<30
30–39
40–49
50–59
60+
Canada
Not Employed
in Nursing But Seeking
Nursing Employment
2004
2005
2006
2007
2008
312
368
477
424
504
329
297
398
353
437
312
304
341
316
340
65
74
110
140
153
1,398
1,369
1,736
1,602
1,853
Not Employed
in Nursing and Not
Seeking Nursing
Employment
2004
2005
2006
2007
2008
182
142
132
166
134
676
630
557
577
477
1,503
1,561
1,466
1,432
1,403
438
469
527
614
652
4,045
4,040
3,769
3,815
3,584
Not Employed
in Nursing But Seeking
Nursing Employment
2004
2005
2006
2007
2008
–
17.9%
29.6%
-11.1%
18.9%
–
-9.7%
34.0%
-11.3%
23.8%
(Annual Percentage
–
-14.2%
25.8%
-10.0%
13.6%
Change)
–
-2.6%
12.2%
-7.3%
7.6%
–
13.8%
48.6%
27.3%
9.3%
–
-2.1%
26.8%
-7.7%
15.7%
Not Employed
in Nursing and Not
Seeking Nursing
Employment
2004
2005
2006
2007
2008
–
-22.0%
-7.0%
25.8%
-19.3%
–
-6.8%
-11.6%
3.6%
-17.3%
–
-0.6%
-12.2%
-5.6%
-10.5%
–
3.9%
-6.1%
-2.3%
-2.0%
–
7.1%
12.4%
16.5%
6.2%
–
-0.1%
-6.7%
1.2%
-6.1%
Not Employed
in Nursing But Seeking
Nursing Employment
2004
2005
2006
2007
2008
22.3%
26.9%
27.5%
26.5%
27.2%
23.5%
21.7%
22.9%
22.0%
23.6%
(Percentage Distribution)
27.2%
22.3%
23.8%
22.2%
23.6%
19.6%
23.0%
19.7%
22.6%
18.3%
4.6%
5.4%
6.3%
8.7%
8.3%
100.0%
100.0%
100.0%
100.0%
100.0%
Not Employed
in Nursing and Not
Seeking Nursing
Employment
2004
2005
2006
2007
2008
4.5%
3.5%
3.5%
4.4%
3.7%
16.7%
15.6%
14.8%
15.1%
13.3%
10.8%
11.6%
14.0%
16.1%
18.2%
100.0%
100.0%
100.0%
100.0%
100.0%
(Count)
380
326
410
369
419
1,246
1,238
1,087
1,026
918
30.8%
30.6%
28.8%
26.9%
25.6%
37.2%
38.6%
38.9%
37.5%
39.1%
Notes
– Data is not applicable or does not exist.
Totals may not sum to 100% due to rounding.
Employment Status not employed in nursing includes LPNs who are not working or working in positions outside of nursing.
In 2008, the College of Licensed Practical Nurses of Manitoba submitted aggregate tables for age group.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
54
CIHI 2010
Chapter 2—Regulated Nurses in Canada: Trends of Licensed Practical Nurses
Employment Status
The majority of licensed practical nurses employed in nursing were employed on a regular
basis in full-time positions, with 36,408, or 49.0% of the workforce, working in full-time
positions in 2008.
Table 26
Licensed Practical Nursing Workforce, by Employment Status, by Jurisdiction
and Canada, 2004 to 2008
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
Sask.
Alta.
B.C.
Y.T.
N.W.T.
Canada
1,091
1,043
1,015
1,178
1,365
1,984
2,093
2,244
2,454
2,696
2,134
2,052
2,542
2,737
3,192
37
39
40
37
40
72
79
74
72
80
27,958
30,217
31,282
32,909
36,408
Employed,
Full Time
2004
2005
2006
2007
2008
1,552
1,508
1,434
1,466
1,489
287
250
253
272
285
1,523
1,544
1,587
1,602
1,676
1,244
1,306
1,274
1,368
1,366
6,008
5,992
6,187
6,493
7,860
11,194
13,448
13,765
14,357
15,451
(Count)
832
863
867
873
908
Employed,
Part Time
2004
2005
2006
2007
2008
162
181
170
152
150
223
236
229
232
238
672
716
786
852
869
785
785
795
817
855
7,032
7,181
7,470
7,627
9,079
7,860
8,748
9,027
9,391
9,627
1,367
1,393
1,414
1,438
1,432
637
441
750
622
707
2,359
2,450
2,568
2,67†
2,703
1,171
1,252
768
112
75
7
7
8
8
11
6
5
6
*
5
22,281
23,395
23,991
23,927
25,751
Employed,
Casual
2004
2005
2006
2007
2008
996
1,009
1,032
979
891
118
120
117
119
108
820
863
798
696
703
526
542
575
548
510
2,176
2,768
3,045
3,372
2,642
1,912
2,262
2,292
2,378
2,357
216
257
285
274
275
375
668
456
427
433
708
770
802
85†
833
1,296
1,468
2,060
2,857
3,413
9
10
12
14
11
13
17
11
1†
9
9,165
10,754
11,485
12,535
12,185
Employed,
Status
Unknown
2004
2005
2006
2007
2008
–
–
3
1
–
–
–
–
–
–
43
4
3
10
2
1
–
2
1
–
256
352
402
–
–
3,501
–
–
–
–
–
77
86
86
–
28
42
3
154
9
–
–
–
–
–
210
112
42
85
25
–
–
–
–
–
–
–
1
1
–
4,039
587
542
338
36
Employed,
Full Time
2004
2005
2006
2007
2008
–
-2.8%
-4.9%
2.2%
1.6%
–
-12.9%
1.2%
7.5%
4.8%
–
1.4%
2.8%
0.9%
4.6%
–
5.0%
-2.5%
7.4%
-0.1%
–
-0.3%
3.3%
4.9%
21.1%
(Annual Percentage Change)
–
–
–
20.1%
3.7%
-4.4%
2.4%
0.5%
-2.7%
4.3%
0.7%
16.1%
7.6%
4.0%
15.9%
–
5.5%
7.2%
9.4%
9.9%
–
-3.8%
23.9%
7.7%
16.6%
–
5.4%
2.6%
-7.5%
8.1%
–
9.7%
-6.3%
-2.7%
11.1%
–
8.1%
3.5%
5.2%
10.6%
Employed,
Part Time
2004
2005
2006
2007
2008
–
11.7%
-6.1%
-10.6%
-1.3%
–
5.8%
-3.0%
1.3%
2.6%
–
6.5%
9.8%
8.4%
2.0%
–
0.0%
1.3%
2.8%
4.7%
–
2.1%
4.0%
2.1%
19.0%
–
11.3%
3.2%
4.0%
2.5%
–
1.9%
1.5%
1.7%
-0.4%
–
-30.8%
70.1%
-17.1%
13.7%
–
3.9%
4.8%
†
†
–
6.9%
-38.7%
-85.4%
-33.0%
–
0.0%
14.3%
0.0%
37.5%
–
-16.7%
20.0%
†
†
–
5.0%
2.5%
-0.3%
7.6%
Employed,
Casual
2004
2005
2006
2007
2008
–
1.3%
2.3%
-5.1%
-9.0%
–
1.7%
-2.5%
1.7%
-9.2%
–
5.2%
-7.5%
-12.8%
1.0%
–
3.0%
6.1%
-4.7%
-6.9%
–
27.2%
10.0%
10.7%
-21.6%
–
18.3%
1.3%
3.8%
-0.9%
–
19.0%
10.9%
-3.9%
0.4%
–
78.1%
-31.7%
-6.4%
1.4%
–
8.8%
4.2%
†
†
–
13.3%
40.3%
38.7%
19.5%
–
11.1%
20.0%
16.7%
-21.4%
–
30.8%
-35.3%
†
†
–
17.3%
6.8%
9.1%
-2.8%
Employed,
Full Time
2004
2005
2006
2007
2008
57.3%
55.9%
54.4%
56.4%
58.9%
45.7%
41.3%
42.2%
43.7%
45.2%
50.5%
49.4%
50.0%
50.9%
51.6%
48.7%
49.6%
48.2%
50.1%
50.0%
39.5%
37.6%
37.0%
37.1%
40.1%
(Percentage Distribution)
53.4%
34.5%
51.9%
55.0%
34.3%
48.5%
54.9%
33.8%
45.7%
55.0%
33.8%
52.9%
56.3%
34.7%
54.5%
39.3%
39.4%
40.0%
41.0%
43.3%
46.4%
43.0%
47.3%
48.0%
47.8%
69.8%
69.6%
66.7%
62.7%
64.5%
79.1%
78.2%
81.3%
82.8%
85.1%
47.1%
46.9%
46.9%
47.4%
49.0%
Employed,
Part Time
2004
2005
2006
2007
2008
6.0%
6.7%
6.4%
5.9%
5.9%
35.5%
38.9%
38.2%
37.2%
37.7%
22.3%
22.9%
24.8%
27.0%
26.8%
30.7%
29.8%
30.1%
29.9%
31.3%
46.2%
45.0%
44.7%
43.6%
46.4%
37.5%
35.8%
36.0%
35.9%
35.1%
56.6%
55.4%
55.1%
55.6%
54.8%
30.3%
20.5%
33.8%
27.9%
28.2%
46.7%
46.1%
45.7%
†
43.4%
25.5%
26.2%
14.3%
2.0%
1.1%
13.2%
12.5%
13.3%
13.6%
17.7%
6.6%
5.0%
6.6%
†
5.3%
37.5%
36.3%
35.9%
34.5%
34.6%
Employed,
Casual
2004
2005
2006
2007
2008
36.8%
37.4%
39.2%
37.7%
35.2%
18.8%
19.8%
19.5%
19.1%
17.1%
27.2%
27.6%
25.2%
22.1%
21.6%
20.6%
20.6%
21.7%
20.1%
18.7%
14.3%
17.4%
18.2%
19.3%
13.5%
9.1%
9.2%
9.1%
9.1%
8.6%
8.9%
10.2%
11.1%
10.6%
10.5%
17.8%
31.0%
20.5%
19.2%
17.3%
14.0%
14.5%
14.3%
†
13.4%
28.2%
30.8%
38.4%
50.1%
51.1%
17.0%
17.9%
20.0%
23.7%
17.7%
14.3%
16.8%
12.1%
†
9.6%
15.4%
16.7%
17.2%
18.1%
16.4%
Notes
– Data is not applicable or does not exist.
* Value suppressed in accordance with CIHI privacy policy; cell value is from 1 to 4.
† Digit suppressed to ensure confidentiality; digit value is from 0 to 9 and corresponding percentage value.
Totals may not sum to 100% due to rounding.
The data submission method was modified for the 2004 data, contributing to substantial increases in the number of LPNs with Employment
Status unknown.
Employed LPNs with employed—status unknown are excluded from the percentage distributions.
Data released by CIHI may differ from data from other sources due to CIHI’s nationally standardized methodology.
LPNs employed in a jurisdiction different from their jurisdiction of registration are excluded to avoid duplication.
Northern territories data may include inter-jurisdictional duplicates.
Data is not collected for Nunavut.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
CIHI 2010
55
Regulated Nurses: Canadian Trends, 2004 to 2008
As Table 26 demonstrates, the percentage of the LPN workforce employed on a full-time
basis varied across jurisdictions in 2008, from 34.7% in Manitoba and 43.3% in Alberta
to 85.1% in the Northwest Territories and 64.5% in the Yukon. The proportion of LPNs
in part-time positions ranged from 1.1% in British Columbia and 5.3% in the Northwest
Territories to 54.8% in Manitoba and 46.8% in Quebec. The average age of LPNs was
45.3 for full-time workers, 42.0 for part-time workers and 40.3 for casual workers.
A higher proportion of male LPNs (59.6%) than female LPNs (48.7%) were employed in
full-time positions in 2008. Only 23.7% of male LPNs had part-time employment, compared
to 34.7% of female LPNs. There were 16.8% of male LPNs and 16.6% of female LPNs
employed on a casual basis.
Multiple Employment
It is not uncommon for LPNs to have more than one nursing job, often with multiple
employers. In 2008, 17.7% of the LPN workforce reported having more than one employer
in nursing, and the proportion was consistently higher for those working on a part-time
or casual basis. Although 51.0% of the 2008 workforce reported working in part-time
or casual positions, the total number of hours worked by those in multiple positions may
in fact equal or exceed the total of a full-time position.
Table 27
Licensed Practical Nurses Employed in Nursing With Multiple Employers,
by Employment Status With Primary Employer, Canada, 2004 to 2008
Employed,
Full Time
Employed,
Part Time
2004
2005
2006
2007
2008
2,460
2,922
3,293
3,913
4,628
3,880
4,389
4,534
4,760
5,116
2004
2005
2006
2007
2008
–
18.8%
12.7%
18.8%
18.3%
–
13.1%
3.3%
5.0%
7.5%
2004
2005
2006
2007
2008
28.5%
28.9%
30.2%
32.0%
35.9%
44.9%
43.4%
41.6%
38.9%
39.7%
Employed,
Casual
Employed,
Status Unknown
(Count)
2,297
2,799
3,085
3,564
3,150
Total With
Multiple Employers
132
164
140
64
5
8,769
10,274
11,052
12,301
12,899
(Annual Percentage Change)
–
21.9%
10.2%
15.5%
-11.6%
–
–
–
–
–
–
17.2%
7.6%
11.3%
4.9%
(Percentage Distribution)
26.6%
27.7%
28.3%
29.1%
24.4%
–
–
–
–
–
100.0%
100.0%
100.0%
100.0%
100.0%
Notes
– Data is not applicable or does not exist.
Non-response for Multiple Employment (% of LPN workforce): 2004, n = 436 (0.7%); 2005, n = 249 (0.4%); 2006, n = 175 (0.3%);
2007, n = 159 (0.2%); 2008, n = 1,638 (2.2%).
Employed LPNs with Employment Status employed—status unknown are excluded from percentage distribution.
Totals may not sum to 100% due to rounding.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
56
CIHI 2010
Chapter 2—Regulated Nurses in Canada: Trends of Licensed Practical Nurses
Figure 25 shows the distribution by age group of LPNs working for multiple employers; LPNs
age 30 to 49 comprised the largest group in 2008. Further breakdown by Employment Status
indicates that, in 2008, a high number of part-time LPNs was working in multiple positions.
Figure 25
Licensed Practical Nurses Employed in Nursing With Multiple Employers,
by Employment Status, by Age Group, Canada, 2008
35%
30%
25%
7.6%
6.2%
20%
15%
10%
5.9%
10.9%
11.6%
3.6%
6.9%
8.9%
5%
5.2%
8.8%
11.5%
1.5%
1.1%
9.0%
1.3%
0%
<30
30–39
40–49
50–59
60+
Age Groups
Full Time
Part Time
Casual
Notes
Non-response for Multiple Employment (% of LPN workforce): 2008, n = 1,638 (2.2%).
In 2008, the College of Licensed Practical Nurses of Manitoba submitted aggregate tables for age group.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
CIHI 2010
57
Regulated Nurses: Canadian Trends, 2004 to 2008
Place of Work
The hospital sector employed just less than half of the LPN workforce in Canada (45.8%).
The sector that grew the most in Canada from 2004 to 2008 was community health,
growing from 6.4% to 7.1%.
8.6%
6.4%
38.6%
7.1%
45.8%
39.4%
6.4%
24.2%
47.7%
14.3%
21.5%
22.6%
25.3%
2.2%
58.2%
1.1%
61.3%
56.6%
3.9%
10.0%
54.8%
14.5%
6.0%
11.3%
36.1%
7.9%
32.1%
54.1%
58.1%
57.2%
39.7%
52.4%
5.2%
11.0%
8.6%
40.1%
49.6%
46.4%
34.6%
38.6%
53.4%
47.4%
49.7%
46.8%
50.5%
44.1%
43.1%
20.0%
52.0%
40.0%
30.0%
34.5%
6.9%
8.8%
26.0%
24.9%
9.0%
9.0%
8.4%
67.3%
20.4%
3.9%
5.9%
5.1%
18.5%
8.5%
43.4%
67.9%
43.6%
33.3%
36.4%
9.9%
11.1%
1.4%
47.6%
54.2%
1.2%
7.7%
6.0%
7.2%
16.5%
6.0%
3.2%
40.4%
3.7%
42.3%
10.6%
9.7%
3.0%
2.0%
36.1%
37.0%
37.9%
5.1%
3.5%
2.0%
60.0%
50.0%
38.0%
5.4%
52.4%
52.3%
80.0%
70.0%
6.0%
6.5%
7.3%
1.1%
90.0%
1.4%
100.0%
Licensed Practical Nursing Workforce, by Place of Work, by Jurisdiction
and Canada, 2004 and 2008
6.1%
Figure 26
0.0%
2004 2008 2004 2008 2004 2008 2004 2008 2004 2008 2004 2008 2004 2008 2004 2008 2004 2008 2004 2008 2004 2008 2004 2008 2004 2008
N.L.
P.E.I.
N.S.
Hospital
N.B.
Que.
Ont.
Community Health
Man.
Sask.
Alta.
Nursing Home/LTC
B.C.
Y.T.
N.W.T.
Canada
Other Place of Work
Notes
Non-response for Place of Work (% of LPN workforce): 2004, n = 3,285 (5.2%); 2008, n = 2,430 (3.3%).
Hospital includes data from hospital (general, maternal, pediatric, psychiatric), mental health centre and rehabilitation/convalescent centre.
Community Health includes data from community health centre, home care agency, nursing station (outpost or clinic) and public health
department/unit.
Nursing Home/LTC includes data from nursing home/long-term care facility.
Other Place of Work includes data from business/industry/occupational health office, private nursing agency/private duty, self-employed,
physician’s office/family practice unit, educational institution, association/government and other.
Totals may not sum to 100% due to rounding.
Data released by CIHI may differ from data from other sources due to CIHI’s nationally standardized methodology.
LPNs employed in a jurisdiction different from their jurisdiction of registration are excluded to avoid duplication.
Northern territories data may include inter-jurisdictional duplicates.
Data is not collected for Nunavut.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
In 2008, the average age of LPNs working in the hospital sector was 43.6, compared
to the average age of 45.1 for LPNs employed in community health and 43.6 for LPNs
in the nursing home/long-term care sector.
Position
In 2008, 66,452 LPNs (92.4%) were employed as staff practical nurses/community health
practical nurses in Canada, an increase of 4.3% from 63,718 in 2007, shown in Table 28.
58
CIHI 2010
Chapter 2—Regulated Nurses in Canada: Trends of Licensed Practical Nurses
Table 28
Licensed Practical Nursing Workforce, by Position, by Jurisdiction and Canada,
2004 to 2008
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
Sask.
Alta.
B.C.
Y.T.
N.W.T.
Canada
1,894
1,996
2,039
2,188
2,260
4,710
4,936
5,245
5,560
5,767
4,05†
4,47†
4,99†
5,31†
6,18†
–
–
–
–
–
8†
9†
8†
8†
9†
54,446
58,496
60,831
63,718
66,451
Staff Nurse
2004
2005
2006
2007
2008
2,578
2,570
2,511
2,460
2,400
545
555
546
564
565
2,781
2,868
2,906
2,864
2,954
2,168
2,233
2,344
2,448
2,471
14,163
15,454
16,125
16,819
17,448
19,161
20,858
21,533
22,892
23,863
(Count)
2,303
2,450
2,498
2,519
2,446
Manager
2004
2005
2006
2007
2008
–
–
–
–
–
9
7
10
6
8
53
67
69
75
89
50
57
52
53
52
30
6
–
–
–
522
504
548
568
636
22
46
51
46
42
16
14
17
15
15
51
55
49
68
78
76
54
57
6†
86
–
–
–
–
–
–
–
–
*
–
829
810
853
895
1,006
Other Positions
2004
2005
2006
2007
2008
121
122
120
128
122
71
43
39
52
56
142
148
144
157
160
336
343
250
230
207
968
603
649
638
345
1,839
1,993
1,887
2,057
2,381
90
94
103
106
127
214
178
164
176
239
289
322
320
358
387
66†
34†
34†
40†
43†
–
–
–
–
–
*
*
*
*
*
4,734
4,199
4,024
4,308
4,456
Staff Nurse
2004
2005
2006
2007
2008
–
-0.3%
-2.3%
-2.0%
-2.4%
–
1.8%
-1.6%
3.3%
0.2%
–
3.1%
1.3%
-1.4%
3.1%
–
3.0%
5.0%
4.4%
0.9%
–
9.1%
4.3%
4.3%
3.7%
(Annual Percentage Change)
–
–
–
8.9%
6.4%
5.4%
3.2%
2.0%
2.2%
6.3%
0.8%
7.3%
4.2%
-2.9%
3.3%
–
4.8%
6.3%
6.0%
3.7%
†
†
†
†
†
–
–
–
–
–
†
†
†
†
†
–
7.4%
4.0%
4.7%
4.3%
Manager
2004
2005
2006
2007
2008
–
–
–
–
–
–
-22.2%
42.9%
-40.0%
33.3%
–
26.4%
3.0%
8.7%
18.7%
–
14.0%
-8.8%
1.9%
-1.9%
–
-80.0%
–
–
–
–
-3.4%
8.7%
3.6%
12.0%
–
109.1%
10.9%
-9.8%
-8.7%
–
-12.5%
21.4%
-11.8%
0.0%
–
7.8%
-10.9%
38.8%
14.7%
–
-28.9%
5.6%
†
†
–
–
–
–
–
–
–
–
–
–
–
-2.3%
5.3%
4.9%
12.4%
Other Positions
2004
2005
2006
2007
2008
–
0.8%
-1.6%
6.7%
-4.7%
–
-39.4%
-9.3%
33.3%
7.7%
–
4.2%
-2.7%
9.0%
1.9%
–
2.1%
-27.1%
-8.0%
-10.0%
–
-37.7%
7.6%
-1.7%
-45.9%
–
8.4%
-5.3%
9.0%
15.8%
–
4.4%
9.6%
2.9%
19.8%
–
-16.8%
-7.9%
7.3%
35.8%
–
11.4%
-0.6%
11.9%
8.1%
†
†
†
†
†
–
–
–
–
–
†
†
†
†
†
–
-11.3%
-4.2%
7.1%
3.4%
Staff Nurse
2004
2005
2006
2007
2008
95.5%
95.5%
95.4%
95.1%
95.2%
87.2%
91.7%
91.8%
90.7%
89.8%
93.4%
93.0%
93.2%
92.5%
92.2%
84.9%
84.8%
88.6%
89.6%
90.5%
93.4%
96.2%
96.1%
96.3%
98.1%
(Percentage Distribution)
89.0%
95.4%
89.2%
89.3%
94.6%
91.2%
89.8%
94.2%
91.8%
89.7%
94.3%
92.0%
88.8%
93.5%
89.9%
93.3%
92.9%
93.4%
92.9%
92.5%
†
†
†
†
†
–
–
–
–
–
†
†
†
†
†
90.7%
92.1%
92.6%
92.5%
92.4%
Manager
2004
2005
2006
2007
2008
–
–
–
–
–
1.4%
1.2%
1.7%
1.0%
1.3%
1.8%
2.2%
2.2%
2.4%
2.8%
2.0%
2.2%
2.0%
1.9%
1.9%
0.2%
0.0%
–
–
–
2.4%
2.2%
2.3%
2.2%
2.4%
0.9%
1.8%
1.9%
1.7%
1.6%
0.8%
0.6%
0.8%
0.6%
0.6%
1.0%
1.0%
0.9%
1.1%
1.3%
1.6%
1.1%
1.1%
†
1.3%
–
–
–
–
–
–
–
–
†
–
1.4%
1.3%
1.3%
1.3%
1.4%
Other Positions
2004
2005
2006
2007
2008
4.5%
4.5%
4.6%
4.9%
4.8%
11.4%
7.1%
6.6%
8.4%
8.9%
4.8%
4.8%
4.6%
5.1%
5.0%
13.2%
13.0%
9.4%
8.4%
7.6%
6.4%
3.8%
3.9%
3.7%
1.9%
8.5%
8.5%
7.9%
8.1%
8.9%
3.7%
3.6%
3.9%
4.0%
4.9%
10.1%
8.1%
7.4%
7.4%
9.5%
5.7%
6.1%
5.7%
6.0%
6.2%
†
†
†
†
†
–
–
–
–
–
†
†
†
†
†
7.9%
6.6%
6.1%
6.3%
6.2%
Notes
– Data is not applicable or does not exist.
* Value suppressed in accordance with CIHI privacy policy; cell value is from 1 to 4.
† Digit suppressed to ensure confidentiality; digit value is from 0 to 9 and corresponding percentage value.
Non-response for Position Type (% of LPN workforce): 2004, n = 3,434 (5.4%); 2005, n = 1,448 (2.2%); 2006, n = 1,592 (2.4%);
2007, n = 788 (1.1%); 2008, n = 2,467 (3.3%).
Position Type data from the Yukon was not submitted to CIHI.
Staff Nurse includes LPN staff nurse/community health nurse.
Manager includes coordinator/care manager.
Other Positions includes instructor/professor/educator, LPN specialty and other.
Totals may not sum to 100% due to rounding.
Data released by CIHI may differ from data from other sources due to CIHI’s nationally standardized methodology.
LPNs employed in a jurisdiction different from their jurisdiction of registration are excluded to avoid duplication.
Northern territories data may include inter-jurisdictional duplicates.
Data is not collected for Nunavut.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
CIHI 2010
59
Regulated Nurses: Canadian Trends, 2004 to 2008
Area of Responsibility
The proportion of the licensed practical nursing workforce in direct care ranged from 95.2%
in the Yukon and New Brunswick to 99.8% in Newfoundland and Labrador and 100%
in the Northwest Territories. Many health human resource planners are interested in these
totals, as these numbers represent the LPNs providing services directly to patients. Areas
of responsibility covered by LPNs that fall outside of direct care include administration,
education and research.
Overall, LPNs who provide direct care to patients are younger than those working in
administration, education or research. In 2008, the average age was 43.5 for LPNs in
direct care, 46.7 for LPNs working in administration, 43.8 for LPNs working in education
and 45.0 for those working in research.
Table 29
Licensed Practical Nursing Workforce, by Area of Responsibility, Canada, 2008
Count
Percentage
32,094
13,731
3,646
2,991
2,793
2,421
1,264
1,152
1,136
865
840
802
697
179
164
132
78
6,072
71,057
44.5%
19.0%
5.1%
4.1%
3.9%
3.4%
1.8%
1.6%
1.6%
1.2%
1.2%
1.1%
1.0%
0.2%
0.2%
0.2%
0.1%
8.4%
98.5%
Administration
Nursing Service
Nursing Education
Other Administration
Total Administration
180
10
404
594
0.2%
<0.1%
0.6%
0.8%
Education
Teaching—Students
Teaching—Employees
Teaching—Patients/Clients
Other Education
Total Education
256
23
19
200
498
0.4%
<0.1%
<0.1%
0.3%
0.7%
9
15
24
72,173
<0.1%
<0.1%
<0.1%
100.0%
Direct Care
Geriatric/Long-Term Care
Medical/Surgical
Psychiatric/Mental Health
Nursing in Several Clinical Areas
Rehabilitation
Community Health
Home Care
Ambulatory Care
Palliative Care
Maternal/Newborn
Emergency Room
Operating Room
Pediatric
Public Health
Occupational Health
Critical Care (Burn)
Oncology
Other Patient Care
Total Direct Care
Research
Nursing Reseach Only
Other Research
Total Research
Total
Notes
<0.1: Value is less than 0.05%; value is replaced to prevent displaying cells of 0.0 that are not true zero values.
Non-response for Area of Responsibility (% of LPN workforce): n = 2,207 (3.0%).
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
60
CIHI 2010
Chapter 2—Regulated Nurses in Canada: Trends of Licensed Practical Nurses
In 2008, the greatest proportion of LPNs worked in geriatric/long-term care and medical/
surgical areas. These areas are typically among the most frequently identified each year.
The area of responsibility with the most LPNs, geriatric/long-term care, also attracted the
most recent graduates. In 2008, LPNs in their first five years of nursing accounted for
44.0% of all LPNs working in geriatric/long-term care. LPNs who graduated more than
30 years ago represented 39.8% of geriatric/long-term care LPNs in 2008. Among male
LPNs, the most frequently identified areas of responsibility in 2008 were geriatric/long-term
care (37.7%) and medicine/surgery (18.4%).
Demographic Trends: Sex and Age Composition
of the Licensed Practical Nursing Workforce
Almost all LPNs (92.8%) in the Canadian workforce were female in 2008. This proportion has
not changed substantially for the past five years (see Table 30). Additional information on LPN
demographic characteristic trends by jurisdiction is available in the data tables on the CIHI website.
Table 30
Licensed Practical Nursing Workforce, by Sex, by Jurisdiction and Canada,
2004 to 2008
N.L.
P.E.I.
N.S.
N.B.
Que.
Man.
Sask.
Alta.
B.C.
Y.T.
N.W.T.
