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Title Regulated Nurses: Canadian Trends, 2006 to 2010 pic
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Regulated Nurses:
Title
Canadian Trends, 2006 to 2010
Spending and Health Workforce
Who We Are
Established in 1994, CIHI is
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information on Canada’s health
system and the health of Canadians.
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territorial governments, we are guided
by a Board of Directors made up
of health leaders across the country.
Our Vision
To help improve Canada’s health
system and the well-being of Canadians
by being a leading source of unbiased,
credible and comparable information
that will enable health leaders to make
better-informed decisions.
Table of Contents
Executive Summary ............................................................................................ xiii
Regulated Nursing Workforce Continues to Grow ......................................... xiii
Regulated Nursing Workforce Across Age Groups ....................................... xiii
Mobility Trends of Regulated Nursing Graduates .......................................... xiii
Registered Nurses .........................................................................................xiv
Licensed Practical Nurses .............................................................................xiv
Registered Psychiatric Nurses ...................................................................... xv
About the Canadian Institute for Health Information........................................... xvii
About This Report ...............................................................................................xix
One Report for Three Nursing Professions ...................................................xix
What’s New This Year? .................................................................................xix
Want to Know More? .....................................................................................xix
Acknowledgements .............................................................................................xxi
Regulatory Authorities for the Registered Nursing Profession ......................xxi
Regulatory Authorities for the Licensed Practical Nursing Profession ......... xxii
Regulatory Authorities for the Registered Psychiatric
Nursing Profession ....................................................................................... xxii
National Organizations ................................................................................. xxii
Introduction ............................................................................................................ 1
The Canadian Regulated Nursing Workforce .................................................. 1
Registered Nurses ........................................................................................... 5
Licensed Practical Nurses ............................................................................... 5
Registered Psychiatric Nurses ........................................................................ 5
Chapter 1—Regulated Nurses in Canada: Trends of Registered Nurses ............. 7
Workforce Trends: How Many Registered Nurses? ........................................ 9
Demographic Trends ..................................................................................... 12
Sex of the Workforce................................................................................. 12
Age of the Workforce ................................................................................ 13
Employment Trends ...................................................................................... 15
Employment Status ................................................................................... 17
Place of Work ............................................................................................ 19
Position ..................................................................................................... 21
Regulated Nurses: Canadian Trends, 2006 to 2010
Area of Responsibility ............................................................................... 23
Years Since Graduation............................................................................ 25
Education Trends .......................................................................................... 27
Higher Education for Registered Nurses .................................................. 27
Migration Trends ........................................................................................... 29
Migration Within Canada .......................................................................... 29
Working Outside Province/Territory of Registration.................................. 31
Internationally Educated Registered Nurses ............................................ 32
Urban/Rural Distribution of the Workforce ................................................ 34
Registered Nurses in the Territories: Characteristics of the
Northern Workforce ....................................................................................... 36
Nurse Practitioner Demographic Trends ....................................................... 37
Sex of the Workforce ................................................................................ 37
Age of the Workforce ................................................................................ 38
Nurse Practitioner Employment Trends ........................................................ 39
Place of Work ........................................................................................... 41
Area of Responsibility ............................................................................... 42
Nurse Practitioner Mobility Trends ................................................................ 43
Urban/Rural Distribution of the Nurse Practitioner Workforce .................. 44
Chapter 2—Regulated Nurses in Canada: Trends of Licensed
Practical Nurse .................................................................................................... 45
Workforce Trends: How Many Licensed Practical Nurses? .......................... 47
Demographic Trends..................................................................................... 49
Sex of the Workforce ................................................................................ 49
Age of the Workforce ................................................................................ 50
Employment Trends ...................................................................................... 52
Employment Status................................................................................... 54
Place of Work ........................................................................................... 56
Position ..................................................................................................... 58
Area of Responsibility ............................................................................... 60
Years Since Graduation............................................................................ 62
Education Trends .......................................................................................... 64
Entry-to-Practice Education ...................................................................... 64
ii
Table of Contents
Migration Trends............................................................................................ 66
Migration Within Canada ........................................................................... 66
Working Outside Province/Territory of Registration .................................. 68
Internationally Educated Licensed Practical Nurses ................................. 69
Urban/Rural Distribution of the Workforce ................................................ 71
Licensed Practical Nurses in the Territories: Characteristics of the
Northern Workforce ....................................................................................... 73
Chapter 3—Regulated Nurses in Canada: Trends of Registered
Psychiatric Nurses ............................................................................................... 75
Workforce Trends: How Many Registered Psychiatric Nurses? .................... 77
Demographic Trends ..................................................................................... 79
Sex of the Worforce .................................................................................. 79
Age of the Workforce ................................................................................ 80
Employment Trends ...................................................................................... 82
Employment Status ................................................................................... 84
Place of Work ............................................................................................ 85
Position ..................................................................................................... 87
Area of Responsibility ............................................................................... 88
Years Since Graduation ............................................................................ 89
Education Trends .......................................................................................... 91
Entry-to-Practice Education ...................................................................... 91
Higher Education for Registered Psychiatric Nurses ................................ 91
Migration Trends............................................................................................ 92
Migration in the Western Provinces .......................................................... 92
Internationally Educated Registered Psychiatric Nurses .......................... 94
Urban/Rural Distribution of the Workforce ................................................ 96
Chapter 4—Regulated Nursing Workforce by Health Region ............................. 99
Assigning the Regulated Nursing Workforce to Health Regions ................. 101
Health Region Peer Groups ........................................................................ 101
Rates per 100,000 Population by Health Region ........................................ 102
Chapter 5—Methodological Notes..................................................................... 109
Data Quality ................................................................................................. 111
Privacy and Confidentiality ...................................................................... 111
Data Collection ........................................................................................ 111
Population of Interest .............................................................................. 112
iii
Regulated Nurses: Canadian Trends, 2006 to 2010
Population of Reference and Collection Period ...................................... 112
Non-Practising Registrations .................................................................. 112
First-Time Registrants ............................................................................ 113
Nurses on Leave..................................................................................... 113
Non-Response ........................................................................................ 113
Duplicate Records .................................................................................. 115
Defining the Workforce ........................................................................... 115
Re-Coding Employment Status .............................................................. 115
Analytical Methods.................................................................................. 118
Urban/Rural Statistics ............................................................................. 119
Comparability of Data ............................................................................. 120
Methodological and Historical Changes to Registered Nursing
Data, 2006 to 2010...................................................................................... 120
Historical Review and Data Limitations .................................................. 120
Methodological and Historical Changes to Licensed Practical
Nursing Data, 2006 to 2010 ........................................................................ 124
Historical Revisions and Data Limitations............................................... 124
Methodological and Historical Changes to Registered Psychiatric
Nursing Data, 2006 to 2010 ........................................................................ 126
Historical Revisions and Data Limitations............................................... 126
Provincial/Territorial Nursing Workforce Profiles .............................................. 129
Regulated Nursing Workforce Profile, Newfoundland and
Labrador, 2010 ....................................................................................... 131
Regulated Nursing Workforce Profile, Prince Edward Island, 2010 ....... 132
Regulated Nursing Workforce Profile, Nova Scotia, 2010 ...................... 133
Regulated Nursing Workforce Profile, New Brunswick, 2010 ................. 134
Regulated Nursing Workforce Profile, Quebec, 2010 ............................. 135
Regulated Nursing Workforce Profile, Ontario, 2010.............................. 136
Regulated Nursing Workforce Profile, Manitoba, 2010........................... 137
Regulated Nursing Workforce Profile, Saskatchewan, 2010 .................. 138
Regulated Nursing Workforce Profile, Alberta, 2010 .............................. 139
Regulated Nursing Workforce Profile, British Columbia, 2010 ............... 140
Regulated Nursing Workforce Profile, Yukon, 2010 ............................... 141
Regulated Nursing Workforce Profile, Northwest Territories
and Nunavut, 2010 ................................................................................. 142
Regulated Nursing Workforce Profile, Canada, 2010 ............................. 143
iv
Table of Contents
Regulated Nursing Contact Information ............................................................ 145
Provincial/Territorial Regulatory Authorities ................................................ 147
Newfoundland and Labrador ................................................................... 147
Prince Edward Island .............................................................................. 147
Nova Scotia ............................................................................................. 147
New Brunswick........................................................................................ 148
Quebec.................................................................................................... 148
Ontario .................................................................................................... 148
Manitoba ................................................................................................. 148
Saskatchewan ......................................................................................... 149
Alberta ..................................................................................................... 149
British Columbia ...................................................................................... 150
Yukon ...................................................................................................... 150
Northwest Territories and Nunavut ......................................................... 150
Other Nursing Associations..................................................................... 151
References ........................................................................................................ 153
v
List of Figures
List of Figures
Figure 1:
Regulated Nursing Workforce (Employed in Nursing),
Canada, 2010 ................................................................................ 1
Figure 2:
Practising Nurses per 1,000 Population, Selected
Countries, 2009.............................................................................. 2
Figure 3:
Ratio of Practising Nurses to Practising Physicians, Selected
Countries, 2006.............................................................................. 3
Figure 4:
Average Age of Workforce, Regulated Nursing and Selected
Health Occupations, Canada, 2006 to 2010 .................................. 4
Figure 5:
Registered Nurses, by Employment Status, Canada, 2010 ........... 9
Figure 6:
Registered Nursing Workforce, Canada, 1980 to 2010 ............... 10
Figure 7:
Registered Nursing Workforce per 100,000 Population,
Canada, 1986 to 2010 ................................................................. 11
Figure 8:
Registered Nursing Workforce, by Age Group (55+, 60+, 65+)
and Jurisdiction, Canada, 2010 ................................................... 14
Figure 9:
Registered Nursing Workforce, by Jurisdiction of Graduation
and Registration, Canada, 2010 .................................................. 29
Figure 10:
Registered Nursing Workforce, by Jurisdiction of Graduation
and Top Three Destinations of Registration, Canada, 2010 ........ 30
Figure 11:
Registered Nurses Working Outside of Jurisdiction of
Registration, by Country of Employment, Canada, 2010 ............. 31
Figure 12:
Internationally Educated Registered Nurses in the Workforce,
by Country of Graduation, Canada, 2010 .................................... 33
Figure 13:
Registered Nursing Workforce, by Urban/Rural/Remote/
Territories Designation, Canada, 2010 ........................................ 34
Figure 14:
Registered Nursing Workforce, by Urban/Rural/Remote/
Territories Designation and Jurisdiction, 2010 ............................. 35
Figure 15:
Registered Nursing Workforce, by Place of Work and
Provincial/Territorial Level, Canada, 2010 ................................... 36
Figure 16:
Nurse Practitioner Workforce, by Place of Work, Canada,
2006, 2008 and 2010 ................................................................... 41
Figure 17:
Nurse Practitioner Workforce, by Urban/Rural/Remote/
Territories Designation, Canada, 2010 ........................................ 44
Figure 18:
Licensed Practical Nurses, by Employment Status,
Canada, 2010 .............................................................................. 47
Figure 19:
Licensed Practical Nursing Workforce per 100,000 Population,
Canada, 2006 to 2010 ................................................................. 48
Figure 20:
Licensed Practical Nursing Workforce, by Age Group
(55+, 60+, 65+) and Jurisdiction, Canada, 2010 .......................... 51
vii
Regulated Nurses: Canadian Trends, 2006 to 2010
viii
Figure 21:
Licensed Practical Nursing Workforce, by Jurisdiction of
Graduation and Registration, Canada, 2010 ............................... 66
Figure 22:
Licensed Practical Nursing Workforce, by Jurisdiction of
Graduation and Top Three Destinations of Registration,
Canada, 2010 .............................................................................. 67
Figure 23:
Licensed Practical Nurses Working Outside of Jurisdiction
of Registration, by Country of Employment, Canada, 2010 ........ 68
Figure 24:
Internationally Educated Licensed Practical Nurses in the
Workforce, by Country of Graduation, Canada, 2010 ................. 70
Figure 25:
Licensed Practical Nursing Workforce, by Urban/Rural/Remote/
Territories Designation, Canada, 2010 ........................................ 71
Figure 26:
Licensed Practical Nursing Workforce, by Urban/Rural/Remote/
Territories Designation and Jurisdiction, 2010 ............................ 72
Figure 27:
Licensed Practical Nursing Workforce, by Place of Work
and Provincial/Territorial Level, Canada, 2010............................ 73
Figure 28:
Registered Psychiatric Nurses, by Employment Status,
Western Provinces, 2010 ............................................................ 77
Figure 29:
Registered Psychiatric Nursing Workforce per 100,000
Population, Western Provinces, 2006 to 2010 ............................ 78
Figure 30:
Registered Psychiatric Nursing Workforce, by Age Group
(55+, 60+, 65+) and Jurisdiction, Western Provinces, 2010 ........ 81
Figure 31:
Registered Psychiatric Nursing Workforce, by Jurisdiction
of Graduation and Registration, Western Provinces, 2010 ......... 92
Figure 32:
Registered Psychiatric Nursing Workforce, by Jurisdiction of
Graduation and Top Two Destinations of Registration, Western
Provinces, 2010 ........................................................................... 93
Figure 33:
Internationally Educated Registered Psychiatric Nurses in
the Workforce, by Country of Graduation, Canada, 2010 ........... 95
Figure 34:
Registered Psychiatric Nursing Workforce, by
Urban/Rural/Remote/Territories Designation, Western
Provinces, 2010 ........................................................................... 96
Figure 35:
Registered Psychiatric Nursing Workforce, by
Urban/Rural/Remote/Territories Designation, Western
Provinces, 2010 ........................................................................... 97
Figure 36:
Tracking Regulatory Authority Data to CIHI: The Regulated
Nursing Workforce ..................................................................... 116
List of Tables
List of Tables
Table 1:
Registered Nursing Workforce, by Sex and Jurisdiction,
Canada, 2006 to 2010 ................................................................. 12
Table 2:
Average Age of the Registered Nursing Workforce, by
Jurisdiction, Canada, 2006 to 2010 ............................................. 13
Table 3:
Registered Nursing Workforce, by Age Group and Jurisdiction,
Canada, 2010 .............................................................................. 13
Table 4:
Registered Nurses, Total Supply and Employment Status,
Canada, 2006 to 2010 ................................................................. 15
Table 5:
Registered Nursing Workforce, by Jurisdiction, Canada,
2006 to 2010 ................................................................................ 16
Table 6:
Registered Nursing Workforce per 100,000 Population, by
Jurisdiction, Canada, 2006 to 2010 ............................................. 16
Table 7:
Registered Nursing Workforce, by Employment Status and
Jurisdiction, Canada, 2006 to 2010 ............................................. 18
Table 8:
Registered Nursing Workforce, by Place of Work and
Jurisdiction, Canada, 2006 to 2010 ............................................. 19
Table 9:
Registered Nursing Workforce, by Position, by Jurisdiction
and Canada, 2006 to 2010 .......................................................... 21
Table 10:
Registered Nursing Workforce, by Area of Responsibility,
Canada, 2010 .............................................................................. 23
Table 11:
Registered Nursing Workforce, by Years Since Graduation
and Jurisdiction, Canada, 2006 to 2010 ...................................... 25
Table 12:
Registered Nursing Workforce, by Highest Education in
Nursing and Jurisdiction, Canada, 2006 to 2010 ......................... 27
Table 13:
Registered Nursing Workforce, by Location of Graduation
in Canada and International, by Jurisdiction, Canada,
2006 to 2010 ................................................................................ 32
Table 14:
Nurse Practitioner Workforce, by Sex, Canada, 2006 to 2010 .... 37
Table 15:
Nurse Practitioner Workforce, by Age Group, Canada, 2010 ...... 38
Table 16:
Nurse Practitioner: Total Supply and Employment Status,
Canada, 2006 to 2010 ................................................................. 39
Table 17:
Nurse Practitioner Workforce, by Jurisdiction, Canada,
2006 to 2010 ................................................................................ 40
Table 18:
Nurse Practitioner Workforce, by Area of Responsibility,
Canada, 2010 .............................................................................. 42
Table 19:
Nurse Practitioner Workforce, by Location of Graduation
(Canada and International), Canada, 2006 to 2010..................... 43
ix
Regulated Nurses: Canadian Trends, 2006 to 2010
x
Table 20:
Licensed Practical Nursing Workforce, by Sex and Jurisdiction,
Canada, 2006 to 2010 ................................................................. 49
Table 21:
Average Age of the Licensed Practical Nursing Workforce, by
Jurisdiction, Canada, 2006 to 2010 ............................................. 50
Table 22:
Licensed Practical Nursing Workforce, by Age Group, by
Jurisdiction and Canada, 2010 .................................................... 50
Table 23:
Licensed Practical Nurses, Total Supply and Employment
Status, Canada, 2006 to 2010 ..................................................... 52
Table 24:
Licensed Practical Nursing Workforce, by Jurisdiction,
Canada, 2006 to 2010 ................................................................. 53
Table 25:
Licensed Practical Nursing Workforce per 100,000 Population,
by Jurisdiction, Canada, 2006 to 2010 ........................................ 53
Table 26:
Licensed Practical Nursing Workforce, by Employment Status,
by Jurisdiction and Canada, 2006 to 2010 .................................. 54
Table 27:
Licensed Practical Nursing Workforce, by Place of Work and
Jurisdiction, Canada, 2006 to 2010 ............................................. 56
Table 28:
Licensed Practical Nursing Workforce, by Position and
Jurisdiction, Canada, 2006 to 2010 ............................................. 58
Table 29:
Licensed Practical Nursing Workforce, by Area of
Responsibility, Canada, 2010 ...................................................... 60
Table 30:
Licensed Practical Nursing Workforce, by Years Since
Graduation and Jurisdiction, Canada, 2006 to 2010 ................... 62
Table 31:
Licensed Practical Nursing Workforce, by Education in
Practical Nursing and Jurisdiction, Canada, 2006 to 2010 .......... 64
Table 32:
Licensed Practical Nursing Workforce, by Location of
Graduation (Canada and International), Canada,
2006 to 2010 ............................................................................... 69
Table 33:
Registered Psychiatric Nursing Workforce, by Sex and
Jurisdiction, Western Provinces, 2006 to 2010 ........................... 79
Table 34:
Average Age of the Registered Psychiatric Nursing Workforce,
by Jurisdiction, Western Provinces, 2006 to 2010....................... 80
Table 35:
Registered Psychiatric Nursing Workforce, by Age Group and
Jurisdiction, Western Provinces, 2010 ........................................ 80
Table 36:
Registered Psychiatric Nurses, Total Supply and Employment
Status, Western Provinces, 2006 to 2010 ................................... 82
Table 37:
Registered Psychiatric Nursing Workforce, by Jurisdiction
and Western Provinces, 2006 to 2010 ........................................ 83
Table 38:
Registered Psychiatric Nursing Workforce per 100,000
Population, by Jurisdiction, Western Provinces,
2006 to 2010 ............................................................................... 83
List of Tables
Table 39:
Registered Psychiatric Nursing Workforce, by Employment
Status and Jurisdiction, Western Provinces, 2006 to 2010 .......... 84
Table 40:
Registered Psychiatric Nursing Workforce, by Place of Work
and Jurisdiction, Western Provinces, 2006 to 2010 ..................... 85
Table 41:
Registered Psychiatric Nursing Workforce, by Position and
Jurisdiction, Western Provinces, 2006 to 2010 ............................ 87
Table 42:
Registered Psychiatric Nursing Workforce, by Area of
Responsibility, Western Provinces, 2010..................................... 88
Table 43:
Registered Psychiatric Nursing Workforce, by Years
Since Graduation and Jurisdiction, Western Provinces,
2006 to 2010 ................................................................................ 89
Table 44:
Registered Psychiatric Nursing Workforce, by Highest Level
of Education in Psychiatric Nursing, Western Provinces,
2006 to 2010 ................................................................................ 91
Table 45:
Registered Psychiatric Nursing Workforce, by Location of
Graduation (Western Provinces and International),
2006 to 2010 ................................................................................ 94
Table 46:
Regulated Nursing Workforce, by Health Region,
Canada, 2010 ............................................................................ 102
Table 47:
Principal Characteristics of Each Peer Group as Defined
by Statistics Canada .................................................................. 108
Table 48:
Percentage of Records Employed in Nursing With Not Stated
Responses, by Data Element and Province/Territory of
Registration, Canada, 2010 ....................................................... 114
Table 49:
Year of Implementation of Nurse Practitioner Legislation,
by Jurisdiction ............................................................................ 121
xi
Executive Summary
Executive Summary
Regulated Nurses: Canadian Trends, 2006 to 2010 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 354,910 regulated nurses working in nursing in Canada in 2010,
75.7% of whom were RNs, 22.9% of whom were LPNs and 1.5% of whom were
RPNs. These proportions remained relatively steady over the last five years.
In 2010, as in previous years, the number of regulated nurses in the workforce
grew, with an annual percentage change of 1.8% contributing to an overall
growth rate of 8.8% for the 2006 to 2010 period.
Regulated Nursing Workforce Across Age Groups
In each of the regulated nursing professions, the average age of entry into the
workforce increased during the period 2006 to 2010. Regulated nurses are now
often age 30 or older when they graduate and begin their nursing careers. In
2010, the age range 40 to 59 dominated the nursing professions; this age group
constituted 55.9% of the RN workforce, 52.0% of the LPN workforce and 62.0%
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 jurisdiction of
graduation were British Columbia, Alberta and Ontario.
The proportion of regulated nurses educated internationally grew slightly over
the last five years. Overall, in 2010, 7.3% of the regulated nursing workforce
was educated outside of Canada.
xiii
Regulated Nurses: Canadian Trends, 2006 to 2011
Registered Nurses
The Canadian RN workforce grew by less than 2% each year since 2006
to a total of 268,512 RNs in 2010. The proportion of females remained high,
at 93.6%.
The average age of an RN, in 2010, was 45.4. RNs worked most often in
hospitals (63.0%) and in the community health sector (14.0%).
In 2010, 32.4% of internationally educated RN graduates were educated in
the Philippines and 16.3% were educated in the United Kingdom. A total of
8.6% of the RN workforce graduated from an international RN program, which
represents the highest proportion of international graduates among the Canadian
nursing professions.
Between 2006 and 2010, the number of licensed nurse practitioners (NPs) in the
workforce more than doubled, from 1,129 in 2006 to 2,486 in 2010. As of 2007,
all territories and provinces except Yukon had licensed NP programs.
Licensed Practical Nurses
The Canadian LPN workforce grew to 81,224 in 2010. This represents an increase
of 20.7% since 2006. The proportion of females remained steady at 92.5%.
The average age of an LPN was 43.2 in 2010, a decrease of nearly one year,
from 44.1, in 2006. This is the only nursing profession of the three that showed
a decrease in average age over the time period studied.
LPNs worked primarily in hospitals (45.1%) and in long-term care facilities
(38.1%) in 2010. These proportions remained relatively consistent over the last
five years.