Canada
(Count)
22,987
2,315
23,033
2,472
23,596
2,522
24,543
2,537
25,744
2,482
2,074
2,128
2,157
2,305
2,428
4,826
5,076
5,361
5,718
5,959
4,386
4,442
4,906
5,239
6,069
5†
5†
5†
5†
5†
7†
8†
7†
7†
7†
59,084
60,530
62,621
64,818
68,999
57
66
67
76
86
225
237
253
268
273
425
442
506
552
636
*
*
*
*
*
1†
1†
1†
1†
1†
4,359
4,423
4,679
4,891
5,381
(Annual Percentage Change)
–
–
–
–
5.4%
0.2%
6.8%
2.6%
4.7%
2.4%
2.0%
1.4%
2.3%
4.0%
0.6%
6.9%
11.3%
4.9%
-2.2%
5.3%
–
5.2%
5.6%
6.7%
4.2%
–
1.3%
10.4%
6.8%
15.8%
–
†
†
†
†
–
†
†
†
†
–
2.4%
3.5%
3.5%
6.5%
–
15.8%
1.5%
13.4%
13.2%
–
5.3%
6.8%
5.9%
1.9%
–
4.0%
14.5%
9.1%
15.2%
–
†
†
†
†
–
†
†
†
†
–
1.5%
5.8%
4.5%
10.0%
(Percentage Distribution)
94.0%
95.9%
97.3%
94.2%
95.4%
97.0%
94.1%
95.1%
97.0%
93.9%
95.0%
96.8%
93.8%
94.9%
96.6%
95.5%
95.5%
95.5%
95.5%
95.6%
91.2%
91.0%
90.7%
90.5%
90.5%
†
†
†
†
†
†
†
†
†
†
93.1%
93.2%
93.0%
93.0%
92.8%
4.5%
4.5%
4.5%
4.5%
4.4%
8.8%
9.0%
9.3%
9.5%
9.5%
†
†
†
†
†
†
†
†
†
†
6.9%
6.8%
7.0%
7.0%
7.2%
Female
2004
2005
2006
2007
2008
2,346
2,353
2,307
2,268
2,216
579
555
548
567
572
2,899
2,968
3,011
2,995
3,076
2,303
2,364
2,366
2,444
2,429
14,240
15,002
15,712
16,068
17,887
Male
2004
2005
2006
2007
2008
364
345
332
330
314
49
51
51
56
59
159
159
163
165
174
253
269
280
290
302
1,232
1,291
1,392
1,424
1,694
Female
2004
2005
2006
2007
2008
–
0.3%
-2.0%
-1.7%
-2.3%
–
-4.1%
-1.3%
3.5%
0.9%
–
2.4%
1.4%
-0.5%
2.7%
–
2.6%
0.1%
3.3%
-0.6%
Male
2004
2005
2006
2007
2008
–
-5.2%
-3.8%
-0.6%
-4.8%
–
4.1%
0.0%
9.8%
5.4%
–
0.0%
2.5%
1.2%
5.5%
–
6.3%
4.1%
3.6%
4.1%
–
4.8%
7.8%
2.3%
19.0%
Female
2004
2005
2006
2007
2008
86.6%
87.2%
87.4%
87.3%
87.6%
92.2%
91.6%
91.5%
91.0%
90.6%
94.8%
94.9%
94.9%
94.8%
94.6%
90.1%
89.8%
89.4%
89.4%
88.9%
92.0%
92.1%
91.9%
91.9%
91.3%
Male
2004
2005
2006
2007
2008
13.4%
12.8%
12.6%
12.7%
12.4%
7.8%
8.4%
8.5%
9.0%
9.4%
5.2%
5.1%
5.1%
5.2%
5.4%
9.9%
10.2%
10.6%
10.6%
11.1%
8.0%
7.9%
8.1%
8.1%
8.7%
Ont.
1,480
1,425
1,488
1,583
1,691
–
-3.7%
4.4%
6.4%
6.8%
6.0%
5.8%
5.9%
6.1%
6.2%
100
118
130
134
133
–
18.0%
10.2%
3.1%
-0.7%
4.1%
4.6%
4.9%
5.0%
5.1%
2.7%
3.0%
3.0%
3.2%
3.4%
Notes
– Data is not applicable or does not exist.
* Value suppressed in accordance with CIHI privacy policy; cell value is from 1 to 4.
† Digit suppressed to ensure confidentiality; digit value is from 0 to 9 and corresponding percentage value.
Totals may not sum to 100% due to rounding.
Data released by CIHI may differ from data from other sources due to CIHI’s nationally standardized methodology.
LPNs employed in a jurisdiction different from their jurisdiction of registration are excluded to avoid duplication.
Northern territories data may include inter-jurisdictional duplicates.
Data is not collected for Nunavut.
In 2008, the College of Licensed Practical Nurses of Manitoba submitted aggregate tables for sex.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
CIHI 2010
61
Regulated Nurses: Canadian Trends, 2004 to 2008
More than half of all male LPNs in the workforce (62.9%) were employed in two provinces,
Ontario and Quebec, in 2008. Jurisdictions with the highest proportions of male LPNs
were the Northwest Territories, at 16.0%, and Newfoundland and Labrador, at 12.4%.
In contrast, 3.4% of Saskatchewan’s LPNs were male. While representing only 7.2%
of the overall LPN workforce in 2008, males accounted for 37.7% of LPNs employed
in geriatrics/long-term care.
Average Age of the Workforce
Average age may be used in addition to age groupings to describe trends and to make
comparisons between the LPN workforce and other professions. As Figure 27 shows, the
average age of selected health occupations increased between the years 2004 and 2008.
In addition to the aging of each worker, several variables affect the rate at which the
average age of the workforce changes. They include the rates of entry into and exit from
the workforce and the ages of the workers entering and exiting the workforce.
Figure 27
Average Age of Licensed Practical Nursing Workforce Compared to Selected
Health Occupations, Canada, 2004 to 2008
52.0
50.0
48.0
46.0
44.0
42.0
40.0
38.0
36.0
34.0
2004
2005
2006
2007
2008
Specialist Physicians
General Practitioners
Pharmacists
Physiotherapists
Occupational Therapists
Registered Nurses
Licensed Practical Nurses
Registered Psychiatric Nurses
Notes
Totals may not sum to 100% due to rounding.
The RPN workforce of the four western provinces represents the total RPN workforce in Canada.
For 2007, Manitoba RN data was excluded from average age calculation for Canada, as the College of Registered Nurses of Manitoba
submitted aggregate tables for average age.
For 2008, Manitoba RN and LPN data was excluded from average age calculation for Canada, as the College of Registered Nurses of Manitoba
and the College of Licensed Practical Nurses of Manitoba submitted aggregate tables for average age.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Sources
Nursing Database and Scott’s Medical Database, Canadian Institute for Health Information; and Labour Force Survey, Statistics Canada.
62
CIHI 2010
Chapter 2—Regulated Nurses in Canada: Trends of Licensed Practical Nurses
Table 31 shows the range of average ages across the country from 2004 to 2008. In each
case, the change from the previous year was relatively small. The average age for Canadian
LPNs declined from 44.4 in 2004, to 43.4 in 2008. The largest increases were in Nova
Scotia and Manitoba, where the average age rose by 1.2 years. The largest decreases
were seen in Quebec and British Columbia, where the average age decreased by 2.6 and
2.9 years, respectively.
Table 31
Average Age of the Licensed Practical Nursing Workforce, by Jurisdiction
and Canada, 2004 to 2008
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
44.9
45.2
45.1
44.9
44.7
Man.
Average Age
45.0
44.9
45.2
45.4
46.2
Sask.
Alta.
B.C.
Y.T.
N.W.T.
Canada
44.4
44.0
44.1
43.5
43.2
2004
2005
2006
2007
2008
44.2
44.4
44.5
44.8
45.0
44.8
45.0
45.0
45.5
45.9
43.7
44.1
44.4
44.9
44.9
42.7
42.8
43.0
43.2
43.1
44.1
43.6
43.0
42.7
41.5
44.2
43.8
43.5
43.3
43.2
44.7
43.5
42.9
42.3
41.8
46.6
47.1
47.6
48.3
47.3
44.1
43.5
44.9
45.6
44.8
44.4
44.3
44.1
43.9
43.4
2004
2005
2006
2007
2008
–
0.3
0.1
0.3
0.1
–
0.1
0.0
0.5
0.4
–
0.4
0.4
0.5
0.0
–
0.1
0.1
0.3
-0.1
Annual Increase/Decrease in Average Age
–
–
–
–
–
-0.5
0.4
-0.1
-0.4
-0.5
-0.5
-0.1
0.3
0.1
-0.3
-0.3
-0.2
0.2
-0.6
-0.2
-1.2
-0.2
0.8
-0.3
-0.1
–
-1.2
-0.6
-0.5
-0.6
–
0.5
0.5
0.7
-1.0
–
-0.6
1.5
0.7
-0.8
–
-0.1
-0.2
-0.2
-0.6
Notes
– Data is not applicable or does not exist.
Data released by CIHI may differ from data from other sources due to CIHI’s nationally standardized methodology.
Data is not collected for Nunavut.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
Exiting and Entering the Workforce
Table 32 represents all LPNs who registered with a specific jurisdiction, not only the workforce.
A new registrant may be a new graduate, an immigrant, an interprovincial mover or an LPN
re-registering following an absence of one year or more. An exit may be an LPN who has
left the profession (either temporarily or permanently) or retired, or an LPN who is registered
in another jurisdiction or country in year “x” and may still be practising nursing in another
province, territory or country.
Table 32 shows new registration rates and exit rates by jurisdiction and by age group. Exit
rates show that LPNs in the 60 and older age group had the highest prevalence of leaving
nursing across all regions in Canada (with the exception of Manitoba and Alberta) in 2008.
The highest exit rates by jurisdiction were seen with LPNs age 60 and older in Quebec
(64.7%), Newfoundland and Labrador (29.9%) and the territories (25.0%). Higher exit
rates were also seen in the youngest age group, with high exit rates in LPNs younger than
age 30 in Manitoba (19.6%), Alberta (16.1%) and Prince Edward Island (13.1%). Given the
low registration rates for the group of LPNs age 60 and older across all regions of Canada,
it is plausible that a large portion of LPNs age 60 and older who did not re-register in 2008
(2007 exits) retired from nursing. The LPNs younger than 30 who did not re-register may
have moved to another jurisdiction within or outside of Canada to continue practising
nursing, left the profession temporarily to pursue education, taken a leave of absence or
left the profession permanently. Note that many LPNs who take a leave of absence or
pursue further education maintain their registration and are thus not counted as exits.
CIHI 2010
63
Regulated Nurses: Canadian Trends, 2004 to 2008
Table 32
Licensed Practical Nurses: Rate of New Registrations and Exit Rates,
by Age Group, by Jurisdiction, 2004 to 2008
Age
Group
New
Registration
Rates
Exit Rates
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
Sask.
Alta.
B.C.
Territories
0–29
2005
2006
2007
2008
23.3%
22.8%
21.4%
25.7%
28.8%
29.6%
31.1%
20.0%
31.3%
28.9%
31.1%
41.7%
23.3%
22.7%
19.7%
27.6%
34.2%
32.2%
27.7%
42.2%
31.0%
35.6%
33.3%
29.1%
31.0%
26.9%
25.0%
30.5%
29.6%
20.8%
33.5%
28.7%
35.5%
31.4%
30.0%
29.8%
43.4%
40.3%
33.5%
40.7%
44.4%
50.0%
75.0%
70.0%
30–39
2005
2006
2007
2008
6.4%
6.1%
7.5%
6.8%
7.6%
10.2%
12.8%
15.8%
12.6%
11.5%
11.7%
13.5%
12.1%
13.8%
14.1%
10.3%
18.4%
19.7%
18.1%
27.7%
12.7%
13.0%
13.5%
13.8%
18.0%
11.2%
12.7%
10.4%
17.5%
16.0%
21.2%
15.3%
19.4%
18.5%
20.1%
18.1%
23.6%
25.8%
19.3%
22.9%
33.3%
10.7%
35.5%
17.1%
40–49
2005
2006
2007
2008
3.2%
2.6%
2.1%
2.4%
4.5%
9.4%
9.3%
8.7%
7.2%
4.9%
4.1%
7.2%
6.4%
6.8%
6.0%
6.7%
7.2%
8.5%
6.5%
12.7%
8.9%
8.5%
8.4%
8.1%
9.6%
6.2%
6.7%
7.6%
5.7%
4.2%
7.9%
5.1%
8.7%
9.5%
10.7%
8.9%
15.3%
16.9%
14.5%
15.6%
19.4%
12.3%
13.5%
8.2%
50–59
2005
2006
2007
2008
0.7%
0.8%
1.2%
1.9%
3.3%
3.5%
9.4%
3.6%
3.8%
4.1%
3.8%
2.8%
4.1%
2.0%
3.7%
3.4%
3.1%
2.4%
44.8%
36.2%
7.5%
5.4%
5.5%
4.6%
3.4%
3.1%
1.4%
2.6%
3.2%
1.9%
2.2%
2.7%
3.2%
3.5%
6.6%
4.8%
7.3%
12.6%
9.3%
6.8%
6.8%
7.8%
4.3%
8.5%
60+
2005
2006
2007
2008
1.2%
2.7%
2.1%
0.7%
2.4%
11.1%
2.1%
3.9%
4.5%
1.6%
2.8%
4.4%
1.7%
6.4%
3.5%
2.4%
4.2%
2.6%
54.0%
56.4%
10.6%
5.7%
4.9%
5.7%
3.3%
1.4%
1.2%
0.7%
1.4%
1.3%
3.4%
1.7%
1.1%
3.6%
2.6%
2.0%
3.1%
8.7%
6.3%
4.3%
0.0%
12.5%
8.3%
7.7%
0–29
2004
2005
2006
2007
6.3%
4.0%
9.1%
9.4%
13.7%
9.6%
9.3%
13.1%
14.3%
10.3%
14.5%
12.9%
8.4%
11.1%
8.0%
9.8%
7.4%
9.8%
12.2%
11.3%
13.2%
8.8%
6.1%
4.8%
6.1%
11.2%
10.4%
19.6%
9.3%
8.6%
11.3%
7.8%
14.6%
11.6%
13.0%
16.1%
15.1%
14.8%
10.4%
10.3%
22.2%
44.4%
83.3%
0.0%
30–39
2004
2005
2006
2007
3.8%
4.5%
4.3%
6.6%
7.7%
9.1%
14.1%
10.3%
8.0%
7.8%
11.0%
7.7%
7.1%
9.7%
6.3%
7.7%
5.4%
7.0%
8.3%
7.4%
12.2%
7.0%
6.8%
5.3%
4.9%
5.9%
8.9%
12.9%
8.8%
8.0%
6.4%
6.6%
9.0%
10.5%
10.9%
11.2%
13.3%
9.1%
8.1%
7.4%
14.3%
14.3%
37.5%
11.1%
40–49
2004
2005
2006
2007
2.2%
3.0%
3.4%
3.4%
7.8%
8.0%
5.4%
2.9%
4.8%
4.9%
4.8%
5.3%
2.9%
5.4%
3.3%
6.8%
3.3%
3.0%
4.4%
3.8%
9.2%
7.2%
5.8%
4.5%
3.8%
3.6%
5.7%
5.6%
4.6%
3.7%
3.3%
2.2%
5.2%
5.5%
5.5%
6.0%
11.3%
9.9%
9.0%
4.5%
10.7%
11.3%
17.5%
5.8%
50–59
2004
2005
2006
2007
7.5%
10.9%
7.7%
8.4%
8.6%
11.6%
4.1%
6.3%
6.9%
5.4%
6.2%
6.3%
7.5%
9.5%
5.8%
10.2%
10.4%
11.5%
55.3%
46.7%
10.7%
8.8%
7.5%
7.2%
4.6%
4.8%
4.5%
6.9%
6.8%
6.0%
4.5%
4.1%
6.5%
6.1%
5.3%
5.8%
20.7%
13.4%
12.9%
5.0%
13.0%
11.4%
9.8%
10.9%
60+
2004
2005
2006
2007
33.3%
30.6%
21.6%
29.9%
29.5%
29.3%
15.6%
20.8%
15.2%
14.0%
17.5%
17.0%
21.1%
20.8%
15.6%
24.6%
22.6%
25.2%
64.8%
64.7%
20.5%
20.0%
17.8%
13.6%
9.9%
11.6%
12.8%
14.8%
22.0%
16.8%
22.3%
16.1%
14.6%
11.6%
14.4%
12.2%
43.4%
30.8%
34.5%
10.7%
0.0%
0.0%
25.0%
25.0%
Notes
Rates will not sum to 100%.
CIHI collects data after the first 6 months of the 12-month registration period. This may result in 1% to 5% under-coverage (loss of new
registrants who registered after month 6 of the registration period).
Data released by CIHI may differ from data from other sources due to CIHI’s nationally standardized methodology.
Data is not collected for Nunavut.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
64
CIHI 2010
Chapter 2—Regulated Nurses in Canada: Trends of Licensed Practical Nurses
Aging of the Workforce
Figure 28 highlights the proportion of the LPN workforce in each province/territory at or
above three typical ages of retirement in 2008: 55, 60 and 65. Note that this illustration
is cumulative. An LPN at age 65 is counted in all three categories, and an LPN at age 60
is counted in two categories.
Information on the age of the LPN workforce across Canada shows that a large portion of
practical nurses within these age groups (55 and older, at 19.2%, 60 and older, at 7.4%,
and 65 and older at 1.5%) may be preparing for retirement in the near future.
Figure 28
Licensed Practical Nursing Workforce, by Age Groups 55+, 60+ and 65+,
by Jurisdiction and Canada, 2008
30.0%
25.0%
20.0%
15.0%
10.0%
5.0%
55+
60+
ad
a
Ca
n
.W
.T
.
.
N
Y.
T
C.
B.
.
A
lta
.
Sa
sk
an
.
M
O
nt
.
.
Q
ue
.B
.
N
.S
.
N
.I.
P.
E
N
.L
.
0.0%
65+
Notes
Totals may not sum to 100% due to rounding.
Data released by CIHI may differ from data from other sources due to CIHI’s nationally standardized methodology.
LPNs employed in a jurisdiction different from their jurisdiction of registration are excluded to avoid duplication.
Northern territories data may include inter-jurisdictional duplicates.
Data is not collected for Nunavut.
In 2008, the College of Licensed Practical Nurses of Manitoba submitted aggregate tables for age group.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
CIHI 2010
65
Regulated Nurses: Canadian Trends, 2004 to 2008
Years Since Graduation
As employment patterns of LPNs change as their careers evolve, assumptions and analyses
based on age indicators alone may be incomplete. It may be useful as well to consider the
number of years since graduation from an LPN program.
Figure 29 illustrates the distribution of LPNs by number of years since graduation. Note that
this indicates the maximum number of years an LPN could have been in the workforce,
and does not necessarily reflect the actual number of years worked, because time spent
out of the workforce (such as in continuing education or family leave) is not accounted for.
20.7%
19.6%
16.9%
24.9%
20.1%
23.5%
17.0%
20.2%
43.4%
30.9%
37.2%
28.3%
63.8%
37.7%
18.7%
51.4%
38.5%
38.1%
25.5%
11.3%
13.2%
25.8%
23.1%
27.4%
30.8%
12.8%
13.2%
11.1%
20.8%
12.3%
19.8%
20.5%
13.7%
14.4%
23.0%
23.2%
18.5%
20.3%
24.7%
26.1%
17.8%
30.7%
9.8%
14.9%
46.3%
29.8%
20.1%
24.8%
18.9%
27.7%
20.2%
14.6%
41.7%
18.0%
34.9%
29.2%
48.9%
31.9%
18.6%
20.8%
23.0%
29.1%
26.3%
18.4%
17.6%
15.0%
15.3%
24.8%
9.7%
24.9%
30.4%
19.5%
25.3%
10.0%
29.6%
20.0%
28.4%
30.0%
50.2%
25.1%
55.2%
30.4%
25.4%
26.0%
33.1%
30.8%
27.7%
29.1%
25.2%
40.0%
32.3%
60.0%
50.0%
15.6%
22.0%
15.5%
22.5%
26.2%
19.5%
20.7%
19.3%
70.0%
25.9%
80.0%
13.7%
17.0%
22.0%
19.3%
20.5%
90.0%
22.1%
100.0%
35.5%
Licensed Practical Nursing Workforce, by Years Since LPN Graduation,
by Jurisdiction and Canada, 2004 and 2008
33.0%
Figure 29
0.0%
2004 2008 2004 2008 2004 2008 2004 2008 2004 2008 2004 2008 2004 2008 2004 2008 2004 2008 2004 2008 2004 2008 2004 2008 2004 2008
N.L.
P.E.I.
N.S.
N.B.
0–10
Que.
Ont.
11–20
Man.
21–30
Sask.
Alta.
B.C.
Y.T.
N.W.T.
Canada
31+
Notes
Non-response for Year of Graduation (% of LPN workforce): 2004, n = 251 (0.4%); 2008, n = 80 (0.1%).
Totals may not sum to 100% due to rounding.
Data released by CIHI may differ from data from other sources due to CIHI’s nationally standardized methodology.
LPNs employed in a jurisdiction different from their jurisdiction of registration are excluded to avoid duplication.
Northern territories data may include inter-jurisdictional duplicates.
Data is not collected for Nunavut.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
The trend from 2004 to 2008 shows an increase in most provinces in the proportion of
LPNs in the group 31+ years since graduation, but a decrease in New Brunswick, Quebec,
Alberta, British Columbia and the Yukon. In Quebec, Manitoba, Saskatchewan, Alberta
and British Columbia, the cohort 0 to 10 years since graduation increased more quickly
than in other jurisdictions.
66
CIHI 2010
Chapter 2—Regulated Nurses in Canada: Trends of Licensed Practical Nurses
Education Trends: Lifelong Learning
Entry-to-Practice Education
Educational programs for licensed practical nurses are offered in most Canadian jurisdictions.
The first formal LPN training program was offered in 1945 in Manitoba. Other jurisdictions
followed by delivering similar programs tailored to meet jurisdictional needs while offering
variation in content and expectations. Once delivered primarily in hospitals, practical
nursing education is now offered in postsecondary institutions.
LPNs in Canada graduate from an approved program with a diploma or equivalency.
Equivalency status is granted to an individual coming from another jurisdictional LPN
program or educated in another country. An assessment of equivalency by LPN regulatory
bodies can permit initial registration as an LPN.
Graduates of an approved program are eligible to write national examinations and are
eligible for licensure if they achieve a passing grade. The national exam is written in all
jurisdictions except Quebec, which administers a provincial examination.
In the 2008 LPN workforce, a total of 72,657, or 97.7%, LPNs had obtained a diploma as
their education in practical nursing (see Table 33). The remaining 2.3% had equivalencies.
CIHI 2010
67
Regulated Nurses: Canadian Trends, 2004 to 2008
Table 33
Licensed Practical Nursing Workforce, by Education in Practical Nursing,
by Jurisdiction and Canada, 2004 to 2008
N.L.
P.E.I.
N.S.
N.B.
Que.
Man.
Sask.
Alta.
B.C.
Y.T.
N.W.T.
Canada
(Count)
24,46†
2,220
24,45†
2,401
25,08†
2,457
26,126
2,467
27,435
2,374
2,075
2,142
2,172
2,329
2,462
4,94†
5,20†
5,51†
5,890
6,127
4,449
4,425
4,990
5,406
6,177
53
56
60
59
62
91
101
92
88
94
62,198
63,647
65,955
68,329
72,657
56
52
52
52
52
11†
10†
10†
96
105
362
459
422
385
528
–
–
–
–
–
–
–
–
–
–
1,245
1,306
1,345
1,380
1,723
(Annual Percentage Change)
–
–
–
–
5.5%
†
8.2%
3.2%
4.6%
†
2.3%
1.4%
1.9%
†
0.4%
7.2%
11.3%
5.0%
-3.8%
5.7%
–
†
†
†
4.0%
–
-0.5%
12.8%
8.3%
14.3%
–
5.7%
7.1%
-1.7%
5.1%
–
11.0%
-8.9%
-4.3%
6.8%
–
2.3%
3.6%
3.6%
6.3%
–
-7.1%
0.0%
0.0%
0.0%
–
†
†
†
9.4%
–
26.8%
-8.1%
-8.8%
37.1%
–
–
–
–
–
–
–
–
–
–
–
4.9%
3.0%
2.6%
24.9%
(Percentage Distribution)
†
91.9%
97.4%
†
92.7%
97.6%
†
92.6%
97.7%
–
92.4%
97.8%
–
90.8%
97.9%
†
†
†
98.4%
98.3%
92.5%
90.6%
92.2%
93.4%
92.1%
–
–
–
–
–
–
–
–
–
–
98.0%
98.0%
98.0%
98.0%
97.7%
†
†
†
1.6%
1.7%
7.5%
9.4%
7.8%
6.6%
7.9%
–
–
–
–
–
–
–
–
–
–
2.0%
2.0%
2.0%
2.0%
2.3%
Diploma/
Certificate
2004
2005
2006
2007
2008
2,662
2,651
2,591
2,551
2,487
619
601
594
616
624
3,005
3,077
3,125
3,112
3,204
2,538
2,615
2,629
2,718
2,731
15,081
15,916
16,655
16,967
18,880
Equivalency
2004
2005
2006
2007
2008
48
47
48
47
43
9
5
5
7
7
53
50
49
48
46
18
18
17
16
–
391
377
449
525
701
Diploma/
Certificate
2004
2005
2006
2007
2008
–
-0.4%
-2.3%
-1.5%
-2.5%
–
-2.9%
-1.2%
3.7%
1.3%
–
2.4%
1.6%
-0.4%
3.0%
–
3.0%
0.5%
3.4%
0.5%
Equivalency
2004
2005
2006
2007
2008
–
-2.1%
2.1%
-2.1%
-8.5%
–
-44.4%
0.0%
40.0%
0.0%
–
-5.7%
-2.0%
-2.0%
-4.2%
–
0.0%
-5.6%
-5.9%
–
–
-3.6%
19.1%
16.9%
33.5%
Diploma/
Certificate
2004
2005
2006
2007
2008
98.2%
98.3%
98.2%
98.2%
98.3%
98.6%
99.2%
99.2%
98.9%
98.9%
98.3%
98.4%
98.5%
98.5%
98.6%
99.3%
99.3%
99.4%
99.4%
–
97.5%
97.7%
97.4%
97.0%
96.4%
Equivalency
2004
2005
2006
2007
2008
1.8%
1.7%
1.8%
1.8%
1.7%
1.4%
0.8%
0.8%
1.1%
1.1%
1.7%
1.6%
1.5%
1.5%
1.4%
0.7%
0.7%
0.6%
0.6%
–
2.5%
2.3%
2.6%
3.0%
3.6%
Ont.
*
*
*
–
–
–
†
†
–
–
†
†
†
–
–
195
189
195
204
241
–
-3.1%
3.2%
4.6%
18.1%
8.1%
7.3%
7.4%
7.6%
9.2%
2.6%
2.4%
2.3%
2.2%
2.1%
Notes
– Data is not applicable or does not exist.
* Value suppressed in accordance with CIHI privacy policy; cell value is from 1 to 4.
† Digit suppressed to ensure confidentiality; digit value is from 0 to 9 and corresponding percentage value.
Totals may not sum to 100% due to rounding.
Data released by CIHI may differ from data from other sources due to CIHI’s nationally standardized methodology.
LPNs employed in a jurisdiction different from their jurisdiction of registration are excluded to avoid duplication.
Northern territories data may include inter-jurisdictional duplicates.
Data is not collected for Nunavut.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
68
CIHI 2010
Chapter 2—Regulated Nurses in Canada: Trends of Licensed Practical Nurses
Average Age at Graduation
The age at which a student graduates from a nursing program and is eligible to enter
the LPN workforce is an important indicator of the number of years an average LPN will
contribute to the workforce. As Table 34 illustrates, practical nurses have been entering
the workforce later; thus, unless they stay later at the end of their careers, their years
of service will be reduced.
Table 34
Licensed Practical Nursing Graduates and Average Age at Graduation,
by Range of Graduation Years, Canada, 1980 to 2008
Graduation Year
1980–1984
1985–1989
1990–1994
1995–1999
2000–2004
2005–2008
Number of Graduates
Average Age
at Graduation
6,191
6,060
7,875
7,135
13,254
16,395
22.9
25.9
28.9
29.9
30.9
31.0
Notes
Manitoba LPN graduate age data for 2008 is excluded from average age at graduation calculation; graduate counts include Manitoba LPN graduates
to reflect total RN workforce. In 2008, the College of Licensed Practical Nurses of Manitoba submitted aggregate tables for average age.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
The trend of increasing age at graduation slowed since the changes seen prior to the early
1990s. However, the proportion of LPNs graduating and entering the workforce at age 30
or older increased since 2004. In 2008, 55.3% of the workforce that had graduated in the
previous four years was older than 30 when they graduated.
Mobility Trends: A Mobile Workforce
Regulated nurses are in demand in Canada and around the world. As a result, graduates
from regulated nursing programs often have numerous options as to where they will practise.
Canadian graduates may choose to remain in their current province or territory, to migrate
to another Canadian province or territory or to emigrate to another country. International
graduates may choose to immigrate to Canada, either through their own initiative or through
a provincial nursing recruitment program.
As CIHI does not collect citizenship or immigration data, the mobility trends in this chapter
related to interprovincial, territorial and international mobility are based on indicators
developed by CIHI using data on employment, location of residence and location of
graduation. Additional information on LPN mobility trends is available in the data tables
on the CIHI website.
CIHI 2010
69
Regulated Nurses: Canadian Trends, 2004 to 2008
Migration Within Canada
Each provincial/territorial workforce combines licensed practical nursing graduates from
within the jurisdiction, graduates from other Canadian jurisdictions and graduates from
outside the country. Overall, more than 9 out of 10 graduates (94.4%) from Canadian
licensed practical nursing programs who were working in Canada in 2008 either did not
move after graduation or eventually returned to their jurisdiction of graduation.
Figure 30
Licensed Practical Nursing Workforce by Jurisdiction of Graduation
and Registration, Canada, 2008
86.8%
N.L. Grads
P.E.I. Grads
13.2%
9.0%
91.0%
N.S. Grads
11.2%
88.8%
6.9%
93.1%
N.B. Grads
Que. Grads
97.9%
2.1%
Ont. Grads
97.0%
3.0%
Man. Grads
86.8%
13.2%
Sask. Grads
88.2%
11.8%
Alta. Grads
N.W.T. Grads
0.0%
4.2%
95.8%
B.C. Grads
Y.T. Grads
15.7%
84.3%
46.3%
53.7%
51.6%
48.4%
20.0%
40.0%
Graduates Retained
60.0%
80.0%
100.0%
Graduates Lost to Another Jurisdiction
Notes
Includes only graduates from Canadian LPN programs (N = 72,665).
Totals may not sum to 100% due to rounding.
Data released by CIHI may differ from data from other sources due to CIHI’s nationally standardized methodology.
LPNs employed in a jurisdiction different from their jurisdiction of registration are excluded to avoid duplication.
Northern territories data may include inter-jurisdictional duplicates.
Data is not collected for Nunavut.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
Figure 31 shows the top three destinations for those who moved sometime between
their graduation year and 2008, comparing the jurisdiction of graduation to the current
jurisdiction of registration. The data does not account for mobility and migration in the
intervening years.
70
CIHI 2010
Chapter 2—Regulated Nurses in Canada: Trends of Licensed Practical Nurses
Figure 31
Top Three Destinations for Licensed Practical Nursing Graduates,
by Jurisdiction of Graduation, Canada, 2008
P.E.I. Grads
N.S. Grads
N.S.
Alta.
Ont.
N.L. Grads
N.B.
N.S.
Alta.
Ont.
Ont.
N.B. Grads N.S.
Ont.
Que. Grads
Man. Grads
N.B.
Alta.
N.B.
B.C.
Ont. Grads
Ont.
Alta.
Alta.
N.S.
Alta. B.C. Sask.
Sask. Grads
Alta.
Alta. Grads
B.C.
B.C. Grads
B.C.
Sask
Alta.
Ont.
Y.T. Grads
Ont.
Sask.