Of the LPNs educated outside Canada who specified a location of graduation in
2010, 35.2% were educated in the Philippines and 16.2% were educated in the
United Kingdom. A total of 2.7% of the LPN workforce in 2010 was educated
outside Canada, an increase from the 2.3% observed in 2009; this represents
a substantially smaller proportion than that observed for RPNs and RNs.
xiv
Executive Summary
Registered Psychiatric Nurses
The total Canadian RPN workforce was 5,174 in 2010. The growth rate
increased each year, except in 2010, over the five-year period for an overall
rate of 2.4% from 2006 to 2010.
Of the three nursing professions, RPNs have the highest proportion of males,
at 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 47.7
in 2010.
RPNs worked primarily in the hospital sector in 2010 (45.2%).
Overall, 7.8% of the RPN workforce in 2010 was educated outside of Canada, the
majority having been educated in the United Kingdom (82.6%).
xv
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 notfor-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.
xvii
About This Report
About This Report
The Health Human Resources team at CIHI is pleased to present Regulated
Nurses: Canadian Trends, 2006 to 2010.
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?
Chapters 1 to 3 contain data on each of the regulated nursing professions. Within
these chapters, the workforce per 100,000 population by jurisdiction has been
introduced in this year’s publication for the years 2006 to 2010.
Want to Know More?
Other Nursing Database (NDB) documents that may be of interest:
• 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
• Data tables
For more information, please contact
NDB Program Lead, Health Human Resources
Canadian Institute for Health Information
495 Richmond Road, Suite 600
Ottawa, Ontario K2A 4H6
Email: [email protected]
Website: www.cihi.ca
xix
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
• Robert Pelletier, Program Lead
• Katherine Burt, Senior Analyst
• Omar Kazmi, Senior Analyst
• Jeannine Poston, Analyst
• Li-Yu Shelley Hsieh, Analyst
• Susan Linde, Analyst
• Yann Vinette, Analyst
• Silvie Siyu Lee, Intern
As well, CIHI acknowledges and thanks the following individuals at CIHI for their
noteworthy assistance with this report:
• Julie Goulet, Program Lead
• Danny Zhang, Intern
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
xxi
Regulated Nurses: Canadian Trends, 2006 to 2011
Regulatory Authorities for the Licensed Practical
Nursing Profession
• College of Licensed Practical Nurses of Newfoundland and Labrador
• Licensed Practical Nurses Association of Prince Edward Island
• 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 Consumer Services
• 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
• Yukon Consumer Services
Note: Registered psychiatric nurses are regulated in five jurisdictions in Canada:
Manitoba, Saskatchewan, Alberta, British Columbia and Yukon.
National Organizations
• Canadian Nurses Association / Association des infirmières et infirmiers
du Canada
• Canadian Association of Schools of Nursing / Association canadienne des
écoles de sciences infirmières
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.
xxii
Introduction
Introduction
The Canadian Regulated Nursing Workforce
In Canada, the largest group within the paid health care workforce is regulated
nurses, with a total workforce of 354,910 in 2010. The regulated nursing
workforce is made up of three types of health care professionals: registered
nurses (RNs) (including nurse practitioners), registered psychiatric nurses
(RPNs) and licensed practical nurses (LPNs) (see Figure 1). 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.
Figure 1: Regulated Nursing Workforce (Employed in Nursing), Canada, 2010
Source
Nursing Database, Canadian Institute for Health Information.
1
Regulated Nurses: Canadian Trends, 2006 to 2011
Figure 2 shows that, in 2009, Canada had one of the highest numbers of
practising nurses per 1,000 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 1,000 Population, Selected Countries, 2009
Note
Data presented is from 2009 (the most recent year for which full data was available).
Source
Organisation for Economic Co-operation and Development, OECD Health Data 2011, June 2011, accessed
from <http://www.oecd.org/document/30/0,3746,en_2649_37407_12968734_1_1_1_37407,00.html>.
2
Introduction
Figure 3 presents the ratio of practising nurses to practising physicians among
selected countries.
Figure 3: Ratio of Practising Nurses to Practising Physicians, Selected
Countries, 2006
Note
Data presented is from 2006 (the most recent year for which full data was available).
Source
Organisation for Economic Co-operation and Development, OECD Health Data 2011, June 2011, accessed
from <http://www.oecd.org/document/30/0,3746,en_2649_37407_12968734_1_1_1_37407,00.html>.
3
Regulated Nurses: Canadian Trends, 2006 to 2011
The average age may be used to describe trends and to make comparisons
between the nursing workforce and other professions. Figure 4 shows the
average age of selected health occupations over the period 2006 to 2010.
Figure 4: Average Age of Workforce, Regulated Nursing and Selected Health
Occupations, Canada, 2006 to 2010
Notes
The RPN workforce of the four western provinces represents the total RPN workforce in Canada.
For 2007, 2008, 2009 and 2010, 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 LPN data was excluded from average age calculation for Canada, as the College
of Licensed Practical Nurses of Manitoba submitted aggregate tables for average age.
Sources
Nursing Database, Occupational Therapist Database, Pharmacist Database, Physiotherapist Database
and Scott’s Medical Database, Canadian Institute for Health Information.
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 highquality 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.
4
Introduction
Registered Nurses
Registered nurses (RNs) work both autonomously and in collaboration with other
health care providers. 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. NPs are licensed in all provinces
and territories in Canada except Yukon.
Licensed Practical Nurses
Licensed practical nurses (LPNs) work independently or in collaboration with
other members of a 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.
Registered Psychiatric Nurses
Registered psychiatric nurses (RPNs) are regulated separately from other
regulated nursing professionals in four provinces and one territory: Manitoba,
Saskatchewan, Alberta, British Columbia and Yukon. 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.
5
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
2010, 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 75.7% of the total regulated nursing
workforce in 2010. As illustrated in Figure 5, 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 (58.0%).
Figure 5: Registered Nurses, by Employment Status, Canada, 2010
Note
Employed RNs with employed—status unknown are excluded from the percentage distribution of full time,
part time and casual.
Source
Nursing Database, Canadian Institute for Health Information.
9
Regulated Nurses: Canadian Trends, 2006 to 2010
The size of the RN workforce has increased relatively steadily since 1980, when
data first became available. Figure 6 illustrates the growth trend of the RN
workforce over time.
Figure 6: Registered Nursing Workforce, Canada, 1980 to 2010
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.
Source
Nursing Database, Canadian Institute for Health Information.
Three distinct periods of growth for the nursing workforce are evident in Figure 6:
• 1980 to1993: The average annual growth ratei of the RN workforce was
approximately 3.3% during this period.
• 1993 to 2002: A flattening of the growth curve occurred, reflecting a period of
fiscal restraint in health care spending that also affected growth in the number
of health care providers. The average annual growth rate for RNs during this
period decreased by 0.2%.
i.
10
See Chapter 5 (Methodological Notes) for average annual growth rate formula.
Chapter 1—Regulated Nurses in Canada: Trends of Registered Nurses
• 2002 to 2010: The average annual growth rate during this period was
approximately 1.9%. The number of RNs in Canada in 1993 (235,738) was
surpassed in 2003 (241,415). 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.
• The number of RNs per 100,000 population shows a similar trend over the
three time periods (see Figure 7); however, the high ratio of the early 1990s
(824 RNs per 100,000 population) has not been reached since. In 2010, there
were 787 RNs per 100,000 population in Canada.
Figure 7: Registered Nursing Workforce per 100,000 Population, Canada,
1986 to 2010
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.
Sources
Nursing Database, Canadian Institute for Health Information; Statistics Canada, Demography Division,
accessed from <http://cansim2.statcan.gc.ca/cgi-win/cnsmcgi.pgm?Lang=E&RootDir=CII/&
Array_Pick=1&ArrayId=109-5325&C2DB=PRD&ResultTemplate=CII%2FCII>.
11
Regulated Nurses: Canadian Trends, 2006 to 2010
Demographic Trends
Sex of the Workforce
The majority of RNs (93.6%) in the Canadian workforce were female in 2010.
The proportions of female and male have not changed substantially over the
previous five years (see Table 1).
Table 1: Registered Nursing Workforce, by Sex and Jurisdiction, Canada, 2006 to 2010
N.W.T./
Nun. Canada
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
Sask.
Alta.
B.C.
Y.T.
Female 2006
5,271
1,390
8,479
7,354
58,166
86,093
10,290
8,180
25,704
27,361
289
943
239,520
2007
5,311
1,396
8,513
7,392
58,915
86,854
10,209
8,347
26,366
28,410
291
955
242,959
2008
5,445
1,442
8,513
7,418
59,321
88,575
10,266
8,473
27,268
28,146
300
1,101
246,268
2009
5,533
1,372
8,569
7,513
59,678
89,753
10,456
8,699
28,060
28,984
328
921
249,866
2010
5,699
1,436
8,794
7,731
59,836
90,438
10,870
9,020
27,312
28,895
320
998
251,349
2006
244
38
311
326
5,848
3,968
612
300
1,048
1,479
35
90
14,299
2007
263
39
330
334
6,040
4,124
616
322
1,161
1,649
31
93
15,002
2008
279
37
358
339
6,210
4,309
636
350
1,233
1,717
34
119
15,621
2009
292
34
360
353
6,377
4,543
697
418
1,345
1,916
39
101
16,475
2010
314
36
379
371
6,497
4,747
760
518
1,369
2,024
37
111
17,163
Female 2006–2010
8.1%
3.3%
3.7%
5.1%
2.9%
5.0%
5.6%
10.3%
6.3%
5.6% 10.7%
5.8%
4.9%
2009–2010
3.0%
4.7%
2.6%
2.9%
0.3%
0.8%
4.0%
3.7%
-2.7%
-0.3% -2.4%
8.4%
0.6%
2006–2010
28.7%
-5.3%
21.9%
13.8%
11.1%
19.6%
24.2%
72.7%
30.6%
36.8%
5.7%
23.3%
20.0%
2009–2010
7.5%
5.9%
5.3%
5.1%
1.9%
4.5%
9.0%
23.9%
1.8%
5.6% -5.1%
9.9%
4.2%
Count
Male
Percentage Change
Male
Percentage Distribution
Female 2006
95.6%
97.3%
96.5%
95.8%
90.9%
95.6%
94.4%
96.5%
96.1%
94.9% 89.2%
91.3%
94.4%
2009
95.0%
97.6%
96.0%
95.5%
90.3%
95.2%
93.8%
95.4%
95.4%
93.8% 89.4%
90.1%
93.8%
2010
94.8%
97.6%
95.9%
95.4%
90.2%
95.0%
93.5%
94.6%
95.2%
93.5% 89.6%
90.0%
93.6%
Male
2006
4.4%
2.7%
3.5%
4.2%
9.1%
4.4%
5.6%
3.5%
3.9%
5.1% 10.8%
8.7%
5.6%
2009
5.0%
2.4%
4.0%
4.5%
9.7%
4.8%
6.2%
4.6%
4.6%
6.2% 10.6%
9.9%
6.2%
2010
5.2%
2.4%
4.1%
4.6%
9.8%
5.0%
6.5%
5.4%
4.8%
6.5% 10.4%
10.0%
6.4%
Source
Nursing Database, Canadian Institute for Health Information.
12
Chapter 1—Regulated Nurses in Canada: Trends of Registered Nurses
Age of the Workforce
Table 2 shows the average age of RNs across Canada from 2006 to 2010.
Table 2: Average Age of the Registered Nursing Workforce, by Jurisdiction, Canada,
2006 to 2010
N.L.
Average Age
2006
42.2
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
45.8
45.8
44.2
43.5
45.6
2007
42.5
46.2
46.2
44.5
43.4
2008
42.7
46.3
46.6
44.7
43.3
2009
42.9
47.4
46.8
45.0
2010
43.0
47.2
46.8
N.W.T./
Nun. Canada
Sask. Alta.
B.C.
Y.T.
45.4
45.9
44.8
46.4
44.7
44.3
44.9
45.9
45.9
46.0
44.6
46.2
45.6
44.6
45.0
46.1
46.1
45.9
44.6
46.5
45.3
44.5
45.1
43.4
46.3
46.2
45.8
44.6
46.4
44.4
45.3
45.2
45.2
43.5
46.5
46.3
45.3
45.0
46.2
45.1
45.3
45.4
Increase/Decrease in Average Age
2006–2010 0.8
1.4
1.0
1.0
0.0
0.9
0.9
-0.6
0.2
-0.2
0.4
1.0
0.5
2009–2010
0.1
0.2
0.1
-0.5
0.4
-0.2
0.7
0.0
0.2
0.1
-0.2
0.0
0.2
Source
Nursing Database, Canadian Institute for Health Information.
Table 3 highlights the distribution of the RN workforce by age group.
Table 3: Registered Nursing Workforce, by Age Group and Jurisdiction, Canada, 2010
Age
Groups
<30
N.L.
13.4%
P.E.I.
9.0%
N.S.
N.B.
Que.
9.3% 11.0% 15.8%
Ont.
9.6%
Man. Sask. Alta.
B.C.
Y.T.
8.7% 14.5% 12.8% 10.1% 10.6%
N.W.T./
Nun. Canada
11.1% 11.8%
30–34
11.0%
8.1%
7.0%
8.7%
9.3%
9.9% 10.9%
14.2%
9.9%
35–39
13.1%
9.0%
9.3% 10.5% 11.3% 11.0% 10.9%
9.9% 11.7% 11.1% 13.4%
11.2%
11.1%
40–44
16.5% 13.4% 12.1% 14.6% 12.4% 12.5% 13.0% 10.5% 12.2% 11.5% 10.1%
10.2%
12.4%
45–49
16.7% 16.2% 17.8% 16.9% 13.6% 15.2% 15.6% 13.4% 13.2% 13.7% 15.1%
12.7%
14.5%
50–54
13.5% 13.3% 17.7% 15.7% 15.9% 14.1% 15.6% 15.2% 13.2% 15.4% 15.7%
13.1%
14.8%
55–59
10.4% 15.3% 15.2% 13.7% 12.2% 15.1% 15.6% 15.7% 13.4% 15.2% 14.0%
13.8%
14.1%
13.8%
11.4%
60+
5.5% 15.8% 11.7%
8.8% 11.5%
8.8%
9.3% 11.2%
7.4% 13.7% 11.4% 11.5% 12.3% 13.1% 10.1%
Note
Totals may not sum to 100% due to rounding.
Source
Nursing Database, Canadian Institute for Health Information.
13
Regulated Nurses: Canadian Trends, 2006 to 2010
Figure 8 highlights the proportion of the RN workforce in each province/territory
at or above three typical ages of retirement in 2010: 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
proportion of nurses within these age groups (55 and older, at 25.5%, 60 and
older, at 11.4%, and 65 and older, at 3.5%) may be preparing for retirement in
the near future.
Figure 8: Registered Nursing Workforce, by Age Group (55+, 60+, 65+) and
Jurisdiction, Canada, 2010
Source
Nursing Database, Canadian Institute for Health Information.
14
Chapter 1—Regulated Nurses in Canada: Trends of Registered Nurses
Employment Trends
Table 4 shows the supply of all RNs (including NPs) over the period 2006 to
2010. The total supply of RNs in Canada was 287,344 in 2010. This represents
an increase of 0.9% from 2009 and 6.1% from 2006.
Table 4: Registered Nurses, Total Supply and Employment Status, Canada, 2006 to 2010
Employed in Nursing
Regular
Regular Regular
Basis,
Basis,
Basis,
Casual
Status
Full Time Part Time Basis
Unknown Subtotal
Grand
Total
Not Employed in Nursing
Employed in Other
Than Nursing
Not Employed
Not Stated Subtotal
Seeking Not Seeking
Seeking Not Seeking Employment Employment
Employment Employment in Nursing
in Nursing
D
E=A+
B+C+D
F
A
Count
2006 141,047
B
C
82,120
27,366
3,286
253,819
377
2007
146,052
81,929
27,197
2,783
257,961
365
2008
151,420
80,879
28,219
1,371
261,889
2009
156,178
81,442
28,533
188
2010
155,355
80,331
31,937
889
G
K=F+
G+H+
I+J
L=E+K
H
I
J
4,399
2,396
6,155
3,699
17,026
270,845
4,540
2,428
6,025
2,955
16,313
274,274
351
4,519
2,263
5,625
4,699
17,457
279,346
266,341
422
4,668
2,295
5,898
5,066
18,349
284,690
268,512
393
4,776
2,129
5,655
5,879
18,832
287,344
Percentage Change
2006–
2010
2009–
2010
10.1%
-2.2%
16.7%
-72.9%
5.8%
4.2%
8.6%
-11.1%
-8.1%
58.9%
10.6%
6.1%
-0.5%
-1.4%
11.9%
372.9%
0.8%
-6.9%
2.3%
-7.2%
-4.1%
16.0%
2.6%
0.9%
Percentage Distribution
2006
52.1%
30.3%
10.1%
1.2%
93.7%
0.1%
1.6%
0.9%
2.3%
1.4%
6.3%
100.0%
2009
54.9%
28.6%
10.0%
0.1%
93.6%
0.1%
1.6%
0.8%
2.1%
1.8%
6.4%
100.0%
2010
54.1%
28.0%
11.1%
0.3%
93.4%
0.1%
1.7%
0.7%
2.0%
2.0%
6.6%
100.0%
Source
Nursing Database, Canadian Institute for Health Information.
15
Regulated Nurses: Canadian Trends, 2006 to 2010
Table 5: Registered Nursing Workforce, by Jurisdiction, Canada, 2006 to 2010
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
Sask.
Alta.
B.C.
Y.T.
N.W.T./
Nun.
Canada
Count
2006
5,515
1,428
8,790
7,680
64,014
90,061
10,902
8,480
26,752
28,840
324
1,033
253,819
2007
5,574
1,435
8,843
7,726
64,955
90,978
10,825
8,669
27,527
30,059
322
1,048
257,961
2008
5,724
1,479
8,871
7,757
65,531
92,884
10,902
8,823
28,501
29,863
334
1,220
261,889
2009
5,825
1,406
8,929
7,866
66,055
94,296
11,153
9,117
29,405
30,900
367
1,022
266,341
2010
6,013
1,472
9,173
8,102
66,333
95,185
11,630
9,538
28,681
30,919
357
1,109
268,512
4.4%
5.5%
3.6%
5.7%
6.7%
12.5%
7.2%
7.2%
10.2%
7.4%
5.8%
2.7%
3.0%
0.4%
0.9%
4.3%
4.6%
-2.5%
0.1%
-2.7%
8.5%
0.8%
Percentage Change
2006–
9.0%
3.1%
2010
2009–
3.2%
4.7%
2010
Percentage Distribution
2006
2.2%
0.6%
3.5%
3.0%
25.2%
35.5%
4.3%
3.3%
10.5%
11.4%
0.1%
0.4%
100.0%
2009
2.2%
0.5%
3.4%
3.0%
24.8%
35.4%
4.2%
3.4%
11.0%
11.6%
0.1%
0.4%
100.0%
2010
2.2%
0.5%
3.4%
3.0%
24.7%
35.4%
4.3%
3.6%
10.7%
11.5%
0.1%
0.4%
100.0%
Source
Nursing Database, Canadian Institute for Health Information.
Table 6: Registered Nursing Workforce per 100,000 Population, by Jurisdiction, Canada, 2006 to 2010
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
Sask.
Alta.
B.C.
Y.T.
N.W.T./
Nun.
Canada
779
Count
2006
1,081
1,035
937
1,030
839
711
921
855
782
680
1,004
1,396
2007
1,101
1,039
945
1,036
845
711
907
867
784
697
989
1,401
783
2008
1,131
1,060
947
1,039
845
718
904
870
794
681
1,009
1,620
786
2009
1,146
996
951
1,050
844
722
915
886
801
693
1,091
1,347
790
2010
1,180
1,035
973
1,078
839
721
941
912
771
682
1,034
1,441
787
Percentage Change
2006–
9.2%
0.0%
2010
2009–
3.0%
3.9%
2010
3.8%
4.7%
0.0%
1.4%
2.2%
6.7%
-1.4%
0.3%
3.0%
3.2%
1.0%
2.3%
2.7%
-0.6%
-0.1%
2.8%
2.9%
-3.7%
-1.6%
-5.2%
7.0%
-0.3%
Source
Nursing Database, Canadian Institute for Health Information.
16
Chapter 1—Regulated Nurses in Canada: Trends of Registered Nurses
Employment Status
Table 7 shows that the majority of RNs employed in nursing were employed on
a regular basis in a full-time position. In 2010, 155,355 RNs (58.0% of the
workforce) were working in full-time positions.
The average age of full-time RNs was 44.8, the average age of part-time RNs
was 45.3 and the average age of casual RNs was 48.6.
Keeping in mind that 93.6% of RNs in the Canadian workforce in 2010 were
female, there was a larger proportion of full-time positions among male RNs than
among female RNs. That year, in Canada (excluding Manitoba), 72.4% of male
RNs were employed full time, compared with 57.4% of female RNs. Only 17.7%
of male RNs had part-time employment, compared with 30.1% of female RNs.
Casual employment rates followed a similar pattern, with 12.2% of female RNs
and 9.6% of male RNs employed on a casual basis.
17
Regulated Nurses: Canadian Trends, 2006 to 2010
Table 7: Registered Nursing Workforce, by Employment Status and Jurisdiction, Canada, 2006 to 2010
N.L.
Count
Employed,
Full Time
Employed,
Part Time
Employed,
Casual
Employed,
Status
Unknown
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
Sask.
Alta.
B.C.
N.W.T./
Nun.
Canada
2006
3,794
729
5,565
4,865
35,172
55,462
5,204
4,713
10,286
15,119
138
–
2007
3,946
695
5,656
4,890
36,111
57,403
5,146
4,845
10,711
16,499
150
–
146,052
2008
4,229
779
5,685
4,987
36,755
60,236
5,190
5,054
11,196
16,531
160
618
151,420
2009
4,362
747
5,797
5,127
37,458
61,840
5,263
5,350
12,119
17,353
185
577
156,178
2010
4,494
744
6,001
5,225
37,675
62,602
5,344
5,753
11,593
15,123
176
625
155,355
2006
982
546
2,346
2,235
20,684
27,218
4,871
2,819
11,782
8,535
102
–
82,120
2007
932
554
2,353
2,260
20,903
26,308
4,867
2,783
12,118
8,762
89
–
81,929
2008
876
547
2,290
2,222
20,948
25,208
4,850
2,649
12,582
8,609
98
–
80,879
2009
835
525
2,216
2,135
21,403
24,795
4,884
2,591
13,221
8,734
103
–
81,442
141,047
2010
842
538
2,228
2,093
21,588
24,742
5,074
2,612
13,247
7,253
114
–
80,331
2006
739
153
879
580
7,376
7,381
788
948
3,813
4,625
84
–
27,366
2007
696
183
834
576
7,433
7,267
788
1,024
3,700
4,617
79
–
27,197
2008
619
153
895
548
7,459
7,440
862
1,119
3,725
4,723
74
602
28,219
2009
628
134
916
604
7,022
7,661
992
1,176
4,065
4,813
77
445
28,533
2010
677
190
943
784
6,925
7,841
1,086
1,173
3,841
7,926
67
484
31,937
2006
–
–
–
–
782
–
39
–
871
561
–
1,033
3,286
2007
–
3
–
–
508
–
24
17
998
181
4
1,048
2,783
2008
–
–
1
–
369
–
–
1
998
–
2
–
1,371
2009
–
–
–
–
172
–
14
–
–
–
2
–
188
2010
–
–
1
–
145
–
126
–
–
617
–
–
889
2.1%
7.8%
7.4%
7.1%
12.9%
2.7%
22.1%
12.7%
0.0%
27.5%
–
10.1%
-0.4%
3.5%
1.9%
0.6%
1.2%
1.5%
7.5%
-4.3%
-12.9%
-4.9%
8.3%
-0.5%
-1.5%
-5.0%
-6.4%
4.4%
-9.1%
4.2%
-7.3%
12.4%
-15.0%
11.8%
–
-2.2%
2.5%
0.5%
-2.0%
0.9%
-0.2%
3.9%
0.8%
0.2%
-17.0%
10.7%
–
-1.4%
24.2%
7.3%
35.2%
-6.1%
6.2%
37.8%
23.7%
0.7%
71.4%
-20.2%
–
16.7%
41.8%
2.9%
29.8%
-1.4%
2.3%
9.5%
-0.3%
-5.5%
64.7%
-13.0%
8.8%
11.9%
51.1%
63.3%
63.3%
55.6%
61.6%
47.9%
55.6%
39.7%
53.5%
42.6%
–
56.3%
53.1%
64.9%
65.2%
56.9%
65.6%
47.2%
58.7%
41.2%
56.2%
50.7%
56.5%
58.7%
Percentage Change
Employed,
2006–
18.5%
Full Time
2010
2009–
3.0%
2010
Employed,
2006– -14.3%
Part Time
2010
2009–
0.8%
2010
Employed,
2006–
-8.4%
Casual
2010
2009–
7.8%
2010
Percentage Distribution
Employed,
2006
68.8%
Full Time
2009
74.9%
2010
74.7%
50.5%
65.4%
64.5%
56.9%
65.8%
46.5%
60.3%
40.4%
49.9%
49.3%
56.4%
58.0%
Employed,
Part Time
2006
17.8%
38.2%
26.7%
29.1%
32.7%
30.2%
44.8%
33.2%
45.5%
30.2%
31.5%
–
32.8%
2009
14.3%
37.3%
24.8%
27.1%
32.5%
26.3%
43.8%
28.4%
45.0%
28.3%
28.2%
–
30.6%
2010
14.0%
36.5%
24.3%
25.8%
32.6%
26.0%
44.1%
27.4%
46.2%
23.9%
31.9%
–
30.0%
Employed,
Casual
2006
13.4%
10.7%
10.0%
7.6%
11.7%
8.2%
7.3%
11.2%
14.7%
16.4%
25.9%
–
10.9%
2009
10.8%
9.5%
10.3%
7.7%
10.7%
8.1%
8.9%
12.9%
13.8%
15.6%
21.1%
43.5%
10.7%
2010
11.3%
12.9%
10.3%
9.7%
10.5%
8.2%
9.4%
12.3%
13.4%
26.2%
18.8%
43.6%
11.9%
Notes
– Data is not applicable or does not exist.
Employed RNs with employed—status unknown are excluded from the percentage distribution.
From 2006 to 2007, the Northwest Territories/Nunavut submitted all Employment Status records as unknown.
Source
Nursing Database, Canadian Institute for Health Information.
18
Y.T.
Chapter 1—Regulated Nurses in Canada: Trends of Registered Nurses
Place of Work
In 2010, 63.0% of the RN workforce in Canada were employed in the hospital
sector, 14.0% in the community health sector and 9.6% in the nursing
home/long-term care (LTC) sector.
The average age of registered nurses working in these sectors in 2010 was
as follows: 43.7 (hospital sector), 47.4 (community health sector) and 49.4
(nursing home/long-term care sector).
Table 8: Registered Nursing Workforce, by Place of Work and Jurisdiction, Canada, 2006 to 2010
N.L.
Count
Hospital
Community
Health
Nursing
Home/LTC
Other
Place of
Work
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
Sask.
Alta.
B.C.
Y.T.
N.W.T./
Nun.
Canada
2006
3,819
857
6,040
5,177
38,121
56,597
6,640
4,956
16,845
18,109
147
391
157,699
2007
3,764
862
6,059
5,217
38,215
57,720
6,511
5,074
18,005
18,717
145
364
160,653
2008
3,844
887
6,021
5,242
37,906
59,774
6,555
5,214
18,402
18,393
143
439
162,820
2009
3,930
844
6,003
5,280
38,040
60,938
2,621
5,093
18,759
19,037
169
382
161,096
2010
4,074
854
6,117
5,455
37,563
61,449
6,878
5,404
18,735
16,417
148
420
163,514
2006
609
158
916
879
6,582
13,734
1,614
1,556
3,646
4,245
99
439
34,477
2007
666
160
922
881
6,642
14,546
1,679
1,600
3,866
4,504
108
450
36,024
2008
723
167
932
900
6,778
14,729
1,771
1,590
4,002
4,668
117
531
36,908
2009
733
159
930
934
6,991
14,958
786
1,666
4,041
4,859
128
420
36,605
2010
758
46
937
939
6,916
15,374
2,041
1,702
4,012
2,907
135
460
36,227
2006
595
222
984
814
9,586
8,026
1,312
970
2,005
3,183
32
25
27,754
2007
560
222
983
804
9,162
7,923
1,267
947
2,035
3,161
28
19
27,111
2008
539
221
975
775
8,926
7,691
1,233
912
1,963
3,028
26
20
26,309
2009
526
212
963
790
8,529
7,645
678
1,062
1,951
3,038
26
12
25,432
2010
509
219
1,007
798
8,103
7,854
1,304
1,108
2,012
1,936
27
14
24,891
2006
492
190
846
810
9,725
8,714
1,295
990
3,349
3,129
43
168
29,751
2007
579
190
877
824
10,936
9,039
1,320
1,046
3,593
3,449
41
193
32,087
2008
614
204
941
840
11,921
9,279
1,287
1,059
3,671
3,666
40
200
33,722
2009
633
191
1,032
862
12,495
9,433
495
1,193
3,770
3,923
40
199
34,266
2010
670
353
1,106
910
13,751
9,465
1,276
1,214
3,871
2,008
41
199
34,864
6.7%
-0.4%
1.3%
5.4%
-1.5%
8.6%
3.6%
9.0%
11.2%
-9.3%
0.7%
7.4%
3.7%
3.7%
1.2%
1.9%
3.3%
-1.3%
0.8%
162.4%
6.1%
-0.1%
-13.8% -12.4%
9.9%
1.5%
24.5%
-70.9%
2.3%
6.8%
5.1%
11.9%
26.5%
9.4%
10.0%
-31.5%
36.4%
4.8%
5.1%
3.4%
-71.1%
0.8%
0.5%
-1.1%
2.8%
159.7%
2.2%
-0.7%
-40.2%
5.5%
9.5%
-1.0%
-14.5%
-1.4%
2.3%
-2.0%
-15.5%
-2.1%
-0.6%
14.2%
0.3%
-39.2% -15.6%
-44.0%
-10.3%
-3.2%
3.3%
4.6%
1.0%
-5.0%
2.7%
92.3%
4.3%
3.1%
-36.3%
3.8%
16.7%
-2.1%
36.2%
85.8%
30.7%
12.3%
41.4%
8.6%
-1.5%
22.6%
15.6%
-35.8%
-4.7%
18.5%
17.2%
5.8%
84.8%
7.2%
5.6%
10.1%
0.3%
157.8%
1.8%
2.7%
-48.8%
2.5%
0.0%
1.7%
Percentage Change
Hospital
2006–
2010
2009–
2010
Community
2006–
Health
2010
2009–
2010
Nursing
2006–
Home/LTC
2010
2009–
2010
Other
2006–
Place of
2010
Work
2009–
2010
(continued)
19
Regulated Nurses: Canadian Trends, 2006 to 2010
Table 8: Registered Nursing Workforce, by Place of Work and Jurisdiction, Canada,
2006 to 2010 (cont’d)
N.L.
Percentage Distribution
Hospital
2006
69.2%
Community
Health
Nursing
Home/LTC
Other Place
of Work
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
Sask.
Alta.
B.C.
Y.T.
Canada
60.1%
68.7%
67.4%
59.6%
65.0%
61.1%
58.5%
65.2%
63.2%
45.8%
38.2%
63.2%
2009
67.5%
60.0%
67.2%
67.1%
57.6%
65.5%
57.2%
56.5%
65.8%
61.7%
46.6%
37.7%
62.6%
2010
67.8%
58.0%
66.7%
67.3%
56.6%
65.3%
59.8%
57.3%
65.4%
70.6%
42.2%
38.4%
63.0%
2006
11.0%
11.1%
10.4%
11.4%
10.3%
15.8%
14.9%
18.4%
14.1%
14.8%
30.8%
42.9%
13.8%
2009
12.6%
11.3%
10.4%
11.9%
10.6%
16.1%
17.2%
18.5%
14.2%
15.7%
35.3%
41.5%
14.2%
2010
12.6%
3.1%
10.2%
11.6%
10.4%
16.3%
17.7%
18.1%
14.0%
12.5%
38.5%
42.1%
14.0%
2006
10.8%
15.6%
11.2%
10.6%
15.0%
9.2%
12.1%
11.4%
7.8%
11.1%
10.0%
2.4%
11.1%
2009
9.0%
15.1%
10.8%
10.0%
12.9%
8.2%
14.8%
11.8%
6.8%
9.8%
7.2%
1.2%
9.9%
2010
8.5%
14.9%
11.0%
9.8%
12.2%
8.3%
11.3%
11.8%
7.0%
8.3%
7.7%
1.3%
9.6%
2006
8.9%
13.3%
9.6%
10.5%
15.2%
10.0%
11.9%
11.7%
13.0%
10.9%
13.4%
16.4%
11.9%
2009
10.9%
13.6%
11.6%
11.0%
18.9%
10.1%
10.8%
13.2%
13.2%
12.7%
11.0%
19.6%
13.3%
2010
11.1%
24.0%
12.1%
11.2%
20.7%
10.1%
11.1%
12.9%
13.5%
8.6%
11.7%
18.2%
13.4%
Notes
In 2009, Manitoba had an extensive increase of non-responses due to the result of registered nurses and nurse
practitioners who failed to indicate their primary place of work.
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.
Source
Nursing Database, Canadian Institute for Health Information.
20
N.W.T./
Nun.
Chapter 1—Regulated Nurses in Canada: Trends of Registered Nurses
Position
In 2010, 205,471 RNs (77.9%) were employed as staff nurses/community health
nurses in Canada, an increase of 5.2% from 2006 (see Table 9).
Table 9: Registered Nursing Workforce, by Position, by Jurisdiction and Canada,
2006 to 2010
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
Sask.
Alta.
B.C.
Y.T.
N.W.T./
Nun.
Canada
Count
Staff
Nurse
Manager
Other
Positions
2006
4,380
1,090
6,935
6,241
49,763
67,514
8,190
6,872
20,574 22,673
236
782
195,250
2007
4,332
1,084
6,934
6,239
51,149
68,699
8,148
6,957
21,814 23,391
239
766
199,752
2008
4,440
1,131
6,855
6,230
51,800
70,308
8,187
7,066
22,193 22,913
249
886
202,258
2009
4,464
1,073
6,818
6,285
52,847
71,364
8,203
6,989
22,347 23,639
295
745
205,069
2010
4,615
1,092
6,938
6,423
52,988
72,249
8,573
7,369
22,199 21,934
288
803
205,471
2006
558
180
996
877
4,214
5,493
821
701
1,693
2,225
26
81
17,865
2007
580
175
967
900
4,256
5,525
842
734
1,843
2,343
29
89
18,283
2008
597
167
979
896
4,068
5,529
841
729
1,913
2,468
31
136
18,354
2009
646
161
989
934
3,954
5,612
818
673
1,997
2,611
41
110
18,546
2010
666
158
967
941
3,897
5,522
846
656
2,017
2,296
37
125
18,128
2006
573
157
855
562
8,349
14,624
1,850
899
3,554
3,447
56
135
35,061
2007
652
175
934
587
8,634
15,407
1,782
976
3,822
3,772
54
162
36,957
2008
686
181
1,026
631
8,472
15,942
1,846
1,001
3,852
4,356
45
168
38,206
2009
713
172
1,110
647
8,857
16,431
1,903
1,350
3,895
4,594
26
142
39,840
2010
730
218
1,248
738
9,179
16,715
2,052
1,402
4,029
3,825
28
146
40,310
Annual Percentage Change
Staff
Nurse
Manager
Other
Positions
2006–
2010
5.4%
0.2%
0.0%
2.9%
6.5%
7.0%
4.7%
7.2%
7.9%
-3.3%
22.0%
2.7%
5.2%
2009–
2010
3.4%
1.8%
1.8%
2.2%
0.3%
1.2%
4.5%
5.4%
-0.7%
-7.2%
-2.4%
7.8%
0.2%
19.4% -12.2% -2.9%
7.3%
-7.5%
0.5%
3.0%
-6.4%
19.1%
3.2%
42.3%
54.3%
1.5%
1.0% -12.1%
-9.8%
13.6%
-2.3%
11.0% -50.0%
8.1%
15.0%
2.8%
1.2%
2006–
2010
2009–
2010
3.1%
-1.9% -2.2%
0.7%
-1.4%
-1.6%
3.4%
-2.5%
2006–
2010
27.4%
38.9% 46.0%
31.3%
9.9%
14.3%
10.9%
56.0%
2009–
2010
2.4%
26.7% 12.4%
14.1%
3.6%
1.7%
7.8%
3.9%
13.4%
3.4% -16.7%
7.7%
(continued)
21
Regulated Nurses: Canadian Trends, 2006 to 2010
Table 9: Registered Nursing Workforce, by Position, by Jurisdiction and Canada,
2006 to 2010 (cont’d)
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
Sask.
Alta.
B.C.
Y.T.
N.W.T./
Nun. Canada
Percentage Distribution
Staff
Nurse
Manager
Other
Positions
2006
79.5% 76.4%
78.9% 81.3% 79.8%
77.0%
75.4%
81.1% 79.7%
80.0%
74.2%
78.4%
78.7%
2009
76.7% 76.3%
76.5% 79.9% 80.5%
76.4%
75.1%
77.6% 79.1%
76.6%
81.5%
74.7%
77.8%
2010
76.8% 74.4%
75.8% 79.3% 80.2%
76.5%
74.7%
78.2% 78.6%
78.2%
81.6%
74.8%
77.9%
2006
10.1% 12.6%
11.3% 11.4%
6.8%
6.3%
7.6%
8.3%
6.6%
7.8%
8.2%
8.1%
7.2%
2009
11.1% 11.5%
11.1% 11.9%
6.0%
6.0%
7.5%
7.5%
7.1%
8.5%
11.3%
11.0%
7.0%
2010
11.1% 10.8%
10.6% 11.6%
5.9%
5.8%
7.4%
7.0%
7.1%
8.2%
10.5%
11.6%
6.9%
2006
10.4% 11.0%
9.7%
7.3% 13.4%
16.7%
17.0%
10.6% 13.8%
12.2%
17.6%
13.5%
14.1%
2009
12.2% 12.2%
12.4%
8.2% 13.5%
17.6%
17.4%
15.0% 13.8%
14.9%
7.2%
14.2%
15.1%
2010
12.1% 14.9%
13.6%
9.1% 13.9%
17.7%
17.9%
14.9% 14.3%
13.6%
7.9%
13.6%
15.3%
Notes
Staff Nurse includes RN 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.
In 2006, in the Northwest Territories and Nunavut, relief nurses identified themselves under the category other positions.
Source
Nursing Database, Canadian Institute for Health Information.
22
Chapter 1—Regulated Nurses in Canada: Trends of Registered Nurses
Area of Responsibility
Many health human resource planners are interested in the proportion of the
registered nursing workforce employed in direct care, as the numbers represent
RNs providing services directly to patients. Areas of responsibility covered by RNs
that fall outside of direct care include administration, education and research.
In terms of average age by the broad categories of direct care, administration,
education and research, in 2010, the average age was 44.9 for RNs working in
direct care, 49.8 for RNs working in administration, 49.1 for RNs working in
education and 47.3 for RNs working in research.
Table 10: Registered Nursing Workforce, by Area of Responsibility,
Canada, 2010
2010
(Count)
2010
(Percentage
Distribution)
2006–2010
(Percentage
Change)
2009–2010
(Percentage
Change)
Direct Care
Medical/Surgical
44,646
17.0%
4.0%
0.5%
Psychiatric/Mental Health
13,503
5.1%
4.1%
0.2%
7,402
2.8%
9.8%
0.7%
15,010
5.7%
8.6%
0.3%
Pediatric
Maternal/Newborn
Geriatric/Long-Term Care
25,591
9.7%
-3.5%
0.1%
Critical Care
19,472
7.4%
7.3%
2.0%
Community Health
14,133
5.4%
29.7%
2.0%
Ambulatory Care
6,614
2.5%
-13.9%
6.4%
Home Care
7,362
2.8%
3.1%
-0.7%
Occupational Health
2,746
1.0%
-6.8%
-5.2%
Operating Room/Recovery Room
12,797
4.9%
11.6%
-0.7%
Emergency Care
17,645
6.7%
15.0%
2.2%
Nursing in Several Clinical Areas
8,705
3.3%
-10.7%
-2.4%
Oncology
3,593
1.4%
20.8%
3.0%
Rehabilitation
4,019
1.5%
4.7%
-0.1%
Public Health
7,482
2.8%
41.2%
6.6%
Telehealth
Other Direct Care
Total Direct Care
1,236
0.5%
56.5%
0.3%
23,056
8.8%
17.9%
-3.7%
235,012
89.3%
7.4%
0.4%
10,866
4.1%
-0.4%
-0.5%
517
0.2%
37.5%
-5.3%
5,664
2.2%
5.0%
1.7%
17,047
6.5%
2.2%
0.0%
Administration
Nursing Services
Nursing Education
Other Administration
Total Administration
(continued)
23
Regulated Nurses: Canadian Trends, 2006 to 2010
Table 10: Registered Nursing Workforce, by Area of Responsibility,
Canada, 2010 (cont’d)
2010
(Count)
2010
(Percentage
Distribution)
2006–2010
(Percentage
Change)
2009–2010
(Percentage
Change)
Education
Teaching—Students
Teaching—Employees
Teaching—Employees
4,812
1.8%
10.0%
3.6%
869
0.3%
7.3%
-0.6%
745
0.3%
16.0%
3.5%
2,947
1.1%
5.9%
3.1%
9,373
3.6%
8.9%
3.0%
Nursing Research Only
930
0.4%
3.9%
-0.3%
Other Research
907
0.3%
-7.7%
-14.6%
1,837
0.7%
-2.2%
-7.9%
263,269
100.0%
7.0%
0.4%
Other Education
Total Education
Research
Total Research
Total
Notes
Direct Care includes data from medical/surgical, psychiatric/mental health, pediatric, maternal/newborn,
geriatric/long-term care, critical care, community health, ambulatory care, home care, occupational health,
operating room, emergency room, nursing in several clinical areas, oncology, rehabilitation, public health,
telehealth and other patient care.
Administration includes data from nursing services, nursing education and other administration.
Education includes data from teaching students, teaching employees, teaching patients/clients and
other education.
Research includes data from nursing research and other research.
Source
Nursing Database, Canadian Institute for Health Information.
24
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.
Table 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.
Table 11: Registered Nursing Workforce, by Years Since Graduation and Jurisdiction, Canada,
2006 to 2010
N.L.
Count
0–10
11–20
21–30
31+
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
Sask.
Alta.
B.C.
Y.T.
N.W.T./
Nun.
Canada
2006
1,371
260
1,318
1,498
17,307
19,365
2,395
1,586
6,943
5,968
88
352
58,451
2007
1,362
269
1,414
1,477
18,325
19,032
2,336
1,685
7,660
6,725
82
352
60,719
2008
1,413
299
1,531
1,585
19,038
19,702
2,461
1,841
8,215
6,706
99
428
63,318
2009
1,436
251
1,671
1,700
19,649
20,401
2,633
2,164
8,935
7,549
126
355
66,870
2010
1,650
314
1,884
1,861
20,649
21,214
3,024
2,640
8,678
7,634
110
379
70,037
2006
1,665
376
2,301
2,382
16,302
23,521
3,338
2,137
6,931
7,979
76
280
67,288
2007
1,653
353
2,115
2,381
16,317
24,198
3,190
2,145
6,832
8,000
74
269
67,527
2008
1,667
351
1,898
2,170
16,452
23,620
3,041
2,138
6,904
7,680
74
291
66,286
2009
1,705
313
1,784
2,016
16,190
23,248
2,987
2,047
6,777
7,643
79
226
65,015
2010
1,581
281
1,682
1,922
15,373
22,721
2,830
1,966
6,344
7,304
87
261
62,352
2006
1,556
392
2,739
2,148
16,938
22,675
2,757
2,337
6,105
7,292
87
197
65,223
2007
1,549
383
2,746
2,125
16,258
21,885
2,751
2,279
6,109
7,316
88
196
63,685
2008
1,549
378
2,718
2,196
15,944
22,525
2,775
2,201
6,166
7,308
85
232
64,077
2009
1,525
376
2,667
2,217
15,470
22,912
2,806
2,161
6,225
7,325
81
189
63,954
2010
1,545
394
2,681
2,305
15,334
23,077
2,894
2,134
6,193
7,095
76
197
63,925
2006
923
400
2,432
1,652
13,467
24,456
2,412
2,420
6,773
7,601
73
204
62,813
2007
1,010
430
2,568
1,743
14,055
25,806
2,548
2,560
6,926
8,002
78
231
65,957
2008
1,095
451
2,724
1,806
14,097
26,982
2,625
2,643
7,216
8,169
76
269
68,153
2009
1,159
466
2,807
1,933
14,746
27,700
2,727
2,740
7,468
8,383
81
252
70,462
2010
1,228
483
2,926
2,014
14,977
28,134
2,882
2,798
7,466
8,281
84
272
71,545
42.9%
24.2%
19.3%
9.5%
26.3%
66.5%
25.0%
27.9%
25.0%
7.7%
19.8%
12.7%
9.5%
5.1%
4.0%
14.8%
22.0%
-2.9%
1.1%
-12.7%
6.8%
4.7%
-26.9% -19.3%
-5.7%
-3.4%
-15.2%
-8.0%
-8.5%
-8.5%
14.5%
-6.8%
-7.3%
Percentage Change
0–10
2006– 20.4% 20.8%
2010
2009– 14.9% 25.1%
2010
11–20
2006– -5.0% -25.3%
2010
2009– -7.3% -10.2%
2010
21–30
2006– -0.7%
0.5%
2010
2009–
1.3%
4.8%
2010
31+
2006– 33.0% 20.8%
2010
2009–
6.0%
3.6%
2010
-5.7%
-4.7%
-5.0%
-2.3%
-5.3%
-4.0%
-6.4%
-4.4%
10.1%
15.5%
-4.1%
-2.1%
7.3%
-9.5%
1.8%
5.0%
-8.7%
1.4%
-2.7%
-12.6%
0.0%
-2.0%
0.5%
4.0%
-0.9%
0.7%
3.1%
-1.2%
-0.5%
-3.1%
-6.2%
4.2%
0.0%
20.3%
21.9%
11.2%
15.0%
19.5%
15.6%
10.2%
8.9%
15.1%
33.3%
13.9%
4.2%
4.2%
1.6%
1.6%
5.7%
2.1%
0.0%
-1.2%
3.7%
7.9%
1.5%
(continued)
25
Regulated Nurses: Canadian Trends, 2006 to 2010
Table 11: Registered Nursing Workforce, by Years Since Graduation and Jurisdiction, Canada,
2006 to 2010 (cont’d)
N.L.