B.C.
N.W.T. Grads
0%
Ont.
Sask.
Alta.
5%
10%
15%
Ont.
Ont.
20%
25%
30%
35%
N.B.
40%
45%
50%
Notes
Includes only graduates from Canadian LPN programs (N = 72,665).
Totals may not sum to 100% due to rounding.
Data released by CIHI may differ from data from other sources due to CIHI’s nationally standardized methodology.
LPNs employed in a jurisdiction different from their jurisdiction of registration are excluded to avoid duplication.
Northern territories data may include inter-jurisdictional duplicates.
Data is not collected for Nunavut.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
Overall, the provinces of Saskatchewan, British Columbia and Alberta figure prominently
as destinations for migrant graduates from across the country.
In contrast, none of Quebec’s, 0.6% of the Yukon’s and 1.3% of Prince Edward Island’s
LPN workforces graduated from Canadian practical nursing programs outside their province
of registration, the lowest rates in the country.
CIHI 2010
71
Regulated Nurses: Canadian Trends, 2004 to 2008
Working Outside Province/Territory of Registration
LPNs who work outside of their province or territory of registration may be working outside
Canada or in another jurisdiction within Canada. Note that CIHI can report on LPNs working
outside Canada only if they maintain registration with a Canadian province or territory.
Figure 32 illustrates the top destinations for LPNs registered in a Canadian province
or territory who are working either abroad or in another jurisdiction in Canada. Of the
389 LPNs who are not working in their province/territory of registration, 82 (21.1%) are
employed in the United States; an additional 5.6% are employed in other locations.
Figure 32
Licensed Practical Nurses Working Outside of Jurisdiction of Registration,
by Country of Employment, Canada, 2008
United Kingdom
1.0%
Hong Kong
1.3%
Other International
3.3%
United States
21.1%
Canada
73.3%
Notes
Includes only those LPNs who worked outside of their jurisdiction of registration (N = 389) in 2008.
Totals may not sum to 100% due to rounding.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
International Licensed Practical Nursing Graduates
In the absence of citizenship and immigration data, CIHI uses the location of graduation
as an indicator of trends in immigration. The assumption is made that a licensed practical
nurse who studied outside of Canada immigrated, but the total number does include
Canadian citizens who studied abroad.
72
CIHI 2010
Chapter 2—Regulated Nurses in Canada: Trends of Licensed Practical Nurses
Table 35
Licensed Practical Nursing Workforce, by Location of Graduation,
Canada and International, 2004 to 2008
Canada
International
(Count)
2004
2005
2006
2007
2008
46,726
47,386
48,933
67,804
72,665
1,188
1,216
1,231
1,321
1,485
2004
2005
2006
2007
2008
(Annual Percentage Change)
–
–
1.4%
2.4%
3.3%
1.2%
38.6%
7.3%
7.2%
12.4%
2004
2005
2006
2007
2008
(Percentage Distribution)
97.5%
2.5%
97.5%
2.5%
97.5%
2.5%
98.1%
1.9%
98.0%
2.0%
Notes
– Data is not applicable or does not exist.
Non-response for Location of Graduation (% of all LPNs): 2004, n = 15,529 (24.5%); 2005, n = 16,351 (25.2%); 2006, n = 17,136 (25.5%);
2007, n = 585 (0.8%); 2008, n = 43 (0.1%).
From 2004 to 2006, for Quebec data, Location of Graduation data was not submitted and was defaulted to not stated.
Totals may not sum to 100% due to rounding.
Data released by CIHI may differ from data from other sources due to CIHI’s nationally standardized methodology.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
Of the LPNs employed in Canada who reported their location of graduation in 2008,
98.0% (72,852) graduated from a practical nursing program in Canada and 2.0% (1,485)
graduated from an international practical nursing program.
The workforces of Manitoba and Ontario had the highest concentrations of internationally
educated LPN graduates, with 3.6% and 3.8%, respectively. The four eastern provinces
all had very low concentrations of internationally educated graduates.
For the 1,485 licensed practical nurses in Canada who graduated from an international
practical nursing program, the seven most frequently identified countries of graduation are
identified in Figure 33. Close to half of all international graduates attended nursing programs
in the United Kingdom or the Philippines. Another 12.3% were graduates from programs
in the United States.
CIHI 2010
73
Regulated Nurses: Canadian Trends, 2004 to 2008
Figure 33
Internationally Educated Licensed Practical Nurses in the Workforce,
by Country of Graduation, 2008
Other International
29.8%
United Kingdom
26.5%
Guyana
1.8%
Hong Kong
2.3%
Poland
2.6%
United
States
12.3%
Philippines
19.4%
India
5.4%
Notes
Includes only those LPNs who were educated outside of Canada (N = 1,485) in 2008.
Totals may not sum to 100% due to rounding.
Data released by CIHI may differ from data from other sources due to CIHI’s nationally standardized methodology.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
Urban/Rural Distribution of the Workforce
Geographical differences in Canada create numerous challenges to health care providers
and planners. The urban/rural distribution of the population is a challenge not only in the
northern territories but also in each of the provinces.
To determine if LPNs were practising in a rural or an urban setting, a postal code analysis was
performed. In most cases, the postal code used was that of the workplace; however, when
Postal Code of Employer (Worksite) was not submitted to CIHI, Postal Code of Residence
was used.iv Figures 34 and 35 illustrate the urban/rural/remote distribution of the LPN
workforce in Canada in 2008. In 2008, 81.4% of the LPN workforce worked in urban
areas of Canada, ranging from highs of 100% in the Yukon and 90.3% in British Columbia
to lows of 38.3% in the Northwest Territories and 54.2% in Newfoundland and Labrador.
iv. See Chapter 5 (Methodological Notes) for a description of the postal code analysis.
74
CIHI 2010
Chapter 2—Regulated Nurses in Canada: Trends of Licensed Practical Nurses
Figure 34
Licensed Practical Nursing Workforce, by Urban/Rural/Remote Designation,
Canada, 2008
Rural
8.7%
Urban
81.4%
Other
18.6%
Remote
9.8%
Territories
0.1%
Notes
Totals may not sum to 100% due to rounding.
Urban areas are defined as communities with populations greater than 10,000 persons.
Rural areas are defined as communities in relatively close proximity to urban areas.
Remote areas are defined as those communities with relatively little social and economic interaction with urban areas.
Territories are defined as areas outside of Whitehorse and Yellowknife in the northern territories.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
CIHI 2010
75
Regulated Nurses: Canadian Trends, 2004 to 2008
Figure 35
Licensed Practical Nursing Workforce, by Urban/Rural/Remote Designation,
by Jurisdiction, 2008
4.3%
100.0%
3.8%
14.7%
90.0%
30.8%
17.6% 25.7%
7.2%
6.4%
7.3%
10.0%
29.9%
21.5%
80.0%
6.9%
19.6%
70.0%
60.0%
16.5%
3.3%
8.7%
8.6%
61.7%
14.3%
15.1%
100.0%
50.0%
40.0%
30.0%
82.8%
78.1%
90.3%
88.9%
69.8%
65.8% 65.8%
76.7%
55.8%
54.2%
20.0%
38.3%
10.0%
0.0%
N.L.
P.E.I.
N.S.
Urban
N.B.
Que.
Rural
Ont.
Man.
Sask.
Remote
Alta.
B.C.
Y.T.
N.W.T.
Territories
Notes
Totals may not sum to 100% due to rounding.
Urban areas are defined as communities with populations greater than 10,000 persons.
Rural areas are defined as communities in relatively close proximity to urban areas.
Remote areas are defined as those communities with relatively little social and economic interaction with urban areas.
Territories are defined as areas outside of Whitehorse and Yellowknife in the northern territories.
Data released by CIHI may differ from data from other sources due to CIHI’s nationally standardized methodology.
LPNs employed in a jurisdiction different from their jurisdiction of registration are excluded to avoid duplication.
Northern territories data may include inter-jurisdictional duplicates.
Data is not collected for Nunavut.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
Licensed Practical Nurses in the Territories: Characteristics
of the Northern Workforce
The nature and delivery of nursing services in the northern territories differ from those
in the Canadian provinces. It is not uncommon for licensed practical nurses to travel north
on short-term work contracts and to return to their home province for the remainder of the
year. Therefore, in addition to the LPNs who are registered and working only in the northern
territories, those LPNs who are registered in a territory and another jurisdiction are also
included in the northern LPN workforce.
Some of the employment patterns described in this section also exist in northern or rural
areas of each Canadian province. The health region analysis in Chapter 4 of this report
provides some insight on the characteristics and services in each health region.
76
CIHI 2010
Chapter 2—Regulated Nurses in Canada: Trends of Licensed Practical Nurses
In 2008, the majority of LPNs worked in hospitals and nursing homes or long-term care
facilities. Figure 36 shows that 38.1% of LPNs employed in the territories worked in nursing
homes and long-term care facilities and 42.6% worked in hospitals. Of those LPNs working
in the provinces, 45.8% worked in hospitals and 38.6% worked in nursing homes or
long-term care facilities.
Figure 36
Licensed Practical Nursing Workforce, by Place of Work, by Provincial
or Territorial Level, Canada, 2008
Territories
Provinces
Other Place
of Work.
18.7%
Other Place
.
of Work
8.5%
Hospital
42.6%
Nursing
.
Home/LTC
38.6%
Nursing.
Home/LTC
38.1%
Community
. Health
0.6%
Hospital
45.8%
Community
.Health
7.1%
Notes
Non-response for Place of Work (% of LPN workforce): n = 2,430 (3.3%).
Hospital includes data from hospital (general, maternal, pediatric, psychiatric), mental health centre and rehabilitation/convalescent centre.
Community Health includes data from community health centre, home care agency, nursing station (outpost or clinic) and public health
department/unit.
Nursing Home includes data from nursing home/long-term care facility.
Other includes data from business/industry/occupational health office, private nursing agency/private duty, self-employed, physician’s
office/family practice unit, educational institution, association/government and other.
Totals may not sum to 100% due to rounding.
Data released by CIHI may differ from data from other sources due to CIHI’s nationally standardized methodology.
LPNs employed in a jurisdiction different from their jurisdiction of registration are excluded to avoid duplication.
Data is not collected for Nunavut.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
Among LPNs employed in the territories, the most frequently identified areas of responsibility
were geriatric/long-term care (52.3%), medicine/surgery and ambulatory care (12.9%)
and several clinical areas (7.0%). Licensed practical nurses employed in the provinces most
frequently identified geriatric/long-term care (44.5%) medicine/surgery (19.0%) and other
patient care (8.4%) as their area of responsibility. Most LPNs in the territories (98.9%) and
almost all LPNs in the provinces (92.4%) identified their position as staff nurse/community
health nurse.
CIHI 2010
77
Regulated Nurses: Canadian Trends, 2004 to 2008
Methodological and Historical Changes to Licensed Practical
Nursing Data, 2004 to 2008
Methodological and historical changes to the data make it difficult to compare data across
time. CIHI and the regulatory authorities are continually striving to improve data quality;
therefore, the following information must be taken into consideration when making historical
comparisons and consulting previous CIHI publications. In all cases, comparisons should be
made with caution and in consideration of the historical and methodological changes made.
LPN data for the years 1993 to 2001 was published in the CIHI series Health Personnel
Trends in Canada, and LPN data for the 2002 data year was published in the report
Workforce Trends of Licensed Practical Nurses, 2002.
Historical Revisions and Data Limitations
For a complete list of the data elements related to LPNs, please access the Licensed Practical
Nurses System Data Dictionary and Processing Manual on the CIHI website at www.cihi.ca.
Employment
Ontario—Place of Work, Area of Responsibility, Position
In 2004, the CNO implemented the CNO Practice and Employment Definition to aid members
in providing information and to enhance the quality of data collected.
Yukon—Multiple Employment Status
This data element was not available in the data years 2002 and 2004.
Northwest Territories—Multiple Employment Status
This data element was not collected for the data years 2002 to 2008.
Yukon—Location of Employment
For the data years 2002 to 2008, this field was derived from the fields Postal Code
of Residence and Place of Employment.
Quebec—Place of Work
Data for the sub-element mental health centre was not collected for the data years 2002
to 2008, because this type of institution, as defined by CIHI, does not exist in the province
of Quebec. Over the last three years, the Quebec Ministère de la santé et des services sociaux
merged most of the province’s public-sector hospitals, long-term care facilities and community
health centres into 95 CSSSs. Since the merger, the Ordre des infirmières et infirmiers
auxiliaires du Québec (OIIAQ) has reclassified its definitions for the field Place of Work.
Ontario—Place of Work
According to the CNO, refinements in the renewal process in 2004 enabled it to reduce
the number of not stated responses to this category.
Ontario—Area of Responsibility
According to the CNO, refinements in the renewal process in 2004 enabled it to reduce
the number of not stated responses to this category.
78
CIHI 2010
Chapter 2—Regulated Nurses in Canada: Trends of Licensed Practical Nurses
Northwest Territories—Area of Responsibility
For the data years 2006 to 2008, any records indicating more than one area of responsibility
were coded under the sub-element several clinical areas.
New Brunswick—Position
For the data year 2006, the Association of New Brunswick Licensed Practical Nurses
educated members on how to complete the Position section of the annual renewal registration
form. As a result, the number of registrants selecting the category other for the element
Position decreased.
Demographics
Manitoba—Birth Year and Sex
In 2008, the College of Licensed Practical Nurses of Manitoba submitted age groups
and aggregate tables instead of Birth Year and Sex as a result of changes to provincial
privacy legislation.
Yukon—Location of Residence
For the data years 2002 to 2008, this field was derived from the field Postal Code
of Residence.
Education
Nova Scotia—Initial Education in Practical Nursing
For the 2006 data year, the College of Licensed Practical Nurses of Nova Scotia included
the options certificate and diploma as collected on the annual renewal registration form.
British Columbia—Initial Education in Practical Nursing
In 2006 and 2007, the responses under this field increased due to updates to the category
equivalency. This reduced the number of LPNs reported under the category not stated.
Saskatchewan—Initial Education in Practical Nursing
The Saskatchewan Association of Licensed Practical Nurses included the options certificate
and diploma for education completed in the last 12 months on the registration form.
Quebec—Location of Graduation
The OIIAQ did not submit data for this field for data years 2004 to 2006; all records were
defaulted to not stated.
Newfoundland and Labrador, New Brunswick, Northwest Territories—Other Education
in Nursing—Non-Practical Nursing
This data element was not collected for the data years 2002 to 2008.
New Brunswick, Northwest Territories—Education in Other Than Nursing
This data element was not collected for the data years 2002 to 2008.
CIHI 2010
79
Chapter 3—Regulated Nurses in Canada: Trends of Registered Psychiatric Nurses
Chapter 3—Regulated Nurses in Canada:
Trends of Registered Psychiatric Nurses
Workforce Trends: How Many Registered Psychiatric Nurses?
The regulated nursing workforce is of critical importance to the health of Canadians, and
thus to health human resource planners. This chapter presents data on registered psychiatric
nurses (RPNs) working in Canada in 2008 and illustrates key trends over the last five years.
RPNs are regulated and educated as a separate profession in four provinces: Manitoba,
Saskatchewan, Alberta and British Columbia. As well, there are RPNs practising in the
territories (defined as locations outside of Whitehorse and Yellowknife in the northern territories).
The RPN workforce is defined as RPNs employed in psychiatric nursing within Canada.
They represent 1.5% of the total regulated nursing workforce. The Employment Status
indicator classifies RPNs as either working in psychiatric nursing, working outside of
psychiatric nursing or not working. The indicator further classifies RPNs in the workforce
as working in part-time, full-time or casual positions. As illustrated in Figure 37, the vast
majority of RPNs who register in Canada are in the RPN workforce, with two-thirds employed
in full-time positions (68.2%).
Figure 37
Registered Psychiatric Nurses, by Employment Status, Western Provinces, 2008
Not Stated
0.7%
Full Time
68.2%
Employed
in Psychiatric
Nursing
98.5%
Casual
12.8%
Not Employed
0.7%
Part Time
18.9%
Notes
Totals may not sum to 100% due to rounding.
The RPN workforce of the four western provinces represents the total RPN workforce in Canada.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
CIHI 2010
81
Regulated Nurses: Canadian Trends, 2004 to 2008
Within the provinces where RPNs provide care, the ratio of these nurses per person to the
population decreased to approximately 50 RPNs per 100,000 population between 2006
and 2008. This ratio is affected by the population of the four western provinces, which
recently grew more rapidly than the Canadian population as a whole.
Figure 38
Registered Psychiatric Nursing Workforce per 100,000 Population,
Western Provinces, 2004 to 2008
55
54
53
52
51
50
49
48
47
46
45
2004
2005
2006
2007
2008
Notes
The total population of the four western provinces (Manitoba, Saskatchewan, Alberta and British Columbia) was used in calculating
the workforce per 100,000 population.
The RPN workforce of the four western provinces represents the total RPN workforce in Canada.
In 2008, projected population estimates were used. Refer to Analytical Methods in the Methodological Notes section.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
82
CIHI 2010
Chapter 3—Regulated Nurses in Canada: Trends of Registered Psychiatric Nurses
Employment Trends: Is the Workforce Changing?
Table 36 shows the supply of all registered psychiatric nurses over the period 2004 to 2008,
when there were 5,241 RPNs in Canada, 0.2% more than in 2007 and 0.2% less than
in 2004. Except for 2005, the number of RPNs employed in Canada remained relatively
stable between the years 2004 and 2008. Additional information on RPNs by province
is available in the data tables on the CIHI website.
Table 36
Registered Psychiatric Nurses, by Employment Status, Western Provinces,
2004 to 2008
Employed in Psychiatric Nursing
Regular
Basis,
Full Time
Regular
Basis,
Part Time
Not Employed in Psychiatric Nursing
Regular Basis,
Casual Basis
Status
Unknown
C
D
Sub-Total
A
B
2004
2005
2006
2007
2008
3,501
1,995
3,407
3,448
3,480
829
797
958
1,015
965
120
187
631
621
655
671
1,985
55
40
62
5,121
4,964
5,051
5,124
5,162
2004
2005
2006
2007
2008
–
-43.0%
70.8%
1.2%
0.9%
–
-3.9%
20.2%
5.9%
-4.9%
–
55.8%
237.4%
-1.6%
5.5%
–
195.8%
-97.2%
-27.3%
55.0%
2004
2005
2006
2007
2008
66.6%
39.7%
65.1%
65.9%
66.4%
15.8%
15.9%
18.3%
19.4%
18.4%
2.3%
3.7%
12.1%
11.9%
12.5%
12.8%
39.5%
1.1%
0.8%
1.2%
E=A+B+C+D
Employed in Other
Than Psychiatric Nursing
Seeking
Employment
Not Seeking
Employment
F
G
Not Employed
Seeking
Not Seeking
Employment Employment
in Psychiatric in Psychiatric
Nursing
Nursing
H
I
Grand Total
Not
Stated
Sub-Total
J
K=F+G+H+I+J
L=E+K
(Count)
*
–
9
*
*
*
*
6
–
*
1†
*
22
23
28
*
*
13
†
7
116
59
134
77
39
133
63
184
106
79
5,254
5,027
5,235
5,230
5,241
–
-3.1%
1.8%
1.4%
0.7%
(Annual Percentage Change)
–
–
–
–
†
†
–
†
†
†
–
4.5%
†
–
21.7%
–
†
†
†
†
–
-49.1%
127.1%
-42.5%
-49.4%
–
-52.6%
192.1%
-42.4%
-25.5%
–
-4.3%
4.1%
-0.1%
0.2%
97.5%
98.7%
96.5%
98.0%
98.5%
(Percentage Distribution)
†
†
–
†
0.2%
0.1%
†
–
†
†
†
†
0.2%
†
0.1%
2.2%
1.2%
2.6%
1.5%
0.7%
2.5%
1.3%
3.5%
2.0%
1.5%
100.0%
100.0%
100.0%
100.0%
100.0%
†
†
0.4%
0.4%
0.5%
Notes
– Data is not applicable or does not exist.
Totals may not sum to 100% due to rounding.
In 2004, the data submission method was modified, contributing to increases in the number of RPNs with employed—status unknown.
Prior to 2005, for Saskatchewan data, RPNs not stating Employment Status were defaulted to part time; in 2006, changes to the registration
form permitted selection of part time or casual for Employment Status.
The RPN workforce of the four western provinces represents the total RPN workforce in Canada.
RPNs employed in a province different from their province of registration are excluded to avoid duplication.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
CIHI 2010
83
Regulated Nurses: Canadian Trends, 2004 to 2008
RPNs employed in psychiatric nursing but reported as employed—status unknown are
those who reported employment data but who failed to indicate their status as full time,
part time or casual. Accordingly, they are included in the workforce but are excluded from
some analyses in the report, as indicated in table footnotes. The proportion of the RPN
workforce reported as employed—status unknown was 1.2% in 2008.
Table 37
Registered Psychiatric Nursing Workforce, by Province, 2004 to 2008
Man.
Sask.
Alta.
B.C.
Total
2004
2005
2006
2007
2008
963
952
956
952
935
935
933
900
880
892
(Count)
1,123
1,125
1,144
1,158
1,157
2,100
1,954
2,051
2,134
2,178
5,121
4,964
5,051
5,124
5,162
2004
2005
2006
2007
2008
–
-1.1%
0.4%
-0.4%
-1.8%
(Annual Percentage Change)
–
–
–
-0.2%
0.2%
-7.0%
-3.5%
1.7%
5.0%
-2.2%
1.2%
4.0%
1.4%
-0.1%
2.1%
–
-3.1%
1.8%
1.4%
0.7%
2004
2005
2006
2007
2008
18.8%
19.2%
18.9%
18.6%
18.1%
(Percentage Distribution)
18.3%
21.9%
18.8%
22.7%
17.8%
22.6%
17.2%
22.6%
17.3%
22.4%
41.0%
39.4%
40.6%
41.6%
42.2%
100.0%
100.0%
100.0%
100.0%
100.0%
Notes
– Data is not applicable or does not exist.
Totals may not sum to 100% due to rounding.
In 2004, the data submission method was modified, contributing to increases in the number of RPNs with employed—status unknown.
The RPN workforce of the four western provinces represents the total RPN workforce in Canada.
Data released by CIHI may differ from data from other sources due to CIHI’s nationally standardized methodology.
RPNs employed in a province different from their province of registration are excluded to avoid duplication.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
Employment Status
Table 38 shows that the majority of registered psychiatric nurses employed in psychiatric
nursing are employed on a regular basis in full-time positions (3,480, or 68.2%, in 2008).
84
CIHI 2010
Chapter 3—Regulated Nurses in Canada: Trends of Registered Psychiatric Nurses
Table 38
Registered Psychiatric Nursing Workforce, by Employment Status, by Province,
2004 to 2008
Man.
Sask.
Alta.
B.C.
Total
Employed,
Full Time
2004
2005
2006
2007
2008
614
601
599
599
586
(Count)
737
724
708
698
697
696
670
663
664
656
1,454
–
1,437
1,487
1,541
3,501
1,995
3,407
3,448
3,480
Employed,
Part Time
2004
2005
2006
2007
2008
291
286
293
283
277
194
146
127
120
100
344
365
366
377
370
–
–
172
235
218
829
797
958
1,015
965
Employed,
Casual
2004
2005
2006
2007
2008
44
48
53
68
63
–
62
46
49
70
76
77
108
114
120
–
–
424
390
402
120
187
631
621
655
Employed,
Status Unknown
2004
2005
2006
2007
2008
14
17
11
2
9
4
1
19
13
25
7
13
7
3
11
646
1,954
18
22
17
671
1,985
55
40
62
Employed,
Full Time
2004
2005
2006
2007
2008
–
-2.1%
-0.3%
0.0%
-2.2%
–
–
–
3.5%
3.6%
–
-43.0%
70.8%
1.2%
0.9%
Employed,
Part Time
2004
2005
2006
2007
2008
–
-1.7%
2.4%
-3.4%
-2.1%
–
-24.7%
-13.0%
-5.5%
-16.7%
–
6.1%
0.3%
3.0%
-1.9%
–
–
–
36.6%
-7.2%
–
-3.9%
20.2%
5.9%
-4.9%
Employed,
Casual
2004
2005
2006
2007
2008
–
9.1%
10.4%
28.3%
-7.4%
–
–
-25.8%
6.5%
42.9%
–
1.3%
40.3%
5.6%
5.3%
–
–
–
-8.0%
3.1%
–
55.8%
237.4%
-1.6%
5.5%
Employed,
Full Time
2004
2005
2006
2007
2008
64.7%
64.3%
63.4%
63.1%
63.3%
(Percentage Distribution)
79.2%
62.4%
77.7%
60.3%
80.4%
58.3%
80.5%
57.5%
80.4%
57.2%
100.0%
–
70.7%
70.4%
71.3%
78.7%
67.0%
68.2%
67.8%
68.2%
Employed,
Part Time
2004
2005
2006
2007
2008
30.7%
30.6%
31.0%
29.8%
29.9%
20.8%
15.7%
14.4%
13.8%
11.5%
30.8%
32.8%
32.2%
32.6%
32.3%
–
–
8.5%
11.1%
10.1%
18.6%
26.8%
19.2%
20.0%
18.9%
Employed,
Casual
2004
2005
2006
2007
2008
4.6%
5.1%
5.6%
7.2%
6.8%
–
6.7%
5.2%
5.7%
8.1%
6.8%
6.9%
9.5%
9.9%
10.5%
–
–
20.9%
18.5%
18.6%
2.7%
6.3%
12.6%
12.2%
12.8%
(Annual Percentage
–
-1.8%
-2.2%
-1.4%
-0.1%
Change)
–
-3.7%
-1.0%
0.2%
-1.2%
Notes
– Data is not applicable or does not exist.
Totals may not sum to 100% due to rounding.
Employed RPNs with employed—status unknown are excluded from the percentage distribution.
In 2004, British Columbia defaulted all RPNs with part-time and casual employment to employed in psychiatric nursing—status unknown.
In 2005, British Columbia defaulted all RPNs to Employment Status employed in psychiatric nursing—status unknown.
Prior to 2005, for Saskatchewan data, RPNs not stating Employment Status were defaulted to part time; in 2006, changes to the registration
form permitted selection of part time or casual for Employment Status.
The RPN workforce of the four western provinces represents the total RPN workforce in Canada.
Data released by CIHI may differ from data from other sources due to CIHI’s nationally standardized methodology.
RPNs employed in a province different from their province of registration are excluded to avoid duplication.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
CIHI 2010
85
Regulated Nurses: Canadian Trends, 2004 to 2008
As Table 38 demonstrates, the percentage of the RPN workforce employed in full-time
positions varied across the provinces in 2008, from 57.2% in Alberta and 63.3% in Manitoba
to 80.4% in Saskatchewan and 71.3% in British Columbia. The average age of RPNs
working full time was 47.5, that of RPNs working part time was 46.3 and that of RPNs
working on a casual basis was 49.6.
There were a larger proportion of male RPNs employed in full-time positions in 2008 than
of female RPNs. In that year, 80.0% of male RPNs were employed full time, compared to
64.8% of female RPNs. Only 10.1% of male RPNs had part-time employment, compared
to 21.5% of female RPNs. Casual employment rates followed a similar pattern, with 9.9%
of male RPNs and 13.7% of female RPNs employed on a casual basis.
Multiple Employment
It is not uncommon for RPNs to have more than one psychiatric nursing job, often with
multiple employers. In 2008, 20.4% of the RPN workforce reported having more than
one employer in psychiatric nursing; the proportion has been consistently higher for those
working on a part-time or casual basis. Although 31.8% of the 2008 workforce reported
working in part-time or casual positions, the total number of hours worked by those in
multiple positions may in fact equal or exceed the total of a full-time position.
86
CIHI 2010
Chapter 3—Regulated Nurses in Canada: Trends of Registered Psychiatric Nurses
Table 39
Registered Psychiatric Nurses Employed in Psychiatric Nursing With Multiple
Employers, by Employment Status With Primary Employer, Western Provinces,
2004 to 2008
Employed,
Full Time
Employed,
Part Time
2004
2005
2006
2007
2008
582
276
571
667
617
210
200
248
297
240
2004
2005
2006
2007
2008
–
-52.6%
106.9%
16.8%
-7.5%
–
-4.8%
24.0%
19.8%
-19.2%
2004
2005
2006
2007
2008
69.9%
52.5%
55.2%
57.2%
60.0%
25.2%
38.0%
24.0%
25.4%
23.3%
Employed,
Casual
Employed,
Status Unknown
(Count)
41
50
215
203
171
Total With
Multiple Employers
190
481
16
3
6
1,023
1,007
1,050
1,170
1,034
(Annual Percentage Change)
–
22.0%
330.0%
-5.6%
-15.8%
–
–
–
–
–
–
-1.6%
4.3%
11.4%
-11.6%
(Percentage Distribution)
4.9%
9.5%
20.8%
17.4%
16.6%
–
–
–
–
–
100.0%
100.0%
100.0%
100.0%
100.0%
Notes
– Data is not applicable or does not exist.
Non-response for Multiple Employment (% of RPN workforce): 2005, n = 27 (0.5%); 2006, n = 13 (0.3%); 2007, n = 44 (0.9%);
2008, n = 94 (1.8%).
Totals may not sum to 100% due to rounding.
Employed RPNs with Employment Status employed—status unknown are excluded from percentage distribution.
In 2004, British Columbia defaulted all RPNs with part-time and casual employment to Employment Status employed in psychiatric nursing—
status unknown.
In 2005, British Columbia defaulted all RPNs to Employment Status employed in psychiatric nursing—status unknown.
Prior to 2005, for Saskatchewan data, RPNs not stating Employment Status were defaulted to part time; in 2006, changes to the registration
form permitted selection of part time or casual for Employment Status.
The RPN workforce of the four western provinces represents the total RPN workforce in Canada.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
CIHI 2010
87
Regulated Nurses: Canadian Trends, 2004 to 2008
Figure 39 shows the distribution by age group of RPNs working for multiple employers; RPNs
age 40 to 49 comprised the largest group in 2008. Further breakdown by Employment Status
indicates that in 2008, a high number of full-time RPNs were working in multiple positions.
Figure 39
Registered Psychiatric Nurses Employed in Psychiatric Nursing With Multiple
Employers, by Employment Status, by Age Group, Western Provinces, 2008
35%
30%
4.2%
25%
6.6%
2.9%
20%
4.4%
5.0%
7.3%
15%
21.1%
10%
5%
0%
1.7%
2.0%
14.4%
17.1%
3.5%
2.4%
3.9%
3.5%
<30
30–39
40–49
50–59
60+
Age Groups
Full Time
Part Time
Casual
Notes
Non-response for Multiple Employment (% of RPN workforce): 2005, n = 27 (0.5%); 2006, n = 13 (0.3%); 2007, n = 44 (0.9%);
2008, n = 94 (1.8%).
Totals may not sum to 100% due to rounding.
The RPN workforce of the four western provinces represents the total RPN workforce in Canada.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
88
CIHI 2010
Chapter 3—Regulated Nurses in Canada: Trends of Registered Psychiatric Nurses
Place of Work
The hospital sector employed 41.0% of the RPN workforce in Canada. The greatest proportion
of psychiatric nurses working in this sector in 2008 was found in Alberta, at 58.0%,
and British Columbia, at 45.6%. Employment in the community health sector was largest
in Manitoba; in Saskatchewan the nursing home/long-term care sector was the largest.
Figure 40
100.0%
Registered Psychiatric Nursing Workforce, by Place of Work, by Province,
2004 and 2008
8.1%
11.1%
90.0%
80.0%
17.7%
16.3%
9.7%
11.6%
9.1%
10.8%
29.1%
13.9%
36.5%
15.7%
24.3%
70.0%
37.9%
60.0%
38.2%
19.5%
23.2%
24.8%
50.0%
40.3%
26.5%
15.9%
40.9%
19.6%
1.1%
20.0%
30.0%
58.1%
58.0%
20.0%
10.0%
19.6%
22.0%
17.5%
40.0%
12.9%
22.2%
22.5%
23.7%
24.8%
25.5%
2004
2008
2004
2008
44.9%
45.6%
2004
2008
39.9%
41.0%
2004
2008
0.0%
Man.
Hospital
2004
Sask.
Community Health
2008
Alta.
B.C.
Nursing Home/LTC
Total
Other Place of Work
Notes
Non-response for Place of Work (% of RPN workforce): 2004, n = 39 (0.8%); 2008, n = 83 (1.6%).
Hospital includes data from hospital (general, maternal, pediatric, psychiatric).
Community Health includes data from community mental health centre, home care agency and nursing station (outpost or clinic).
Nursing Home/LTC includes data from nursing home/long-term care facility and residential care facility.
Other Place of Work includes data from business/industry/occupational health office, private nursing agency or psychiatric nursing agency/
private duty, self-employed/private practice, physician’s office/family practice unit, correctional agency, educational institution,
association/government and other.
Totals may not sum to 100% due to rounding.
The RPN workforce of the four western provinces represents the total RPN workforce in Canada.
Data released by CIHI may differ from data from other sources due to CIHI’s nationally standardized methodology.
RPNs employed in a province different from their province of registration are excluded to avoid duplication.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
In 2008, the average age of RPNs working in the hospital sector was 45.5, compared
to the average age of 47.7 for RPNs employed in community health and 50.2 for RPNs
employed in the nursing home/long-term care sector.
Position
In 2008, 4,013 RPNs (78.8%) were employed as staff psychiatric nurses/community
health nurses in Canada, a decrease of 0.5% from 4,032 in 2007 (see Table 40).
CIHI 2010
89
Regulated Nurses: Canadian Trends, 2004 to 2008
Table 40
Registered Psychiatric Nursing Workforce, by Position, by Province, 2004 to 2008
Man.
Sask.
Alta.
B.C.
Total
Staff Nurse
2004
2005
2006
2007
2008
731
748
743
736
702
734
737
717
668
658
(Count)
899
908
938
944
936
1,593
1,504
1,601
1,684
1,717
3,957
3,897
3,999
4,032
4,013
Manager
2004
2005
2006
2007
2008
108
101
100
105
93
114
114
110
99
108
91
88
89
88
90
188
297
297
264
257
501
600
596
556
548
Other Positions
2004
2005
2006
2007
2008
116
99
113
109
126
76
82
73
98
95
121
118
111
120
125
301
117
132
169
184
614
416
429
496
530
Staff Nurse
2004
2005
2006
2007
2008
–
2.3%
-0.7%
-0.9%
-4.6%
–
-5.6%
6.4%
5.2%
2.0%
–
-1.5%
2.6%
0.8%
-0.5%
Manager
2004
2005
2006
2007
2008
–
-6.5%
-1.0%
5.0%
-11.4%
–
0.0%
-3.5%
-10.0%
9.1%
–
-3.3%
1.1%
-1.1%
2.3%
–
58.0%
0.0%
-11.1%
-2.7%
–
19.8%
-0.7%
-6.7%
-1.4%
Other Positions
2004
2005
2006
2007
2008
–
-14.7%
14.1%
-3.5%
15.6%
–
7.9%
-11.0%
34.2%
-3.1%
–
-2.5%
-5.9%
8.1%
4.2%
–
-61.1%
12.8%
28.0%
8.9%
–
-32.2%
3.1%
15.6%
6.9%
Staff Nurse
2004
2005
2006
2007
2008
76.5%
78.9%
77.7%
77.5%
76.2%
(Percentage Distribution)
79.4%
80.9%
79.0%
81.5%
79.7%
82.4%
77.2%
81.9%
76.4%
81.3%
76.5%
78.4%
78.9%
79.5%
79.6%
78.0%
79.3%
79.6%
79.3%
78.8%
Manager
2004
2005
2006
2007
2008
11.3%
10.7%
10.5%
11.1%
10.1%
12.3%
12.2%
12.2%
11.4%
12.5%
8.2%
7.9%
7.8%
7.6%
7.8%
9.0%
15.5%
14.6%
12.5%
11.9%
9.9%
12.2%
11.9%
10.9%
10.8%
Other Positions
2004
2005
2006
2007
2008
12.1%
10.4%
11.8%
11.5%
13.7%
8.2%
8.8%
8.1%
11.3%
11.0%
10.9%
10.6%
9.8%
10.4%
10.9%
14.5%
6.1%
6.5%
8.0%
8.5%
12.1%
8.5%
8.5%
9.8%
10.4%
(Annual Percentage Change)
–
–
0.4%
1.0%
-2.7%
3.3%
-6.8%
0.6%
-1.5%
-0.8%
Notes
– Data is not applicable or does not exist.
Non-response for Position (% of RPN workforce): 2004, n = 49 (1.0%); 2005, n = 51 (1.0%); 2006, n = 27 (0.5%); 2007, n = 40 (0.8%);
2008, n = 71 (1.4%).
Staff Nurse includes staff psychiatric nurse/community health psychiatric nurse.
Manager includes chief executive officer, director/assistant director and manager/assistant manager.
Other Positions includes instructor/professor/educator, consultant, clinical specialist and other.
In 2004, for British Columbia data, manager/assistant manager data was not submitted and was defaulted to other positions.
Totals may not sum to 100% due to rounding.
The RPN workforce of the four western provinces represents the total RPN workforce in Canada.
Data released by CIHI may differ from data from other sources due to CIHI’s nationally standardized methodology.
RPNs employed in a province different from their province of registration are excluded to avoid duplication.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
90
CIHI 2010
Chapter 3—Regulated Nurses in Canada: Trends of Registered Psychiatric Nurses
Area of Responsibility
The proportion of the registered psychiatric nursing workforce in direct care was greater
than 85% in all four regulated provinces. Many health human resource planners are interested
in these totals, as these numbers represent RPNs providing services directly to patients.
Areas of responsibility covered by RPNs that fall outside of direct care include administration,
education and research. The proportion of RPNs employed in administration in 2008 was
highest in Manitoba (10.5%) and Alberta (7.4%).
Overall, RPNs who provide direct care to patients are younger than RPNs in administration and
education. In 2008, the average age was 47.2 for RPNs in direct care, 50.6 for RPNs working
in administration, 50.5 for RPNs working in education and 50.8 for those working in research.
Table 41
Registered Psychiatric Nursing Workforce, by Area of Responsibility,
Western Provinces, 2008
Count
Percentage
1,164
883
480
399
276
245
200
159
32
1†
12
12
6
*
653
4,537
23.3%
17.7%
9.6%
8.0%
5.5%
4.9%
4.0%
3.2%
0.6%
†
0.2%
0.2%
0.1%
†
13.1%
90.7%
Administration
Nursing Service
Nursing Education
Other Administration
Total Administration
176
16
126
318
3.5%
0.3%
2.5%
6.4%
Education
Teaching—Students
Teaching—Employees
Teaching—Patients/Clients
Other Education
Total Education
70
35
9
25
139
1.4%
0.7%
0.2%
0.5%
2.8%
–
6
6
5,000
–
0.1%
0.1%
100.0%
Direct Care
Acute Services
Geriatric/Long-Term Care
Rehabilitation
Forensic Services
Children and Adolescent Services
Crisis/Emergency Services
Development Habilitation/Disabilities
Addiction Services
Medical/Surgical
Pediatric
Occupational Health
Palliative Care
Oncology
Psychiatric/Mental Health
Other Patient Care
Total Direct Care
Research
Psychiatric Nursing Research Only
Other Research
Total Research
Total
Notes
– Data is not applicable or does not exist.
* Value suppressed in accordance with CIHI privacy policy; cell value is from 1 to 4.
† Digit suppressed to ensure confidentiality; digit value is from 0 to 9 and corresponding percentage value.
Non-response for Area of Responsibility (% of all RPNs): n = 162 (3.1%).
Totals may not sum to 100% due to rounding.
The RPN workforce of the four western provinces represents the total RPN workforce in Canada.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
CIHI 2010
91
Regulated Nurses: Canadian Trends, 2004 to 2008
In 2008, the greatest proportion of RPNs worked in acute services and geriatric/long-term
care. The area of responsibility with the most RPNs, acute services, also attracted the most
recent graduates. In 2008, RPNs in their first five years of nursing accounted for 33.0%
of all RPNs working in acute services. RPNs who graduated more than 30 years ago
represented 20.9% of those in acute service in 2008. The areas of responsibility most
frequently identified by male RPNs in 2008 were acute services (23.2%), forensic services
(14.9%) and geriatric/long-term care (14.7%).
Demographic Trends: Sex and Age Composition
of the Registered Psychiatric Nursing Workforce
Just more than three-quarters of RPNs (77.5%) in the Canadian workforce were female
in 2008. This proportion has not changed substantially over five years (see Table 42).
Notably, there was a substantially higher proportion of males working in psychiatric
nursing (22.5%) than in the other regulated nursing professions (registered nursing and
licensed practical nursing).
Additional information on RPN demographic characteristics and trends by province
is available in the data tables on the CIHI website.
92
CIHI 2010
Chapter 3—Regulated Nurses in Canada: Trends of Registered Psychiatric Nurses
Table 42
Registered Psychiatric Nursing Workforce, by Sex, by Province, 2004 to 2008
Man.
Sask.
Alta.
B.C.
Total
Female
2004
2005
2006
2007
2008
729
723
733
736
722
792
792
764
747
751
(Count)
833
831
850
859
866
1,605
1,498
1,570
1,630
1,663
3,959
3,844
3,917
3,972
4,002
Male
2004
2005
2006
2007
2008
234
229
223
216
213
143
141
136
133
141
290
294
294
299
291
495
456
481
504
515
1,162
1,120
1,134
1,152
1,160
Female
2004
2005
2006
2007
2008
–
-0.8%
1.4%
0.4%
-1.9%
(Annual Percentage Change)
–
–
–
0.0%
-0.2%
-6.7%
-3.5%
2.3%
4.8%
-2.2%
1.1%
3.8%
0.5%
0.8%
2.0%
–
-2.9%
1.9%
1.4%
0.8%
Male
2004
2005
2006
2007
2008
–
-2.1%
-2.6%
-3.1%
-1.4%
–
-1.4%
-3.5%
-2.2%
6.0%
–
-7.9%
5.5%
4.8%
2.2%
–
-3.6%
1.3%
1.6%
0.7%
Female
2004
2005
2006
2007
2008
75.7%
75.9%
76.7%
77.3%
77.2%
(Percentage Distribution)
84.7%
74.2%
76.4%
84.9%
73.9%
76.7%
84.9%
74.3%
76.5%
84.9%
74.2%
76.4%
84.2%
74.8%
76.4%
77.3%
77.4%
77.5%
77.5%
77.5%
Male
2004
2005
2006
2007
2008
24.3%
24.1%
23.3%
22.7%
22.8%
15.3%
15.1%
15.1%
15.1%
15.8%
22.7%
22.6%
22.5%
22.5%
22.5%
–
1.4%
0.0%
1.7%
-2.7%
25.8%
26.1%
25.7%
25.8%
25.2%
23.6%
23.3%
23.5%
23.6%
23.6%
Notes
– Data is not applicable or does not exist.
Totals may not sum to 100% due to rounding.
The RPN workforce of the four western provinces represents the total RPN workforce in Canada.
Data released by CIHI may differ from data from other sources due to CIHI’s nationally standardized methodology.
RPNs employed in a province different from their province of registration are excluded to avoid duplication.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
The average age of male RPNs was higher (49.5) than that of female RPNs (46.8) in 2008.
In that year, males accounted for about one-quarter of the RPN workforce in Manitoba (22.8%),
Alberta (25.2%) and British Columbia (23.7%), whereas in Saskatchewan males accounted
for 15.8%.
CIHI 2010
93
Regulated Nurses: Canadian Trends, 2004 to 2008
Average Age of the Workforce
Average age may be used in addition to age groupings to describe trends and to make
comparisons between the RPN workforce and other professions. As Figure 41 shows, the
average age of selected health occupations increased over the period from 2004 to 2008.
In addition to the aging of each worker, several variables affect the rate at which the
average age of the workforce changes. They include the rates of entry into and exit from
the workforce and the ages of the workers entering and exiting the workforce.
Figure 41
Average Age of Registered Psychiatric Nursing Workforce Compared
to Selected Health Occupations, Canada, 2004 to 2008
52.0
50.0
48.0
46.0
44.0
42.0
40.0
38.0
36.0
34.0
2004
2005
2006
2007
2008
Specialist Physicians
General Practitioners
Pharmacists
Physiotherapists
Occupational Therapists
Registered Nurses
Licensed Practical Nurses
Registered Psychiatric Nurses
Notes
The RPN workforce of the four western provinces represents the total RPN workforce in Canada.
For 2007, Manitoba RN data was excluded from average age calculation for Canada, as the College of Registered Nurses of Manitoba
submitted aggregate tables for average age.
For 2008, Manitoba RN and LPN data was excluded from average age calculation for Canada, as the College of Registered Nurses of Manitoba
and the College of Licensed Practical Nurses of Manitoba submitted aggregate tables for average age.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Sources
Nursing Database and Scott’s Medical Database, Canadian Institute for Health Information; and Labour Force Survey, Statistics Canada.
94
CIHI 2010
Chapter 3—Regulated Nurses in Canada: Trends of Registered Psychiatric Nurses
Table 43 shows the range of average ages across the four provinces from 2004 to 2008.
In most cases, the change from the previous year was relatively small; over five years
the average age increased by one year for all Canadians RPNs. The largest increase in the
average age was in Saskatchewan, at 2.1 years. There was a rise of 1.2 years in Alberta
and 1.1 years in Manitoba. The average age remained constant in British Columbia.
Table 43
Average Age of the Registered Psychiatric Nursing Workforce, by Province,
2004 to 2008
Man.
2004
2005
2006
2007
2008
2004
2005
2006
2007
2008
46.3
46.5
46.9
46.9
47.4
Sask.
Alta.
B.C.
Total
45.8
46.5
47.0
47.6
47.9
Average Age
46.5
47.0
47.1
47.2
47.7
47.2
47.6
47.5
47.2
47.2
46.6
47.0
47.2
47.2
47.5
Annual Increase/Decrease in Average Age
–
–
–
–
0.2
0.7
0.4
0.3
0.4
0.5
0.1
0.0
0.0
0.6
0.2
-0.3
0.4
0.3
0.5
0.0
–
0.4
0.2
0.0
0.2
Notes
– Data is not applicable or does not exist.
The RPN workforce of the four western provinces represents the total RPN workforce in Canada.
Data released by CIHI may differ from data from other sources due to CIHI’s nationally standardized methodology.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
CIHI 2010
95
Regulated Nurses: Canadian Trends, 2004 to 2008
Exiting and Entering the Workforce
Table 44 represents all RPNs who registered with a specific province, not only the workforce.
A new registrant may be a new graduate, an immigrant, an interprovincial mover or an RPN
re-registering following an absence of one year or more. An exit may be an RPN who has
left the profession (either temporarily or permanently) or retired, or an RPN who is registered
in another province or country in year “x” and may still be practising psychiatric nursing
in another province, territory or country.
Table 44 shows new registration rates and exit rates by province and by age group. Exit
rates show that RPNs in the 30 and younger group had the highest prevalence of leaving
nursing across all four provinces where they provided care in 2008. Unlike the trend seen
with RNs and LPNs, the highest exit rates for RPNs were seen in nurses younger than 30
in Manitoba (21.9%) and Saskatchewan (20.0%). However, the exit rate of RPNs in the
age 60 and older group remained greater than the 50 to 59, 40 to 49 and 30 to 39 age
groups, with the highest exit rates in British Columbia (16.5%) and Manitoba (15.7%).
Based on these numbers, it should be considered that RPNs younger than 30 who did not
re-register may have moved to another jurisdiction within or outside of Canada to continue
practising nursing, left the profession temporarily to pursue education, taken a leave of
absence or left the profession permanently. It should also be considered that a large portion
of RPNs age 60 and older who did not re-register in 2008 (2007 exits) retired from nursing.
Note that many RPNs who take a leave of absence or pursue further education maintain
their registration and are thus not counted as exits.
96
CIHI 2010
Chapter 3—Regulated Nurses in Canada: Trends of Registered Psychiatric Nurses
Table 44
Registered Psychiatric Nurses: Rate of New Registrations and Exit Rates,
by Age Group, by Province, 2004 to 2008
Age
Group
New
Registration
Rates
Exit Rates
Man.
Sask.
Alta.
B.C.
0–29
2005
2006
2007
2008
32.7%
34.4%
34.2%
27.5%
23.5%
33.3%
60.0%
73.3%
30.0%
41.2%
33.0%
24.7%
26.0%
34.5%
50.3%
24.1%
30–39
2005
2006
2007
2008
10.3%
12.7%
12.6%
15.1%
5.1%
5.7%
8.2%
9.8%
7.9%
15.1%
8.3%
13.9%
6.8%
17.2%
15.3%
17.1%
40–49
2005
2006
2007
2008
2.1%
2.7%
2.1%
2.9%
5.3%
3.5%
2.4%
6.1%
5.1%
3.5%
3.5%
5.3%
3.7%
9.2%
8.2%
7.8%
50–59
2005
2006
2007
2008
1.2%
1.8%
1.4%
1.7%
2.2%
0.7%
1.5%
2.5%
2.1%
1.8%
1.4%
3.6%
2.3%
7.5%
5.0%
3.5%
60+
2005
2006
2007
2008
0.0%
0.0%
2.9%
4.1%
4.8%
0.0%
3.2%
2.0%
2.8%
3.2%
1.9%
4.3%
3.1%
6.7%
4.0%
3.3%
0–29
2004
2005
2006
2007
6.5%
16.4%
9.8%
21.9%
8.3%
11.8%
0.0%
20.0%
8.6%
15.7%
7.1%
14.9%
5.7%
10.6%
9.1%
9.7%
30–39
2004
2005
2006
2007
6.2%
8.8%
4.8%
9.4%
5.0%
7.0%
4.7%
6.6%
8.8%
6.3%
3.9%
8.9%
11.2%
5.0%
8.1%
4.7%
40–49
2004
2005
2006
2007
2.2%
1.3%
3.5%
3.0%
2.5%
2.5%
4.1%
2.1%
3.5%
4.3%
3.0%
4.9%
9.5%
3.3%
2.6%
4.0%
50–59
2004
2005
2006
2007
8.5%
5.0%
6.9%
6.8%
4.4%
5.9%
6.7%
5.3%
3.4%
3.9%
4.2%
5.7%
12.0%
5.4%
6.8%
6.0%
60+
2004
2005
2006
2007
14.8%
13.0%
16.7%
15.7%
12.0%
20.5%
13.1%
14.9%
15.5%
12.1%
9.5%
11.5%
18.8%
21.5%
16.7%
16.5%
Notes
Rates will not sum to 100%.
The RPN workforce of the four western provinces represents the total RPN workforce in Canada.
Data released by CIHI may differ from data from other sources due to CIHI’s nationally standardized methodology.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
CIHI 2010
97
Regulated Nurses: Canadian Trends, 2004 to 2008
Aging of the Workforce
Figure 42 highlights the proportion of the RPN workforce in each province at or above
three typical ages of retirement in 2008: 55, 60 and 65. Note that this illustration is
cumulative. An RPN at age 65 is counted in all three categories, and a RPN at age 60
is counted in two categories.
Information on the age of the RPN workforce across Canada shows a large portion of
psychiatric nurses within these age groups (55 and older, at 28.3%, 60 and older, at
13.4%, and 65 and older, at 3.4%) may be preparing for retirement in the near future.
Figure 42
Registered Psychiatric Nursing Workforce, by Age Groups 55+, 60+ and 65+,
by Province, 2008
35.0%
30.0%
25.0%
20.0%
15.0%
10.0%
5.0%
0.0%
Man.
Sask.
55+
Alta.
60+
B.C.
Total
65+
Notes
Totals may not sum to 100% due to rounding.
The RPN workforce of the four western provinces represents the total RPN workforce in Canada.
Data released by CIHI may differ from data from other sources due to CIHI’s nationally standardized methodology.
RPNs employed in a province different from their province of registration are excluded to avoid duplication.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
98
CIHI 2010
Chapter 3—Regulated Nurses in Canada: Trends of Registered Psychiatric Nurses
Years Since Graduation
As employment patterns of RPNs change as their careers evolve, assumptions and analyses
based on age indicators alone may be incomplete. It may be useful as well to consider
the number of years since graduation from an RPN program.
Figure 43 illustrates the distribution of RPNs by number of years since graduation. Note that
this indicates the maximum number of years an RPN could have been in the workforce
and does not necessarily reflect the actual number of years worked, because time spent
out of the workforce (such as in continuing education or family leave) is not accounted for.
Figure 43
Registered Psychiatric Nursing Workforce, by Years Since RPN Graduation,
by Province, 2004 and 2008
100.0%
90.0%
19.8%
26.5%
22.4%
26.3%
21.5%
27.4%
31.0%
29.0%
20.8%
80.0%
25.8%
25.2%
26.4%
22.3%
27.2%
27.7%
29.7%
25.7%
17.9%
20.2%
2004
2008
70.0%
60.0%
29.5%
29.2%
36.4%
32.3%
34.2%
50.0%
40.0%
30.0%
31.2%
20.5%
34.5%
33.1%
23.7%
15.9%
19.9%
23.2%
2004
2008
2004
24.3%
37.1%
20.0%
10.0%
25.0%
12.6%
18.7%
13.9%
0.0%
2004
2008
Man.
2004
4.3%
2008
Sask.
0–10
27.6%
Alta.
11–20
2008
B.C.
21–30
Total
31+
Notes
Non-response for Year of Graduation (% of RPN workforce): 2004, n = 38 (0.7%).
Totals may not sum to 100% due to rounding.
The RPN workforce of the four western provinces represents the total RPN workforce in Canada.
Data released by CIHI may differ from data from other sources due to CIHI’s nationally standardized methodology.
RPNs employed in a province different from their province of registration are excluded to avoid duplication.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
The trend from 2004 to 2008 shows the proportion of RPNs 31+ years since graduation
increased in every province with the exception of British Columbia. In the western provinces
overall, the cohort 31+ years since graduation increased from 25.2% to 26.4% between
2004 and 2008. The proportion of RPNs in the group 0 to 10 years since graduation
increased to 20.2% of the workforce in 2008, from 17.9% in 2004.
CIHI 2010
99
Regulated Nurses: Canadian Trends, 2004 to 2008
Education Trends: Lifelong Learning
Entry-to-Practice Education
Registered psychiatric nurses are graduates of recognized and approved postsecondary
education programs. They must meet standards for psychiatric nursing, a code of ethics
and a set of expected competencies. Although psychiatric nursing programs are now available
at both the diploma and baccalaureate levels in the western provinces, most RPNs in the
current workforce entered practice as graduates of a two- or three-year diploma program.
Higher Education for Registered Psychiatric Nurses
In the 2008 RPN workforce, a total of 399 RPNs (7.7%) had obtained a baccalaureate
as their highest education in psychiatric nursing (see Table 45), compared to 4,755 (92.1%)
who had earned a diploma. As Manitoba was the first province to offer a baccalaureate
program in 1998, the percentage of RPNs in that province with a baccalaureate as the
highest educational level was 19.0%.
Table 45
Registered Psychiatric Nursing Workforce, by Highest Level of Education
in Psychiatric Nursing, Western Provinces, 2004 to 2008
Diploma
Baccalaureate
Master’s/Doctorate
2004
2005
2006
2007
2008
4,876
4,707
4,760
4,747
4,755
(Count)
227
241
276
368
399
2004
2005
2006
2007
2008
–
-3.5%
1.1%
-0.3%
0.2%
(Annual Percentage Change)
–
6.2%
14.5%
33.3%
8.4%
2004
2005
2006
2007
2008
95.2%
94.8%
94.2%
92.6%
92.1%
(Percentage Distribution)
4.4%
4.9%
5.5%
7.2%
7.7%
18
16
15
9
8
–
-11.1%
-6.3%
-40.0%
-11.1%
0.4%
0.3%
0.3%
0.2%
0.2%
Notes
– Data is not applicable or does not exist.
Totals may not sum to 100% due to rounding.
The RPN workforce of the four western provinces represents the total RPN workforce in Canada.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
100
CIHI 2010
Chapter 3—Regulated Nurses in Canada: Trends of Registered Psychiatric Nurses
Figure 44 illustrates a substantial increase (151.3%) in baccalaureate program graduates
and a decrease (6.8%) in the number of diploma program graduates in 2008, compared
to 2007. The percentage change in both groups of graduates must be interpreted with
caution as the number of RPNs is small.
Figure 44
Registered Psychiatric Nurses Graduating From Diploma and Baccalaureate
Programs, Western Provinces, 2007 to 2008
Total Number of Graduates
120
100
80
60
40
20
0
2007
2008
Year of Graduation
Diploma Program
Baccalaureate Program
Notes
Graduate refers to the number of students who successfully graduated from the program. Graduate data is collected on a calendar year basis.
For more detailed notes refer to source information.
Sources
Canadian Nurses Association and Canadian Association of Schools of Nursing.
CIHI 2010
101
Regulated Nurses: Canadian Trends, 2004 to 2008
Average Age at Graduation
The age at which a student graduates from a psychiatric nursing program and is eligible to
enter the RPN workforce is an important indicator of the number of years an average RPN
will contribute to the workforce. As Table 46 illustrates, as psychiatric nurses enter the
workforce later, their years of service will be reduced unless they stay later at the end
of their careers.
Table 46
Registered Psychiatric Nursing Graduates and Average Age at Graduation,
by Range of Graduation Years, Western Provinces, 1980 to 2008
Graduation Year
1980–1984
1985–1989
1990–1994
1995–1999
2000–2004
2005–2008
Number of Graduates
Average Age
at Graduation
731
718
726
423
463
468
24.1
25.2
28.2
28.6
30.4
30.5
Notes
The total RPN workforce of the four western provinces represents the total RPN workforce in Canada.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
The trend of increasing age at graduation slowed since the changes seen prior to the early
1990s, as seen in Table 46. However, in 2008, 49.5% of the workforce who had graduated
in the previous four years was older than 30 when they graduated.
Mobility Trends: A Mobile Workforce
Regulated nurses are in demand in Canada and around the world. As a result, graduates
from regulated nursing programs often have numerous options as to where they will practise.
Canadian graduates may choose to remain in their current province or territory, to migrate
to another Canadian province or territory or to emigrate to another country. International
graduates may choose to immigrate to Canada, either through their own initiative or through
a provincial nursing recruitment program.
As CIHI does not collect citizenship or immigration data, the mobility trends in this chapter
related to interprovincial and international mobility are based on indicators developed by
CIHI using data on employment, location of residence and location of graduation. Additional
information on RPN mobility trends is available in the data tables on the CIHI website.
102
CIHI 2010
Chapter 3—Regulated Nurses in Canada: Trends of Registered Psychiatric Nurses
Migration Within Canada
Each provincial workforce combines registered psychiatric nursing graduates from within
the province, graduates from other Canadian provinces and graduates from outside the
country. Overall, more than 8 out of 10 graduates (84.1%) of Canadian registered psychiatric
nursing programs who were working in Canada in 2008 either did not move after graduation
or eventually returned to their province of graduation.
Figure 45
Registered Psychiatric Nursing Workforce, by Province of Graduation
and Registration, 2008
Man. Grads
Sask. Grads
25.4%
74.6%
Alta. Grads
13.8%
86.2%
B.C. Grads
0.0%
21.4%
78.6%
3.8%
96.2%
20.0%
40.0%
Graduates Retained
60.0%
80.0%
100.0%
Graduates Lost to Another Jurisdiction
Notes
Includes only graduates of Canadian nursing programs employed in Canada in 2008 (N = 4,280).
Totals may not sum to 100% due to rounding.
The RPN workforce of the four western provinces represents the total RPN workforce in Canada.
Data released by CIHI may differ from data from other sources due to CIHI’s nationally standardized methodology.
RPNs employed in a province different from their province of registration are excluded to avoid duplication.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
CIHI 2010
103
Regulated Nurses: Canadian Trends, 2004 to 2008
Figure 46
Top Two Destinations for Registered Psychiatric Nursing Graduates,
by Province of Graduation, Western Provinces, 2008
Man. Grads
Alta.
Sask. Grads
B.C.
B.C.
Alta.
Alta.
Alta. Grads
B.C. Grads
Sask.
B.C.
Alta.
0.0%
Sask.
5.0%
10.0%
15.0%
20.0%
25.0%
30.0%
Notes
Includes only graduates of Canadian nursing programs employed in Canada in 2008 (N = 4,280).
Totals may not sum to 100% due to rounding.
The RPN workforce of the four western provinces represents the total RPN workforce in Canada.
Data released by CIHI may differ from data from other sources due to CIHI’s nationally standardized methodology.
RPNs employed in a province different from their province of registration are excluded to avoid duplication.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
The provinces of British Columbia and Alberta figure most prominently as destinations
for RPN migrant graduates. In contrast, only 3.4% of the RPN workforce in Manitoba and
13.1% of that in Saskatchewan graduated from Canadian psychiatric nursing programs
outside their province of registration, the lowest rates in the country (see Figure 46).