P.E.I.
Percentage Distribution
0–10
2006 24.9% 18.2%
11–20
21–30
31+
N.S.
N.B.
Que.
Ont.
Sask.
Alta.
B.C.
Y.T.
N.W.T./
Nun.
Canada
15.0%
19.5%
27.0%
21.5%
22.0%
18.7%
26.0%
20.7%
27.2%
34.1%
23.0%
2009
24.7%
17.9%
18.7%
21.6%
29.7%
21.6%
23.6%
23.7%
30.4%
24.4%
34.3%
34.7%
25.1%
26.1%
2010
27.5%
21.3%
20.5%
23.0%
31.1%
22.3%
26.0%
27.7%
30.3%
25.2%
30.8%
34.2%
2006
30.2%
26.3%
26.2%
31.0%
25.5%
26.1%
30.6%
25.2%
25.9%
27.7%
23.5%
27.1%
26.5%
2009
29.3%
22.3%
20.0%
25.6%
24.5%
24.7%
26.8%
22.5%
23.0%
24.7%
21.5%
22.1%
24.4%
23.3%
2010
26.3%
19.1%
18.3%
23.7%
23.2%
23.9%
24.3%
20.6%
22.1%
24.1%
24.4%
23.5%
2006
28.2%
27.5%
31.2%
28.0%
26.5%
25.2%
25.3%
27.6%
22.8%
25.3%
26.9%
19.1%
25.7%
2009
26.2%
26.7%
29.9%
28.2%
23.4%
24.3%
25.2%
23.7%
21.2%
23.7%
22.1%
18.5%
24.0%
2010
25.7%
26.8%
29.2%
28.4%
23.1%
24.3%
24.9%
22.4%
21.6%
23.4%
21.3%
17.8%
23.9%
2006
16.7%
28.0%
27.7%
21.5%
21.0%
27.2%
22.1%
28.5%
25.3%
26.4%
22.5%
19.7%
24.8%
2009
19.9%
33.1%
31.4%
24.6%
22.3%
29.4%
24.5%
30.1%
25.4%
27.1%
22.1%
24.7%
26.5%
2010
20.5%
32.8%
31.9%
24.9%
22.6%
29.6%
24.8%
29.3%
26.0%
27.3%
23.5%
24.5%
26.7%
Source
Nursing Database, Canadian Institute for Health Information.
26
Man.
Chapter 1—Regulated Nurses in Canada: Trends of Registered Nurses
Education Trends
Higher Education for Registered Nurses
In 2010, a total of 104,105 (38.8%) RNs in the workforce had obtained a
baccalaureate as their highest education in nursing (see Table 12).
How many RNs generally return to school after completing their entry-to-practice
education? In 2010, those returning for a post-diploma baccalaureate constituted
the largest proportion of the workforce seeking advanced education, following
entry-to-practice education. Of these, 37.7% (39,253) initially earned a diploma
in nursing, then returned to school for a baccalaureate; 68,847 RNs had already
earned a baccalaureate before entering nursing practice. In addition, a total
of 9,508 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).
Table 12: Registered Nursing Workforce, by Highest Education in Nursing and Jurisdiction, Canada,
2006 to 2010
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
Sask.
Alta.
B.C.
Y.T.
N.W.T./
Nun.
Canada
Count
Diploma
Baccalaureate
Master’s/
Doctorate
2006
3,678
884
5,578
4,317
38,179
64,319
7,055
5,576
15,142
17,299
163
706
162,896
2007
3,575
868
5,438
4,162
38,141
62,025
6,905
5,497
15,019
16,653
156
686
159,125
2008
3,518
1,061
5,258
3,986
45,033
60,439
6,730
5,306
14,957
15,799
150
742
162,979
2009
3,442
1,02†
5,097
3,906
44,810
58,501
6,678
5,668
14,887
15,389
15†
550
160,111
2010
3,357
1,015
4,983
3,831
44,405
56,405
6,691
4,911
14,231
14,230
145
546
154,750
2006
1,706
517
2,954
3,175
24,156
23,384
3,595
2,763
10,820
10,618
152
312
84,152
2007
1,852
531
3,137
3,378
25,064
26,325
3,668
3,005
11,715
12,332
158
344
91,509
2008
2,040
418
3,323
3,541
18,704
29,506
3,900
3,332
12,624
12,942
178
457
90,965
2009
2,211
380
3,526
3,745
19,406
32,506
4,183
3,230
13,521
14,315
200
428
97,651
2010
2,467
457
3,846
4,028
19,991
35,169
4,603
4,359
13,422
15,061
200
502
104,105
2006
131
27
258
188
1,679
2,358
252
136
781
923
9
14
6,756
2007
147
32
268
186
1,750
2,628
252
163
781
1,069
8
18
7,302
2008
166
–
290
230
1,794
2,939
272
185
920
1,122
6
21
7,945
2009
172
†
306
215
1,839
3,289
292
218
997
1,194
†
44
8,576
2010
189
–
344
243
1,937
3,611
336
267
1,028
1,480
12
61
9,508
2006– -8.7% 14.8% -10.7%
2010
2009– -2.5%
† -2.2%
2010
2006– 44.6% -11.6% 30.2%
2010
2009– 11.6% 20.3%
9.1%
2010
2006– 44.3%
– 33.3%
2010
2009–
9.9%
– 12.4%
2010
-11.3%
16.3%
-12.3%
-5.2%
-11.9%
-6.0%
-17.7% -11.0%
-22.7%
-5.0%
-1.9%
-0.9%
-3.6%
0.2%
-13.4%
-4.4%
-7.5%
†
-0.7%
-3.3%
26.9%
-17.2%
50.4%
28.0%
57.8%
24.0%
41.8%
31.6%
60.9%
23.7%
7.6%
3.0%
8.2%
10.0%
35.0%
-0.7%
5.2%
0.0%
17.3%
6.6%
29.3%
15.4%
53.1%
33.3%
96.3%
31.6%
60.3%
33.3%
335.7%
40.7%
13.0%
5.3%
9.8%
15.1%
22.5%
3.1%
24.0%
†
38.6%
10.9%
Percentage Change
Diploma
Baccalaureate
Master’s/
Doctorate
(continued)
27
Regulated Nurses: Canadian Trends, 2006 to 2010
Table 12: Registered Nursing Workforce, by Highest Education in Nursing and Jurisdiction, Canada,
2006 to 2010 (cont’d)
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
Sask.
Alta.
B.C.
Y.T.
N.W.T./
Nun. Canada
Percentage Distribution
Diploma
Baccalaureate
Master’s/
Doctorate
2006
66.7%
61.9%
63.5%
56.2%
59.6%
71.4%
64.7%
65.8%
56.6%
60.0%
50.3%
68.4%
2009
59.1%
†
57.1%
49.7%
67.8%
62.0%
59.9%
62.2%
50.6%
49.8%
†
53.8%
60.1%
2010
55.8%
69.0%
54.3%
47.3%
66.9%
59.3%
57.5%
51.5%
49.6%
46.2%
40.6%
49.2%
57.7%
2006
30.9%
36.2%
33.6%
41.3%
37.7%
26.0%
33.0%
32.6%
40.5%
36.8%
46.9%
30.2%
33.2%
2009
38.0%
27.0%
39.5%
47.6%
29.4%
34.5%
37.5%
35.4%
46.0%
46.3%
54.5%
41.9%
36.7%
2010
41.0%
31.0%
41.9%
49.7%
30.1%
36.9%
39.6%
45.7%
46.8%
48.9%
56.0%
45.3%
38.8%
2006
2.4%
1.9%
2.9%
2.4%
2.6%
2.6%
2.3%
1.6%
2.9%
3.2%
2.8%
1.4%
2.7%
2009
3.0%
†
3.4%
2.7%
2.8%
3.5%
2.6%
2.4%
3.4%
3.9%
†
4.3%
3.2%
2010
3.1%
–
3.8%
3.0%
2.9%
3.8%
2.9%
2.8%
3.6%
4.8%
3.4%
5.5%
3.5%
Notes
† Digit suppressed in accordance with CIHI’s privacy policy; digit is from 0 to 9.
Master’s/doctorate are combined to avoid cell suppression due to small values.
Source
Nursing Database, Canadian Institute for Health Information.
28
64.2%
Chapter 1—Regulated Nurses in Canada: Trends of Registered Nurses
Migration Trends
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.
Migration Within Canada
Each provincial and territorial workforce combines registered nurses who
originally graduated from within the jurisdiction, those who graduated from
other Canadian jurisdictions and those who graduated from outside the
country. Overall, nearly 9 out of 10 (88.1%) registered nurses who graduated
from Canadian registered nursing programs who were working in Canada in
2010 either did not move after graduation or eventually returned to their
jurisdiction of graduation.
Figure 9: Registered Nursing Workforce, by Jurisdiction of Graduation and
Registration, Canada, 2010
Source
Nursing Database, Canadian Institute for Health Information.
29
Regulated Nurses: Canadian Trends, 2006 to 2010
Figure 10 shows the top three destinations for nurses who moved between their
graduation year and 2010, 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 10: Registered Nursing Workforce, by Jurisdiction of Graduation and
Top Three Destinations of Registration, Canada, 2010
Source
Nursing Database, Canadian Institute for Health Information.
30
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 11 illustrates the top destinations for RNs who were registered in
a Canadian province or territory in 2010 but worked either abroad or in
another jurisdiction in Canada. Of the 6,708 RNs who were not working in
their province/territory of registration, 3,218 (48.0%) were employed in the
United States, with an additional 10.1% employed in other locations.
Figure 11: Registered Nurses Working Outside of Jurisdiction of Registration,
by Country of Employment, Canada, 2010
Source
Nursing Database, Canadian Institute for Health Information.
31
Regulated Nurses: Canadian Trends, 2006 to 2010
Internationally Educated Registered Nurses
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
an RN who studied outside of Canada immigrated, but the total number also
includes Canadian citizens and residents who studied abroad.
Table 13: Registered Nursing Workforce, by Location of Graduation in Canada and International,
by Jurisdiction, Canada, 2006 to 2010
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
Sask.
Alta.
B.C.
Y.T.
N.W.T./
Nun.
Canada
Count
Canada
International
2006
5,411
1,396
8,573
7,579
62,489
78,687
10,169
8,169
23,921
24,297
298
930
231,919
2007
5,481
1,404
8,631
7,613
63,425
79,521
10,103
8,341
24,628
25,247
296
946
235,636
2008
5,630
1,447
8,650
7,641
63,943
81,315
10,187
8,482
25,698
25,051
304
1,112
239,460
2009
5,733
1,378
8,694
7,748
64,371
82,697
10,419
8,639
26,374
25,731
336
934
243,054
2010
5,913
1,437
8,900
7,970
64,553
83,572
10,836
8,786
25,507
25,385
331
1,016
244,206
2006
96
30
217
100
1,525
11,231
733
224
1,190
4,414
26
101
19,887
2007
91
29
212
107
1,528
11,320
722
240
1,259
4,686
25
100
20,319
2008
85
29
221
115
1,586
11,430
715
247
2,726
4,695
25
106
21,980
2009
91
26
235
117
1,683
10,850
734
180
2,924
5,066
30
87
22,023
2010
96
27
273
131
1,780
11,492
794
649
3,076
4,643
25
90
23,076
2006–
2010
9.3%
2.9%
3.8%
5.2%
3.3%
6.2%
6.6%
7.6%
6.6%
4.5%
11.1%
9.2%
5.3%
2009–
2010
3.1%
4.3%
2.4%
2.9%
0.3%
1.1%
4.0%
1.7%
-3.3%
-1.3%
-1.5%
8.8%
0.5%
2006–
2010
0.0%
-10.0%
25.8%
31.0%
16.7%
2.3%
8.3%
189.7%
158.5%
5.2%
-3.8%
-10.9%
16.0%
2009–
2010
5.5%
3.8%
16.2%
12.0%
5.8%
5.9%
8.2%
260.6%
5.2%
-8.3% -16.7%
3.4%
4.8%
2006
98.3%
97.9%
97.5%
98.7%
97.6%
87.5%
93.3%
97.3%
95.3%
84.6%
92.0%
90.2%
92.1%
2009
98.4%
98.1%
97.4%
98.5%
97.5%
88.4%
93.4%
98.0%
90.0%
83.6%
91.8%
91.5%
91.7%
2010
98.4%
98.2%
97.0%
98.4%
97.3%
87.9%
93.2%
93.1%
89.2%
84.5%
93.0%
91.9%
91.4%
2006
1.7%
2.1%
2.5%
1.3%
2.4%
12.5%
6.7%
2.7%
4.7%
15.4%
8.0%
9.8%
7.9%
2009
1.6%
1.9%
2.6%
1.5%
2.5%
11.6%
6.6%
2.0%
10.0%
16.4%
8.2%
8.5%
8.3%
2010
1.6%
1.8%
3.0%
1.6%
2.7%
12.1%
6.8%
6.9%
10.8%
15.5%
7.0%
8.1%
8.6%
Percentage Change
Canada
International
Percentage Distribution
Canada
International
Source
Nursing Database, Canadian Institute for Health Information.
32
Chapter 1—Regulated Nurses in Canada: Trends of Registered Nurses
Of the RNs employed in Canada who reported their location of graduation in
2010, 91.4% (244,206) graduated from a nursing program in Canada and 8.6%
(23,076) graduated from an international nursing program.
For the 23,076 RNs in Canada who graduated from an international nursing
program in 2010, the seven most frequently identified countries of graduation
are shown in Figure 12. Almost half of all international graduates attended
nursing programs in the Philippines or United Kingdom. Graduates from the
United States represented 6.3% of all internationally educated graduates in
the RN workforce.
Figure 12: Internationally Educated Registered Nurses in the Workforce,
by Country of Graduation, Canada, 2010
Source
Nursing Database, Canadian Institute for Health Information.
33
Regulated Nurses: Canadian Trends, 2006 to 2010
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.
Figures 13 and 14 illustrate the urban/rural/remote/territories distribution of the RN
workforce in Canada in 2010. In 2010, 89.2% of the RN workforce worked in urban
areas of Canada.
Figure 13: Registered Nursing Workforce, by Urban/Rural/Remote/Territories
Designation, Canada, 2010
Notes
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.
Source
Nursing Database, Canadian Institute for Health Information.
34
Chapter 1—Regulated Nurses in Canada: Trends of Registered Nurses
Figure 14: Registered Nursing Workforce, by Urban/Rural/Remote/Territories
Designation and Jurisdiction, 2010
Notes
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 the Quebec RN workforce was provided by the Ordre des infirmières et infirmiers
du Québec.
Source
Nursing Database, Canadian Institute for Health Information.
35
Regulated Nurses: Canadian Trends, 2006 to 2010
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 RNs 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.
Figure 15 shows that the majority of RNs working in the territories worked in health
centres, home care agencies or nursing stations (outpost or clinic) and public health
departments/units (41.2%). In contrast, 13.8% of RNs employed in the provinces
worked in these types of facilities.
Figure 15: Registered Nursing Workforce, by Place of Work and Provincial/
Territorial Level, Canada, 2010
Notes
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.
Source
Nursing Database, Canadian Institute for Health Information.
36
Chapter 1—Regulated Nurses in Canada: Trends of Registered Nurses
Among RNs employed in the territories, the three most frequently identified areas
of responsibility were community health (27.3%), emergency care (9.4%) and
medicine/surgery (9.0%). RNs employed in the provinces most frequently
identified medicine/surgery (17.0%), geriatric/long-term care (9.8%) and other
patient care (8.8%) as their area of responsibility. More than 75% of RNs in both
the territories (76.5%) and the provinces (77.9%) identified their position as staff
nurse/community health nurse.
Nurse Practitioner Demographic Trends
The previous section on RNs 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 NP is an advanced practice RN with
additional education in health assessment, diagnosis and management of illness
and injuries, including ordering tests and prescribing drugs.1 NPs have been
regulated in all provinces and territories since 2006, except Yukon.
Sex of the Workforce
The majority of NPs in the Canadian workforce (94.9%) were female in 2010,
a proportion similar to that for the RN workforce as a whole, and one that has
not changed substantially over the last five years (see Table 14).
Table 14: Nurse Practitioner Workforce, by Sex, Canada, 2006 to 2010
Female
Male
1,064
1,266
1,536
1,871
2,358
65
78
90
119
128
1,129
1,344
1,626
1,990
2,486
121.6%
26.0%
96.9%
7.6%
120.2%
24.9%
5.8%
6.0%
5.1%
100.0%
100.0%
100.0%
Count
2006
2007
2008
2009
2010
Total
Percentage Change
2006–2010
2009–2010
Percentage Distribution
2006
2009
2010
94.2%
94.0%
94.9%
Note
Number of jurisdictions submitting NP data: 9 in 2005; 10 in 2006; 11 in 2007, 2008, 2009 and 2010. Therefore,
caution is warranted in interpreting annual percentage change values secondary to variability of number of
jurisdictions submitting NP data.
Source
Nursing Database, Canadian Institute for Health Information.
37
Regulated Nurses: Canadian Trends, 2006 to 2010
Age of the Workforce
In 2010, the average age of NPs was 45.3, and for the majority of jurisdictions,
the highest proportion of NPs was in the 45-to-49 age group.
Table 15: Nurse Practitioner Workforce, by Age Group,
Canada, 2010
Age Groups
<30
Canada
1.9%
30-34
12.2%
35-39
13.6%
40-44
17.5%
45-49
21.8%
50-54
16.1%
55-59
12.4%
60+
4.5%
Source
Nursing Database, Canadian Institute for Health Information.
38
Chapter 1—Regulated Nurses in Canada: Trends of Registered Nurses
Nurse Practitioner Employment Trends
Table 16 illustrates the supply trends of all NPs between 2006 and 2010.
The total number of NPs employed in nursing in Canada was 2,486 in 2010,
an increase of 24.9% since 2009, and represents 0.9% of the total RN workforce.
The NP workforce in Canada doubled between 2006 and 2010. It is important to
note that the percentage change must be interpreted with caution as the overall
number of NPs is small.
Table 16: Nurse Practitioner: Total Supply and Employment Status, Canada, 2006 to 2010
Employed in Nursing
Regular
Regular
Basis,
Basis,
Full Time Part Time
Casual
Basis
Not Employed in Nursing
Regular Basis,
Status
Unknown
Subtotal
Employed in Other
Than Nursing
or Not Employed
Not Stated
Subtotal
Grand Total
Count
2006
858
198
47
26
1,129
24
9
33
1,162
2007
964
273
62
45
1,344
42
7
49
1,393
2008
1,275
267
75
9
1,626
28
15
43
1,669
2009
1,599
298
93
0
1,990
44
14
58
2,048
2010
1,980
357
144
5
2,486
37
31
68
2,554
Percentage Change
2006–
2010
130.8%
80.3%
206.4%
-80.8%
120.2%
54.2%
244.4%
106.1%
119.8%
2009–
2010
23.8%
19.8%
54.8%
–
24.9%
-15.9%
121.4%
17.2%
24.7%
Percentage Distribution
2006
73.8%
17.0%
4.0%
2.2%
97.2%
2.1%
0.8%
2.8%
100.0%
2009
78.1%
14.6%
4.5%
0.0%
97.2%
2.1%
0.7%
2.8%
100.0%
2010
77.5%
14.0%
5.6%
0.2%
97.3%
1.4%
1.2%
2.7%
100.0%
Note
Number of jurisdictions submitting NP data: 10 in 2006; 11 in 2007, 2008, 2009 and 2010. Therefore, caution is
warranted in interpreting annual percentage change values secondary to variability of number of jurisdictions
submitting NP data.
Source
Nursing Database, Canadian Institute for Health Information.
39
Regulated Nurses: Canadian Trends, 2006 to 2010
The majority of NPs working in nursing were employed on a regular basis in fulltime positions; this number increased steadily from 2006 to 2010. In 2010, 1,980
(79.6%) NPs were working in regular full-time positions.
As Table 17 shows, the size of the NP workforce varies substantially by
jurisdiction. This variability is likely due to the timing of the implementation of NP
legislation in each Canadian jurisdiction. As of 2010, Yukon did not have
legislation regulating nurse practitioners.
Table 17: Nurse Practitioner Workforce, by Jurisdiction, Canada, 2006 to 2010
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
Sask.
Alta.
B.C.
N.W.T./
Nun.
Y.T.
Canada
Count
2006
89
–
61
24
17
639
†
88
156
3†
–
16
1,129
2007
96
†
72
29
17
731
3†
97
176
50
–
42
1,344
2008
99
†
80
49
29
872
4†
98
210
88
–
52
1,626
2009
94
†
85
55
38
1,124
6†
111
251
119
–
46
1,990
2010
96
†
106
69
64
1,482
9†
122
263
129
–
56
2,486
7.9%
–
73.8%
187.5%
†
38.6%
68.6%
†
–
250.0%
120.2%
2.1%
†
24.7%
25.5%
68.4%
31.9%
†
9.9%
4.8%
8.4%
–
21.7%
24.9%
Percentage Change
2006–
2010
2009–
2010
276.5% 131.9%
Percentage Distribution
2006
7.9%
–
5.4%
2.1%
1.5%
56.6%
†
7.8%
13.8%
†
–
1.4%
100.0%
2009
4.7%
†
4.3%
2.8%
1.9%
56.5%
†
5.6%
12.6%
6.0%
–
2.3%
100.0%
2010
3.9%
†
4.3%
2.8%
2.6%
59.6%
†
4.9%
10.6%
5.2%
–
2.3%
100.0%
Notes
† Digit suppressed in accordance with CIHI’s privacy policy; digit is from 0 to 9.
– Data is not applicable or does not exist.
Number of jurisdictions submitting NP data: 10 in 2006; 11 in 2007, 2008, 2009 and 2010. Therefore, caution is warranted in
interpreting annual percentage change values secondary to variability of number of jurisdictions submitting NP data.
Source
Nursing Database, Canadian Institute for Health Information.
40
Chapter 1—Regulated Nurses in Canada: Trends of Registered Nurses
Place of Work
Figure 16 shows that, while the proportion of NPs employed in the community
health sector has decreased, the proportion in the hospital sector has increased.
Figure 16: Nurse Practitioner Workforce, by Place of Work, Canada, 2006,
2008 and 2010
Notes
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.
Source
Nursing Database, Canadian Institute for Health Information.
41
Regulated Nurses: Canadian Trends, 2006 to 2010
Area of Responsibility
The highest proportion of NPs, 42.5%, reported their area of responsibility as
“other patient care” in 2010.
Table 18: Nurse Practitioner Workforce, by Area of Responsibility, Canada, 2010
2010
(Count)
2010
(Percentage
Distribution)
2006–2010
(Percentage
Change)
2009–2010
(Percentage
Change)
Direct Care
Medical/Surgical
Psychiatric/Mental Health
Pediatric
Maternal/Newborn
Geriatric/Long-Term Care
Critical Care
195
8.0%
275.0%
42.3%
32
1.3%
128.6%
52.4%
127
5.2%
504.8%
47.7%
41
1.7%
156.3%
95.2%
133
5.4%
183.0%
43.0%
82
3.3%
127.8%
43.9%
Community Health
199
8.1%
155.1%
45.3%
Ambulatory Care
14†
†
†
†
7
0.3%
250.0%
0.0%
Occupational Health
14
0.6%
55.6%
-6.7%
Operating Room/Recovery Room
11
0.4%
–
1000.0%
Emergency Care
94
3.8%
123.8%
8.0%
Home Care
Nursing in Several Clinical Areas
101
4.1%
68.3%
36.5%
Oncology
20
0.8%
400.0%
5.3%
Rehabilitation
14
0.6%
180.0%
75.0%
Public Health
41
1.7%
46.4%
28.1%
Telehealth
†
†
–
†
1,041
42.5%
94.6%
11.7%
2,298
93.8%
129.3%
26.5%
Total Administration
67
2.7%
139.3%
48.9%
Total Education
79
3.2%
83.7%
11.3%
Other Direct Care
Total Direct Care
Total Research
Total
7
0.3%
75.0%
0.0%
2,451
100.0%
127.6%
26.3%
Notes
† Digit suppressed in accordance with CIHI’s privacy policy; digit is from 0 to 9.
Direct Care includes data from medical/surgical, psychiatric/mental health, pediatric, maternal/newborn,
geriatric/long-term care, critical care, community health, ambulatory care, home care, occupational health,
operating room, emergency room, nursing in several clinical areas, oncology, rehabilitation, public health,
telehealth and other patient care.
Administration includes data from nursing services, nursing education and other administration.
Education includes data from teaching students, teaching employees, teaching patients/clients and
other education.
Research includes data from nursing research and other research.
Number of jurisdictions submitting NP data: 10 in 2006; 11 in 2007, 2008, 2009 and 2010. Therefore, caution is
warranted in interpreting annual percentage change values secondary to variability of number of jurisdictions
submitting NP data.
Source
Nursing Database, Canadian Institute for Health Information.
42
Chapter 1—Regulated Nurses in Canada: Trends of Registered Nurses
Nurse Practitioner Mobility Trends
Table 19 shows that, of the NPs employed in Canada who reported their location
of graduation in 2010, 95.8% (2,352), graduated from a nursing program in
Canada, and 4.2% (102) graduated from an international nursing program.
Since 2006, the proportion of internationally educated nurses in the Canadian
NP workforce has remained stable at close to 4.0%.
Table 19: Nurse Practitioner Workforce, by Location of Graduation (Canada and
International), Canada, 2006 to 2010
Canada
International
Total
Count
2006
991
42
1,033
2007
1,189
50
1,239
2008
1,460
66
1,526
2009
1,900
81
1,981
2010
2,352
102
2,454
2006–2010
137.3%
142.9%
137.6%
2009–2010
23.8%
25.9%
23.9%
2006
95.9%
4.1%
100.0%
2009
95.9%
4.1%
100.0%
2010
95.8%
4.2%
100.0%
Percentage Change
Percentage Distribution
Note
Number of jurisdictions submitting NP data: 10 in 2006; 11 in 2007, 2008, 2009 and 2010. Therefore, caution is
warranted in interpreting annual percentage change values secondary to variability of number of jurisdictions
submitting NP data.
Source
Nursing Database, Canadian Institute for Health Information.
43
Regulated Nurses: Canadian Trends, 2006 to 2010
Urban/Rural Distribution of the Nurse Practitioner Workforce
Figure 17 illustrates the urban/rural distribution of the NP workforce in Canada.
In 2010, 80.1% of NPs worked in urban Canada, 8.9% in rural settings, 9.7% in
remote settings and 1.3% worked in the territories.
Figure 17: Nurse Practitioner Workforce, by Urban/Rural/Remote/Territories
Designation, Canada, 2010
Notes
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 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.
Source
Nursing Database, Canadian Institute for Health Information.
44
Chapter 2—Regulated Nurses in
Canada: Trends of Licensed
Practical Nurse
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 2010 and
illustrates key trends over the last five years.
The LPN workforce is defined as LPNs employed in practical nursing within
Canada. They represented 22.9% of the total regulated nursing workforce in
2010. As illustrated in Figure 18, the vast majority of LPNs who registered in
Canada were in the LPN workforce, and close to half (49.6%) were employed in
full-time positions.
Figure 18: Licensed Practical Nurses, by Employment Status, Canada, 2010
Notes
Totals may not sum to 100% due to rounding.
Employed LPNs with employed—status unknown are excluded from the percentage distribution of full time,
part time and casual.
Source
Nursing Database, Canadian Institute for Health Information.
47
Regulated Nurses: Canadian Trends, 2006 to 2010
Figure 19 illustrates the growth trend of the LPN workforce per 100,000
population between 2006 and 2010. The growth rate of the LPN workforce
was consistently higher than that of the population.
Figure 19: Licensed Practical Nursing Workforce per 100,000 Population, Canada,
2006 to 2010
Sources
Nursing Database, Canadian Institute for Health Information; Statistics Canada, Demography Division,
accessed from <http://cansim2.statcan.gc.ca/cgi-win/cnsmcgi.pgm?Lang=E&RootDir=CII/
&Array_Pick=1&ArrayId=109-5325&C2DB=PRD&ResultTemplate=CII%2FCII>.
48
Chapter 2—Regulated Nurses in Canada: Trends of Licensed Practical Nurses
Demographic Trends
Sex of the Workforce
The majority of LPNs (92.5%) in the Canadian workforce were female in 2010.
This proportion has not changed substantially over the previous five years (see
Table 20). The average age of male LPNs was 42.8 in 2010, compared with 43.2
for females. The area of responsibility that attracted the highest proportion of the
male LPN workforce was geriatric/long-term care at 37.3%. The male LPN
workforce represents 7.5% of the total LPN workforce.
Table 20: Licensed Practical Nursing Workforce, by Sex and Jurisdiction, Canada, 2006 to 2010
N.L.
P.E.I.
N.S.
Female 2006
2,307
548
2007
2,268
2008
N.B.
Que.
Ont.
Man.
Sask.
Alta.
B.C.
Y.T. N.W.T. Canada
3,011
2,366 15,712 23,596
2,522
2,157
5,361
4,906
5†
7†
62,621
567
2,995
2,444 16,068 24,543
2,537
2,305
5,718
5,239
5†
7†
64,818
2,216
572
3,076
2,429 17,887 25,744
2,482
2,428
5,959
6,069
5†
7†
68,999
2009
2,222
607
3,187
2,419 17,517 26,949
2,509
2,538
6,322
6,912
6†
8†
71,326
2010
2,205
540
3,350
2,492 18,425 28,407
2,569
2,624
6,888
7,516
6†
7†
75,153
2006
332
51
163
280
1,392
1,488
130
67
253
506
†
1†
4,679
2007
330
56
165
290
1,424
1,583
134
76
268
552
†
1†
4,891
2008
314
59
174
302
1,694
1,691
133
86
273
636
†
1†
5,381
2009
299
58
170
310
1,667
1,855
142
91
347
665
†
1†
5,618
2010
290
50
180
310
1,819
2,016
163
99
413
719
†
†
6,071
5.3%
17.3%
20.4%
1.9%
3.0%
5.2%
5.4%
2.4%
-2.0% 10.4% 10.7%
30.7%
35.5%
0.0%
9.1%
Count
Male
Percentage Change
Female 2006–
2010
2009–
2010
Male
-4.4%
-0.8% -11.0%
2006– -12.7%
2010
2009–
2010
-1.5% 11.3%
-3.0% -13.8%
5.1%
5.9%
21.7% 28.5%
53.2%
†
†
20.0%
9.0%
8.7%
†
†
5.4%
25.4%
47.8% 63.2%
42.1%
†
†
29.7%
8.7%
14.8%
8.8% 19.0%
8.1%
†
†
8.1%
3.4%
Percentage Distribution
Female 2006
87.4%
91.5% 94.9% 89.4%
91.9%
94.1%
95.1%
97.0% 95.5%
90.7%
†
†
93.0%
2009
88.1%
91.3% 94.9% 88.6%
91.3%
93.6%
94.6%
96.5% 94.8%
91.2%
†
†
92.7%
2010
88.4%
91.5% 94.9% 88.9%
91.0%
93.4%
94.0%
96.4% 94.3%
91.3%
†
†
92.5%
2006
12.6%
8.5%
5.1% 10.6%
8.1%
5.9%
4.9%
3.0%
4.5%
9.3%
†
†
7.0%
2009
11.9%
8.7%
5.1% 11.4%
8.7%
6.4%
5.4%
3.5%
5.2%
8.8%
†
†
7.3%
2010
11.6%
8.5%
5.1% 11.1%
9.0%
6.6%
6.0%
3.6%
5.7%
8.7%
†
†
7.5%
Male
Note
† Digit suppressed in accordance with CIHI’s privacy policy; digit is from 0 to 9.
Source
Nursing Database, Canadian Institute for Health Information.
49
Regulated Nurses: Canadian Trends, 2006 to 2010
Age of the Workforce
Table 21 shows the average age of LPNs across the country from 2006 to 2010.
Table 21: Average Age of the Licensed Practical Nursing Workforce, by Jurisdiction,
Canada, 2006 to 2010
N.L.
Average Age
2006
44.5
P.E.I.
N.S.
N.B.
Que.
Ont.
Man. Sask. Alta.
B.C.
Y.T.
N.W.T. Canada
45.0
44.4
43.0
43.0
45.1
45.2
44.1
43.5
42.9
47.6
44.9
44.1
2007
44.8
45.5
44.9
43.2
42.7
44.9
45.4
43.5
43.3
42.3
48.3
45.6
43.9
2008
45.0
45.9
44.9
43.1
41.5
44.7
46.2
43.2
43.2
41.8
47.3
44.8
43.5
2009
45.2
46.3
44.8
43.7
41.9
44.5
46.1
42.9
42.9
41.4
46.7
45.1
43.4
2010
45.0
47.3
45.2
43.7
41.6
44.2
46.1
42.8
42.2
41.2
46.4
46.1
43.2
Increase/Decrease in Average Age
2006–2010 0.5
2.3
0.8
0.7
-1.4
-0.9
0.9
-1.3
-1.3
-1.7
-1.2
1.2
-0.9
2009–2010 -0.2
0.0
-0.3
-0.3
0.0
-0.1
-0.7
-0.2
-0.3
1.0
-0.2
1.0
0.4
Source
Nursing Database, Canadian Institute for Health Information.
Table 22 highlights the distribution of the LPN workforce by age group.
Table 22: Licensed Practical Nursing Workforce, by Age Group, by Jurisdiction and
Canada, 2010
Age
Groups
<30
N.L.
8.4%
P.E.I. N.S.
6.1% 9.2%
N.B.
11.8%
Que.
Ont. Man. Sask. Alta. B.C.
17.5% 16.0% 8.8% 19.3% 22.5% 20.2%
30–34
10.6%
8.5%
9.7%
12.2%
12.8%
9.6% 10.4% 13.0% 12.2% 13.7%
†
†
11.3%
35–39
10.5%
7.1% 13.3%
13.0%
13.5% 11.0% 12.2% 10.2% 11.4% 12.2%
12.7%
14.0%
11.9%
40–44
14.7%
15.3% 13.9%
13.8%
13.6% 12.1% 11.9%
†
†
12.4%
45–49
18.3%
17.3% 15.9%
15.8%
14.1% 13.7% 13.6% 12.2% 11.2% 13.1%
†
†
13.8%
50–54
18.4%
17.5% 16.1%
14.6%
15.2% 13.9% 16.0% 14.4% 12.1% 12.7%
17.5%
24.4%
14.3%
55–59
12.3%
15.8% 12.0%
11.7%
6.9%
12.5% 10.0%
6.9%
60+
9.1%
9.7% 12.8%
9.0% 13.1% 13.9% 12.9% 10.2%
9.5%
19.0%
14.0%
11.4%
4.2% 10.6% 13.2%
5.8%
9.5%
8.1%
8.3%
8.8% 10.7%
Note
† Digit suppressed in accordance with CIHI’s privacy policy; digit is from 0 to 9.
Source
Nursing Database, Canadian Institute for Health Information.
50
Y.T. N.W.T. Canada
11.1% 10.5% 16.5%
Chapter 2—Regulated Nurses in Canada: Trends of Licensed Practical Nurses
Figure 20 highlights the proportion of the LPN workforce in each province/
territory at or above three typical ages of retirement in 2010: 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.
Figure 20: Licensed Practical Nursing Workforce, by Age Group (55+, 60+, 65+) and
Jurisdiction, Canada, 2010
Source
Nursing Database, Canadian Institute for Health Information.
51
Regulated Nurses: Canadian Trends, 2006 to 2010
Employment Trends
Table 23 shows the supply of LPNs in Canada over the period 2006 to 2010. In
2010, there were 90,306 LPNs in Canada, 5.9% more than in 2009, and 20.5%
more than in 2006.
Table 23: Licensed Practical Nurses, Total Supply and Employment Status, Canada, 2006 to 2010
Employed in Practical Nursing
Regular Regular
Basis,
Basis,
Full
Part
Time
Time
Casual
Basis
Regular
Basis,
Status
Unknown
Subtotal
Employed in Other
Than Practical Nursing
Not Employed
Seeking
Employment
Seeking
Not Seeking in Practical
Employment Employment
Nursing
A
B
C
E=A+
B+
C+D
D
Grand
Total
Not Employed in Practical Nursing
F
Not Stated
Subtotal
J
K=F+
G+H+
I+J
Not Seeking
Employment
in Practical
Nursing
G
H
I
L=E+K
Count
2006
31,282
23,991
11,485
542
67,300
214
2,216
1,522
1,553
2,163
7,668
74,968
2007
32,909
23,927
12,535
338
69,709
201
2,232
1,402
1,584
2,952
8,371
78,080
2008
36,408
25,751
12,185
36
74,380
221
2,140
1,626
1,429
1,303
6,719
81,099
2009
38,623
25,952
12,356
13
76,944
201
2,097
2,220
1,399
2,416
8,333
85,277
2010
40,197
27,497
13,354
176
81,224
443
1,992
2,238
1,342
3,067
9,082
90,306
Percentage Change
2006–
2010
28.5%
14.6%
16.3%
-67.5%
20.7%
107.0%
-10.1%
47.0%
-13.6%
41.8%
18.4%
20.5%
2009–
2010
4.1%
6.0%
8.1%
1253.8%
5.6%
120.4%
-5.0%
0.8%
-4.1%
26.9%
9.0%
5.9%
Percentage Distribution
2006
41.7%
32.0%
15.3%
0.7%
89.8%
0.3%
3.0%
2.0%
2.1%
2.9%
10.2%
100.0%
2009
45.3%
30.4%
14.5%
0.0%
90.2%
0.2%
2.5%
2.6%
1.6%
2.8%
9.8%
100.0%
2010
44.5%
30.4%
14.8%
0.2%
89.9%
0.5%
2.2%
2.5%
1.5%
3.4%
10.1%
100.0%
Source
Nursing Database, Canadian Institute for Health Information.
52
Chapter 2—Regulated Nurses in Canada: Trends of Licensed Practical Nurses
Table 24: Licensed Practical Nursing Workforce, by Jurisdiction, Canada, 2006 to 2010
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
Sask.
Alta.
B.C.
2006
2,639
599
3,174
2,646
2007
2,598
623
3,160
2008
2,530
631
3,250
2009
2,521
665
2010
2,495
590
Y.T.
N.W.T.
Canada
17,104
25,084
2,652
2,224
5,614
5,412
60
92
67,300
2,734
17,492
26,126
2,671
2,381
5,986
5,791
59
88
69,709
2,731
19,581
27,435
2,615
2,514
6,232
6,705
62
94
74,380
3,357
2,729
19,184
28,804
2,651
2,629
6,669
7,577
64
94
76,944
3,530
2,802
20,244
30,423
2,732
2,723
7,301
8,235
63
86
81,224
Count
Percentage Change
2006–
2010
2009–
2010
-5.5%
-1.5%
11.2%
5.9%
18.4%
21.3%
3.0%
22.4%
30.0%
52.2%
5.0%
-6.5%
20.7%
-1.0%
-11.3%
5.2%
2.7%
5.5%
5.6%
3.1%
3.6%
9.5%
8.7%
-1.6%
-8.5%
5.6%
Percentage Distribution
2006
3.9%
0.9%
4.7%
3.9%
25.4%
37.3%
3.9%
3.3%
8.3%
8.0%
0.1%
0.1%
100.0%
2009
3.3%
0.9%
4.4%
3.5%
24.9%
37.4%
3.4%
3.4%
8.7%
9.8%
0.1%
0.1%
100.0%
2010
3.1%
0.7%
4.3%
3.4%
24.9%
37.5%
3.4%
3.4%
9.0%
10.1%
0.1%
0.1%
100.0%
Source
Nursing Database, Canadian Institute for Health Information.
Table 25: Licensed Practical Nursing Workforce per 100,000 Population, by Jurisdiction,
Canada, 2006 to 2010
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Count
2006
517
434
338
355
224
2007
513
451
338
367
228
2008
500
452
347
366
2009
496
471
357
2010
489
415
375
Percentage Change
2006–
-5.4%
-4.4%
2010
2009–
-1.4% -11.9%
2010
Man.
Sask.
Alta.
B.C.
Y.T.
N.W.T.
Canada
198
224
224
164
128
186
124
207
204
224
238
170
134
181
118
212
253
212
217
248
174
153
187
125
223
364
245
220
217
255
182
170
190
124
228
373
256
230
221
260
196
182
182
112
238
10.9%
5.1%
14.3%
16.2%
-1.3%
16.1%
19.5%
42.2%
-2.2%
-9.7%
15.0%
5.0%
2.5%
4.5%
4.5%
1.8%
2.0%
7.7%
7.1%
-4.2%
-9.7%
4.4%
Source
Nursing Database, Canadian Institute for Health Information.
53
Regulated Nurses: Canadian Trends, 2006 to 2010
Employment Status
In 2010, 49.6% (40,197 ) of LPNs employed in nursing were employed on a
regular basis in a full-time position.
The average age of LPNs was 44.9 for full-time workers, 41.8 for part-time
workers and 40.9 for casual workers. A higher proportion of male LPNs (58.2%)
than female LPNs (48.8%) were employed in full-time positions in 2010. Twentysix percent of male LPNs had part-time employment, compared with 34.5% of
female LPNs. In 2010, 15.7% of male LPNs and 16.5% of female LPNs were
employed on a casual basis.
Table 26: Licensed Practical Nursing Workforce, by Employment Status, by Jurisdiction and Canada,
2006 to 2010
Count
Employed,
Full Time
Employed,
Part Time
Employed,
Casual
Employed,
Status
Unknown
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
Sask.
Alta.
B.C.
Y.T.
N.W.T.
Canada
2006
1,434
253
1,587
1,274
6,187
13,765
867
1,015
2,244
2,542
40
74
31,282
2007
1,466
272
1,602
1,368
6,493
14,357
873
1,178
2,454
2,737
37
72
32,909
2008
1,489
285
1,676
1,366
7,860
15,451
908
1,365
2,696
3,192
40
80
36,408
2009
1,633
261
1,780
1,462
7,556
16,873
936
1,471
3,030
3,492
48
81
38,623
2010
1,823
271
1,542
1,522
7,944
17,636
953
1,476
3,308
3,601
47
74
40,197
2006
170
229
786
795
7,470
9,027
1,414
750
2,568
768
8
6
23,991
2007
152
232
852
817
7,627
9,391
1,438
622
2,67†
112
8
†
23,927
2008
150
238
869
855
9,079
9,627
1,432
707
2,703
75
11
5
25,751
2009
125
249
1,024
852
8,958
9,577
1,450
761
2,720
222
9
5
25,952
2010
107
225
1,157
884
9,691
10,132
1,49†
730
3,004
56
1†
†
27,497
2006
1,032
117
798
575
3,045
2,292
285
456
802
2,060
12
11
11,485
2007
979
119
696
548
3,372
2,378
274
427
85†
2,857
14
1†
12,535
2008
891
108
703
510
2,642
2,357
275
433
833
3,413
11
9
12,185
2009
763
155
551
415
2,670
2,354
265
396
919
3,853
7
8
12,356
13,354
2010
565
94
681
396
2,609
2,655
28†
510
989
4,559
†
†
2006
3
–
3
2
402
–
86
3
–
42
–
1
542
2007
1
–
10
1
–
–
86
154
–
85
–
1
338
2008
–
–
2
–
–
–
–
9
–
25
–
–
36
2009
–
–
2
–
–
–
–
1
–
10
–
–
13
2010
–
–
150
–
–
–
–
7
–
19
–
–
176
27.1%
7.1%
-2.8%
19.5%
28.4%
28.1%
9.9%
45.4%
47.4%
41.7%
17.5%
0.0%
28.5%
11.6%
3.8%
-13.4%
4.1%
5.1%
4.5%
1.8%
0.3%
9.2%
3.1%
-2.1%
-8.6%
4.1%
-37.1%
-1.7%
47.2%
11.2%
29.7%
12.2%
†
-2.7%
17.0%
-92.7%
†
†
14.6%
-14.4%
-9.6%
13.0%
3.8%
8.2%
5.8%
†
-4.1%
10.4%
-74.8%
†
†
6.0%
-45.3%
-19.7%
-14.7%
-31.1%
-14.3%
15.8%
†
11.8%
23.3%
121.3%
†
†
16.3%
-26.0%
-39.4%
23.6%
-4.6%
-2.3%
12.8%
†
28.8%
7.6%
18.3%
†
†
8.1%
Percentage Change
Employed,
2006–
Full Time
2010
2009–
2010
Employed,
2006–
Part Time
2010
2009–
2010
Employed,
2006–
Casual
2010
2009–
2010
(continued)
54
Chapter 2—Regulated Nurses in Canada: Trends of Licensed Practical Nurses
Table 26: Licensed Practical Nursing Workforce, by Employment Status, by Jurisdiction and Canada,
2006 to 2010 (cont’d)
N.L.