The data does not account for mobility and migration in the intervening years.
International Registered Psychiatric Nursing Graduates
In the absence of citizenship and immigration data, CIHI uses the location of graduation as
an indicator of trends in immigration. The assumption is made that a registered psychiatric
nurse who studied outside of Canada immigrated, but the total number does include those
Canadian citizens who studied abroad.
104
CIHI 2010
Chapter 3—Regulated Nurses in Canada: Trends of Registered Psychiatric Nurses
Table 47
Registered Psychiatric Nursing Workforce, by Location of Graduation,
by Province, 2004 to 2008
Man.
Alta.
B.C.
Total
(Count)
920
1,023
921
1,024
890
1,047
870
1,062
880
1,046
1,707
1,650
1,726
1,786
1,429
4,600
4,537
4,608
4,660
4,280
238
220
209
235
175
366
342
327
351
307
(Annual Percentage Change)
–
–
–
–
-0.8%
0.1%
0.1%
-3.3%
0.3%
-3.4%
2.2%
4.6%
-0.3%
-2.2%
1.4%
3.5%
-1.8%
1.1%
-1.5%
-20.0%
–
-1.4%
1.6%
1.1%
-8.2%
Western
Provinces
2004
2005
2006
2007
2008
950
942
945
942
925
International
2004
2005
2006
2007
2008
13
10
11
10
10
Western
Provinces
2004
2005
2006
2007
2008
International
2004
2005
2006
2007
2008
Western
Provinces
2004
2005
2006
2007
2008
International
2004
2005
2006
2007
2008
–
-23.1%
10.0%
-9.1%
0.0%
Sask.
15
12
10
10
11
–
-7.6%
-5.0%
12.4%
-25.5%
–
-6.6%
-4.4%
7.3%
-12.5%
(Percentage Distribution)
98.7%
98.4%
91.1%
87.8%
98.9%
98.7%
91.1%
88.2%
98.8%
98.9%
91.5%
89.2%
98.9%
98.9%
91.7%
88.4%
98.9%
98.8%
90.4%
89.1%
92.6%
93.0%
93.4%
93.0%
93.3%
1.3%
1.1%
1.2%
1.1%
1.1%
–
-20.0%
-16.7%
0.0%
10.0%
100
100
97
96
111
1.6%
1.3%
1.1%
1.1%
1.2%
–
0.0%
-3.0%
-1.0%
15.6%
8.9%
8.9%
8.5%
8.3%
9.6%
12.2%
11.8%
10.8%
11.6%
10.9%
7.4%
7.0%
6.6%
7.0%
6.7%
Notes
– Data is not applicable or does not exist.
Non-response for Location of Graduation (% RPN workforce): 2004, n = 155 (3.0%); 2005, n = 85 (1.7%), 2006, n = 116 (2.3%);
2008, n = 575 (11.1%).
Totals may not sum to 100% due to rounding.
The RPN workforce of the four western provinces represents the total RPN workforce in Canada.
Data released by CIHI may differ from data from other sources due to CIHI’s nationally standardized methodology.
RPNs employed in a province different from their province of registration are excluded to avoid duplication.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
CIHI 2010
105
Regulated Nurses: Canadian Trends, 2004 to 2008
Table 47 shows that the RPN workforces of British Columbia (10.9%) and Alberta (9.6%)
had the highest concentration of internationally educated graduates in 2008. In contrast,
1.1% of the RPN workforce in Manitoba and 1.2% of that in Saskatchewan graduated
from an international psychiatric nursing school with respect to the 2008 data year.
Of the RPNs employed in Canada who reported their location of graduation in 2008,
93.3% (4,280) graduated from a psychiatric nursing program in Canada and 6.7% (307)
graduated from an international psychiatric nursing program. Since 2004, the proportion of
internationally educated graduates in the Canadian RPN workforce has remained between
6.6% and 7.5%.
Figure 47
Internationally Educated Registered Psychiatric Nurses in the Workforce,
by Country of Graduation, 2008
New Zealand
1.3%
Netherlands
1.0%
Other International
5.2%
Australia
2.0%
Ireland
2.6%
Hong Kong
7.2%
United Kingdom
80.8%
Notes
Includes only those who were educated outside of Canada in the workforce in 2008 (N = 307).
Totals may not sum to 100% due to rounding.
The total RPN workforce of the four western provinces represents the total RPN workforce in Canada.
Data released by CIHI may differ from data from other sources due to CIHI’s nationally standardized methodology.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
For the 307 registered psychiatric nurses in Canada who graduated from an international
psychiatric nursing program, the six most frequently identified countries of graduation
are identified in Figure 47. Most (80.8%) graduates graduated from psychiatric nursing
programs in the United Kingdom, while those educated in Hong Kong comprised the next
largest group, at 7.2%.
106
CIHI 2010
Chapter 3—Regulated Nurses in Canada: Trends of Registered Psychiatric Nurses
Urban/Rural Distribution of the Workforce
Geographical differences in Canada create numerous challenges to health care providers
and planners. The urban/rural distribution of the population is a challenge not only in the
northern territories but also in each of the provinces.
To determine if RPNs were practising in a rural or an urban setting, a postal code analysis
was performed. In most cases, the postal code used was that of the workplace; however,
when Postal Code of Employer (Work Site) was not submitted to CIHI, Postal Code of
Residence was used.v Figures 48 and 49 illustrate the urban/rural/remote distribution
of the RPN workforce in Canada in 2008. In 2008, 84% of the RPN workforce worked
in urban areas of the four western provinces.
Figure 48
Registered Psychiatric Nursing Workforce, by Urban/Rural/Remote Designation,
Western Provinces, 2008
Urban
84.0%
Rural
9.7%
Other
16.0%
Remote
6.1%
Territories
0.2%
Notes
Totals may not sum to 100% due to rounding.
Urban areas are defined as communities with populations greater than 10,000 persons.
Rural areas are defined as communities in relatively close proximity to urban areas.
Remote areas are defined as those communities with relatively little social and economic interaction with urban areas.
Territories are defined as areas outside of Whitehorse and Yellowknife in the northern territories.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
v. See Chapter 5 (Methodological Notes) for a description of the postal code analysis.
CIHI 2010
107
Regulated Nurses: Canadian Trends, 2004 to 2008
Figure 49
100.0%
90.0%
80.0%
Registered Psychiatric Nursing Workforce, by Urban/Rural/Remote Designation,
by Province, 2008
0.2%
0.4%
10.7%
10.4%
70.0%
1.7%
7.5%
20.0%
20.2%
0.1%
2.0%
3.9%
60.0%
50.0%
40.0%
30.0%
96.2%
85.7%
72.3%
68.7%
20.0%
10.0%
0.0%
Man.
Urban
Sask.
Rural
Alta.
Remote
B.C.
Territories
Notes
Totals may not sum to 100% due to rounding.
Urban areas are defined as communities with populations greater than 10,000 persons.
Rural areas are defined as communities in relatively close proximity to urban areas.
Remote areas are defined as those communities with relatively little social and economic interaction with urban areas.
Territories are defined as areas outside of Whitehorse and Yellowknife in the northern territories.
Data released by CIHI may differ from data from other sources due to CIHI’s nationally standardized methodology.
RPNs employed in a province different from their province of registration are excluded to avoid duplication (except where one is a territory).
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
Methodological and Historical Changes to Registered
Psychiatric Nursing Data, 2004 to 2008
Methodological and historical changes to the data make it difficult to compare data across
time. CIHI and the regulatory authorities are continually striving to improve data quality;
therefore, the following information must be taken into consideration when making historical
comparisons and consulting previous CIHI publications. In all cases, comparisons should be
made with caution and in consideration of the historical and methodological changes made.
RPN data for the years 1993 to 2001 was published in the series Health Personnel Trends
in Canada, and RPN data for the 2002 data year was published in the report Workforce
Trends of Registered Psychiatric Nurses, 2002.
108
CIHI 2010
Chapter 3—Regulated Nurses in Canada: Trends of Registered Psychiatric Nurses
Historical Revisions and Data Limitations
For a complete list of the data elements related to RPNs, please access the Registered
Psychiatric Nurses System Data Dictionary and Processing Manual on the CIHI website
at www.cihi.ca.
Employment
All Provinces—Employment Status
In 2004, a methodology to more accurately account for the workforce was implemented.vi
RPNs reporting an employer in psychiatric nursing but failing to state their Employment
Status (full-time, part-time or casual positions with that employer) were re-coded by CIHI
from not stated to unknown.
British Columbia—Employment Status
For the 2005 data year, the College of Registered Psychiatric Nurses of British Columbia
(CRPNBC) defaulted this field, for all registrants, to employed in psychiatric nursing—status
unknown. For the 2006 data year, the CRPNBC and CIHI worked together to improve the
reporting of Employment Status information collected on the CRPNBC’s registration form.
For the 2004 data year, the CRPNBC did not submit part-time or casual employment data
to CIHI. Data for all RPNs without full-time employment was defaulted to employed in
psychiatric nursing—status unknown.
Saskatchewan—Employment Status
Starting in the 2005 data year, the Registered Psychiatric Nurses Association of Saskatchewan
(RPNAS) registration form separates part-time and casual employment into two options.
In previous years, part-time and casual employment were grouped as one option, and all
RPNs who selected this were defaulted to part time unless the RPN specifically indicated
casual employment.
Manitoba—Place of Work, Area of Responsibility, Position
Starting in the 2005 data year, the College of Registered Psychiatric Nurses of Manitoba
(CRPNM) began to collect and submit data for the following fields to CIHI:
•
Place of Work (second and third employer)
•
Area of Responsibility (second and third employer)
•
Position (second and third employer)
•
Postal Code of Employer (second and third employer)
British Columbia—Place of Work
For the 2004 data year, the CRPNBC did not submit community mental health–sector data
to CIHI. Any data collected in this category was defaulted to other place of work.
For the 2004 data year, the CRPNBC did not submit senior manager data to CIHI. Any data
collected in this category was defaulted to other positions.
vi. See Chapter 5 (Methodological Notes) for more information on the re-coding of the Employment Status element.
CIHI 2010
109
Regulated Nurses: Canadian Trends, 2004 to 2008
Education
Saskatchewan—Initial Education in Psychiatric Nursing
The RPNAS did not submit data for this field prior to the 2004 data year.
Manitoba—Initial Education in Psychiatric Nursing and Other Education in Psychiatric Nursing
In the 2005 data year, the CRPNM asked members to complete the entire education
section of the registration form even if they had reported education information previously.
This may have resulted in the capture of education data that was not previously reported
or not previously entered in the database.
British Columbia—Location of Graduation
In 2008, the number of RPNs selecting Not Stated under the Location of Graduation
field increased substantially. There was a concomitant decrease in the number of RPNs
selecting British Columbia under the Location of Graduation field.
110
CIHI 2010
Chapter 4—Regulated Nursing Workforce by Health Region
Chapter 4—Regulated Nursing Workforce
by Health Region
Regulated Nursing Workforce by Health Region
This chapter presents information on the regulated nursing workforce by health regions
and by distinct nursing profession: registered nursing, licensed practical nursing and registered
psychiatric nursing. Provincial and territorial analysis by health region was integrated into
this publication as a result of increasing demand for health information at a regional level.
Health regions are legislated administrative areas defined by provincial ministries of health.
These administrative areas represent geographic areas of responsibility for hospital boards
or regional health authorities. Health regions, being provincial administrative areas, are
subject to change.
To ensure consistency with the 2008 nursing data, health region boundaries presented
correspond to the health regions as of 2008.
The health region data presented in this publication includes only regulated nurses who
work in direct patient care; those employed in administration, education or research are
excluded from the health region totals. There are 304,686 individuals in the regulated
nursing direct care workforce, representing 89.2% of the total regulated nursing workforce.
Assigning the Regulated Nursing Workforce to Health Regions
Postal code data and Statistics Canada’s Postal Code Conversion File (PCCF) were used
to assign the regulated nursing workforce to health regions. The six-digit Postal Code of
Employer (Work Site) was used first; when this postal code was missing or invalid (3.6%),
the six-digit Postal Code of Residence was used. This method accurately assigned 99.98%
of the direct care regulated nursing workforce to a particular health region. The remaining
0.02% were excluded from the analysis.
CIHI would like to acknowledge the cooperation of l’Ordre des infirmières et infirmiers
du Québec, which provided CIHI with the number of registered nurses working in direct
care employed or living in each Quebec health region.
Health Region Peer Groups
In order to facilitate comparison between health regions, Statistics Canada developed a
methodology that groups health regions with similar socio-economic and socio-demographic
characteristics into peer groups. The health region peer groups defined by Statistics Canada
are listed in Table 49.
CIHI 2010
111
Regulated Nurses: Canadian Trends, 2004 to 2008
Rates per 100,000 Population by Health Region
2008 health region population data was not available from Statistics Canada at the time of
release. Thus, 2008 health region population was estimated using the following formula:
P2008 region_a, prov_c = P2008 prov_c x P2007 region_a, prov_c
P2007 prov_c
P = population estimate
The rates were not adjusted to account for differences in population that may change
health status, such as age or sex. While adjusted rates can be quite useful for certain types
of analysis, this report presents the actual number of nurses providing direct care who
work in each health region.
Table 48
Regulated Nursing Workforce by Health Region, Canada, 2008
Licensed
Practical Nurses
Registered Nurses
Peer
Group
Health Region Name
Registered
Psychiatric Nurses
All Regulated Nurses
Population
Estimates
Direct
Care
Counts
Per
100,000
Population
Direct
Care
Counts
Per
100,000
Population
Direct
Care
Counts
Per
100,000
Population
Counts
Per
100,000
Population
Newfoundland and Labrador
C
Eastern Regional Integrated Health Authority
297,562
3,322
1,116
1,340
450
–
–
4,662
1,567
I
Central Regional Integrated Health Authority
94,696
723
763
530
560
–
–
1,253
1,323
I
Western Regional Integrated Health Authority
79,013
743
940
462
585
–
–
1,205
1,525
H
Labrador-Grenfell Regional Integrated
Health Authority
37,718
360
954
146
387
–
–
506
1,342
Outside of Jurisdiction
Newfoundland and Labrador (Direct Care Total)
–
1
–
0
–
–
–
1
–
508,990
5,149
1,012
2,478
487
–
–
7,627
1,498
Prince Edward Island
D
Kings County
18,745
75
400
43
229
–
–
118
630
A
Queens County
75,820
830
1,095
454
599
–
–
1,284
1,693
Prince County
45,835
387
844
128
279
–
–
515
1,124
–
20
–
0
–
–
–
20
–
140,400
1,312
934
625
445
–
–
1,937
1,380
C
Outside of Jurisdiction
Prince Edward Island (Direct Care Total)
Nova Scotia
C
Zone 1
122,168
721
590
501
410
–
–
1,222
1,000
C
Zone 2
82,965
537
647
283
341
–
–
820
988
C
Zone 3
106,811
563
527
242
227
–
–
805
754
C
Zone 4
93,139
716
769
250
268
–
–
966
1,037
I
Zone 5
127,163
1,156
909
610
480
–
–
1,766
1,389
A
Zone 6
407,285
3,768
925
1,273
313
–
–
5,041
1,238
–
9
–
0
–
–
–
9
–
939,530
7,470
795
3,159
336
–
–
10,629
1,131
Outside of Jurisdiction
Nova Scotia (Direct Care Total)
New Brunswick
C
Region 1
197,317
1,921
974
581
294
–
–
2,502
1,268
C
Region 2
174,611
1,656
948
636
364
–
–
2,292
1,313
C
Region 3
171,844
1,359
791
520
303
–
–
1,879
1,093
C
Region 4
50,594
531
1,050
179
354
–
–
710
1,403
I
Region 5
28,226
388
1,375
140
496
–
–
528
1,871
I
Region 6
79,735
722
905
358
449
–
–
1,080
1,354
I
Region 7
45,992
377
820
161
350
–
–
538
1,170
Outside of Jurisdiction
New Brunswick (Direct Care Total)
112
–
0
–
9
–
–
–
9
–
748,320
6,954
929
2,584
345
–
–
9,538
1,275
CIHI 2010
Chapter 4—Regulated Nursing Workforce by Health Region
Table 48
Regulated Nursing Workforce by Health Region, Canada, 2008 (cont’d)
Licensed
Practical Nurses
Registered Nurses
Peer
Group
Health Region Name
Population
Estimates
Direct
Care
Counts
Registered
Psychiatric Nurses
All Regulated Nurses
Per
100,000
Population
Direct
Care
Counts
Per
100,000
Population
Direct
Care
Counts
Per
100,000
Population
Counts
Per
100,000
Population
Quebec
C
Bas-Saint-Laurent
203,783
1,608
789
709
348
–
–
2,317
1,137
C
Saguenay–Lac-Saint-Jean
276,338
2,140
774
971
351
–
–
3,111
1,126
A
Capitale-Nationale
682,623
7,436
1,089
1,982
290
–
–
9,418
1,380
C
Mauricie et du Centre-du-Québec
495,266
3,262
659
1,263
255
–
–
4,525
914
C
Estrie
306,955
2,346
764
760
248
–
–
3,106
1,012
G
Montréal
1,891,723
17,770
939
5,134
271
–
–
22,904
1,211
A
Outaouais
353,087
1,667
472
523
148
–
–
2,190
620
C
Abitibi-Témiscamingue
146,733
1,089
742
294
200
–
–
1,383
943
H
Côte-Nord
96,684
782
809
174
180
–
–
956
989
H
Nord-du-Québec
17,481
148
847
35
200
–
–
183
1,047
I
Gaspésie–Îles-de-la-Madeleine
96,474
807
836
379
393
–
–
1,186
1,229
E
Chaudière-Appalaches
403,757
2,311
572
1,022
253
–
–
3,333
825
A
Laval
385,704
1,901
493
582
151
–
–
2,483
644
E
Lanaudière
449,915
2,004
445
665
148
–
–
2,669
593
696
E
Laurentides
533,928
2,584
484
1,130
212
–
–
3,714
A
Montérégie
1,418,261
6,445
45†
2,33†
163
–
–
8,752
617
F
Nunavik
10,315
124
1,20†
*
10
–
–
125
1,212
F
Terre-Cries-de-la-Baie-James
13,533
115
85†
*
7
–
–
116
857
–
0
–
0
–
–
–
0
–
7,782,560
54,539
701
17,932
230
–
–
72,471
931
Outside of Jurisdiction
Quebec (Direct Care Total)
Ontario
C
Algoma
120,765
935
774
468
388
–
–
1,403
1,162
A
Brant County
137,992
722
523
307
222
–
–
1,029
746
B
Durham
603,862
2,480
411
1,028
170
–
–
3,508
581
E
Elgin-St. Thomas
92,055
626
680
297
323
–
–
923
1,003
E
Grey Bruce
164,210
1,006
613
464
283
–
–
1,470
895
E
Haldimand-Norfolk
114,109
433
379
243
213
–
–
676
592
736
E
Haliburton, Kawartha, Pine Ridge
177,691
847
477
460
259
–
–
1,307
B
Halton
475,683
2,135
449
648
136
–
–
2,783
585
A
Hamilton
527,169
5,295
1,004
1,364
259
–
–
6,659
1,263
A
Hastings and Prince Edward Counties
165,451
915
553
420
254
–
–
1,335
807
E
Huron County
62,250
382
614
206
331
–
–
588
945
A
Chatham-Kent
111,179
728
655
331
298
–
–
1,059
953
A
Kingston, Frontenac and Lennox and Addington
190,528
2,190
1,149
703
369
–
–
2,893
1,518
A
Lambton Health Unit
134,118
833
621
336
251
–
–
1,169
872
E
Leeds, Grenville and Lanark
172,638
982
569
590
342
–
–
1,572
911
A
Middlesex-London
444,704
4,763
1,071
1,287
289
–
–
6,050
1,360
A
Niagara Regional Area
440,148
2,246
510
1,065
242
–
–
3,311
752
C
North Bay Parry Sound
127,223
952
748
577
454
–
–
1,529
1,202
H
Northwestern
81,850
562
687
325
397
–
–
887
1,084
B
Ottawa
858,262
7,395
862
1,893
221
–
–
9,288
1,082
E
Oxford County
108,097
581
537
253
234
–
–
834
772
B
Peel
1,315,034
4,717
359
925
70
–
–
5,642
429
E
Perth
78,259
523
668
208
266
–
–
731
934
A
Peterborough County-City
135,492
1,101
813
504
372
–
–
1,605
1,185
H
Porcupine
88,499
697
788
316
357
–
–
1,013
1,145
CIHI 2010
113
Regulated Nurses: Canadian Trends, 2004 to 2008
Table 48
Regulated Nursing Workforce by Health Region, Canada, 2008 (cont’d)
Licensed
Practical Nurses
Registered Nurses
Peer
Group
Health Region Name
Population
Estimates
Direct
Care
Counts
Per
100,000
Population
Direct
Care
Counts
Registered
Psychiatric Nurses
All Regulated Nurses
Per
100,000
Population
Direct
Care
Counts
Per
100,000
Population
Counts
Per
100,000
Population
E
Renfrew County
101,962
628
616
416
408
–
–
1,044
1,024
E
Eastern Ontario
202,074
943
467
463
229
–
–
1,406
696
E
Simcoe Muskoka
501,143
2,873
573
1,243
248
–
–
4,116
821
C
Sudbury
201,099
1,729
860
573
285
–
–
2,302
1,145
C
Thunder Bay
156,840
1,567
999
704
449
–
–
2,271
1,448
C
Timiskaming
34,867
250
717
116
333
–
–
366
1,050
B
Waterloo
503,464
2,593
515
993
197
–
–
3,586
712
B
Wellington-Dufferin-Guelph
269,111
1,299
483
637
237
–
–
1,936
719
B
Windsor-Essex County
409,568
2,503
611
811
198
–
–
3,314
809
B
York Regional
989,853
3,178
321
939
95
–
–
4,117
416
G
Toronto
2,689,610
20,923
778
4,214
157
–
–
25,137
935
–
158
–
15
–
–
–
173
–
12,986,860
82,690
637
26,342
203
–
–
109,032
840
682,279
6,078
891
1,067
156
268
39
7,413
1,087
1,605
Outside of Jurisdiction
Ontario (Direct Care Total)
Manitoba
A
Winnipeg
A
Brandon
50,031
444
887
199
398
160
320
803
E
North Eastman
42,398
253
597
71
167
21
50
345
814
E
South Eastman
66,080
336
508
101
153
11
17
448
678
82,286
579
704
183
222
135
164
897
1,090
106,459
663
623
334
314
113
106
1,110
1,043
E
Interlake
D
Central
D
Assiniboine
70,659
429
607
293
415
25
35
747
1,057
D
Parkland
41,855
262
626
187
447
38
91
487
1,164
H
Norman
22,651
168
742
83
36†
1†
49
262
1,157
F
Burntwood/Churchill
49,122
202
411
57
16†
*
8
263
535
–
1
–
2
–
8
–
11
–
1,213,820
9,415
776
2,577
212
794
65
12,786
1,053
Outside of Jurisdiction
Manitoba (Direct Care Total)
Saskatchewan
D
Sun County
53,251
271
509
105
197
44
83
420
789
D
Five Hills
54,179
340
628
114
210
111
205
565
1,043
43,596
269
617
116
266
18
41
403
924
250,255
2,250
899
713
285
249
99
3,212
1,283
D
Cypress
A
Regina Qu'Appelle
D
Sunrise
A
Saskatoon
56,462
338
599
157
278
57
101
552
978
298,440
2,793
936
562
188
111
37
3,466
1,161
D
Heartland
44,903
237
528
94
209
9
20
340
757
D
Kelsey Trail
41,248
156
378
72
175
16
39
244
592
C
Prince Albert Parkland
76,604
529
691
264
345
58
76
851
1,111
H
Prairie North
70,039
446
637
240
34†
10†
154
794
1,134
F
Mamawetan/Keewatin/Athabasca
34,833
115
330
53
15†
*
9
171
491
–
8
–
0
–
2
–
10
–
1,023,810
7,752
757
2,490
243
786
77
11,028
1,077
Outside of Jurisdiction
Saskatchewan (Direct Care Total)
Alberta
E
Chinook
170,107
1,166
685
342
201
34
20
1,542
906
E
Palliser
111,731
700
627
250
224
22
20
972
870
B
Calgary
1,333,087
9,539
716
1,502
113
228
17
11,269
845
E
David Thompson
331,285
2,114
638
728
220
273
82
3,115
940
E
East Central
123,653
602
487
309
250
39
32
950
768
114
CIHI 2010
Chapter 4—Regulated Nursing Workforce by Health Region
Table 48
Regulated Nursing Workforce by Health Region, Canada, 2008 (cont’d)
Licensed
Practical Nurses
Registered Nurses
Health Region Name
Population
Estimates
Direct
Care
Counts
B
Capital Health
1,135,178
E
Aspen
192,937
E
Peace Country
H
Northern Lights
Peer
Group
Per
100,000
Population
Direct
Care
Counts
9,485
836
787
408
153,453
811
81,048
All Regulated Nurses
Per
100,000
Population
Direct
Care
Counts
Per
100,000
Population
Counts
Per
100,000
Population
2,201
194
385
34
12,071
1,063
350
181
15
8
1,152
597
529
327
213
3†
2†
1,169
762
434
535
107
132
*
*
544
671
–
51
–
6
–
5
–
62
–
3,632,480
25,689
707
6,122
169
1,035
28
32,846
904
707
Outside of Jurisdiction
Alberta (Direct Care Total)
Registered
Psychiatric Nurses
British Columbia
E
East Kootenay
79,730
373
468
183
230
8
10
564
C
Kootenay/Boundary
80,827
491
607
147
182
17
21
655
810
A
Okanagan
348,332
2,286
656
864
248
129
37
3,279
941
754
C
Thompson/Cariboo
224,138
1,208
539
419
187
63
28
1,690
A
Fraser East
277,003
1,202
434
393
142
134
48
1,729
624
B
Fraser North
583,980
3,004
514
631
108
657
113
4,292
735
B
Fraser South
679,227
2,834
417
726
107
271
40
3,831
564
B
Richmond
188,320
596
316
158
84
33
18
787
418
G
Vancouver
630,330
6,466
1,026
741
118
253
40
7,460
1,184
B
North Shore/Coast Garibaldi
278,374
1,239
445
300
108
79
28
1,618
581
A
South Vancouver Island
369,586
3,083
834
654
177
108
29
3,845
1,040
A
Central Vancouver Island
264,750
1,361
514
632
239
75
28
2,068
781
C
North Vancouver Island
122,087
725
594
183
150
26
21
934
765
H
Northwest
77,758
362
466
144
185
14
18
520
669
H
Northern Interior
146,534
1,004
685
298
203
30
20
1,332
909
68,995
214
310
103
149
19
28
336
487
–
3
–
2
–
3
–
8
–
4,419,970
26,451
598
6,578
149
1,919
43
34,948
791
33,440
280
837
59
176
–
–
339
1,014
0
5
0
0
0
–
–
5
0
93
217
–
–
637
1,483
713
H
Northeast
Outside of Jurisdiction
British Columbia (Direct Care Total)
Northern Territories
H
Yukon
Outside of Jurisdiction
H
Northwest Territories
42,940
544
1,267
F
Nunavut
31,560
225
713
0
0
–
–
225
–
311
–
0
–
–
–
311
–
107,940
1,365
1,265
152
141
–
–
1,517
1,405
33,504,680
228,786
683
71,039
212
4,534
44 304,359
908
Outside of Jurisdiction (N.W.T. and Nunavut)
Northern Territories (Direct Care Total)
Canada
Canada (Direct Care Total)
Notes
– Data is not applicable or does not exist.
* Value suppressed in accordance with CIHI privacy policy; cell value is from 1 to 4.
† Digit suppressed to ensure confidentiality; digit value is from 0 to 9 and corresponding percentage value.
The health region data presented in this publication includes only regulated nurses who work in direct patient care; those employed
in administration, education or research are excluded from the health region totals.
Outside of jurisdiction includes nurses with a postal code outside the province or territory of analysis.
Data released by CIHI may differ from data from other sources due to CIHI’s nationally standardized methodology.
The Canada registered psychiatric nurse (RPN) per 100,000 population rate was calculated using the population estimate for the
four western provinces (Manitoba, Saskatchewan, Alberta and British Columbia).
Data for Ontario is categorized based on public health units with corresponding local health integration networks (LHINs).
L’Ordre des infirmières et infirmiers du Québec (OIIQ) contributed the Quebec data presented in this table.
See Chapter 5 (Methodological Notes) for more information regarding the collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
CIHI 2010
115
Regulated Nurses: Canadian Trends, 2004 to 2008
Table 49
Principal Characteristics of Each Peer Group as Defined by Statistics Canada
This table lists the principal characteristics for each peer group.‡
Peer Group
Number of
Health Regions
A
23
B
14
C
24
D
10
E
24
F
5
G
3
H
13
I
8
Percentage
Principal Characteristics
of Population
Urban–rural mix from coast to coast
Average percentage of Aboriginal population
24.6%
Low male population
Slow population growth from 1996 to 2001
Mainly urban centres with moderately high population density
Low percentage of government transfer income
27.0%
Rapid population growth from 1996 to 2001
Sparsely populated urban–rural mix from coast to coast
Average percentage of Aboriginal population
12.3%
Negative population growth
Rural regions mainly in the central Prairies
Moderate Aboriginal population
Moderately high percentage of government transfer income
1.7%
Almost equal numbers of men and women
Negative population growth
Mainly rural regions in Quebec, Ontario and the Prairies
High proportion of people recently moved to or within these
regions since 1996
13.3%
Average percentage of Aboriginal population
Moderate population growth
Northern and remote regions
Very high Aboriginal population
Moderately high percentage of government transfer income
0.4%
Slightly higher male population
Moderate population growth
Largest metro centres with an average population density
of 3,934 people per square kilometre
Low Aboriginal population
16.2%
Moderate percentage of government transfer income
High female population
Rural northern regions
High Aboriginal population
2.7%
High male population
Negative population growth
Mainly rural Eastern regions
Very high percentage of government transfer income
Negative population growth
1.9%
Low percentage of people having moved to or within these
regions since 1996
Notes
Percentage of population refers to the percentage of the Canadian population living in a specific type of peer group.
The full publication and cluster analysis methodology are available from the Statistics Canada§, ** website.
Sources
‡ Statistics Canada, Summary Table of Peer Groups and Principal Characteristics (2008), accessed from <http://www.statcan.ca/
english/freepub/82-221-XIE/2008001/hregions/hrtable4-en.htm>.