Percentage Distribution
Employed,
2006
54.4%
Full Time
2009
64.8%
Employed,
Part Time
Employed,
Casual
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
Sask.
Alta.
B.C.
Y.T.
N.W.T.
Canada
42.2%
50.0%
48.2%
37.0%
54.9%
33.8%
45.7%
40.0%
47.3%
66.7%
81.3%
46.9%
50.2%
39.2%
53.1%
53.6%
39.4%
58.6%
35.3%
56.0%
45.4%
46.1%
75.0%
86.2%
2010
73.1%
45.9%
45.6%
54.3%
39.2%
58.0%
34.9%
54.3%
45.3%
43.8%
74.6%
86.0%
49.6%
2006
6.4%
38.2%
24.8%
30.1%
44.7%
36.0%
55.1%
33.8%
45.7%
14.3%
13.3%
6.6%
35.9%
2009
5.0%
37.4%
30.5%
31.2%
46.7%
33.2%
54.7%
29.0%
40.8%
2.9%
14.1%
5.3%
33.7%
2010
4.3%
38.1%
34.2%
31.5%
47.9%
33.3%
†
26.9%
41.1%
0.7%
†
†
33.9%
2006
39.2%
19.5%
25.2%
21.7%
18.2%
9.1%
11.1%
20.5%
14.3%
38.4%
20.0%
12.1%
17.2%
2009
30.3%
23.3%
16.4%
15.2%
13.9%
8.2%
10.0%
15.1%
13.8%
50.9%
10.9%
8.5%
16.1%
2010
22.6%
15.9%
20.1%
14.1%
12.9%
8.7%
†
18.8%
13.5%
55.5%
†
†
16.5%
Notes
† Digit suppressed in accordance with CIHI’s privacy policy; digit is from 0 to 9.
– Data is not applicable or does not exist.
Employed LPNs with employed—status unknown are excluded from the percentage distribution of full time, part time and casual.
Source
Nursing Database, Canadian Institute for Health Information.
55
Regulated Nurses: Canadian Trends, 2006 to 2010
Place of Work
In 2010, 45.1% of the LPN workforce in Canada were employed in the
hospital sector.
The average age of LPNs working in the hospital sector was 42.6, compared with
44.7 for LPNs employed in community health and 43.6 for LPNs in the nursing
home/long-term care sector.
Table 27: Licensed Practical Nursing Workforce, by Place of Work and Jurisdiction, Canada,
2006 to 2010
N.L.
Count
Hospital
Community
Health
Nursing
Home/LTC
Other Place
of Work
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
Sask.
Alta.
B.C.
Y.T.
N.W.T.
Canada
2006
1,141
297
1,492
1,375
6,166
11,202
1,055
1,500
3,163
2,945
17
49
30,402
2007
1,092
303
1,488
1,435
6,026
11,611
1,081
1,606
3,385
3,199
14
36
31,276
2008
1,088
313
1,531
1,459
6,224
12,360
1,029
1,692
3,567
3,617
15
51
32,946
2009
1,117
322
1,579
1,495
5,021
12,983
1,033
1,757
3,754
3,577
16
48
32,702
2010
1,110
288
1,423
1,552
7,101
13,373
1,100
1,805
3,030
3,770
21
46
34,619
2006
74
10
320
50
193
2,273
242
194
520
230
†
†
4,111
2007
78
30
337
56
219
2,711
266
195
546
214
†
1†
4,665
2008
88
3†
341
81
246
2,967
285
210
563
259
0
†
5,073
2009
88
45
364
100
293
3,145
285
235
667
385
†
†
5,616
2010
86
3†
446
112
328
3,418
281
251
1,890
466
†
0
7,317
2006
1,379
245
1,130
1,126
9,019
8,489
1,162
440
1,516
1,901
37
24
26,468
2007
1,381
248
1,119
1,133
8,941
9,365
1,147
483
1,555
2,045
36
24
27,477
2008
1,322
239
1,167
1,104
8,562
9,708
1,126
513
1,552
2,412
38
21
27,764
2009
1,278
245
1,204
1,043
7,728
10,184
1,139
546
1,624
3,005
36
23
28,055
2010
1,260
211
1,117
1,055
7,619
11,164
1,165
586
1,707
3,352
39
20
29,295
2006
37
43
182
95
1,355
1,528
181
86
415
318
†
1†
4,260
2007
35
41
187
100
2,306
1,528
163
95
500
326
†
1†
5,305
2008
28
4†
193
86
2,970
1,612
152
99
550
402
9
2†
6,167
2009
37
53
174
91
1,843
1,688
168
88
624
527
†
2†
5,319
2010
39
5†
80
83
2,013
1,855
163
76
674
539
†
20
5,597
-2.7%
-3.0%
-4.6%
12.9%
15.2%
19.4%
4.3%
20.3%
-4.2%
28.0%
23.5%
-6.1%
13.9%
-0.6%
-10.6%
-9.9%
3.8%
41.4%
3.0%
6.5%
2.7%
-19.3%
5.4%
31.3%
-4.2%
5.9%
16.2%
†
39.4%
124.0%
69.9%
50.4%
16.1%
29.4%
263.5%
102.6%
†
†
78.0%
-2.3%
†
22.5%
12.0%
11.9%
8.7%
-1.4%
6.8%
183.4%
21.0%
†
†
30.3%
-8.6%
-13.9%
-1.2%
-6.3%
-15.5%
31.5%
0.3%
33.2%
12.6%
76.3%
5.4%
-16.7%
10.7%
-1.4%
-13.9%
-7.2%
1.2%
-1.4%
9.6%
2.3%
7.3%
5.1%
11.5%
8.3%
-13.0%
4.4%
5.4%
†
-56.0%
-12.6%
48.6%
21.4%
-9.9%
-11.6%
62.4%
69.5%
†
†
31.4%
5.4%
†
-54.0%
-8.8%
9.2%
9.9%
-3.0%
-13.6%
8.0%
2.3%
†
†
5.2%
Percentage Change
Hospital
2006–
2010
2009–
2010
Community
2006–
Health
2010
2009–
2010
Nursing
2006–
Home/LTC
2010
2009–
2010
Other Place
2006–
of Work
2010
2009–
2010
(continued)
56
Chapter 2—Regulated Nurses in Canada: Trends of Licensed Practical Nurses
Table 27: Licensed Practical Nursing Workforce, by Place of Work and Jurisdiction, Canada,
2006 to 2010 (cont’d)
N.L.
Percentage Distribution
Hospital
2006 43.4%
Community
Health
Nursing
Home/LTC
Other Place
of Work
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
Sask.
Alta.
B.C.
Y.T.
N.W.T.
Canada
49.9%
47.8%
52.0%
36.8%
47.7%
40.0%
67.6%
56.3%
54.6%
28.3%
53.3%
46.6%
2009
44.3%
48.4%
47.5%
54.8%
33.7%
46.4%
39.4%
66.9%
56.3%
47.7%
25.0%
51.1%
45.6%
2010
44.5%
48.8%
46.4%
55.4%
41.6%
44.9%
40.6%
66.4%
41.5%
46.4%
33.3%
53.5%
45.1%
2006
2.8%
1.7%
10.2%
1.9%
1.2%
9.7%
9.2%
8.7%
9.3%
4.3%
†
†
6.3%
2009
3.5%
6.8%
11.0%
3.7%
2.0%
11.2%
10.9%
8.9%
10.0%
5.1%
†
†
7.8%
2010
3.4%
†
14.5%
4.0%
1.9%
11.5%
10.4%
9.2%
25.9%
5.7%
†
†
9.5%
2006
52.4%
41.2%
36.2%
42.6%
53.9%
36.1%
44.0%
19.8%
27.0%
35.2%
61.7%
26.1%
40.6%
2009
50.7%
36.8%
36.3%
38.2%
51.9%
36.4%
43.4%
20.8%
24.4%
40.1%
56.3%
24.5%
39.1%
2010
50.5%
35.8%
36.4%
37.7%
44.7%
37.5%
43.0%
21.6%
23.4%
41.2%
61.9%
23.3%
38.1%
2006
1.4%
7.2%
5.8%
3.6%
8.1%
6.5%
6.9%
3.9%
7.4%
5.9%
†
†
6.5%
2009
1.5%
8.0%
5.2%
3.3%
12.4%
6.0%
6.4%
3.4%
9.4%
7.0%
†
†
7.4%
2010
1.6%
†
2.6%
3.0%
11.8%
6.2%
6.0%
2.8%
9.2%
6.6%
†
†
7.3%
Notes
† Digit suppressed in accordance with CIHI’s privacy policy; digit is from 0 to 9.
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.
Source
Nursing Database, Canadian Institute for Health Information.
57
Regulated Nurses: Canadian Trends, 2006 to 2010
Position
In 2010, 73,907 LPNs (91.7%) were employed as staff practical nurses/community
health practical nurses in Canada, an increase of 21.5% from 60,831 in 2006
(see Table 28).
Table 28: Licensed Practical Nursing Workforce, by Position and Jurisdiction, Canada,
2006 to 2010
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
Sask.
Alta.
B.C.
Y.T.
N.W.T.
Canada
Count
Staff
Nurse
Manager
Other
Positions
2006
2,511
546
2,906
2,344
16,125
21,533
2,498
2,039
5,245
4,99†
–
8†
60,831
2007
2,460
564
2,864
2,448
16,819
22,892
2,519
2,188
5,560
5,31†
–
8†
63,718
2008
2,400
565
2,954
2,471
17,448
23,863
2,446
2,260
5,767
6,18†
–
9†
66,451
2009
2,398
606
3,086
2,448
18,517
25,141
2,468
2,301
6,127
6,959
–
87
70,138
2010
2,384
540
3,255
2,518
19,628
26,458
2,553
2,374
6,710
7,408
–
79
73,907
2006
–
10
69
52
0
548
51
17
49
57
–
–
853
2007
–
6
75
53
0
568
46
15
68
6†
–
†
895
2008
–
8
89
52
–
636
42
15
78
86
–
–
1,006
2009
–
8
85
50
–
663
47
16
95
10†
–
†
1,066
2010
–
8
88
52
–
704
43
21
100
118
–
–
1,134
2006
120
39
144
250
649
1,887
103
164
320
34†
–
†
4,024
2007
128
52
157
230
638
2,057
106
176
358
40†
–
†
4,308
2008
122
56
160
207
345
2,381
127
239
387
43†
–
†
4,456
2009
120
49
155
231
633
2,458
136
309
447
47†
–
†
5,022
2010
110
42
164
228
574
2,816
136
323
491
691
–
7
5,582
Percentage Change
Staff
Nurse
Manager
Other
Positions
2006–
2010
-5.1%
-1.1%
12.0%
7.4%
21.7%
22.9%
2.2%
16.4%
27.9%
†
–
†
21.5%
2009–
2010
-0.6% -10.9%
5.5%
2.9%
6.0%
5.2%
3.4%
3.2%
9.5%
6.5%
–
-9.2%
5.4%
2006–
2010
– -20.0%
27.5%
0.0%
–
28.5%
-15.7%
23.5%
104.1% 107.0%
–
–
32.9%
2009–
2010
–
0.0%
3.5%
4.0%
–
6.2%
-8.5%
31.3%
5.3%
†
–
–
6.4%
2006–
2010
-8.3%
7.7%
13.9%
-8.8%
-11.6%
49.2%
32.0%
97.0%
53.4%
†
–
†
38.7%
2006–
2010
-8.3% -14.3%
5.8%
-1.3%
-9.3%
14.6%
0.0%
4.5%
9.8%
†
–
†
11.2%
(continued)
58
Chapter 2—Regulated Nurses in Canada: Trends of Licensed Practical Nurses
Table 28: Licensed Practical Nursing Workforce, by Position and Jurisdiction, Canada,
2006 to 2010 (cont’d)
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
Sask.
Alta.
B.C.
Y.T.
N.W.T.
Canada
Percentage Distribution
Staff
Nurse
Manager
Other
Positions
2006
95.4%
91.8%
93.2%
88.6%
96.1%
89.8%
94.2%
91.8%
93.4%
†
–
†
92.6%
2009
95.2%
91.4%
92.8%
89.7%
96.7%
89.0%
93.1%
87.6%
91.9%
92.3%
–
92.6%
92.0%
2010
95.6%
91.5%
92.8%
90.0%
97.2%
88.3%
93.4%
87.3%
91.9%
90.2%
–
91.9%
91.7%
2006
–
1.7%
2.2%
2.0%
0.0%
2.3%
1.9%
0.8%
0.9%
1.1%
–
–
1.3%
2009
–
1.2%
2.6%
1.8%
–
2.3%
1.8%
0.6%
1.4%
†
–
†
1.4%
2010
–
1.4%
2.5%
1.9%
–
2.3%
1.6%
0.8%
1.4%
1.4%
–
–
1.4%
2006
4.6%
6.6%
4.6%
9.4%
3.9%
7.9%
3.9%
7.4%
5.7%
†
–
†
6.1%
2009
4.8%
7.4%
4.7%
8.5%
3.3%
8.7%
5.1%
11.8%
6.7%
†
–
†
6.6%
2010
4.4%
7.1%
4.7%
8.1%
2.8%
9.4%
5.0%
11.9%
6.7%
8.4%
–
8.1%
6.9%
Notes
† Digit suppressed in accordance with CIHI’s privacy policy; digit is from 0 to 9.
– Data is not applicable or does not exist.
Position data from 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.
Source
Nursing Database, Canadian Institute for Health Information.
59
Regulated Nurses: Canadian Trends, 2006 to 2010
Area of Responsibility
Many health human resource planners are interested in the proportion of the
licensed practical nurse workforce in direct care as these numbers represent
LPNs providing services directly to patients. Areas of responsibility covered by
LPNs that fall outside of direct care include administration, education
and research.
In terms of average age by the broad categories of direct care, administration,
education and research, in 2010, the average age for LPNs working in direct care
was 43.1, for LPNs working in administration, 45.8, LPNs working in education,
43.3, and those working in research, 47.3.
Table 29: Licensed Practical Nursing Workforce, by Area of Responsibility,
Canada, 2010
2010
(Count)
2010
(Percentage
Distribution)
2006–2010
(Percentage
Change)
2009–2010
(Percentage
Change)
Direct Care
Medical/Surgical
Psychiatric/Mental Health
Pediatric
Maternal/Newborn
Geriatric/Long-Term Care
Critical Care
13,964
17.4%
11.0%
0.8%
3,802
4.7%
11.1%
3.5%
951
1.2%
40.5%
16.0%
1,037
1.3%
35.2%
15.6%
34,977
43.5%
14.7%
5.7%
148
0.2%
-59.2%
-38.3%
Community Health
3,217
4.0%
59.0%
15.4%
Ambulatory Care
1,309
1.6%
15.5%
6.4%
Home Care
1,710
2.1%
49.1%
5.4%
Occupational Health
179
0.2%
22.6%
1.7%
Operating Room/Recovery Room
1,654
2.1%
152.1%
67.9%
Emergency Care
1,330
1.7%
128.5%
21.9%
Nursing in Several Clinical Areas
5,376
6.7%
114.8%
5.6%
167
0.2%
145.6%
12.1%
Rehabilitation
2,823
3.5%
17.9%
-2.1%
Public Health
1,298
1.6%
23.3%
5.6%
271
0.3%
–
7.1%
Oncology
Telehealth
Other Direct Care
Total Direct Care
4,763
5.9%
4.5%
0.7%
78,976
98.2%
22.3%
5.6%
345
0.4%
118.4%
5.5%
-7.1%
Administration
Nursing Services
Nursing Education
Other Administration
Total Administration
13
<0.1%
44.4%
382
0.5%
-8.2%
-5.4%
740
0.9%
26.9%
-0.7%
(continued)
60
Chapter 2—Regulated Nurses in Canada: Trends of Licensed Practical Nurses
Table 29: Licensed Practical Nursing Workforce, by Area of Responsibility,
Canada, 2010 (cont’d)
2010
(Count)
2010
(Percentage
Distribution)
2006–2010
(Percentage
Change)
2009–2010
(Percentage
Change)
Education
Teaching—Students
Teaching—Employees
Teaching—Employees
391
0.5%
113.7%
4.0%
39
<0.1%
69.6%
11.4%
13.6%
25
<0.1%
56.3%
268
0.3%
139.3%
19.6%
723
0.9%
116.5%
10.0%
Nursing Research Only
11
<0.1%
22.2%
Other Research
14
<0.1%
40.0%
16.7%
25
<0.1%
31.6%
-24.2%
80,464
100.0%
22.8%
5.5%
Other Education
Total Education
Research
Total Research
Total
-47.6%
Notes
<0.1%: value is actually less than 0.05%; <0.1% is used to prevent the display of 0.0 cells that are not true
zero values.
Direct Care includes data from medical/surgical, psychiatric/mental health, pediatric, maternal/newborn,
geriatric/long-term care, critical care, community health, ambulatory care, home care, occupational health,
operating room, emergency room, nursing in several clinical areas, oncology, rehabilitation, palliative care,
public health and other patient care.
Administration/Education/Research includes data from nursing services, nursing education, other
administration, teaching students, teaching employees, teaching patients/clients, other education, nursing
research only and other research.
Source
Nursing Database, Canadian Institute for Health Information.
61
Regulated Nurses: Canadian Trends, 2006 to 2010
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.
Table 30 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.
Table 30: Licensed Practical Nursing Workforce, by Years Since Graduation and Jurisdiction, Canada,
2006 to 2010
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
Sask.
Alta.
B.C.
Y.T.
N.W.T. Canada
Count
0–10
11–20
21–30
31+
2006
769
208
947
1,470
6,268
7,637
1,015
831
2,526
2,832
18
27
24,548
2007
731
211
905
1,398
7,104
8,541
1,086
1,018
2,930
3,324
19
29
27,296
2008
748
209
988
1,370
9,580
9,584
1,091
1,165
3,206
4,278
22
35
32,276
2009
754
222
1,067
1,318
9,718
10,912
1,158
1,306
3,557
5,052
25
35
35,124
2010
782
169
1,121
1,363
11,247
12,494
1,252
1,415
4,118
5,745
26
31
39,763
2006
708
149
817
436
3,042
6,987
451
262
993
843
21
34
14,743
2007
758
158
826
595
2,974
7,103
424
254
940
817
20
27
14,896
2008
735
160
816
680
2,941
7,204
382
246
899
823
17
24
14,927
2009
728
166
826
743
2,715
7,081
342
250
981
832
16
22
14,702
2010
718
154
877
781
2,584
6,960
358
272
1,089
817
15
20
14,645
2006
623
114
785
325
4,091
5,298
597
515
882
860
13
16
14,119
2007
544
118
755
301
3,740
4,963
540
488
851
781
12
18
13,111
2008
488
123
730
264
3,453
4,947
494
447
852
747
16
19
12,580
2009
472
131
733
260
3,033
5,069
483
403
830
719
15
21
12,169
2010
449
120
730
267
2,720
5,129
447
363
812
650
14
20
11,721
2006
539
128
625
415
3,682
5,149
589
615
1,213
832
8
15
13,810
2007
565
136
674
440
3,674
5,457
621
620
1,265
804
8
14
14,278
2008
559
139
716
408
3,607
5,630
648
655
1,275
857
7
16
14,517
2009
567
146
731
408
3,718
5,708
668
670
1,301
893
8
16
14,834
2010
546
147
802
391
3,692
5,808
675
673
1,282
943
8
15
14,982
-18.8%
18.4%
-7.3%
79.4%
63.6%
23.3%
70.3%
63.0%
102.9%
44.4%
14.8%
62.0%
-23.9%
5.1%
3.4%
15.7%
14.5%
8.1%
8.3%
15.8%
13.7%
4.0% -11.4%
13.2%
3.4%
7.3%
79.1%
-15.1%
-0.4%
-20.6%
3.8%
9.7%
-3.1% -28.6% -41.2%
-0.7%
-7.2%
6.2%
5.1%
-4.8%
-1.7%
4.7%
8.8%
11.0%
-1.8%
-6.3%
-9.1%
-0.4%
-7.0% -17.8%
-33.5%
-3.2%
-25.1%
-29.5%
-7.9%
-24.4%
7.7%
25.0%
-17.0%
-8.4%
-0.4%
2.7%
-10.3%
1.2%
-7.5%
-9.9%
-2.2%
-9.6%
-6.7%
-4.8%
-3.7%
14.8%
28.3%
-5.8%
0.3%
12.8%
14.6%
9.4%
5.7%
13.3%
0.0%
0.0%
8.5%
0.7%
9.7%
-4.2%
-0.7%
1.8%
1.0%
0.4%
-1.5%
5.6%
0.0%
-6.3%
1.0%
Percentage Change
2006–
1.7%
0–10
2010
2009–
3.7%
2010
2006–
1.4%
11–20
2010
2009–
-1.4%
2010
2006– -27.9%
21–30
2010
2009–
-4.9%
2010
2006–
1.3%
31+
2010
2009–
-3.7%
2010
5.3%
(continued)
62
Chapter 2—Regulated Nurses in Canada: Trends of Licensed Practical Nurses
Table 30: Licensed Practical Nursing Workforce, by Years Since Graduation and Jurisdiction, Canada,
2006 to 2010 (cont’d)
N.L.
Percentage Distribution
29.1%
2006
0–10
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
Sask.
Alta.
B.C.
Y.T.
34.7%
29.8%
55.6%
36.7%
30.5%
38.3%
37.4%
45.0%
52.8%
30.0%
29.3%
36.5%
2009
29.9%
33.4%
31.8%
48.3%
50.7%
37.9%
43.7%
49.7%
53.3%
67.4%
39.1%
37.2%
45.7%
2010
31.3%
28.6%
31.8%
48.6%
55.6%
41.1%
45.8%
52.0%
56.4%
70.4%
41.3%
36.0%
11–20
21–30
31+
2006
26.8%
24.9%
25.7%
16.5%
17.8%
27.9%
17.0%
2009
28.9%
25.0%
24.6%
27.2%
14.2%
24.6%
2010
28.8%
26.1%
24.8%
27.9%
12.8%
22.9%
2006
23.6%
19.0%
24.7%
12.3%
23.9%
2009
18.7%
19.7%
21.8%
9.5%
2010
18.0%
20.3%
20.7%
2006
20.4%
21.4%
19.7%
2009
22.5%
22.0%
21.8%
2010
21.9%
24.9%
22.7%
N.W.T. Canada
49.0%
11.8%
17.7%
15.7%
35.0%
37.0%
21.9%
12.9%
9.5%
14.7%
11.1%
25.0%
23.4%
19.1%
13.1%
10.0%
14.9%
10.0%
23.8%
23.3%
18.1%
21.1%
22.5%
23.2%
15.7%
16.0%
21.7%
17.4%
21.0%
15.8%
17.6%
18.2%
15.3%
12.4%
9.6%
23.4%
22.3%
15.8%
9.5%
13.4%
16.9%
16.4%
13.3%
11.1%
8.0%
22.2%
23.3%
14.5%
15.7%
21.6%
20.5%
22.2%
27.7%
21.6%
15.5%
13.3%
16.3%
20.5%
15.0%
19.4%
19.8%
25.2%
25.5%
19.5%
11.9%
12.5%
17.0%
19.3%
14.0%
18.2%
19.1%
24.7%
24.7%
17.6%
11.6%
12.7%
17.4%
18.5%
Source
Nursing Database, Canadian Institute for Health Information.