§ Statistics Canada, Health Region Peer Groups (2002), accessed from <http://www.statcan.ca/english/freepub/82-221-XIE/
2005001/pdf/hrpeergroup.pdf>.
** Statistics Canada, Health Region Peer Groups 2003 (2004), accessed from <http://www.statcan.ca/english/freepub/82-221-XIE/
2005001/pdf/workingpaper.pdf>.
116
CIHI 2010
Chapter 5—Methodological Notes
Chapter 5—Methodological Notes
This chapter will provide a better understanding of the strengths and limitations of the
nursing data, and of how it can be effectively used and analyzed. The information is
particularly important when making comparisons with other data sources and when drawing
conclusions regarding changes over time.
Data Quality
CIHI is founded upon the principles of data quality, privacy and confidentiality. Data
collection, processing, analysis and dissemination are guided by CIHI’s commitment to
ensuring high-quality data in a privacy-sensitive manner. This section outlines methodologies
used to maximize the accuracy, comparability, timeliness, usability and relevance of the
Nursing Database.
Privacy and Confidentiality
To safeguard the privacy and confidentiality of data received by CIHI, guidelines have been
developed to govern the publication and release of health information in accordance with
provincial privacy legislation.
Data Collection
To practise as a regulated nurse in Canada, annual registration with the respective provincial
or territorial regulatory authority is mandatory, requiring the completion of a registration
form. The completed registration form is the property of the provincial/territorial regulatory
authority. Through an agreement with CIHI, each regulatory authority (and, in the case of RNs,
the Canadian Nurses Association) includes a standardized set of questions on registration forms.
These questions pertain to demographic, education/training and employment characteristics.
By agreement, regulatory authorities submit responses to the standardized questions once
per year, in accordance with an established schedule. CIHI and the regulatory authorities
jointly review and scrutinize the submitted data, applying the principles of data quality.
Once the regulatory authority and CIHI approve the final data, it is added to the Nursing
Database at CIHI for analysis and reporting.
Note that the statistics reported by CIHI may differ from the statistics reported by the
regulatory authorities, even though the source of the data (annual registration forms) is the
same. The differences are due to the population of reference, the collection period, exclusions
from CIHI data and CIHI editing and processing methodologies based on data quality principles.
CIHI 2010
117
Regulated Nurses: Canadian Trends, 2004 to 2008
Population of Interest
The population of interest includes all regulated nurses submitting active practising registration
in a Canadian province or territory. The population of interest is also further refined to
include only regulated nurses who fit the definition formulated by CIHI in consultation with
regulated nursing stakeholders to best serve health human resource planning and research
needs on a national level. As a result, there are some regulated nurses whose data is not
collected by CIHI. These include regulated nurses submitting non-practising registrations
(where available from the provincial/territorial regulatory authority) and regulated nurses
living or working outside Canada who have not maintained a Canadian license.
Population of Reference and Collection Period
CIHI takes steps to manipulate the population of reference of the Nursing Database to more
closely represent the population of interest. So that it can meet data quality guidelines
for timeliness, CIHI does not wait for the end of the 12-month registration period in each
jurisdiction before collecting data. Therefore, the population of reference for the Nursing
Database is all regulated nurses submitting active practising registration in a Canadian
province or territory in the first six months of the registration year. The 12-month registration
period varies among the provinces and territories, as each jurisdiction is responsible for
setting the start and end dates of its own registration period.
The difference between the population of interest and the population of reference enables
CIHI to produce more timely data. Analyses completed annually by CIHI indicate that fewer
than 4.0% of regulated nurses register after the six-month mark, thus ensuring that CIHI’s
trends are consistent with provincial/territorial trends that include those registering after
the six-month mark.
The population of reference includes the following definitions:
Non-Practising Registrations
The target population includes regulated nurses submitting active practising registrations;
those submitting non-practising registrations are excluded. At present, Quebec and Ontario
are the only jurisdictions that do not offer the option of active practising or non-practising
registration status to registered nurses and licensed practical nurses (in the case of Ontario);
there is only one type of registration. Therefore, Quebec submits data on RNs who are not
practising, and Ontario submits data on RNs and LPNs who are not currently practising.
While this is not technically a source of over-coverage—because all registrations in these
provinces are considered active practising—the result is that some data fields will have
a higher proportion of not stated values.
First-Time Registrants
The jurisdictions of Nova Scotia and Ontario do not submit data from first-time RN registrants,
and Ontario and Prince Edward Island do not submit data from first-time LPN registrants,
whether they are new graduates or individuals new to the jurisdiction. As many first-time
registrants are also active practising, this is a source of under-coverage.
118
CIHI 2010
Chapter 5—Methodological Notes
The Yukon and the Northwest Territories do submit information on some first-time LPN
registrants; the Yukon and the Northwest Territories do not submit data for registrants
coming from other countries. Because many first-time registrants are also active practising
LPNs, this is a source of under-coverage.
All four jurisdictions submitting RPN data include data on first-time registrants, whether
they are new graduates or individuals new to the jurisdiction. However, the initial registration
form for the jurisdictions does not consistently ask for employment information. This may
create some under-coverage or a higher number of non-responses.
Nurses on Leave
The target population excludes any regulated nurse not currently practising at the time of
registration. This creates some confusion for regulated nurses on leave (such as maternity/
paternity leave, education leave or short-term illness or injury), as they may or may not
be returning to work during the registration period. Therefore, they may submit an active
practising registration (where the option exists) but may not actually be practising at the
time of registration.
Therefore, the assumption is made that regulated nurses on temporary leave submit active
practising registrations with full employment information (when possible) with the intent
of returning to that position when the temporary leave ends. While this is not a source
of over-coverage, the fact is that some regulated nurses are not practising for the full year
of registration.
Non-Response
Table 50 presents the item non-response, or the percentage of not stated responses,
for each data element. Only responses for regulated nurses in the workforce are included
in this report.
Many of the tables and figures throughout the report have the non-response rates included
in the footnotes.
Table 50
Percentage of Records Employed in Nursing With Not Stated Responses,
by Data Element and Province/Territory of Registration, Canada, 2008
N.L.
P.E.I.
Gender
Year of Birth
Initial/Entry Nurse Education
RN
0.0
0.0
0.0
Year of Graduation
Province/Country of Graduation
Other Education in Nursing
0.0
0.0
0.2
0.7
0.0 100.0
Education in Other Than Nursing
Employment in Nursing
Multiple Employment
Province/Territory of Employment
Place of Work—Primary
Area of Responsibility—Primary
Position—Primary
Province/Country of Residence
LPN
0.0
0.0
0.0
RN
0.0
0.0
0.0
N.S.
LPN
0.0
0.0
0.0
RN
0.0
0.0
0.0
N.B.
LPN
0.0
0.0
0.0
RN
0.0
0.0
0.0
Que.
LPN
0.0
0.0
0.0
Ont.
0.0 <0.1
1.1
0.0
0.0 17.1
0.0
0.1
0.1
0.0
0.3
0.0
0.0
0.0
0.0
0.0
0.0 86.7
0.0 100.0 84.7 96.7 58.6 45.0
1.3
3.6
2.0
3.5
0.4
0.7
0.0
0.0
0.0
7.7
0.0
0.0
0.0 10.5 84.0 <0.1 15.6
6.4
5.3
0.4
0.1
0.1
0.0
0.0
0.0
0.3
0.6
0.0
0.0
2.8
0.0
0.4
2.9
0.0 77.4
0.0 48.6
0.0
2.2
6.2
1.7
0.0
0.1 <0.1
0.3
0.1
0.3
0.1 <0.1
0.0
0.0
RN
0.0
0.0
0.0
LPN
0.0
0.0
0.0
RPN
0.0
0.0
0.0
0.0
0.0
0.0
0.0 <0.1
0.0
0.0 10.9 91.6
RN
0.0
0.0
0.0
B.C.
LPN
0.0
0.0
0.0
0.0 16.6
1.7
1.5
0.0
0.1
LPN
0.0
0.0
0.0
Alta.
RN
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0 96.7
RN
0.0
0.0
0.0
Sask.
RPN
0.0
1.0
0.0
0.0
0.0
0.0
0.3
0.0
0.0 <0.1
0.3
0.0 15.9
0.0 100.0
LPN
0.0
0.0
0.0
Man.
LPN
0.0
0.0
0.0
0.0
0.0
0.2
0.2
0.0 99.4
RN
0.0
0.0
0.0
RPN
0.0
0.0
0.0
RN
0.0
0.0
0.0
LPN
0.0
0.0
0.0
Y.T.
N.W.T./Nun.
RN
0.0
0.0
0.0
LPN
0.0
0.0
0.0
Canada
RPN
0.0
0.0
0.0
RN
0.0
0.0
0.0
LPN
0.0
3.2
0.0
RN LPN
0.0
0.0
0.0 <0.1
0.0
0.0
RPN
0.0
0.2
0.0
0.0
0.0
0.0
0.4
0.1 26.4
0.0 59.4
5.1
0.0
1.5
0.0
0.0
0.0
14.5
5.1
0.4
3.1
0.0
2.1
1.2
16.1 93.0 100.0 42.4 52.7 34.7
0.0
1.1
0.0
1.8
1.8
0.8
0.0 78.2 100.0
0.7
2.2
1.8
0.0
0.0 <0.1
0.1
0.0
0.2
0.0
0.2
0.1 11.1
0.0 100.0
0.0 40.5 38.2
0.0
<0.1
0.1
0.0
0.2
0.0
0.0 98.1
0.5
3.5
0.0
0.0
1.5
0.1
0.0
0.9
0.2
1.8
0.0
0.0
0.0
0.0
0.1
0.2 <0.1
0.5
3.7
4.3
0.6
1.4
0.0
0.1
0.0 <0.1
0.0 <0.1
0.0
0.0
4.0
7.4
8.1
7.7
0.1
1.5
1.4
0.1
2.9
2.2
0.0
0.5
0.5
0.9
0.4 <0.1
1.9
1.5
1.6
0.4
0.5
0.7
0.0
0.0
0.0
0.0
2.4
4.1
1.3
1.6
1.8
0.0
0.0
0.0
0.0
0.2
0.7
8.8
0.4
0.4
0.2
0.2
0.1
0.5
2.1
4.7
0.3
2.4
3.3
0.0
0.0
0.0
0.0
2.5
2.7
0.0
1.1
1.1
<0.1
0.2
0.3
0.0
0.0
0.0
0.3
0.1
0.0 <0.1
1.4
0.0
0.0 <0.1
0.0
0.8
1.8
0.0
9.1
0.0
1.2
0.0
2.0
0.0
0.3
0.0
1.5
0.1
0.3
0.0
0.0
0.0
3.5
0.0
1.9
0.0
0.0
0.0
0.5
0.0
0.4 <0.1
0.2
0.0
0.9
0.0
2.7 100.0
0.0
0.0
2.5
0.0
1.1
1.2
3.3
1.4
0.0 <0.1 <0.1 <0.1
0.0
0.2
1.2
0.8
1.9
2.2
3.3
3.0
0.5
1.6
3.1
Notes
<0.1: value is less than 0.05%; value is replaced to prevent displaying cells of 0.0 that are not true zero values.
Data for the Northwest Territories and Nunavut is combined for 2008.
Source
Nursing Database, Canadian Institute for Health Information.
CIHI 2010
119
Regulated Nurses: Canadian Trends, 2004 to 2008
Duplicate Records
It is necessary to identify and remove duplicate records within the database. Duplicates
may arise when regulated nurses register in more than one jurisdiction. A comparison is
done between the jurisdictions of registration and employment for each record; when they
are not equal, the record is excluded. When the jurisdiction of residence is not stated,
the jurisdiction of employment is defaulted to the jurisdiction of registration and the record
is not excluded.
It is common for regulated nurses to work in the territories on a temporary basis and to
return to their home province for part of the year. In these cases, where the province of
employment is a territory, the duplicates are not excluded so that the nursing workforce
in the north will not be underestimated.
There are some cases where double counting cannot be avoided. For example, a regulated
nurse who registers and works in more than one province/territory simultaneously would
be double-counted in the Nursing Database, as the province of employment would match
the province of registration in each jurisdiction.
The data for RNs for Nunavut and the Northwest Territories is presented as a combined
total throughout this report. The registered nurses in these territories are governed by the
same regulatory authority, and the territory in which RNs usually worked was not available,
so combined data was submitted to CIHI. Therefore, any duplicates between the Northwest
Territories and Nunavut cannot be resolved.
Defining the Workforce
Note the difference between the Nursing Database and the workforce. While the database
contains all records in the population of reference, the Employment Status indicator is used
to exclude from the workforce regulated nurses who are not working in nursing (see Figure 50).
Throughout this report and other CIHI publications, the focus is on regulated nurses who
are working in nursing, or the regulated nursing workforce.
Re-Coding Employment Status
Regulated nurses who fail to provide their Position Status (that is, as full time, part time
or casual) on their registration risk being excluded from the workforce. However, in cases
where Position Status was not stated but employment information was provided, CIHI,
in consultation with the regulatory authority, will change Employment Status to employed
in nursing and Position Status to employment status unknown in order to ensure that the
record is included in the workforce. This methodology has been applied to all nursing types
since 2003, with the exception of B.C. RNs in 2005.
120
CIHI 2010
Chapter 5—Methodological Notes
Figure 50
CIHI 2010
Tracking Regulatory Authority Data to CIHI: The Regulated Nursing Workforce
121
Regulated Nurses: Canadian Trends, 2004 to 2008
A: ALL REGISTRATIONS
Number of registrations submitted to a regulatory authority for nursing.
B: TYPES OF REGISTRATIONS
Box B1 is the number of active practising registrations received by the regulatory authority.
Box B2 is the number of non-practising registrations received by the regulatory authority.
Box B3 is the number of other registrations received by the regulatory authority.
C: RECORDS SUBMITTED TO CIHI
Box C1 is the number of active practising registrations submitted during the first six months
of the registration year.
Box C2 is the number of registrants not submitted to CIHI.
D: PRIMARY AND SECONDARY REGISTRATION
Box D1 is the number of regulated nurses whose jurisdiction of registration is different from
the jurisdiction of employment. These records are outside of the population of reference,
except where either the jurisdiction of registration or employment is a territory.
Box D2 is the number of regulated nurses whose jurisdiction of registration is the same
as the jurisdiction of employment.
E: EMPLOYMENT STATUS
Box E1 is the number of regulated nurses whose Employment Status is submitted
as employed in nursing. These regulated nurses are included in the workforce.
Boxes E2 to E4 are the numbers of regulated nurses who are excluded from the workforce,
as they are not reported as employed in nursing.
F: POSITION STATUS
Boxes F1 to F4 represent the number of regulated nurses included in the nursing workforce.
A regulated nurse may have a Position Status of full time, part time, casual or unknown.
The boxes in black are included in the workforce, and the boxes in white are either not
submitted or are excluded by CIHI.
122
CIHI 2010
Chapter 5—Methodological Notes
Analytical Methods
Formula for Average Annual Increase
Chapters 1 to 3 (supply of nurses): average annual growth rate
Average Annual Growth Rate (%) = (FV / PV)(1 / t) - 1
where FV = future value; PV = present value; t = time period;
Tk + 1 = end period; T1 = start period
This formula represents the average annual growth rate over a defined time period
(t = Tk + 1 - T1). The population of each regulated nursing profession is compared at
two points in time. PV is the population of regulated nurses at the beginning of the time
period, and FV is the population at the end of the time period, or t years later.
2008 Health Region Populations
Chapters 1 to 4 (regulated nursing workforce by health region): rates per 100,000 population
by health region
2008 health region population data was not available from Statistics Canada at the time of
release. Thus, 2008 health region population was estimated using the following formula:
P2008 region_a, prov_c = P2008 prov_c x P2007 region_a, prov_c
P2007 prov_c
P = population estimate
Urban/Rural Statistics
Urban areas are defined (in part) as communities with populations greater than 10,000 people
and are labelled by Statistics Canada as either a census metropolitan area (CMA) or a
census agglomeration (CA); rural/remote is equated with communities outside the CMA/CA
boundaries and is referred to as rural and small town (RST) by Statistics Canada.
RST communities are further subdivided by identifying the degree to which they are
influenced in terms of social and economic integration with larger urban centres (that is,
CMAs and CAs). Metropolitan influenced zone (MIZ) categories disaggregate the RST
population into four subgroups: strong MIZ, moderate MIZ, weak MIZ and no MIZ. These
urban/rural/remote categories are applied to communities (such as cities, towns and villages)
that can be equated with the Statistics Canada designation census subdivision (CSD).
The CMA/CA and MIZ categories were collapsed. These categories may be interpreted
in the following simple manner: CMA/CA = large urban centre (urban); strong/moderate
MIZ = small towns and rural areas located relatively close to larger urban centres (rural);
weak/no MIZ = small towns, rural and remote communities distant from large urban
centres (remote).
Details of the RST and MIZ classification schemes can be found in McNiven et al. (2000),2
du Plessis et al. (2001)3 and CIHI (2002).4
CIHI 2010
123
Regulated Nurses: Canadian Trends, 2004 to 2008
Comparability of Data
CIHI would like to acknowledge that each regulatory authority has been extremely cooperative
and helpful in improving its data collection methods and in helping CIHI develop methodologies
to enhance data quality. As part of the data submission process, the regulatory authorities
submit to CIHI the changes that have been made to their databases for inclusion in this
publication. A review of this information is helpful when looking at trends over time and
comparing jurisdictions.
Data prior to 2002 for LPNs and RPNs was published in the CIHI publication series Health
Personnel Trends in Canada (formerly Health Personnel in Canada). The 1993 to 2001 data
produced in Health Personnel Trends is not directly comparable to the data presented
in this publication because the collection methodologies have changed. LPN and RPN data
from 2002 to the present in the Health Personnel Trends series is consistent with the
figures presented in this series of publications.
The historical and methodological changes for each regulated nursing profession can be
found at the end of chapters 1 to 3.
For a complete listing of data elements in the Nursing Database, see the data dictionaries
on the CIHI nursing website:
•
Registered Nurses System Data Dictionary and Processing Manual
•
Licensed Practical Nurses System Data Dictionary and Processing Manual
•
Registered Psychiatric Nurses Data Dictionary and Processing Manual
124
CIHI 2010
Appendix A
Provincial/Territorial Nursing Workforce Highlights
and Profiles
Regulated Nurses: Canadian Trends, 2004 to 2008
Regulated Nursing Workforce Highlights, Newfoundland and Labrador, 2008
•
The number of registrations submitted for regulated nurses in Newfoundland and Labrador
(including both employed and unemployed) increased 1.2% from 2004 to 2008, from
8,252 to 8,355.
•
In 2008, there were 8,254 regulated nurses working in Newfoundland and Labrador,
69.3% of whom were RNs and 30.7% of whom were LPNs.
•
In 2008, the proportion of the Newfoundland and Labrador workforce that was female
continued to be high, at 95.1% for RNs and 87.6% for LPNs.
•
The average age of regulated nurses in Newfoundland and Labrador increased.
The average age of regulated nurses was 43.4 in 2008, compared to 42.4 in 2004.
In 2008, the average age of RNs was 42.7 and the average age of LPNs was 45.0.
•
The proportion of full-time regulated nurses in Newfoundland and Labrador increased
from 66.9% in 2004, to 69.3% in 2008. The percentage of nurses in full-time positions
in 2008 was 73.9% for RNs and 58.9% for LPNs.
•
In 2008, Newfoundland and Labrador’s regulated nurses worked most often in hospitals,
at 67.2% for RNs and 43.1% for LPNs; the community health sector attracted 12.6%
of RNs and 3.5% of LPNs.
•
The proportion of regulated nurses educated internationally in Newfoundland and Labrador
decreased. Overall, in 2008, 1.0% of the regulated nursing workforce in Newfoundland
and Labrador was educated outside of Canada, compared to 1.3% in 2004.
126
CIHI 2010
Appendix A—Provincial/Territorial Nursing Workforce Highlights and Profiles
Regulated Nursing Workforce Profile, Newfoundland and Labrador, 2008
Licensed Practical
Nurses
Registered Nurses
Employed in Nursing Workforce
Sex
Average Age
Age Breakdown
Employment Status
Male
Female
Multiple
Employment Status
Highest Education
in Nursing Discipline
Location of
Graduation
Canada
%
LPN
%
Canada
%
RPN
%
Canada
%
5,724
–
–
2,530
–
–
–
–
–
279
4.9
6.0
314
12.4
7.2
–
–
22.5
5,445
95.1
94.0
2,216
87.6
92.8
–
–
77.5
42.7
–
–
45.0
–
–
–
–
–
1,334
23.3
20.8
428
16.9
25.7
–
–
13.4
35–49
2,794
48.8
39.7
1,197
47.3
39.6
–
–
41.6
50+
1,596
27.9
39.5
905
35.8
34.6
–
–
45.0
Full Time
4,229
73.9
58.1
1,489
58.9
49.0
–
–
68.2
Part Time
876
15.3
31.0
150
5.9
34.6
–
–
18.9
Casual
619
10.8
10.8
891
35.2
16.4
–
–
12.8
–
–
–
–
–
–
–
–
–
3,844
67.2
62.7
1,088
43.1
45.8
–
–
41.0
Community Health Agency
723
12.6
14.2
88
3.5
7.1
–
–
26.5
Nursing Home/LTC Facility
539
9.4
10.1
1,322
52.3
38.6
–
–
19.6
Other Place of Work
614
10.7
13.0
28
1.1
8.6
–
–
12.9
5,154
90.0
89.1
2,478
99.8
98.5
–
–
90.7
570
10.0
10.9
6
0.2
1.5
–
–
9.3
Direct Care
Administration/Education/
Research
Managerial Positions
Position
%
<35
Hospital
Area of
Responsibility
RN
Years
Employed—Status Unknown
Place of Work
Registered Psychiatric
Nurses
Staff/Community Health Nurse
597
10.4
7.1
–
–
1.4
–
–
10.8
4,440
77.6
78.1
2,400
95.2
92.4
–
–
78.8
Other Positions
686
12.0
14.8
122
4.8
6.2
–
–
10.4
Single Employer
5,044
88.2
86.6
2,205
87.2
82.3
–
–
79.6
Multiple Employers
677
11.8
13.4
324
12.8
17.7
–
–
20.4
Diploma
3,518
61.5
62.2
2,530
100.0
100.0
–
–
92.1
Baccalaureate
2,040
35.6
34.7
–
–
–
–
–
7.7
166
2.9
3.0
–
–
–
–
–
0.2
5,630
98.5
91.6
2,51†
†
98.0
–
–
93.3
85
1.5
8.4
*
†
2.0
–
–
6.7
Master’s/Doctorate
Canadian-Trained
Internationally Educated
Notes
– Data is not applicable or does not exist.
* Value suppressed in accordance with CIHI privacy policy; cell value is from 1 to 4.
† Digit suppressed to ensure confidentiality; digit value is from 0 to 9 and corresponding percentage value.
Totals may not sum to 100% due to rounding.
Data released by CIHI may differ from data from other sources due to CIHI’s nationally standardized methodology.
Regulated nurses employed in a jurisdiction different from their jurisdiction of registration are excluded to avoid duplication.
Diploma includes equivalency for entry-level education.
Employed—status unknown are excluded from percentage distributions.
Not stated are excluded from percentage distributions.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
CIHI 2010
127
Regulated Nurses: Canadian Trends, 2004 to 2008
Regulated Nursing Workforce Highlights, Prince Edward Island, 2008
•
The number of registrations submitted for regulated nurses in Prince Edward Island
(including both employed and unemployed) increased 6.6% from 2004 to 2008,
from 2,037 to 2,171.
•
In 2008, there were 2,110 regulated nurses working in Prince Edward Island, 70.1%
of whom were RNs and 29.9% of whom were LPNs.
•
In 2008, the proportion of the Prince Edward Island workforce that was female
continued to be high. Almost all RNs (97.5%) and LPNs (90.6%) were women.
•
The average age of regulated nurses in Prince Edward Island increased. In 2008,
regulated nurses were 46.2, compared to 45.3 in 2004. In 2008, the average age
of RNs was 46.3 and that of LPNs was 45.9.
•
The number of full-time regulated nurses in Prince Edward Island increased from 49.2%
in 2004, to 50.4% in 2008. The percentage of nurses in full-time positions in 2008
was 52.7% for RNs and 45.2% for LPNs.
•
In 2008, Prince Edward Island’s regulated nurses worked most often in hospitals,
at 60.0% for RNs and 49.7% for LPNs; the community health sector attracted 11.3%
of RNs.
•
The proportion of regulated nurses educated internationally in Prince Edward Island
decreased. Overall, in 2008, 1.4% of the regulated nursing workforce in Prince Edward
Island was educated outside of Canada, compared to 1.6% in 2004.
128
CIHI 2010
Appendix A—Provincial/Territorial Nursing Workforce Highlights and Profiles
Regulated Nursing Workforce Profile, Prince Edward Island, 2008
Licensed Practical
Nurses
Registered Nurses
RN
Employed in Nursing Workforce
Sex
Average Age
Age Breakdown
Employment Status
Male
Female
Multiple
Employment Status
Highest Education
in Nursing Discipline
Location of
Graduation
%
Canada
%
RPN
%
Canada
%
1,479
–
–
631
–
–
–
–
–
37
2.5
6.0
59
9.4
7.2
–
–
22.5
1,442
97.5
94.0
572
90.6
92.8
–
–
77.5
46.3
–
–
45.9
–
–
–
–
–
261
17.6
20.8
104
16.5
25.7
–
–
13.4
35–49
606
41.0
39.7
279
44.2
39.6
–
–
41.6
50+
612
41.4
39.5
248
39.3
34.6
–
–
45.0
Full Time
779
52.7
58.1
285
45.2
49.0
–
–
68.2
Part Time
547
37.0
31.0
238
37.7
34.6
–
–
18.9
Casual
153
10.3
10.8
108
17.1
16.4
–
–
12.8
–
–
–
–
–
–
–
–
–
887
60.0
62.7
313
49.7
45.8
–
–
41.0
Community Health Agency
167
11.3
14.2
3†
†
7.1
–
–
26.5
Nursing Home/LTC Facility
221
14.9
10.1
239
37.9
38.6
–
–
19.6
Other Place of Work
Position
LPN
<35
Hospital
Area of
Responsibility
Canada
%
Years
Employed—Status Unknown
Place of Work
%
Registered Psychiatric
Nurses
204
13.8
13.0
4†
†
8.6
–
–
12.9
Direct Care
Administration/Education/
Research
Managerial Positions
1,314
88.8
89.1
62†
†
98.5
–
–
90.7
165
11.2
10.9
*
†
1.5
–
–
9.3
167
11.3
7.1
8
1.3
1.4
–
–
10.8
Staff/Community Health Nurse
1,131
76.5
78.1
565
89.8
92.4
–
–
78.8
Other Positions
181
12.2
14.8
56
8.9
6.2
–
–
10.4
Single Employer
1,320
89.2
86.6
497
78.8
82.3
–
–
79.6
Multiple Employers
Diploma
Baccalaureate
Master’s/Doctorate
Canadian-Trained
Internationally Educated
159
10.8
13.4
134
21.2
17.7
–
–
20.4
1,061
71.7
62.2
631
100.0
100.0
–
–
92.1
418
28.3
34.7
–
–
–
–
–
7.7
–
–
3.0
–
–
–
–
–
0.2
1,447
98.0
91.6
62†
†
98.0
–
–
93.3
29
2.0
8.4
*
†
2.0
–
–
6.7
Notes
– Data is not applicable or does not exist.
* Value suppressed in accordance with CIHI privacy policy; cell value is from 1 to 4.
† Digit suppressed to ensure confidentiality; digit value is from 0 to 9 and corresponding percentage value.
Totals may not sum to 100% due to rounding.
Data released by CIHI may differ from data from other sources due to CIHI’s nationally standardized methodology.
Regulated nurses employed in a jurisdiction different from their jurisdiction of registration are excluded to avoid duplication.
Diploma includes equivalency for entry-level education.
Employed—status unknown are excluded from percentage distributions.
Not stated are excluded from percentage distributions.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
CIHI 2010
129
Regulated Nurses: Canadian Trends, 2004 to 2008
Regulated Nursing Workforce Highlights, Nova Scotia, 2008
•
The number of registrations submitted for regulated nurses in Nova Scotia (including
both employed and unemployed) increased 3.1% from 2004 to 2008, from 12,071
to 12,451.
•
In 2008, there were 12,121 regulated nurses working in Nova Scotia, 73.2% of whom
were RNs and 26.8% of whom were LPNs.
•
In 2008, the proportion of the Nova Scotia workforce that was female continued to be
high, at 96.0% for RNs and 94.6% for LPNs.
•
The average age of regulated nurses in Nova Scotia increased. Regulated nurses were
46.1 in 2008, compared to 44.8 in 2004. In 2008, the average age of RNs was 46.6
and that of LPNs was 44.9.
•
The proportion of full-time regulated nurses in Nova Scotia increased from 58.9%
in 2004, to 60.7% in 2008. The percentage of nurses in full-time positions in 2008
was 64.1% for RNs and 51.6% for LPNs.
•
In 2008, Nova Scotia’s regulated nurses worked most often in hospitals, at 67.9%
for RNs and 47.4% for LPNs; the community health sector attracted 10.5% of RNs
and 10.6% of LPNs.
•
The proportion of regulated nurses educated internationally in Nova Scotia increased.
Overall, in 2008, 1.9% of the regulated nursing workforce in Nova Scotia was educated
outside of Canada, compared to 1.8% in 2004. A total of 2.5% of the RN workforce
and 0.3% of the LPN workforce were internationally educated.
130
CIHI 2010
Appendix A—Provincial/Territorial Nursing Workforce Highlights and Profiles
Regulated Nursing Workforce Profile, Nova Scotia, 2008
Licensed Practical
Nurses
Registered Nurses
RN
Employed in Nursing Workforce
Sex
Average Age
Age Breakdown
Employment Status
Male
Female
Multiple
Employment Status
Highest Education
in Nursing Discipline
Location of
Graduation
%
Canada
%
RPN
%
Canada
%
8,871
–
–
3,250
–
–
–
–
–
358
4.0
6.0
174
5.4
7.2
–
–
22.5
8,513
96.0
94.0
3,076
94.6
92.8
–
–
77.5
46.6
–
–
44.9
–
–
–
–
–
1,311
14.8
20.8
616
19.0
25.7
–
–
13.4
35–49
3,807
42.9
39.7
1,462
45.0
39.6
–
–
41.6
50+
3,753
42.3
39.5
1,172
36.1
34.6
–
–
45.0
Full Time
5,685
64.1
58.1
1,676
51.6
49.0
–
–
68.2
Part Time
2,290
25.8
31.0
869
26.8
34.6
–
–
18.9
895
10.1
10.8
703
21.6
16.4
–
–
12.8
Casual
1
–
–
2
–
–
–
–
–
6,021
67.9
62.7
1,531
47.4
45.8
–
–
41.0
Community Health Agency
932
10.5
14.2
341
10.6
7.1
–
–
26.5
Nursing Home/LTC Facility
975
11.0
10.1
1,167
36.1
38.6
–
–
19.6
Other Place of Work
Position
LPN
<35
Hospital
Area of
Responsibility
Canada
%
Years
Employed—Status Unknown
Place of Work
%
Registered Psychiatric
Nurses
941
10.6
13.0
193
6.0
8.6
–
–
12.9
Direct Care
Administration/Education/
Research
Managerial Positions
7,471
87.4
89.1
3,159
98.6
98.5
–
–
90.7
1,076
12.6
10.9
45
1.4
1.5
–
–
9.3
979
11.0
7.1
89
2.8
1.4
–
–
10.8
Staff/Community Health Nurse
6,855
77.4
78.1
2,954
92.2
92.4
–
–
78.8
Other Positions
1,026
11.6
14.8
160
5.0
6.2
–
–
10.4
Single Employer
8,102
91.3
86.6
2,687
82.7
82.3
–
–
79.6
769
8.7
13.4
561
17.3
17.7
–
–
20.4
Diploma
5,258
59.3
62.2
3,250
100.0
100.0
–
–
92.1
Baccalaureate
3,323
37.5
34.7
–
–
–
–
–
7.7
290
3.3
3.0
–
–
–
–
–
0.2
8,650
97.5
91.6
3,241
99.7
98.0
–
–
93.3
221
2.5
8.4
9
0.3
2.0
–
–
6.7
Multiple Employers
Master’s/Doctorate
Canadian-Trained
Internationally Educated
Notes
– Data is not applicable or does not exist.
Totals may not sum to 100% due to rounding.
Data released by CIHI may differ from data from other sources due to CIHI’s nationally standardized methodology.
Regulated nurses employed in a jurisdiction different from their jurisdiction of registration are excluded to avoid duplication.
Diploma includes equivalency for entry-level education.
Employed—status unknown are excluded from percentage distributions.
Not stated are excluded from percentage distributions.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
CIHI 2010
131
Regulated Nurses: Canadian Trends, 2004 to 2008
Regulated Nursing Workforce Highlights, New Brunswick, 2008
•
The number of registrations submitted for regulated nurses in New Brunswick (including
both employed and unemployed) increased 4.3% from 2004 to 2008, from 10,549
to 11,006.
•
In 2008, there were 10,488 regulated nurses working in New Brunswick, 74.0%
of whom were RNs and 26.0% of whom were LPNs.
•
In 2008, the proportion of the New Brunswick workforce that was female continued
to be high, at 95.6% of RNs and 88.9% of LPNs.
•
The average age of regulated nurses in New Brunswick increased. The average age of
regulated nurses was 44.3 in 2008, compared to 43.5 in 2004. In 2008, the average
age of RNs was 44.7 and the average age of LPNs was 43.1.
•
The proportion of full-time regulated nurses in New Brunswick increased from 59.7%
in 2004, to 60.6% in 2008. The percentage of nurses in full-time positions in 2008
was 64.3% for RNs and 50.0% for LPNs.
•
In 2008, New Brunswick’s regulated nurses worked most often in hospitals, at 67.6%
for RNs and 53.4% for LPNs; the community health sector attracted 11.6% of RNs
and 3.0% of LPNs.
•
The proportion of regulated nurses educated internationally in New Brunswick increased.
Overall, in 2008, 1.2% of the regulated nursing workforce in New Brunswick was
educated outside of Canada, compared to 1.1% in 2004. A total of 1.5% of the
RN workforce and 0.4% of the LPN workforce were internationally educated.
132
CIHI 2010
Appendix A—Provincial/Territorial Nursing Workforce Highlights and Profiles
Regulated Nursing Workforce Profile, New Brunswick, 2008
Licensed Practical
Nurses
Registered Nurses
RN
Employed in Nursing Workforce
Sex
Average Age
Age Breakdown
Employment Status
Male
Female
Multiple
Employment Status
Highest Education
in Nursing Discipline
Location of
Graduation
%
Canada
%
RPN
%
Canada
%
7,757
–
–
2,731
–
–
–
–
–
339
4.4
6.0
302
11.1
7.2
–
–
22.5
7,418
95.6
94.0
2,429
88.9
92.8
–
–
77.5
44.7
–
–
43.1
–
–
–
–
–
1,470
19.0
20.8
685
25.1
25.7
–
–
13.4
35–49
3,514
45.3
39.7
1,170
42.8
39.6
–
–
41.6
50+
2,773
35.7
39.5
876
32.1
34.6
–
–
45.0
Full Time
4,987
64.3
58.1
1,366
50.0
49.0
–
–
68.2
Part Time
2,222
28.6
31.0
855
31.3
34.6
–
–
18.9
548
7.1
10.8
510
18.7
16.4
–
–
12.8
Casual
–
–
–
–
–
–
–
–
–
5,242
67.6
62.7
1,459
53.4
45.8
–
–
41.0
Community Health Agency
900
11.6
14.2
81
3.0
7.1
–
–
26.5
Nursing Home/LTC Facility
775
10.0
10.1
1,104
40.4
38.6
–
–
19.6
Other Place of Work
Position
LPN
<35
Hospital
Area of
Responsibility
Canada
%
Years
Employed—Status Unknown
Place of Work
%
Registered Psychiatric
Nurses
840
10.8
13.0
86
3.2
8.6
–
–
12.9
Direct Care
Administration/Education/
Research
Managerial Positions
6,954
89.6
89.1
2,599
95.2
98.5
–
–
90.7
803
10.4
10.9
131
4.8
1.5
–
–
9.3
896
11.6
7.1
52
1.9
1.4
–
–
10.8
Staff/Community Health Nurse
6,230
80.3
78.1
2,471
90.5
92.4
–
–
78.8
Other Positions
631
8.1
14.8
207
7.6
6.2
–
–
10.4
Single Employer
7,027
90.6
86.6
2,476
90.7
82.3
–
–
79.6
Multiple Employers
730
9.4
13.4
255
9.3
17.7
–
–
20.4
Diploma
3,986
51.4
62.2
2,731
100.0
100.0
–
–
92.1
Baccalaureate
3,541
45.6
34.7
–
–
–
–
–
7.7
230
3.0
3.0
–
–
–
–
–
0.2
7,641
98.5
91.6
2,712
99.6
98.0
–
–
93.3
115
1.5
8.4
10
0.4
2.0
–
–
6.7
Master’s/Doctorate
Canadian-Trained
Internationally Educated
Notes
– Data is not applicable or does not exist.
Totals may not sum to 100% due to rounding.
Data released by CIHI may differ from data from other sources due to CIHI’s nationally standardized methodology.
Regulated nurses employed in a jurisdiction different from their jurisdiction of registration are excluded to avoid duplication.
Diploma includes equivalency for entry-level education.
Employed—status unknown are excluded from percentage distributions.
Not stated are excluded from percentage distributions.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
CIHI 2010
133
Regulated Nurses: Canadian Trends, 2004 to 2008
Regulated Nursing Workforce Highlights, Quebec, 2008
•
The number of registrations submitted for regulated nurses in Quebec (including both
employed and unemployed) increased 7.3% from 2004 to 2008, from 81,928 to 87,881.
•
In 2008, there were 85,112 regulated nurses working in Quebec, 77.0% of whom
were RNs and 23.0% of whom were LPNs.
•
In 2008, the proportion of the Quebec workforce that was female continued to be high,
at 90.5% for RNs and 91.3% for LPNs.
•
The average age of regulated nurses in Quebec decreased. The average age of regulated
nurses was 43.0 in 2008, compared to 43.6 in 2004. In 2008, the average age of RNs
was 43.3 and the average age of LPNs was 41.5.
•
The number of full-time regulated nurses in Quebec increased from 51.7% in 2004,
to 52.7% in 2008. The percentage of nurses in full-time positions in 2008 was 56.4%
for RNs and 40.1% for LPNs.
•
In 2008, Quebec’s regulated nurses worked most often in hospitals, at 57.8% of RNs
and 34.6% of LPNs. The community health sector attracted 10.3% of RNs and 1.4%
of LPNs.
•
The proportion of regulated nurses educated internationally in Quebec decreased.
Overall, in 2008, 1.9% of the regulated nursing workforce in Quebec was educated
outside of Canada, compared to 2.5% in 2004. A total of 2.4% of the RN workforce
and 0.0% of the LPN workforce were internationally educated.
134
CIHI 2010
Appendix A—Provincial/Territorial Nursing Workforce Highlights and Profiles
Regulated Nursing Workforce Profile, Quebec, 2008
Licensed Practical
Nurses
Registered Nurses
RN
Employed in Nursing Workforce
Sex
Average Age
Age Breakdown
Employment Status
65,531
–
6,210
9.5
59,321
90.5
Male
Female
Position
Multiple
Employment Status
Highest Education
in Nursing Discipline
Location of
Graduation
LPN
– 19,581
%
Canada
%
RPN
%
Canada
%
–
–
–
–
–
1,694
8.7
7.2
–
–
22.5
94.0 17,887
91.3
92.8
–
–
77.5
6.0
43.3
–
–
41.5
–
–
–
–
–
<35
17,502
26.7
20.8
6,050
30.9
25.7
–
–
13.4
35–49
25,098
38.3
39.7
8,003
40.9
39.6
–
–
41.6
50+
22,931
35.0
39.5
5,528
28.2
34.6
–
–
45.0
Full Time
36,755
56.4
58.1
7,860
40.1
49.0
–
–
68.2
Part Time
20,948
32.1
31.0
9,079
46.4
34.6
–
–
18.9
7,459
11.4
10.8
2,642
13.5
16.4
–
–
12.8
Casual
Hospital
Area of
Responsibility
Canada
%
Years
Employed—Status Unknown
Place of Work
%
Registered Psychiatric
Nurses
369
–
–
–
–
–
–
–
–
37,906
57.8
62.7
6,224
34.6
45.8
–
–
41.0
Community Health Agency
6,778
10.3
14.2
246
1.4
7.1
–
–
26.5
Nursing Home/LTC Facility
8,926
13.6
10.1
8,562
47.6
38.6
–
–
19.6
Other Place of Work
11,921
18.2
13.0
2,970
16.5
8.6
–
–
12.9
Direct Care
Administration/Education/
Research
Managerial Positions
54,541
86.7
89.1 17,932
99.2
98.5
–
–
90.7
8,395
13.3
10.9
142
0.8
1.5
–
–
9.3
7.1
4,068
6.3
–
–
1.4
–
–
10.8
Staff/Community Health Nurse 51,800
80.5
78.1 17,448
98.1
92.4
–
–
78.8
10.4
Other Positions
8,472
13.2
14.8
345
1.9
6.2
–
–
Single Employer
59,229
90.4
86.6 15,255
84.4
82.3
–
–
79.6
6,302
9.6
13.4
2,820
15.6
17.7
–
–
20.4
Diploma
45,033
68.7
62.2 19,581
100.0
100.0
–
–
92.1
Baccalaureate
18,704
28.5
34.7
–
–
–
–
–
7.7
1,794
2.7
3.0
–
–
–
–
–
0.2
63,943
97.6
91.6 19,581
100.0
98.0
–
–
93.3
1,586
2.4
–
2.0
–
–
6.7
Multiple Employers
Master’s/Doctorate
Canadian-Trained
Internationally Educated
8.4
–
Notes
– Data is not applicable or does not exist.
Totals may not sum to 100% due to rounding.
Data released by CIHI may differ from data from other sources due to CIHI’s nationally standardized methodology.
Regulated nurses employed in a jurisdiction different from their jurisdiction of registration are excluded to avoid duplication.
Diploma includes equivalency for entry-level education.
Employed—status unknown are excluded from percentage distributions.
Not stated are excluded from percentage distributions.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
CIHI 2010
135
Regulated Nurses: Canadian Trends, 2004 to 2008
Regulated Nursing Workforce Highlights, Ontario, 2008
•
The number of registrations submitted for regulated nurses in Ontario (including both
employed and unemployed) increased 6.1% from 2004 to 2008, from 128,317
to 136,124.
•
In 2008, there were 120,319 regulated nurses working in Ontario, 77.2% of whom
were RNs and 22.8% of whom were LPNs.
•
In 2008, the proportion of the Ontario workforce that was female continued to be high,
at 95.4% for RNs and 93.8% for LPNs.
•
The average age of regulated nurses in Ontario increased. Regulated nurses were
45.8 in 2008, compared to 45.1 in 2004. In 2008, the average age of RNs was 46.1;
for LPNs, the average age was 44.7.
•
The proportion of full-time regulated nurses in Ontario increased from 58.0% in 2004,
to 62.9% in 2008. The percentage of nurses in full-time positions in 2008 was 64.9%
for RNs and 56.3% for LPNs.
•
In 2008, Ontario’s regulated nurses worked most often in hospitals, at 65.3% for RNs
and 46.4% for LPNs; the community health sector attracted 16.1% of RNs and 11.1%
of LPNs.
•
The proportion of regulated nurses educated internationally in Ontario increased.
Overall, in 2008, 10.4% of the regulated nursing workforce in Ontario was educated
outside of Canada, compared to 9.6% in 2004. A total of 12.3% of the RN workforce
and 3.8% of the LPN workforce were internationally educated.
136
CIHI 2010
Appendix A—Provincial/Territorial Nursing Workforce Highlights and Profiles
Regulated Nursing Workforce Profile, Ontario, 2008
Licensed Practical
Nurses
Registered Nurses
RN
Employed in Nursing Workforce
Sex
Average Age
Age Breakdown
Employment Status
92,884
–
4,309
4.6
88,575
95.4
Male
Female
Position
Multiple
Employment Status
Highest Education
in Nursing Discipline
Location of
Graduation
LPN
– 27,435
%
Canada
%
RPN
%
Canada
%
–
–
–
–
–
1,691
6.2
7.2
–
–
22.5
94.0 25,744
93.8
92.8
–
–
77.5
6.0
46.1
–
–
44.7
–
–
–
–
–
<35
16,592
17.9
20.8
6,031
22.0
25.7
–
–
13.4
35–49
37,587
40.5
39.7 10,703
39.0
39.6
–
–
41.6
50+
38,705
41.7
39.5 10,700
39.0
34.6
–
–
45.0
Full Time
60,236
64.9
58.1 15,451
56.3
49.0
–
–
68.2
Part Time
25,208
27.1
31.0
9,627
35.1
34.6
–
–
18.9
7,440
8.0
10.8
2,357
8.6
16.4
–
–
12.8
–
–
–
–
–
–
–
62.7 12,360
46.4
45.8
–
–
41.0
Casual
–
–
Hospital
59,774
65.3
Community Health Agency
14,729
16.1
14.2
2,967
11.1
7.1
–
–
26.5
Nursing Home/LTC Facility
7,691
8.4
10.1
9,708
36.4
38.6
–
–
19.6
Other Place of Work
Area of
Responsibility
Canada
%
Years
Employed—Status Unknown
Place of Work
%
Registered Psychiatric
Nurses
Direct Care
Administration/Education/
Research
Managerial Positions
9,279
10.1
13.0
1,612
6.0
8.6
–
–
12.9
82,690
90.3
89.1 26,342
98.1
98.5
–
–
90.7
8,907
9.7
1.9
1.5
–
–
9.3
5,529
6.0
Staff/Community Health Nurse 70,308
76.6
10.9
501
7.1
636
2.4
1.4
–
–
10.8
78.1 23,863
88.8
92.4
–
–
78.8
Other Positions
15,942
17.4
14.8
2,381
8.9
6.2
–
–
10.4
Single Employer
81,755
88.0
86.6 23,255
84.8
82.3
–
–
79.6
Multiple Employers
11,129
12.0
13.4
4,180
15.2
17.7
–
–
20.4
Diploma
60,439
65.1
62.2 27,435
100.0
100.0
–
–
92.1
Baccalaureate
29,506
31.8
34.7
–
–
–
–
–
7.7
2,939
3.2
3.0
–
–
–
–
–
0.2
Canadian-Trained
81,315
87.7
91.6 26,394
96.2
98.0
–
–
93.3
Internationally Educated
11,430
12.3
3.8
2.0
–
–
6.7
Master’s/Doctorate
8.4
1,036
Notes
– Data is not applicable or does not exist.
Totals may not sum to 100% due to rounding.
Data released by CIHI may differ from data from other sources due to CIHI’s nationally standardized methodology.
Regulated nurses employed in a jurisdiction different from their jurisdiction of registration are excluded to avoid duplication.
Diploma includes equivalency for entry-level education.
Employed—status unknown are excluded from percentage distributions.
Not stated are excluded from percentage distributions.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
CIHI 2010
137
Regulated Nurses: Canadian Trends, 2004 to 2008
Regulated Nursing Workforce Highlights, Manitoba, 2008
•
The number of registrations submitted for regulated nurses in Manitoba (including both
employed and unemployed) increased 5.6% from 2004 to 2008, from 14,533 to 15,340.
•
In 2008, there were 14,452 regulated nurses working in Manitoba, 75.4% of whom
were RNs, 18.1% of whom were LPNs and 6.5% of whom were RPNs.
•
In 2008, the proportion of the Manitoba workforce that was female continued to be
high; 94.2% of RNs, 95.0% of LPNs and 77.2% of RPNs were women.
•
In 2008, the average age of RNs was 46.1, that of LPNs was 46.2 and that of RPNs
was 47.4.
•
The proportion of full-time regulated nurses in Manitoba increased from 46.1% in 2004,
to 46.3% in 2008. The percentage of regulated nurses in full-time positions in 2008
was 47.6% for RNs, 34.7% for LPNs and 63.3% for RPNs.
•
In 2008, Manitoba’s regulated nurses worked most often in hospitals, at 60.4% for
RNs, 39.7% for LPNs and 23.7% for RPNs; the community health sector attracted
16.3% of RNs, 11.0% of LPNs and 40.9% of RPNs.
•
The proportion of regulated nurses educated internationally in Manitoba increased.
Overall, in 2008, 5.7% of the regulated nursing workforce in Manitoba was educated
outside of Canada, compared to 5.4% in 2004. A total of 6.6% of the RN workforce,
3.6% of the LPN workforce and 1.1% of the RPN workforce were internationally educated.
138
CIHI 2010
Appendix A—Provincial/Territorial Nursing Workforce Highlights and Profiles
Regulated Nursing Workforce Profile, Manitoba, 2008
Licensed Practical
Nurses
Registered Nurses
RN
Employed in Nursing Workforce
Sex
Average Age
Age Breakdown
Employment Status
Position
Multiple
Employment Status
Highest Education
in Nursing Discipline
Location of
Graduation
%
Canada
%
RPN
%
Canada
%
–
–
2,615
–
–
935
–
–
5.8
6.0
133
5.1
7.2
213
22.8
22.5
10,266
94.2
94.0
2,482
94.9
92.8
722
77.2
77.5
Years
46.1
–
–
46.2
–
–
47.4
–
–
<35
1,812
16.6
20.8
513
19.6
25.7
123
13.2
13.4
35–49
4,567
41.9
39.7
998
38.2
39.6
381
40.7
41.6
50+
4,523
41.5
39.5
1,104
42.2
34.6
431
46.1
45.0
Full Time
5,190
47.6
58.1
908
34.7
49.0
586
63.3
68.2
Part Time
4,850
44.5
31.0
1,432
54.8
34.6
277
29.9
18.9
862
7.9
10.8
275
10.5
16.4
63
6.8
12.8
–
–
–
–
–
–
9
–
–
6,555
60.4
62.7
1,029
39.7
45.8
218
23.7
41.0
Casual
Hospital
Area of
Responsibility
LPN
636
Employed—Status Unknown
Place of Work
Canada
%
10,902
Male
Female
%
Registered Psychiatric
Nurses
Community Health Agency
1,771
16.3
14.2
285
11.0
7.1
377
40.9
26.5
Nursing Home/LTC Facility
1,233
11.4
10.1
1,126
43.4
38.6
224
24.3
19.6
Other Place of Work
1,287
11.9
13.0
152
5.9
8.6
102
11.1
12.9
Direct Care
Administration/Education/
Research
Managerial Positions
9,429
86.8
89.1
2,580
98.7
98.5
795
86.4
90.7
1,432
13.2
10.9
34
1.3
1.5
125
13.6
9.3
841
7.7
7.1
42
1.6
1.4
93
10.1
10.8
Staff/Community Health Nurse
8,187
75.3
78.1
2,446
93.5
92.4
702
76.2
78.8
10.4
Other Positions
1,846
17.0
14.8
127
4.9
6.2
126
13.7
Single Employer
9,411
86.3
86.6
1,932
73.9
82.3
804
86.0
79.6
Multiple Employers
1,491
13.7
13.4
683
26.1
17.7
131
14.0
20.4
Diploma
6,730
61.7
62.2
2,615
100.0
100.0
757
81.0
92.1
Baccalaureate
3,900
35.8
34.7
–
–
–
178
19.0
7.7
272
2.5
3.0
–
–
–
–
–
0.2
10,187
93.4
91.6
2,521
96.4
98.0
925
98.9
93.3
715
6.6
8.4
93
3.6
2.0
10
1.1
6.7
Master’s/Doctorate
Canadian-Trained
Internationally Educated
Notes
– Data is not applicable or does not exist.
Totals may not sum to 100% due to rounding.
Data released by CIHI may differ from data from other sources due to CIHI’s nationally standardized methodology.
Regulated nurses employed in a jurisdiction different from their jurisdiction of registration are excluded to avoid duplication.
The RPN workforce of the four western provinces represents the total RPN workforce in Canada.
Diploma includes equivalency for entry-level education.
In 2007 and 2008, the College of Registered Nurses of Manitoba submitted aggregate tables for sex.
In 2007 and 2008, the College of Registered Nurses of Manitoba submitted aggregate tables for average age.
In 2008, the College of Licensed Practical Nurses of Manitoba submitted aggregate tables for sex.
In 2008, the College of Licensed Practical Nurses of Manitoba submitted aggregate tables for average age.
Employed—status unknown are excluded from percentage distributions.
Not stated are excluded from percentage distributions.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
CIHI 2010
139
Regulated Nurses: Canadian Trends, 2004 to 2008
Regulated Nursing Workforce Highlights, Saskatchewan, 2008
•
The number of registrations submitted for regulated nurses in Saskatchewan (including
both employed and unemployed) increased 4.8% from 2004 to 2008, from 11,741
to 12,310.
•
In 2008, there were 12,229 regulated nurses working in Saskatchewan, 72.1%
of whom were RNs, 20.6% of whom were LPNs and 7.3% of whom were RPNs.
•
In 2008, the proportion of the Saskatchewan workforce that was female continued
to be high, at 96.0% for RNs, 96.6% for LPNs and 84.2% for RPNs.
•
The average age of regulated nurses in Saskatchewan increased. Regulated nurses
were 45.5 in 2008, compared to 45.3 in 2004. In 2008, the average age of RNs was
45.9, that of LPNs was 43.2 and that of RPNs was 47.9.
•
The proportion of full-time regulated nurses in Saskatchewan increased from 56.0%
in 2004, to 58.4% in 2008. The percentage of regulated nurses in full-time positions
in 2008 was 57.3% for RNs, 54.5% for LPNs and 80.4% for RPNs.
•
In 2008, Saskatchewan’s regulated nurses worked most often in hospitals, at 59.4%
for RNs, 67.3% for LPNs and 25.5% for RPNs; the community health sector attracted
18.1% of RNs, 8.4% of LPNs and 20.0% of RPNs.
•
The proportion of regulated nurses educated internationally in Saskatchewan decreased.
Overall, in 2008, 2.4% of the regulated nursing workforce in Saskatchewan was
educated outside of Canada, compared to 2.6% in 2004. A total of 2.8% of the
RN workforce, 1.3% of the LPN workforce and 1.2% of the RPN workforce were
internationally educated.
140
CIHI 2010
Appendix A—Provincial/Territorial Nursing Workforce Highlights and Profiles
Regulated Nursing Workforce Profile, Saskatchewan, 2008
Licensed Practical
Nurses
Registered Nurses
RN
Employed in Nursing Workforce
Sex
Average Age
Age Breakdown
Employment Status
Male
Female
Area of
Responsibility
Position
Multiple
Employment Status
Highest Education
in Nursing Discipline
Location of
Graduation
Canada
%
LPN
%
Canada
%
RPN
%
Canada
%
8,823
–
–
2,514
–
–
892
–
–
350
4.0
6.0
86
3.4
7.2
141
15.8
22.5
8,473
96.0
94.0
2,428
96.6
92.8
751
84.2
77.5
Years
45.9
–
–
43.2
–
–
47.9
–
–
<35
1,647
18.7
20.8
754
30.0
25.7
56
6.3
13.4
35–49
3,394
38.5
39.7
828
32.9
39.6
453
51.3
41.6
50+
3,782
42.9
39.5
932
37.1
34.6
374
42.4
45.0
Full Time
5,054
57.3
58.1
1,365
54.5
49.0
697
80.4
68.2
Part Time
2,649
30.0
31.0
707
28.2
34.6
100
11.5
18.9
Casual
1,119
12.7
10.8
433
17.3
16.4
70
8.1
12.8
Employed—Status Unknown
Place of Work
%
Registered Psychiatric
Nurses
1
–
–
9
–
–
25
–
–
Hospital
5,214
59.4
62.7
1,692
67.3
45.8
222
25.5
41.0
Community Health Agency
1,590
18.1
14.2
210
8.4
7.1
174
20.0
26.5
Nursing Home/LTC Facility
912
10.4
10.1
513
20.4
38.6
333
38.2
19.6
Other Place of Work
1,059
12.1
13.0
99
3.9
8.6
142
16.3
12.9
Direct Care
Administration/Education/
Research
Managerial Positions
7,753
88.5
89.1
2,490
99.0
98.5
786
91.9
90.7
1,004
11.5
10.9
24
1.0
1.5
69
8.1
9.3
729
8.3
7.1
15
0.6
1.4
108
12.5
10.8
Staff/Community Health Nurse
7,066
80.3
78.1
2,260
89.9
92.4
658
76.4
78.8
10.4
Other Positions
1,001
11.4
14.8
239
9.5
6.2
95
11.0
Single Employer
7,078
80.5
86.6
1,958
78.4
82.3
691
79.7
79.6
Multiple Employers
1,719
19.5
13.4
541
21.6
17.7
176
20.3
20.4
Diploma
5,306
60.1
62.2
2,514
100.0
100.0
864
96.9
92.1
Baccalaureate
3,332
37.8
34.7
–
–
–
28
3.1
7.7
185
2.1
3.0
–
–
–
–
–
0.2
8,482
97.2
91.6
2,481
98.7
98.0
880
98.8
93.3
247
2.8
8.4
33
1.3
2.0
11
1.2
6.7
Master’s/Doctorate
Canadian-Trained
Internationally Educated
Notes
– Data is not applicable or does not exist.
Totals may not sum to 100% due to rounding.
Data released by CIHI may differ from data from other sources due to CIHI’s nationally standardized methodology.
Regulated nurses employed in a jurisdiction different from their jurisdiction of registration are excluded to avoid duplication.
The RPN workforce of the four western provinces represents the total RPN workforce in Canada.
Diploma includes equivalency for entry-level education.
Employed—status unknown are excluded from percentage distributions.
Not stated are excluded from percentage distributions.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
CIHI 2010
141
Regulated Nurses: Canadian Trends, 2004 to 2008
Regulated Nursing Workforce Highlights, Alberta, 2008
•
The number of registrations submitted for regulated nurses in Alberta (including both
employed and unemployed) increased 13.1% from 2004 to 2008, from 32,735
to 37,035.
•
In 2008, there were 35,890 regulated nurses working in Alberta, 79.4% of whom
were RNs, 17.4% of whom were LPNs and 3.2% of whom were RPNs.
•
In 2008, the proportion of the Alberta workforce that was female continued to be high,
at 95.7% of RNs, 95.6% LPNs and 74.8% of RPNs.
•
The average age of regulated nurses in Alberta decreased. Regulated nurses were
44.4 in 2008, compared to 44.6 in 2004. In 2008, the average age of RNs was 44.6,
that of LPNs was 43.2 and that of RPNs was 47.7.
•
The proportion of full-time regulated nurses in Alberta increased from 40.6% in 2004,
to 41.7% in 2008. The percentage of regulated nurses in full-time positions in 2008
was 40.7% for RNs, 43.3% for LPNs and 57.2% for RPNs.
•
In 2008, Alberta’s regulated nurses worked most often in hospitals, at 65.6% for RNs,
57.2% for LPNs and 58.0% for RPNs; the community health sector attracted 14.3%
of RNs, 9.0% of LPNs and 23.2% of RPNs.
•
The proportion of regulated nurses educated internationally in Alberta increased.
Overall, in 2008, 8.2% of the regulated nursing workforce in Alberta was educated
outside of Canada, compared to 4.3% in 2004. A total of 9.6% of the RN workforce,
1.7% of the LPN workforce and 9.6% of the RPN workforce were internationally educated.