63
Regulated Nurses: Canadian Trends, 2006 to 2010
Education Trends
Entry-to-Practice Education
Educational programs for LPNs 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/certificate
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 2010 LPN workforce, a total of 79,258 (97.6%) LPNs had obtained a
diploma/certificate as their education in practical nursing (see Table 31). The
remaining 2.4% had equivalencies.
Table 31: Licensed Practical Nursing Workforce, by Education in Practical Nursing and Jurisdiction,
Canada, 2006 to 2010
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
Sask.
Alta.
B.C.
Y.T.
N.W.T.
Canada
Count
Diploma/
Certificate
Equivalency
2006
2,591
594
3,125
2,629
16,655
25,08†
2,457
2,172
5,51†
4,990
60
92
65,955
2007
2,551
616
3,112
2,718
16,967
26,126
2,467
2,329
5,890
5,406
59
88
68,329
2008
2,487
624
3,204
2,731
18,880
27,435
2,374
2,462
6,127
6,177
62
94
72,657
2009
2,480
659
3,317
2,729
18,464
28,804
2,399
2,579
6,385
7,081
64
94
75,055
2010
2,454
585
3,530
2,802
19,573
30,423
2,462
2,674
6,86†
7,746
63
8†
79,258
2006
48
5
49
17
449
†
195
52
10†
422
–
–
1,345
2007
47
7
48
16
525
0
204
52
96
385
–
–
1,380
2008
43
7
46
0
701
0
241
52
105
528
–
–
1,723
2009
41
6
40
0
720
–
252
50
284
496
–
–
1,889
2010
41
5
0
–
671
–
270
49
43†
489
–
†
1,966
-5.3%
-1.5%
13.0%
6.6%
17.5%
†
0.2%
23.1%
†
55.2%
5.0%
-8.7%
20.2%
-1.0%
-11.2%
6.4%
2.7%
6.0%
5.6%
2.6%
3.7%
†
9.4% -1.6%
†
5.6%
-14.6%
0.0% -100.0%
–
49.4%
–
38.5%
-5.8%
†
15.9%
–
–
46.2%
0.0%
-16.7% -100.0%
–
-6.8%
–
7.1%
-2.0%
†
-1.4%
–
–
4.1%
Percentage Change
Diploma/
Certificate
Equivalency
2006–
2010
2009–
2010
2006–
2010
2009–
2010
(continued)
64
Chapter 2—Regulated Nurses in Canada: Trends of Licensed Practical Nurses
Table 31: Licensed Practical Nursing Workforce, by Education in Practical Nursing and Jurisdiction,
Canada, 2006 to 2010 (cont’d)
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
Sask.
Alta.
B.C.
Y.T.
N.W.T.
Canada
Percentage Distribution
Diploma
2006
98.2%
99.2%
98.5%
99.4%
97.4%
†
92.6%
97.7%
†
92.2%
100.0% 100.0%
98.0%
2009
98.4%
99.1%
98.8% 100.0%
96.2%
100.0%
90.5%
98.1%
95.7%
93.5%
100.0% 100.0%
97.5%
2010
98.4%
99.2% 100.0% 100.0%
96.7%
100.0%
90.1%
98.2%
†
94.1%
100.0%
†
97.6%
Equivalency 2006
1.8%
0.8%
1.5%
0.6%
2.6%
†
7.4%
2.3%
†
7.8%
–
–
2.0%
2009
1.6%
0.9%
1.2%
0.0%
3.8%
–
9.5%
1.9%
4.3%
6.5%
–
–
2.5%
2010
1.6%
0.8%
0.0%
–
3.3%
–
9.9%
1.8%
†
5.9%
–
†
2.4%
Notes
† Digit suppressed in accordance with CIHI’s privacy policy; digit is from 0 to 9.
– Data is not applicable or does not exist.
Source
Nursing Database, Canadian Institute for Health Information.
65
Regulated Nurses: Canadian Trends, 2006 to 2010
Migration Trends
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.
Migration Within Canada
Each provincial/territorial workforce combines licensed practical nurses who
originally graduated from within the jurisdiction, those who graduated from other
Canadian jurisdictions and those who graduated from outside the country.
Overall, more than 9 out of 10 (94.4%) licensed practical nurses who graduated
from Canadian licensed practical nursing programs who were working in Canada
in 2010 either did not move after graduation or eventually returned to their
jurisdiction of graduation.
Figure 21: Licensed Practical Nursing Workforce, by Jurisdiction of Graduation
and Registration, Canada, 2010
Source
Nursing Database, Canadian Institute for Health Information.
66
Chapter 2—Regulated Nurses in Canada: Trends of Licensed Practical Nurses
Figure 22 shows the top three destinations for those who moved sometime
between their graduation year and 2010, comparing the jurisdiction of graduation
to the current jurisdiction of registration. The data does not account for mobility
and migration in the intervening years.
Figure 22: Licensed Practical Nursing Workforce, by Jurisdiction of Graduation and
Top Three Destinations of Registration, Canada, 2010
Source
Nursing Database, Canadian Institute for Health Information.
67
Regulated Nurses: Canadian Trends, 2006 to 2010
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 23 illustrates the top destinations for LPNs registered in a Canadian
province or territory who were working either abroad or in another jurisdiction in
Canada. Of the 474 LPNs who were not working in their province/territory of
registration, 21.7% were employed in the United States; an additional 5.3% were
employed in other locations.
Figure 23: Licensed Practical Nurses Working Outside of Jurisdiction
of Registration, by Country of Employment, Canada, 2010
Note
† Digit suppressed in accordance with CIHI’s privacy policy; digit is from 0 to 9.
Source
Nursing Database, Canadian Institute for Health Information.
68
Chapter 2—Regulated Nurses in Canada: Trends of Licensed Practical Nurses
Internationally Educated Licensed Practical Nurses
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
an LPN who studied outside of Canada immigrated, but the total number does
include Canadian citizens who studied abroad.
Table 32: Licensed Practical Nursing Workforce, by Location of Graduation
(Canada and International), Canada, 2006 to 2010
Canada
International
Total
Count
2006
48,933
1,231
50,164
2007
67,804
1,321
69,125
2008
72,852
1,485
74,337
2009
75,062
1,805
76,867
2010
78,928
2,197
81,125
2006–2010
61.3%
78.5%
61.7%
2009–2010
5.2%
21.7%
5.5%
2006
97.5%
2.5%
100.0%
2009
97.7%
2.3%
100.0%
2010
97.3%
2.7%
100.0%
Percentage Change
Percentage Distribution
Source
Nursing Database, Canadian Institute for Health Information.
69
Regulated Nurses: Canadian Trends, 2006 to 2010
Of the LPNs employed in Canada who reported their location of graduation in
2010, 97.3% (78,928) graduated from a practical nursing program in Canada and
2.7% (2,197) graduated from an international practical nursing program.
For the 2,197 LPNs in Canada who graduated from an international practical
nursing program, the six most frequently identified countries of graduation are
identified in Figure 24. Close to half of all international graduates attended
nursing programs in the Philippines or United Kingdom. Additionally, 10.0% were
graduates from programs in the United States.
Figure 24: Internationally Educated Licensed Practical Nurses in the Workforce,
by Country of Graduation, Canada, 2010
Source
Nursing Database, Canadian Institute for Health Information.
70
Chapter 2—Regulated Nurses in Canada: Trends of Licensed Practical 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.
Figures 25 and 26 illustrate the urban/rural/remote/territories distribution of the
LPN workforce in Canada in 2010. In 2010, 82.5% of the LPN workforce worked
in urban areas of Canada.
Figure 25: Licensed Practical Nursing Workforce, by Urban/Rural/Remote/
Territories Designation, Canada, 2010
Notes
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.
Source
Nursing Database, Canadian Institute for Health Information.
71
Regulated Nurses: Canadian Trends, 2006 to 2010
Figure 26: Licensed Practical Nursing Workforce, by Urban/Rural/Remote/
Territories Designation and Jurisdiction, 2010
Notes
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 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.
Source
Nursing Database, Canadian Institute for Health Information.
72
Chapter 2—Regulated Nurses in Canada: Trends of Licensed Practical Nurses
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 LPNs 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, LPNs who are registered in a territory and another
jurisdiction are also included in the northern LPN workforce.
Figure 27 shows that the majority of LPNs working in the territories worked in
hospitals (45.0%). Notably, LPNs in the territories were also employed in nursing
homes or long-term care facilities and community health centres. Of those LPNs
working in the provinces, 45.1% worked in hospitals, 38.1% worked in nursing
homes or long-term care facilities and 9.5% worked in community health centres.
Figure 27: Licensed Practical Nursing Workforce, by Place of Work and
Provincial/Territorial Level, Canada, 2010
Notes
† Digit suppressed in accordance with CIHI’s privacy policy; digit is from 0 to 9.
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.
Source
Nursing Database, Canadian Institute for Health Information.
73
Regulated Nurses: Canadian Trends, 2006 to 2010
Among LPNs employed in the territories, the most frequently identified areas of
responsibility were geriatric/long-term care (50.3%), medicine/surgery (16.1%),
ambulatory care (11.4%) and several clinical areas (5.1%). LPNs employed in
the provinces most frequently identified geriatric/long-term care (43.5%),
medicine/surgery (17.4%) and several clinical areas (6.7%) as their area of
responsibility. Most LPNs in the territories (91.9%) and in the provinces (91.7%)
identified their position as staff nurse/community health nurse.
74
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. Registered psychiatric
nurses (RPNs) are regulated as a separate profession in four provinces and one
territory: Manitoba, Saskatchewan, Alberta, British Columbia and Yukon. This
chapter presents data on RPNs working in the four western provinces in 2010
and illustrates key trends over the last five years. Yukon data is not presented in
this report as current numbers would require suppression in accordance with
CIHI’s privacy policy.
The RPN workforce is defined as RPNs employed in psychiatric nursing in the
western provinces. RPNs represented 1.5% of the total regulated nursing
workforce in Canada in 2010. As illustrated in Figure 28, the vast majority of
RPNs who registered in the western provinces in 2010 were in the RPN
workforce, with two-thirds employed in full-time positions (66.6%).
Figure 28: Registered Psychiatric Nurses, by Employment Status,
Western Provinces, 2010
Note
Employed RPNs with employed—status unknown are excluded from the percentage distribution of full time,
part time and casual.
Source
Nursing Database, Canadian Institute for Health Information.
77
Regulated Nurses: Canadian Trends, 2006 to 2010
Within the provinces where RPNs provide care, the ratio of these nurses per
person to the population was approximately 49 RPNs per 100,000 population
between 2006 and 2010.
Figure 29: Registered Psychiatric Nursing Workforce per 100,000 Population,
Western Provinces, 2006 to 2010
Sources
Nursing Database, Canadian Institute for Health Information; Statistics Canada, Demography Division,
accessed from <http://cansim2.statcan.gc.ca/cgi-win/cnsmcgi.pgm?Lang=E&RootDir=CII/
&Array_Pick=1&ArrayId=109-5325&C2DB=PRD&ResultTemplate=CII%2FCII>.
78
Chapter 3—Regulated Nurses in Canada: Trends of Registered Psychiatric Nurses
Demographic Trends
Sex of the Worforce
In 2010, slightly more than three-quarters of RPNs (77.5%) in the Canadian
workforce were female. This proportion has not changed substantially over
the past five years (see Table 33). However, there was a substantially higher
proportion of males working in psychiatric nursing (22.5%) than in each of
the other regulated nursing professions (registered nursing and licensed
practical nursing).
Table 33: Registered Psychiatric Nursing Workforce, by Sex and Jurisdiction,
Western Provinces, 2006 to 2010
Man.
Sask.
Alta.
B.C.
Western
Provinces
Count
Female
Male
2006
733
764
850
1,570
3,917
2007
736
747
859
1,630
3,972
2008
722
751
866
1,663
4,002
2009
738
733
900
1,669
4,040
2010
737
705
858
1,710
4,010
2006
223
136
294
481
1,134
2007
216
133
299
504
1,152
2008
213
141
291
515
1,160
2009
211
133
302
528
1,174
2010
212
132
289
531
1,164
Percentage Change
Female
Male
2006–2010
0.5%
-7.7%
0.9%
8.9%
2.4%
2009–2010
-0.1%
-3.8%
-4.7%
2.5%
-0.7%
2006–2010
-4.9%
-2.9%
-1.7%
10.4%
2.6%
2009–2010
0.5%
-0.8%
-4.3%
0.6%
-0.9%
Percentage Distribution
Female
Male
2006
76.7%
84.9%
74.3%
76.5%
77.5%
2009
77.8%
84.6%
74.9%
76.0%
77.5%
2010
77.7%
84.2%
74.8%
76.3%
77.5%
2006
23.3%
15.1%
25.7%
23.5%
22.5%
2009
22.2%
15.4%
25.1%
24.0%
22.5%
2010
22.3%
15.8%
25.2%
23.7%
22.5%
Source
Nursing Database, Canadian Institute for Health Information.
79
Regulated Nurses: Canadian Trends, 2006 to 2010
Age of the Workforce
Table 34 shows the average ages of RPNs across the four provinces from
2006 to 2010.
Table 34: Average Age of the Registered Psychiatric Nursing
Workforce, by Jurisdiction, Western Provinces,
2006 to 2010
B.C.
Western
Provinces
Man.
Sask.
Alta.
2006
46.9
47.0
47.1
47.5
47.2
2007
46.9
47.6
47.2
47.2
47.2
2008
47.4
47.9
47.7
47.2
47.5
2009
47.4
48.7
47.5
47.4
47.6
2010
47.7
49.4
47.6
47.2
47.7
Average Age
Increase/Decrease in Average Age
2006–2010
0.8
2.4
0.5
-0.3
0.5
2009–2010
0.3
0.7
0.1
-0.2
0.1
Source
Nursing Database, Canadian Institute for Health Information.
Table 35 highlights the distribution of the RPN workforce by age group.
Table 35: Registered Psychiatric Nursing Workforce, by Age
Group and Jurisdiction, Western Provinces, 2010
Age Groups
Man.
Sask.
Alta.
Western
Provinces
<30
7.0%
1.9%
9.2%
7.0%
6.7%
30–34
7.8%
2.9%
7.6%
8.4%
7.2%
35–39
7.3%
9.9%
5.6%
12.0%
9.4%
40–44
10.3%
16.2%
14.3%
12.8%
13.2%
45–49
18.0%
20.3%
15.9%
15.5%
16.8%
50–54
21.4%
18.2%
16.1%
14.9%
16.9%
55–59
18.2%
15.4%
15.0%
13.6%
15.0%
60+
10.0%
15.2%
16.3%
15.8%
14.7%
Source
Nursing Database, Canadian Institute for Health Information.
80
B.C.
Chapter 3—Regulated Nurses in Canada: Trends of Registered Psychiatric Nurses
Figure 30 highlights the proportion of the RPN workforce in each province at or
above three typical ages of retirement in 2010: 55+, 60+ and 65+. Note that this
illustration is cumulative. An RPN at age 65 is counted in all three categories,
and an RPN at age 60 is counted in two categories.
Figure 30: Registered Psychiatric Nursing Workforce, by Age Group (55+, 60+, 65+)
and Jurisdiction, Western Provinces, 2010
Source
Nursing Database, Canadian Institute for Health Information.
81
Regulated Nurses: Canadian Trends, 2006 to 2010
Employment Trends
Table 36 shows the supply of all RPNs over the period 2006 to 2010. In 2010,
there were 5,300 RPNs in the western provinces, 0.4% less than in 2009 and
1.2% more than in 2006.
Table 36: Registered Psychiatric Nurses, Total Supply and Employment Status, Western Provinces,
2006 to 2010
Employed in Psychiatric Nursing
Regular Regular
Basis,
Basis,
Full
Part
Time
Time
Casual
Basis
Regular
Basis,
Status
Unknown
Subtotal
Employed in Other
Than Psychiatric Nursing
Seeking
Not Seeking
Employment Employment
A
B
C
D
Grand
Total
Not Employed in Psychiatric Nursing
E=A+
B+C+D
F
G
Not Employed
Seeking
Employment
in Psychiatric
Nursing
H
Not Stated Subtotal
Not Seeking
Employment
in Psychiatric
Nursing
I
K=F+
G+H+
I+J
L=E+K
J
Count
2006
3,407
958
631
55
5,051
9
6
22
13
134
184
5,235
2007
3,448
1,015
621
40
5,124
†
0
23
†
77
106
5,230
2008
3,480
965
655
62
5,162
†
†
28
7
39
79
5,241
2009
3,479
971
736
28
5,214
0
†
36
22
4†
107
5,321
2010
3,427
1,008
714
25
5,174
†
6
50
14
5†
126
5,300
Percentage Change
0.6%
5.2%
13.2%
-54.5%
2.4%
†
0.0%
127.3%
7.7%
†
-31.5%
1.2%
2009– -1.5%
2010
3.8%
-3.0%
-10.7%
-0.8%
–
†
38.9%
-36.4%
†
17.8%
-0.4%
2006–
2010
Percentage Distribution
2006
65.1%
18.3%
12.1%
1.1%
96.5%
0.2%
0.1%
0.4%
0.2%
2.6%
3.5%
100.0%
2009
65.4%
18.2%
13.8%
0.5%
98.0%
0.0%
†
0.7%
0.4%
†
2.0%
100.0%
2010
64.7%
19.0%
13.5%
0.5%
97.6%
†
0.1%
0.9%
0.3%
†
2.4%
100.0%
Note
† Digit suppressed in accordance with CIHI’s privacy policy; digit is from 0 to 9.
Source
Nursing Database, Canadian Institute for Health Information.
82
Chapter 3—Regulated Nurses in Canada: Trends of Registered Psychiatric Nurses
Table 37: Registered Psychiatric Nursing Workforce, by
Jurisdiction and Western Provinces, 2006 to 2010
B.C.
Western
Provinces
Man.
Sask.
Alta.
2006
956
900
1,144
2,051
5,051
2007
952
880
1,158
2,134
5,124
2008
935
892
1,157
2,178
5,162
2009
949
866
1,202
2,197
5,214
2010
949
837
1,147
2,241
5,174
Count
Percentage Change
2006–2010
-0.7%
-7.0%
0.3%
9.3%
2.4%
2009–2010
0.0%
-3.3%
-4.6%
2.0%
-0.8%
Percentage Distribution
2006
18.9%
17.8%
22.6%
40.6%
100.0%
2009
18.2%
16.6%
23.1%
42.1%
100.0%
2010
18.3%
16.2%
22.2%
43.3%
100.0%
Source
Nursing Database, Canadian Institute for Health Information.
Table 38: Registered Psychiatric Nursing Workforce per 100,000
Population, by Jurisdiction, Western Provinces,
2006 to 2010
B.C.
Western
Provinces
Man.
Sask.
Alta.
2006
81
91
33
48
51
2007
80
88
33
50
51
2008
78
88
32
50
51
2009
78
84
33
49
50
2010
77
80
31
49
49
2006–2010
-4.9%
-12.1%
-6.1%
2.1%
-3.9%
2009–2010
-1.3%
-4.8%
-6.1%
0.0%
-2.0%
Count
Percentage Change
Source
Nursing Database, Canadian Institute for Health Information.
83
Regulated Nurses: Canadian Trends, 2006 to 2010
Employment Status
In 2010, the majority of RPNs employed in psychiatric nursing (66.6%; 3,427)
were employed on a regular basis in a full-time position (see Table 39).
Table 39: Registered Psychiatric Nursing Workforce, by Employment Status
and Jurisdiction, Western Provinces, 2006 to 2010
B.C.
Western
Provinces
663
664
656
706
664
366
377
370
379
346
108
114
120
117
137
7
3
11
0
–
1,437
1,487
1,541
1,568
1,586
172
235
218
212
217
424
390
402
414
427
18
22
17
3
11
3,407
3,448
3,480
3,479
3,427
958
1,015
965
971
1,008
631
621
655
736
714
55
40
62
28
25
-13.3%
-9.0%
19.7%
20.6%
52.2%
32.1%
0.2%
-5.9%
-5.5%
-8.7%
26.9%
17.1%
10.4%
1.1%
26.2%
2.4%
0.7%
3.1%
0.6%
-1.5%
5.2%
3.8%
13.2%
-3.0%
80.4%
79.0%
73.4%
14.4%
14.8%
18.2%
5.2%
6.2%
8.4%
58.3%
58.7%
57.9%
32.2%
31.5%
30.2%
9.5%
9.7%
11.9%
70.7%
71.5%
71.1%
8.5%
9.7%
9.7%
20.9%
18.9%
19.1%
68.2%
67.1%
66.6%
19.2%
18.7%
19.6%
12.6%
14.2%
13.9%
Man.
Sask.
599
599
586
530
563
293
283
277
254
293
53
68
63
152
80
11
2
9
13
13
708
698
697
675
614
127
120
100
126
152
46
49
70
53
70
19
13
25
12
1
-6.0%
6.2%
0.0%
15.4%
50.9%
-47.4%
63.4%
56.6%
60.1%
31.0%
27.1%
31.3%
5.6%
16.2%
8.5%
Alta.
Count
Employed,
Full Time
2006
2007
2008
2009
2010
Employed,
Part Time
2006
2007
2008
2009
2010
Employed,
Casual
2006
2007
2008
2009
2010
Employed,
Status
Unknown
2006
2007
2008
2009
2010
Percentage Change
Employed,
Full Time
2006–2010
Employed,
Part Time
2006–2010
Employed,
Casual
2009–2010
2009–2010
2006–2010
2009–2010
Percentage Distribution
Employed,
Full Time
2006
2009
2010
Employed,
Part Time
2006
2009
2010
Employed,
Casual
2006
2009
2010
Notes
– Data is not applicable or does not exist.
Employed RPNs with employed—status unknown are excluded from the percentage distribution.
In 2006, for Saskatchewan data, changes to the registration form permitted selection of part time or casual for
Employment Status.
The differences between Manitoba’s 2008 and 2009 Employment Status were the result of a database change in 2009.
Source
Nursing Database, Canadian Institute for Health Information.