142
CIHI 2010
Appendix A—Provincial/Territorial Nursing Workforce Highlights and Profiles
Regulated Nursing Workforce Profile, Alberta, 2008
Licensed Practical
Nurses
Registered Nurses
RN
Employed in Nursing Workforce
Sex
Average Age
Age Breakdown
Employment Status
Multiple
Employment Status
Highest Education
in Nursing Discipline
Location of
Graduation
Canada
%
RPN
%
Canada
%
–
–
6,232
–
–
1,157
–
–
4.3
6.0
273
4.4
7.2
291
25.2
22.5
27,268
95.7
94.0
5,959
95.6
92.8
866
74.8
77.5
44.6
–
–
43.2
–
–
47.7
–
–
<35
6,848
24.0
20.8
1,865
29.9
25.7
158
13.7
13.4
35–49
10,809
37.9
39.7
2,140
34.3
39.6
451
39.0
41.6
50+
10,844
38.0
39.5
2,227
35.7
34.6
548
47.4
45.0
Full Time
11,196
40.7
58.1
2,696
43.3
49.0
656
57.2
68.2
Part Time
12,582
45.7
31.0
2,703
43.4
34.6
370
32.3
18.9
3,725
13.5
10.8
833
13.4
16.4
120
10.5
12.8
Casual
998
–
–
–
–
–
11
–
–
18,402
65.6
62.7
3,567
57.2
45.8
670
58.0
41.0
Community Health Agency
4,002
14.3
14.2
563
9.0
7.1
268
23.2
26.5
Nursing Home/LTC Facility
1,963
7.0
10.1
1,552
24.9
38.6
105
9.1
19.6
Other Place of Work
Position
%
Years
Hospital
Area of
Responsibility
LPN
1,233
Employed—Status Unknown
Place of Work
Canada
%
28,501
Male
Female
%
Registered Psychiatric
Nurses
Direct Care
Administration/Education/
Research
Managerial Positions
3,671
13.1
13.0
550
8.8
8.6
112
9.7
12.9
25,695
91.8
89.1
6,122
98.2
98.5
1,035
90.1
90.7
2,291
8.2
10.9
110
1.8
1.5
114
9.9
9.3
1,913
6.8
7.1
78
1.3
1.4
90
7.8
10.8
Staff/Community Health Nurse 22,193
79.4
78.1
5,767
92.5
92.4
936
81.3
78.8
10.4
Other Positions
3,852
13.8
14.8
387
6.2
6.2
125
10.9
Single Employer
23,096
83.5
86.6
4,837
77.6
82.3
950
82.2
79.6
4,565
16.5
13.4
1,395
22.4
17.7
206
17.8
20.4
Diploma
14,957
52.5
62.2
6,232
100.0
100.0
1,124
97.1
92.1
Baccalaureate
12,624
44.3
34.7
–
–
–
3†
†
7.7
920
3.2
3.0
–
–
–
*
†
0.2
25,698
90.4
91.6
6,128
98.3
98.0
1,046
90.4
93.3
2,726
9.6
8.4
104
1.7
2.0
111
9.6
6.7
Multiple Employers
Master’s/Doctorate
Canadian-Trained
Internationally Educated
Notes
– Data is not applicable or does not exist.
* Value suppressed in accordance with CIHI privacy policy; cell value is from 1 to 4.
† Digit suppressed to ensure confidentiality; digit value is from 0 to 9 and corresponding percentage value.
Totals may not sum to 100% due to rounding.
Data released by CIHI may differ from data from other sources due to CIHI’s nationally standardized methodology.
Regulated nurses employed in a jurisdiction different from their jurisdiction of registration are excluded to avoid duplication.
The RPN workforce of the four western provinces represents the total RPN workforce in Canada.
Diploma includes equivalency for entry-level education.
Employed—status unknown are excluded from percentage distributions.
Not stated are excluded from percentage distributions.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
CIHI 2010
143
Regulated Nurses: Canadian Trends, 2004 to 2008
Regulated Nursing Workforce Highlights, British Columbia, 2008
•
The number of registrations submitted for regulated nurses in British Columbia
(including both employed and unemployed) increased 13.8% from 2004 to 2008,
from 36,312 to 41,338.
•
In 2008, there were 38,746 regulated nurses working in British Columbia, 77.1%
of whom were RNs, 17.3% of whom were LPNs and 5.6% of whom were RPNs.
•
In 2008, the proportion of the British Columbia workforce that was female continued
to be high, at 94.3% of RNs, 90.5% of LPNs and 76.4% of RPNs.
•
The average age of regulated nurses in British Columbia decreased. Regulated nurses
were 45.7 in 2008, compared to 45.8 in 2004. In 2008, the average age of RNs was
46.5, that of LPNs was 41.8 and that of RPNs was 47.2.
•
The proportion of full-time regulated nurses in British Columbia increased from 52.3%
in 2004, to 54.9% in 2008. The percentage of regulated nurses in full-time positions
in 2008 was 55.4% for RNs, 47.8% for LPNs and 71.3% for RPNs.
•
In 2008, British Columbia’s regulated nurses worked most often in hospitals, at 61.8%
for RNs, 54.1% for LPNs and 45.6% for RPNs; the community health sector attracted
15.7% of RNs, 3.9% of LPNs and 24.8% of RPNs.
•
The proportion of regulated nurses educated internationally in British Columbia decreased.
Overall, in 2008, 13.3% of the regulated nursing workforce in British Columbia was
educated outside of Canada, compared to 13.4% in 2004. In 2008, 15.8% of the
RN workforce, 2.9% of the LPN workforce and 10.9% of the RPN workforce were
internationally educated.
144
CIHI 2010
Appendix A—Provincial/Territorial Nursing Workforce Highlights and Profiles
Regulated Nursing Workforce Profile, British Columbia, 2008
Licensed Practical
Nurses
Registered Nurses
RN
Employed in Nursing Workforce
Sex
Average Age
Age Breakdown
Employment Status
Multiple
Employment Status
Highest Education
in Nursing Discipline
Location of
Graduation
Canada
%
RPN
%
Canada
%
–
–
6,705
–
–
2,178
–
–
5.7
6.0
636
9.5
7.2
515
23.6
22.5
28,146
94.3
94.0
6,069
90.5
92.8
1,663
76.4
77.5
46.5
–
–
41.8
–
–
47.2
–
–
<35
5,283
17.7
20.8
2,064
30.8
25.7
352
16.2
13.4
35–49
11,244
37.7
39.7
2,635
39.3
39.6
859
39.4
41.6
50+
13,336
44.7
39.5
2,006
29.9
34.6
967
44.4
45.0
Full Time
16,531
55.4
58.1
3,192
47.8
49.0
1,541
71.3
68.2
Part Time
8,609
28.8
31.0
75
1.1
34.6
218
10.1
18.9
Casual
4,723
15.8
10.8
3,413
51.1
16.4
402
18.6
12.8
–
–
–
25
–
–
17
–
–
18,393
61.8
62.7
3,617
54.1
45.8
972
45.6
41.0
Community Health Agency
4,668
15.7
14.2
259
3.9
7.1
529
24.8
26.5
Nursing Home/LTC Facility
3,028
10.2
10.1
2,412
36.1
38.6
334
15.7
19.6
Other Place of Work
Position
%
Years
Hospital
Area of
Responsibility
LPN
1,717
Employed—Status Unknown
Place of Work
Canada
%
29,863
Male
Female
%
Registered Psychiatric
Nurses
Direct Care
Administration/Education/
Research
Managerial Positions
3,666
12.3
13.0
402
6.0
8.6
297
13.9
12.9
26,471
89.0
89.1
6,578
98.3
98.5
1,921
92.5
90.7
3,274
11.0
10.9
117
1.7
1.5
155
7.5
9.3
2,468
8.3
7.1
86
1.3
1.4
257
11.9
10.8
Staff/Community Health Nurse 22,913
77.1
78.1
6,18†
†
92.4
1,717
79.6
78.8
Other Positions
4,356
14.6
14.8
43†
†
6.2
184
8.5
10.4
Single Employer
22,749
76.2
86.6
4,688
70.1
82.3
1,589
75.3
79.6
Multiple Employers
7,108
23.8
13.4
1,997
29.9
17.7
521
24.7
20.4
Diploma
15,799
52.9
62.2
6,705
100.0
100.0
2,010
92.3
92.1
Baccalaureate
12,942
43.3
34.7
–
–
–
16†
†
7.7
1,122
3.8
3.0
–
–
–
†
†
0.2
25,051
84.2
91.6
6,498
97.1
98.0
1,429
89.1
93.3
4,695
15.8
8.4
197
2.9
2.0
175
10.9
6.7
Master’s/Doctorate
Canadian-Trained
Internationally Educated
Notes
– Data is not applicable or does not exist.
† Digit suppressed to ensure confidentiality; digit value is from 0 to 9 and corresponding percentage value.
Totals may not sum to 100% due to rounding.
Data released by CIHI may differ from data from other sources due to CIHI’s nationally standardized methodology.
Regulated nurses employed in a jurisdiction different from their jurisdiction of registration are excluded to avoid duplication.
The RPN workforce of the four western provinces represents the total RPN workforce in Canada.
Diploma includes equivalency for entry-level education.
Employed—status unknown are excluded from percentage distributions.
Not stated are excluded from percentage distributions.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
CIHI 2010
145
Regulated Nurses: Canadian Trends, 2004 to 2008
Regulated Nursing Workforce Highlights, Yukon, 2008
•
The number of registrations submitted for regulated nurses in the Yukon (including both
employed and unemployed) increased 18.4% from 2004 to 2008, from 343 to 406.
•
In 2008, there were 396 regulated nurses working in the Yukon, of whom 84.3% were
RNs and 15.7% were LPNs.
•
The average age of regulated nurses in the Yukon increased. Regulated nurses were
45.6 in 2008, compared to 45.3 in 2004. In 2008, the average age of RNs was 45.3
and that of LPNs was 47.3.
•
The proportion of full-time regulated nurses in the Yukon increased from 47.9% in
2004, to 50.8% in 2008. The percentage of regulated nurses in full-time positions
in 2008 was 48.2% for RNs and 64.5% for LPNs.
•
In 2008, the Yukon’s regulated nurses worked most often in hospitals and nursing
homes; 43.9% of RNs worked in hospitals and 61.3% of LPNs worked in nursing
homes. The community health sector attracted 35.9% of RNs.
•
The proportion of regulated nurses educated internationally in the Yukon decreased.
Overall, in 2008, 6.4% of the regulated nursing workforce in the Yukon was educated
outside of Canada, compared to 6.5% in 2004, all of whom were RNs; this represented
7.6% of the RN workforce.
146
CIHI 2010
Appendix A—Provincial/Territorial Nursing Workforce Highlights and Profiles
Regulated Nursing Workforce Profile, Yukon, 2008
Licensed Practical
Nurses
Registered Nurses
RN
Average Age
Age Breakdown
Employment Status
Position
Multiple
Employment Status
Highest Education
in Nursing Discipline
Location of
Graduation
%
Canada
%
RPN
%
Canada
%
–
–
62
–
–
–
–
–
10.2
6.0
*
†
7.2
–
–
22.5
Female
300
89.8
94.0
5†
†
92.8
–
–
77.5
Years
45.3
–
–
47.3
–
–
–
–
–
<35
75
22.5
20.8
6
10.0
25.7
–
–
13.4
35–49
117
35.0
39.7
29
48.3
39.6
–
–
41.6
50+
142
42.5
39.5
25
41.7
34.6
–
–
45.0
68.2
Full Time
160
48.2
58.1
40
64.5
49.0
–
–
Part Time
98
29.5
31.0
11
17.7
34.6
–
–
18.9
Casual
74
22.3
10.8
11
17.7
16.4
–
–
12.8
2
–
–
–
–
–
–
–
–
Hospital
143
43.9
62.7
15
24.2
45.8
–
–
41.0
Community Health Agency
117
35.9
14.2
–
–
7.1
–
–
26.5
Nursing Home/LTC Facility
26
8.0
10.1
38
61.3
38.6
–
–
19.6
Other Place of Work
Area of
Responsibility
LPN
34
Male
Employed—Status Unknown
Place of Work
Canada
%
334
Employed in Nursing Workforce
Sex
%
Registered Psychiatric
Nurses
40
12.3
13.0
9
14.5
8.6
–
–
12.9
Direct Care
Administration/Education/
Research
Managerial Positions
285
88.2
89.1
5†
†
98.5
–
–
90.7
38
11.8
10.9
*
†
1.5
–
–
9.3
31
9.5
7.1
–
–
1.4
–
–
10.8
Staff/Community Health Nurse
249
76.6
78.1
–
–
92.4
–
–
78.8
Other Positions
45
13.8
14.8
–
–
6.2
–
–
10.4
Single Employer
261
79.1
86.6
53
85.5
82.3
–
–
79.6
69
20.9
13.4
9
14.5
17.7
–
–
20.4
Diploma
150
44.9
62.2
62
100.0
100.0
–
–
92.1
Baccalaureate
178
53.3
34.7
–
–
–
–
–
7.7
6
1.8
3.0
–
–
–
–
–
0.2
304
92.4
91.6
62
100.0
98.0
–
–
93.3
25
7.6
8.4
–
–
2.0
–
–
6.7
Multiple Employers
Master’s/Doctorate
Canadian-Trained
Internationally Educated
Notes
– Data is not applicable or does not exist.
* Value suppressed in accordance with CIHI privacy policy; cell value is from 1 to 4.
† Digit suppressed to ensure confidentiality; digit value is from 0 to 9 and corresponding percentage value.
Totals may not sum to 100% due to rounding.
Data released by CIHI may differ from data from other sources due to CIHI’s nationally standardized methodology.
Regulated nurses employed in a jurisdiction different from their jurisdiction of registration are excluded to avoid duplication.
Northern territories data may include inter-jurisdictional duplicates.
Diploma includes equivalency for entry-level education.
Employed—status unknown are excluded from percentage distributions.
Not stated are excluded from percentage distributions.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
CIHI 2010
147
Regulated Nurses: Canadian Trends, 2004 to 2008
Regulated Nursing Workforce Highlights, Northwest Territories
and Nunavut, 2008
•
The number of registrations submitted for regulated nurses in the Northwest Territories
and Nunavut (including both employed and unemployed) increased 27.5% from 2004
to 2008, from 1,054 to 1,344. These numbers include short-term assignments from
the provinces.
•
In 2008, there were 1,314 regulated nurses working in the Northwest Territories and
Nunavut, 92.8% of whom were RNs and 7.2% of whom were LPNs.
•
In 2008, the proportion of the Northwest Territories and Nunavut workforce that was
female continued to be high, at 90.2% for RNs and 84.0% for LPNs.
•
The average age of regulated nurses in the Northwest Territories and Nunavut increased.
The average age of regulated nurses was 44.5 in 2008, compared to 43.8 in 2004.
In 2008, the average age of RNs was 44.5 and that of LPNs was 44.8.
•
In 2008, the Northwest Territories’ and Nunavut’s regulated nurses worked most often
in the community health and hospital sectors: 44.6% of RNs worked in community
health and 54.8% of LPNs worked in hospitals.
•
The proportion of regulated nurses educated internationally in the Northwest Territories
and Nunavut decreased. Overall, in 2008, 8.2% of the regulated nursing workforce
in the Northwest Territories and Nunavut was educated outside of Canada, compared
to 9.7% in 2004.
148
CIHI 2010
Appendix A—Provincial/Territorial Nursing Workforce Highlights and Profiles
Regulated Nursing Workforce Profile, Northwest Territories and Nunavut, 2008
Licensed Practical
Nurses
Registered Nurses
RN
Employed in Nursing Workforce
Sex
Average Age
Age Breakdown
Employment Status
Male
Female
Position
Multiple
Employment Status
Highest Education
in Nursing Discipline
Location of
Graduation
LPN
%
Canada
%
RPN
%
Canada
%
1,220
–
–
94
–
–
–
–
–
119
9.8
6.0
1†
†
7.2
–
–
22.5
1,101
90.2
94.0
7†
†
92.8
–
–
77.5
44.5
–
–
44.8
–
–
–
–
–
<35
323
26.5
20.8
15
16.0
25.7
–
–
13.4
35–49
441
36.1
39.7
44
46.8
39.6
–
–
41.6
50+
456
37.4
39.5
35
37.2
34.6
–
–
45.0
Full Time
618
50.7
58.1
80
85.1
49.0
–
–
68.2
Part Time
Casual
–
–
31.0
5
5.3
34.6
–
–
18.9
602
49.3
10.8
9
9.6
16.4
–
–
12.8
–
–
–
–
–
–
–
–
–
Hospital
439
36.9
62.7
51
54.8
45.8
–
–
41.0
Community Health Agency
531
44.6
14.2
*
†
7.1
–
–
26.5
Nursing Home/LTC Facility
20
1.7
10.1
21
22.6
38.6
–
–
19.6
Other Place of Work
Area of
Responsibility
Canada
%
Years
Employed—Status Unknown
Place of Work
%
Registered Psychiatric
Nurses
Direct Care
Administration/Education/
Research
Managerial Positions
200
16.8
13.0
2†
†
8.6
–
–
12.9
1,083
91.2
89.1
93
100.0
98.5
–
–
90.7
104
8.8
10.9
–
–
1.5
–
–
9.3
136
11.4
7.1
–
–
1.4
–
–
10.8
Staff/Community Health Nurse
886
74.5
78.1
9†
†
92.4
–
–
78.8
10.4
Other Positions
168
14.1
14.8
*
†
6.2
–
–
Single Employer
111
41.7
86.6
–
–
82.3
–
–
79.6
Multiple Employers
155
58.3
13.4
–
–
17.7
–
–
20.4
Diploma
742
60.8
62.2
94
100.0
100.0
–
–
92.1
Baccalaureate
457
37.5
34.7
–
–
–
–
–
7.7
21
1.7
3.0
–
–
–
–
–
0.2
1,112
91.3
91.6
9†
†
98.0
–
–
93.3
106
8.7
8.4
*
†
2.0
–
–
6.7
Master’s/Doctorate
Canadian-Trained
Internationally Educated
Notes
– Data is not applicable or does not exist.
* Value suppressed in accordance with CIHI privacy policy; cell value is from 1 to 4.
† Digit suppressed to ensure confidentiality; digit value is from 0 to 9 and corresponding percentage value.
Totals may not sum to 100% due to rounding.
Data released by CIHI may differ from data from other sources due to CIHI’s nationally standardized methodology.
Regulated nurses employed in a jurisdiction different from their jurisdiction of registration are excluded to avoid duplication.
Northern territories data may include inter-jurisdictional duplicates.
Diploma includes equivalency for entry-level education.
Employed—status unknown are excluded from percentage distributions.
Not stated are excluded from percentage distributions.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
CIHI 2010
149
Regulated Nurses: Canadian Trends, 2004 to 2008
Regulated Nursing Workforce Highlights, Canada, 2008
•
The number of registrations submitted for regulated nurses in Canada (including both
employed and unemployed) increased 7.6% from 2004 to 2008, from 339,872
to 365,761.
•
In 2008, there were 341,431 regulated nurses working in Canada, 76.7% of whom
were RNs, 21.7% of whom were LPNs and 1.5% of whom were RPNs.
•
In 2008, the proportion of Canada’s workforce that was female continued to be high,
at 93.5% of the total workforce. A total of 94.0% of RNs, 92.8% of LPNs and 77.5%
of RPNs were women.
•
The average age of regulated nurses in Canada increased. Regulated nurses were
44.8 in 2008, compared to 44.6 in 2004. In 2008, the average age of RNs was 45.1,
that of LPNs was 43.4 and that of RPNs was 47.5.
•
The proportion of full-time regulated nurses in Canada increased from 53.5% in 2004,
to 56.5% in 2008.
•
In 2008, Canada’s regulated nurses worked most often in hospitals, at 62.7% for RNs,
45.7% for LPNs and 41.0% of RPNs; the community health sector attracted 14.2%
of RNs, 7.0% of LPNs and 26.5% of RPNs.
•
The proportion of regulated nurses educated internationally in Canada increased.
Overall, in 2008, 7.0% of the regulated nursing workforce in Canada was educated
outside of Canada, compared to 6.7% in 2004. A total of 8.4% were RNs, 2.0% were
LPNs and 6.7% were RPNs.
150
CIHI 2010
Appendix A—Provincial/Territorial Nursing Workforce Highlights and Profiles
Regulated Nursing Workforce Profile, Canada, 2008
Licensed Practical
Nurses
Registered Nurses
RN
Employed in Nursing Workforce
Sex
Average Age
Age Breakdown
Employment Status
Male
Female
Position
Multiple
Employment Status
Highest Education
in Nursing Discipline
Location of
Graduation
%
RPN
261,889
–
15,621
6.0
246,268
94.0
%
74,380
–
5,162
–
5,381
7.2
1,160
22.5
68,999
92.8
4,002
77.5
45.1
–
43.4
–
47.5
–
<35
54,458
20.8
19,131
25.7
689
13.4
35–49
103,978
39.7
29,488
39.6
2,144
41.6
50+
103,453
39.5
25,758
34.6
2,320
45.0
68.2
Full Time
151,420
58.1
36,408
49.0
3,480
Part Time
80,879
31.0
25,751
34.6
965
18.9
Casual
28,219
10.8
12,185
16.4
655
12.8
1,371
–
36
–
62
–
162,820
62.7
32,946
45.8
2,082
41.0
Community Health Agency
36,908
14.2
5,073
7.1
1,348
26.5
Nursing Home/LTC Facility
26,309
10.1
27,764
38.6
996
19.6
Other Place of Work
33,722
13.0
6,167
8.6
653
12.9
Direct Care
Administration/Education/
Research
Managerial Positions
228,840
89.1
71,057
98.5
4,537
90.7
28,059
10.9
1,116
1.5
463
9.3
18,354
7.1
1,006
1.4
548
10.8
Staff/Community Health Nurse
Hospital
Area of
Responsibility
LPN
Years
Employed—Status Unknown
Place of Work
%
Registered Psychiatric
Nurses
202,258
78.1
66,451
92.4
4,013
78.8
Other Positions
38,206
14.8
4,456
6.2
530
10.4
Single Employer
225,183
86.6
59,843
82.3
4,034
79.6
34,873
13.4
12,899
17.7
1,034
20.4
162,979
62.2
74,380
100.0
4,755
92.1
90,965
34.7
–
–
399
7.7
7,945
3.0
–
–
8
0.2
239,460
91.6
72,852
98.0
4,280
93.3
21,980
8.4
1,485
2.0
307
6.7
Multiple Employers
Diploma
Baccalaureate
Master’s/Doctorate
Canadian-Trained
Internationally Educated
Notes
– Data is not applicable or does not exist.
Totals may not sum to 100% due to rounding.
Data released by CIHI may differ from data from other sources due to CIHI’s nationally standardized methodology.
Regulated nurses employed in a jurisdiction different from their jurisdiction of registration are excluded to avoid duplication.
The RPN workforce of the four western provinces represents the total RPN workforce in Canada.
Diploma includes equivalency for entry-level education.
Manitoba RN and LPN data was excluded from average age calculation for Canada. In 2008, the College of Registered Nurses of Manitoba
and the College of Licensed Practical Nurses of Manitoba submitted aggregate tables for average age.
Employed—status unknown are excluded from percentage distributions.
Not stated are excluded from percentage distributions.
See Chapter 5 (Methodological Notes) for more information regarding collection and comparability of data.
Source
Nursing Database, Canadian Institute for Health Information.
CIHI 2010
151
Appendix B
Regulated Nursing Contact Information
Appendix B—Regulated Nursing Contact Information
Provincial/Territorial Regulatory Authorities
Newfoundland and Labrador
College of Licensed Practical Nurses of Newfoundland and Labrador
9 Paton Street
St. John’s, Newfoundland and Labrador A1B 4S8
Website: www.clpnnl.ca
Association of Registered Nurses of Newfoundland and Labrador
55 Military Road, PO Box 6116
St. John’s, Newfoundland and Labrador A1C 5X8
Website: www.arnnl.nf.ca
Prince Edward Island
Prince Edward Island Licensed Practical Nurses Registration Board
161 St. Peters Road
PO Box 3235
Charlottetown, Prince Edward Island C1A 7N9
Website: www.gov.pe.ca
Association of Registered Nurses of Prince Edward Island
53 Grafton Street
Charlottetown, Prince Edward Island C1A 1K8
Website: www.arnpei.ca
Nova Scotia
College of Licensed Practical Nurses of Nova Scotia
Suite 1212, Cogswell Tower
2000 Barrington Street
Halifax, Nova Scotia B3J 3K1
Website: www.clpnns.ca
College of Registered Nurses of Nova Scotia
Suite 600, Barrington Tower
1894 Barrington Street
Halifax, Nova Scotia B3J 2A8
Website: www.crnns.ca
New Brunswick
Association of New Brunswick Licensed Practical Nurses / Association des infirmier(ère)s
auxiliaires autorisé(e)s du Nouveau-Brunswick
384 Smythe Street
Fredericton, New Brunswick E3B 3E4
Website: www.anblpn.ca
CIHI 2010
155
Regulated Nurses: Canadian Trends, 2004 to 2008
Nurses Association of New Brunswick / Association des infirmières et infirmiers
du Nouveau-Brunswick
165 Regent Street
Fredericton, New Brunswick E3B 7B4
Website: www.nanb.nb.ca
Quebec
Ordre des infirmières et infirmiers auxiliaires du Québec
531 rue Sherbrooke Est
Montréal, Quebec H2L 1K2
Website: www.oiiaq.org
Ordre des infirmières et infirmiers du Québec
4200 boulevard Dorchester ouest
Montréal, Quebec H3Z 1V4
Website: www.oiiq.org
Ontariovii
College of Nurses of Ontario / Ordre des infirmières et infirmiers de l’Ontario
101 Davenport Road
Toronto, Ontario M5R 3P1
Website: www.cno.org
Manitoba
College of Licensed Practical Nurses of Manitoba
463 St. Anne’s Road
Winnipeg, Manitoba R2M 3C9
Website: www.clpnm.ca
College of Registered Nurses of Manitoba
890 Pembina Highway
Winnipeg, Manitoba R3M 2M8
Website: www.crnm.mb.ca
College of Registered Psychiatric Nurses of Manitoba
1854 Portage Avenue
Winnipeg, Manitoba R3J 0G9
Website: www.crpnm.mb.ca
vii. The College of Nurses of Ontario is the provincial regulatory authority for both licensed practical nurses
and registered nurses. In Ontario, licensed practical nurses are termed “registered practical nurses.”
156
CIHI 2010
Appendix B—Regulated Nursing Contact Information
Saskatchewan
Saskatchewan Association of Licensed Practical Nurses
100–2216 Lorne Street
Regina, Saskatchewan S4P 2M7
Website: www.salpn.com
Saskatchewan Registered Nurses’ Association
2066 Retallack Street
Regina, Saskatchewan S4T 7X5
Website: www.srna.org
Registered Psychiatric Nurses Association of Saskatchewan
2055 Lorne Street
Regina, Saskatchewan S4P 2M4
Website: www.rpnas.com
Alberta
College of Licensed Practical Nurses of Alberta
St. Albert Trail Place
13163–146 Street
Edmonton, Alberta T5L 4S8
Website: www.clpna.com
College and Association of Registered Nurses of Alberta
11620–168 Street
Edmonton, Alberta T5M 4A6
Website: www.nurses.ab.ca
College of Registered Psychiatric Nurses of Alberta
201–9711 45th Avenue
Edmonton, Alberta T6E 5V8
Website: www.crpna.ab.ca
British Columbia
College of Licensed Practical Nurses of British Columbia
3480 Gilmore Way, Suite 260
Burnaby, British Columbia V5G 4Y1
Website: www.clpnbc.org
College of Registered Nurses of British Columbia
2855 Arbutus Street
Vancouver, British Columbia V6J 3Y8
Website: www.crnbc.ca
CIHI 2010
157
Regulated Nurses: Canadian Trends, 2004 to 2008
College of Registered Psychiatric Nurses of British Columbia
307–2502 Saint Johns Street
Port Moody, British Columbia V3H 2B4
Website: www.crpnbc.ca
Yukon
Registrar of Licensed Practical Nurses
Yukon Consumer Services
Box 2703
Whitehorse, Yukon Y1A 2C6
Website: www.gov.yk.ca
Yukon Registered Nurses Association
204–4133 Fourth Avenue
Whitehorse, Yukon Y1A 1H8
Website: www.yrna.ca
Northwest Territories and Nunavut
Registrar of Licensed Practical Nurses
Department of Health and Social Services, Government of the Northwest Territories
Box 1320
Yellowknife, Northwest Territories X1A 2L9
Website: www.hlthss.gov.nt.ca
Registered Nurses Association of the Northwest Territories and Nunavut
Box 2757
483 Range Lake Road
Yellowknife, Northwest Territories X1A 2R1
Website: www.rnantnu.ca
Other Nursing Associations
Practical Nurses Canada
55 St. Clair Avenue West, Suite 255
Toronto, Ontario M4V 2Y7
Website: www.pncanada.ca
Canadian Council for Practical Nurse Regulators / Conseil canadien de réglementation
des soins infirmiers auxiliaires
Website: www.ccpnr.ca
Canadian Nurses Association / Association des infirmières et infirmiers du Canada
50 Driveway
Ottawa, Ontario K2P 1E2
Website: www.cna-aiic.ca
158
CIHI 2010
Appendix B—Regulated Nursing Contact Information
Registered Psychiatric Nurses of Canada
Website: www.rpnc.ca
Canadian Association of Schools of Nursing / Association canadienne des écoles
de sciences infirmières
99 Fifth Avenue, Suite 15
Ottawa, Ontario K1S 5K4
Website: www.casn.ca
Canadian Federation of Nurses Unions / Fédération canadienne des syndicats d'infirmières
et d’infirmiers
2841 Riverside Drive
Ottawa, Ontario K1V 8X7
Website: www.nursesunions.ca
Aboriginal Nurses Association of Canada
56 Sparks Street, Suite 502
Ottawa, Ontario K1P 5A7
Website: www.anac.on.ca
CIHI 2010
159
References
References
1. Canadian Nurses Association, The Nurse Practitioner (Ottawa, Ont.: CNA, 2003),
accessed on July 22, 2008, from <http://www.cna-nurses.ca/CNA/documents/pdf/
publications/PS68_Nurse_Practitioner_June_2003_e.pdf>.
2. C. McNiven, H. Puderer and D. Janes, Census Metropolitan Area and Census
Agglomeration Influenced Zones (MIZ): A Description of the Methodology (Ottawa, Ont.:
Statistics Canada, 2000), accessed on August 31, 2009, from <http://www.statcan.gc.ca/
pub/92f0138m/92f0138m2000002-eng.pdf>.
3. V. du Plessis, et al., “Definitions of Rural,” Rural and Small Town Canada Analysis
Bulletin 3, 3 (2001), accessed on August 31, 2009, from <http://www.statcan.gc.ca/
pub/21-006-x/21-006-x2001003-eng.pdf>.
4. Canadian Institute for Health Information, Supply and Distribution of Registered
Nurses in Rural and Small Town Canada (Ottawa, Ont.: CIHI, 2002), accessed on
August 31, 2009, from <http://secure.cihi.ca/cihiweb/dispPage.jsp?cw_page=
download_form_e&cw_sku=SDRNRST2000PDF&cw_ctt=1&cw_dform=N>.
CIHI 2010
161
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© 2010 Canadian Institute for Health Information
How to cite this document:
Canadian Institute for Health Information, Regulated Nurses: Canadian Trends,
2004 to 2008, Updated February 2010 (Ottawa, Ont.: CIHI, 2010).
Cette publication est disponible en français sous le titre Infirmières réglementées :
tendances canadiennes, 2004 à 2008, révisé en février 2010.
ISBN 978-1-55465-727-8 (PDF)
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February 2010
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