84
Chapter 3—Regulated Nurses in Canada: Trends of Registered Psychiatric Nurses
Place of Work
In 2010, the hospital sector employed 45.2% of the RPN workforce in the
western provinces.
In 2010, the average age for RPNs working in the hospital sector was 45.6
compared with 48.2 for RPNs employed in community health and 51.1 for RPNs
employed in the nursing home/long-term care sector.
Table 40: Registered Psychiatric Nursing Workforce, by Place of Work and
Jurisdiction, Western Provinces, 2006 to 2010
Count
Hospital
Community
Health
Nursing
Home/LTC
Other Place
of Work
Man.
Sask.
Alta.
B.C.
Western
Provinces
2006
222
268
672
928
2,090
2007
224
221
664
957
2,066
2008
218
222
670
972
2,082
2009
361
225
711
978
2,275
2010
367
205
657
1,105
2,334
2006
380
141
242
409
1,172
2007
387
172
260
489
1,308
2008
377
174
268
529
1,348
2009
238
177
280
552
1,247
2010
237
197
279
563
1,276
2006
268
341
115
339
1,063
2007
250
334
120
349
1,053
2008
224
333
105
334
996
2009
238
305
105
323
971
2010
226
300
107
276
909
2006
86
150
112
343
691
2007
89
139
113
306
647
2008
102
142
112
297
653
2009
112
152
106
317
687
2010
119
131
103
289
642
Percentage Change
Hospital
2006–2010
65.3%
-23.5%
-2.2%
19.1%
11.7%
2009–2010
1.7%
-8.9%
-7.6%
13.0%
2.6%
2006–2010
-37.6%
39.7%
15.3%
37.7%
8.9%
2009–2010
2006–2010
-0.4%
11.3%
-0.4%
2.0%
2.3%
-15.7%
-12.0%
-7.0%
-18.6%
-14.5%
-6.4%
Community
Health
Nursing
Home/LTC
Other Place
of Work
2009–2010
-5.0%
-1.6%
1.9%
-14.6%
2006–2010
38.4%
-12.7%
-8.0%
-15.7%
-7.1%
2009–2010
6.3%
-13.8%
-2.8%
-8.8%
-6.6%
(continued)
85
Regulated Nurses: Canadian Trends, 2006 to 2010
Table 40: Registered Psychiatric Nursing Workforce, by Place of Work and
Jurisdiction, Western Provinces, 2006 to 2010 (cont’d)
Man.
Percentage Distribution
Hospital
2006
2009
Community
Health
Nursing
Home/LTC
Other Place
of Work
Sask.
Alta.
B.C.
Western
Provinces
23.2%
29.8%
58.9%
46.0%
41.7%
38.0%
26.2%
59.2%
45.1%
43.9%
2010
38.7%
24.6%
57.3%
49.5%
45.2%
2006
39.7%
15.7%
21.2%
20.3%
23.4%
2009
25.1%
20.6%
23.3%
25.4%
24.1%
2010
25.0%
23.6%
24.3%
25.2%
24.7%
2006
28.0%
37.9%
10.1%
16.8%
21.2%
2009
25.1%
35.5%
8.7%
14.9%
18.7%
2010
23.8%
36.0%
9.3%
12.4%
17.6%
2006
9.0%
16.7%
9.8%
17.0%
13.8%
2009
11.8%
17.7%
8.8%
14.6%
13.3%
2010
12.5%
15.7%
9.0%
12.9%
12.4%
Notes
Hospital includes data from hospital (general, maternal, pediatric, psychiatric).
Community Health includes data from community mental health agency/community 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.
Source
Nursing Database, Canadian Institute for Health Information.
86
Chapter 3—Regulated Nurses in Canada: Trends of Registered Psychiatric Nurses
Position
In 2010, 4,045 RPNs (78.5%) were employed as staff psychiatric nurses/
community health nurses in the western provinces, an increase of 1.2% from
2006 (see Table 41).
Table 41: Registered Psychiatric Nursing Workforce, by Position and
Jurisdiction, Western Provinces, 2006 to 2010
Man.
Count
Staff Nurse
Manager
Other
Positions
Sask.
Alta.
B.C.
Western
Provinces
2006
743
717
938
1,601
3,999
2007
736
668
944
1,684
4,032
2008
702
658
936
1,717
4,013
2009
728
662
969
1,744
4,103
2010
706
629
941
1,769
4,045
2006
100
110
89
297
596
2007
105
99
88
264
556
2008
93
108
90
257
548
2009
92
103
88
264
547
2010
91
108
89
227
515
2006
113
73
111
132
429
2007
109
98
120
169
496
2008
126
95
125
184
530
2009
129
89
141
184
543
2010
151
92
114
236
593
Percentage Change
Staff Nurse
2006–2010
-5.0%
-12.3%
0.3%
10.5%
1.2%
2009–2010
-3.0%
-5.0%
-2.9%
1.4%
-1.4%
-13.6%
Manager
Other
Positions
2006–2010
-9.0%
-1.8%
0.0%
-23.6%
2009–2010
2006–2010
-1.1%
4.9%
1.1%
-14.0%
-5.9%
33.6%
26.0%
2.7%
78.8%
38.2%
2009–2010
17.1%
3.4%
-19.1%
28.3%
9.2%
Percentage Distribution
Staff Nurse
2006
2009
Manager
Other
Positions
77.7%
79.7%
82.4%
78.9%
79.6%
76.7%
77.5%
80.9%
79.6%
79.0%
2010
74.5%
75.9%
82.3%
79.3%
78.5%
2006
10.5%
12.2%
7.8%
14.6%
11.9%
2009
9.7%
12.1%
7.3%
12.0%
10.5%
2010
9.6%
13.0%
7.8%
10.2%
10.0%
2006
11.8%
8.1%
9.8%
6.5%
8.5%
2009
13.6%
10.4%
11.8%
8.4%
10.5%
2010
15.9%
11.1%
10.0%
10.6%
11.5%
Notes
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.
Source
Nursing Database, Canadian Institute for Health Information.
87
Regulated Nurses: Canadian Trends, 2006 to 2010
Area of Responsibility
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.
In terms of average age by the broad categories of direct care, administration,
education and research, in 2010, the average age of RPNs working in direct care
was 47.4, 50.6 for RPNs working in administration, 51.1 for RPNs working in
education and 49.9 for those working in research.
Table 42: Registered Psychiatric Nursing Workforce, by Area of Responsibility,
Western Provinces, 2010
2010
(Count)
2010
(Percentage
Distribution)
2006–2010
(Percentage
Change)
2009–2010
(Percentage
Change)
Direct Care
Medical/Surgical
36
0.7%
-16.3%
20.0%
Pediatric
11
0.2%
83.3%
-35.3%
Geriatric/Long-Term Care
853
16.6%
-13.9%
-3.1%
Crisis/Emergency Services
290
5.6%
30.6%
9.4%
1†
†
†
†
Occupational Health
Oncology
Rehabilitation
Palliative Care
Children and Adolescent Services
†
†
†
†
512
9.9%
7.6%
4.5%
8
0.2%
0.0%
-38.5%
277
5.4%
-5.1%
-2.5%
Development Habilitation/Disabilities
171
3.3%
-21.9%
-6.6%
Addiction Services
171
3.3%
48.7%
1.8%
1,236
24.0%
2.5%
5.2%
Acute Services
Forensic Services
393
7.6%
0.8%
-1.5%
Other Direct Care
616
12.0%
13.2%
-10.6%
Total Direct Care
4,586
89.1%
1.5%
-0.5%
Total Administration
420
8.2%
39.1%
28.0%
Total Education
132
2.6%
12.8%
-12.0%
Total Research
10
0.2%
-33.3%
-9.1%
5,148
100.0%
3.9%
1.0%
Total
Notes
† Digit suppressed in accordance with CIHI’s privacy policy; digit is from 0 to 9.
Direct Care includes data from medical/surgical, pediatric, geriatric/long-term care, crisis/emergency services,
occupational health, oncology, rehabilitation, palliative care, children and adolescent services, developmental
habilitation/disabilities, addiction services, acute services, forensic services and other patient care.
Administration includes data from nursing services, nursing education and other administration.
Education/Research includes data from teaching students, teaching employees, teaching patients/clients,
other education, psychiatric nursing research only and other research.
Source
Nursing Database, Canadian Institute for Health Information.
88
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.
Table 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.
Table 43: Registered Psychiatric Nursing Workforce, by Years Since
Graduation and Jurisdiction, Western Provinces, 2006 to 2010
Count
0–10
11–20
21–30
31+
Alta.
B.C.
Western
Provinces
Man.
Sask.
2006
136
69
185
473
2007
160
53
211
538
962
2008
175
38
230
601
1,044
2009
203
36
280
653
1,172
2010
219
38
276
731
1,264
2006
245
326
338
535
1,444
2007
213
318
305
534
1,370
2008
192
331
274
530
1,327
2009
181
293
257
497
1,228
2010
163
260
226
475
1,124
2006
350
276
345
446
1,417
2007
350
275
357
483
1,465
2008
320
288
336
486
1,430
2009
294
286
338
501
1,419
2010
299
277
335
486
1,397
2006
225
229
276
597
1,327
2007
229
234
285
579
1,327
2008
248
235
317
561
1,361
2009
271
251
327
546
1,395
2010
268
262
310
549
1,389
46.5%
863
Percentage Change
0–10
2006–2010
61.0%
-44.9%
49.2%
54.5%
2009–2010
7.9%
5.6%
-1.4%
11.9%
7.8%
11–20
2006–2010
-33.5%
-20.2%
-33.1%
-11.2%
-22.2%
2009–2010
2006–2010
-9.9%
-11.3%
-12.1%
-4.4%
-8.5%
21–30
-14.6%
0.4%
-2.9%
9.0%
-1.4%
2009–2010
1.7%
-3.1%
-0.9%
-3.0%
-1.6%
2006–2010
19.1%
14.4%
12.3%
-8.0%
4.7%
2009–2010
-1.1%
4.4%
-5.2%
0.5%
-0.4%
31+
(continued)
89
Regulated Nurses: Canadian Trends, 2006 to 2010
Table 43: Registered Psychiatric Nursing Workforce, by Years Since
Graduation and Jurisdiction, Western Provinces,
2006 to 2010 (cont’d)
Man.
Percentage Distribution
0–10
2006
11–20
21–30
31+
Sask.
B.C.
Western
Provinces
14.2%
7.7%
16.2%
23.1%
17.1%
2009
21.4%
4.2%
23.3%
29.7%
22.5%
2010
23.1%
4.5%
24.1%
32.6%
24.4%
2006
25.6%
36.2%
29.5%
26.1%
28.6%
2009
19.1%
33.8%
21.4%
22.6%
23.6%
2010
17.2%
31.1%
19.7%
21.2%
21.7%
2006
36.6%
30.7%
30.2%
21.7%
28.1%
2009
31.0%
33.0%
28.1%
22.8%
27.2%
2010
31.5%
33.1%
29.2%
21.7%
27.0%
2006
23.5%
25.4%
24.1%
29.1%
26.3%
2009
28.6%
29.0%
27.2%
24.9%
26.8%
2010
28.2%
31.3%
27.0%
24.5%
26.8%
Source
Nursing Database, Canadian Institute for Health Information.
90
Alta.
Chapter 3—Regulated Nurses in Canada: Trends of Registered Psychiatric Nurses
Education Trends
Entry-to-Practice Education
RPNs are graduates of recognized and approved post-secondary 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 2010 RPN workforce, a total of 553 RPNs (10.7%) had obtained a
baccalaureate as their highest education in psychiatric nursing (see Table 44),
compared with 4,600 (88.9%) who had earned a diploma.
Table 44: Registered Psychiatric Nursing Workforce, by Highest Level
of Education in Psychiatric Nursing, Western Provinces,
2006 to 2010
Diploma
Baccalaureate
Master’s/
Doctorate
Total
Count
2006
4,760
276
15
5,051
2007
4,747
368
9
5,124
2008
4,755
399
8
5,162
2009
4,738
462
14
5,214
2010
4,600
553
21
5,174
2006–2010
-3.4%
100.4%
40.0%
2.4%
2009–2010
-2.9%
19.7%
50.0%
-0.8%
2006
94.2%
5.5%
0.3%
100.0%
2009
90.9%
8.9%
0.3%
100.0%
2010
88.9%
10.7%
0.4%
100.0%
Percentage Change
Percentage Distribution
Source
Nursing Database, Canadian Institute for Health Information.
91
Regulated Nurses: Canadian Trends, 2006 to 2010
Migration Trends
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.
Migration in the Western Provinces
Each provincial workforce combines registered psychiatric nurses who originally
graduated from within the province, those who graduated from other Canadian
provinces and those who graduated from outside the country. Overall, close to
8 out of 10 (84.6%) registered psychiatric nurses who graduated from Canadian
registered psychiatric nursing programs who were working in the western
provinces in 2010 either did not move after graduation or eventually returned
to their province of graduation.
Figure 31: Registered Psychiatric Nursing Workforce, by Jurisdiction of Graduation
and Registration, Western Provinces, 2010
Source
Nursing Database, Canadian Institute for Health Information.
92
Chapter 3—Regulated Nurses in Canada: Trends of Registered Psychiatric Nurses
Figure 32: Registered Psychiatric Nursing Workforce, by Jurisdiction of Graduation
and Top Two Destinations of Registration, Western Provinces, 2010
Source
Nursing Database, Canadian Institute for Health Information.
93
Regulated Nurses: Canadian Trends, 2006 to 2010
Internationally Educated Registered Psychiatric Nurses
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
an RPN who studied outside of the western provinces immigrated, but the total
number does include those Canadian citizens who studied abroad.
Table 45: Registered Psychiatric Nursing Workforce, by Location of Graduation
(Western Provinces and International), 2006 to 2010
Western Provinces
International
Total
Count
2006
4,608
327
4,935
2007
4,660
351
5,011
2008
4,280
307
4,587
2009
4,298
366
4,664
2010
4,275
364
4,639
2006–2010
-7.2%
11.3%
-6.0%
2009–2010
-0.5%
-0.5%
-0.5%
2006
93.4%
6.6%
100.0%
2009
92.2%
7.8%
100.0%
2010
92.2%
7.8%
100.0%
Percentage Change
Percentage Distribution
Source
Nursing Database, Canadian Institute for Health Information.
94
Chapter 3—Regulated Nurses in Canada: Trends of Registered Psychiatric Nurses
Of the RPNs employed in the western provinces who reported their location of
graduation in 2010, 92.2% (4,275) graduated from a psychiatric nursing program
in Canada and 7.8% (364) graduated from an international psychiatric nursing
program. Since 2006, the proportion of internationally educated RPNs in the
Canadian RPN workforce has remained between 6.5% and 8.0%.
For 362 RPNs in the western provinces who graduated from an international
psychiatric nursing program, the six most frequently identified countries of
graduation are shown in Figure 33.
Figure 33: Internationally Educated Registered Psychiatric Nurses in the Workforce,
by Country of Graduation, Canada, 2010
Source
Nursing Database, Canadian Institute for Health Information.
95
Regulated Nurses: Canadian Trends, 2006 to 2010
Urban/Rural Distribution of the Workforce
Geographical differences in the western provinces 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.
Figures 34 and 35 illustrate the urban/rural/remote/territories distribution of the RPN
workforce in the western provinces in 2010. In 2010, 83.6% of the RPN workforce
worked in urban areas of the four western provinces.
Figure 34: Registered Psychiatric Nursing Workforce, by Urban/Rural/Remote/
Territories Designation, Western Provinces, 2010
Notes
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.
Source
Nursing Database, Canadian Institute for Health Information.
96
Chapter 3—Regulated Nurses in Canada: Trends of Registered Psychiatric Nurses
Figure 35: Registered Psychiatric Nursing Workforce, by Urban/Rural/Remote/
Territories Designation, Western Provinces, 2010
Notes
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.
Source
Nursing Database, Canadian Institute for Health Information.
97
Chapter 4—Regulated Nursing
Workforce by Health Region
Chapter 4—Regulated Nursing Workforce by Health Region
This chapter presents information on the regulated nursing workforce by health
region 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.2
Health region boundaries presented here correspond to the health regions as of
2011 (the most recent year available from Statistics Canada).
The health region data presented in this publication includes only regulated
nurses who worked in direct patient care and whose postal code was within the
province or territory of analysis; those employed in administration, education or
research are excluded from the health region totals. There were 318,573
individuals in the regulated nursing direct care workforce, representing 89.8% 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 sixdigit Postal Code of Employer (Work Site) was used first; when this postal code
was missing or invalid, the six-digit Postal Code of Residence was used.
CIHI would like to acknowledge the cooperation of the Ordre des infirmières et
infirmiers du Québec, which provided CIHI with the number of RNs 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 47.
101
Regulated Nurses: Canadian Trends, 2006 to 2010
Rates per 100,000 Population by Health Region
Using 2010 calendar year population estimates from Statistics Canada, rates were
calculated for RNs, LPNs, RPNs and the regulated nursing workforce (all three
regulated nursing professions) employed in direct care, per 100,000 population for
each health region.
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 46: Regulated Nursing Workforce, by Health Region, Canada, 2010
Registered Nurses
Health
Peer Region
Group Code
Health Region Name
Direct
Population Care
Estimates Counts
Licensed Practical
Nurses
Registered Psychiatric
Nurses
All Regulated
Nurses
Direct
Per 100,000 Direct Care Per 100,000 Direct Care Per 100,000 Care
Population Counts
Population Counts
Population Counts
Per 100,000
Population
Newfoundland and Labrador
C
1011
Eastern Regional
Integrated Health
Authority
302,714
3,436
1,135
1,337
442
–
–
4,773
1,577
I
1012
Central Regional
Integrated Health
Authority
93,299
721
773
525
563
–
–
1,246
1,335
I
1013
Western Regional
Integrated Health
Authority
77,460
771
995
452
584
–
–
1,223
1,579
H
1014
Labrador-Grenfell
Regional Integrated
Health Authority
36,266
361
995
152
419
–
–
513
1,415
Newfoundland and
Labrador (Direct
Care Total)
509,739
5,289
1,038
2,466
484
–
–
7,755
1,521
Prince Edward Island
C
1101
Kings County (census
division)
18,206
75
412
38
209
–
–
113
621
A
1102
Queens County (census
division)
79,959
804
1,006
400
500
–
–
1,204
1,506
C
1103
Prince County (census
division)
44,101
403
914
129
293
–
–
532
1,206
Prince Edward Island
(Direct Care Total)
142,266
1,282
901
567
399
–
–
1,849
1,300
(continued)
102
Chapter 4—Regulated Nursing Workforce by Health Region
Table 46: Regulated Nursing Workforce, by Health Region, Canada, 2010 (cont’d)
Registered Nurses
Health
Peer Region
Group Code
Health Region Name
Direct
Population Care
Estimates Counts
Licensed Practical
Nurses
Registered Psychiatric
Nurses
All Regulated
Nurses
Direct
Per 100,000 Direct Care Per 100,000 Direct Care Per 100,000 Care
Population Counts
Population Counts
Population Counts
Per 100,000
Population
Nova Scotia
C
1201
Zone 1 (South Shore
and South West Health
Authority)
116,740
757
648
568
487
–
–
1,325
1,135
C
1202
Zone 2 (Annapolis
Valley Health Authority)
82,707
537
649
300
363
–
–
837
1,012
C
1203
Zone 3 (Colchester East
Hants and Cumberland
Health Authority)
106,746
612
573
283
265
–
–
895
838
C
1204
Zone 4 (Pictou County
and Guysborough
Antigonish Strait Health
Authority)
90,950
764
840
263
289
–
–
1,027
1,129
I
1205
Zone 5 (Cape Breton
Health Authority)
122,937
1,242
1,010
727
591
–
–
1,969
1,602
A
1206
Zone 6 (Capital Health
Authority)
422,426
4,108
972
1,305
309
–
–
5,413
1,281
Nova Scotia (Direct
Care Total)
942,506
8,020
851
3,446
366
–
–
11,466
1,217
New Brunswick
C
1301
Zone 1 (Moncton area)
203,982
2,020
990
573
281
–
–
2,593
1,271
C
1302
Zone 2 (Saint John
area)
175,948
1,752
996
657
373
–
–
2,409
1,369
C
1303
Zone 3 (Fredericton
area)
173,916
1,435
825
517
297
–
–
1,952
1,122
C
1304
Zone 4 (Edmundston
area)
48,848
530
1,085
186
381
–
–
716
1,466
I
1305
Zone 5 (Campbelton
area)
26,416
386
1,461
161
609
–
–
547
2,071
I
1306
Zone 6 (Bathurst area)
77,757
727
935
372
478
–
–
1,099
1,413
I
1307
Zone 7 (Miramichi area)
44,888
398
887
156
348
–
–
554
1,234
751,755
7,248
964
2,622
349
–
–
9,870
1,313
New Brunswick
(Direct Care Total)
Quebec (Régions sociosanitaires [RSS])
C
2401
Bas-Saint-Laurent
201,268
1,639
814
666
331
–
–
2,305
1,145
C
2402
Saguenay–Lac-SaintJean
272,911
2,153
789
992
363
–
–
3,145
1,152
A
2403
Capitale-Nationale
693,859
7,656
1,103
2,115
305
–
–
9,771
1,408
C
2404
Mauricie et du Centredu-Québec
494,786
3,409
689
1,294
262
–
–
4,703
951
A
2405
Estrie
G
2406
Montréal
A
2407
C
309,975
2,448
790
831
268
–
–
3,279
1,058
1,934,082
18,324
947
6,146
318
–
–
24,470
1,265
Outaouais
363,638
1,744
480
616
169
–
–
2,360
649
2408
Abitibi-Témiscamingue
145,835
1,139
781
341
234
–
–
1,480
1,015
H
2409
Côte-Nord
95,538
815
853
191
200
–
–
1,006
1,053
H
2410
Nord-du-Québec
15,752
136
863
36
229
–
–
172
1,092
I
2411
Gaspésie–Îles-de-laMadeleine
93,826
811
864
385
410
–
–
1,196
1,275
D
2412
Chaudière-Appalaches
405,483
2,423
598
1,039
256
–
–
3,462
854
A
2413
Laval
398,667
2,073
520
649
163
–
–
2,722
683
(continued)
103
Regulated Nurses: Canadian Trends, 2006 to 2010
Table 46: Regulated Nursing Workforce, by Health Region, Canada, 2010 (cont’d)
Registered Nurses
Health
Peer Region
Group Code
Health Region Name
Direct
Population Care
Estimates Counts
Licensed Practical
Nurses
Registered Psychiatric
Nurses
All Regulated
Nurses
Direct
Per 100,000 Direct Care Per 100,000 Direct Care Per 100,000 Care
Population Counts
Population Counts
Population Counts
Per 100,000
Population
Quebec (Régions sociosanitaires [RSS]) (cont’d)
A
2414
Lanaudière
464,467
2,193
472
771
166
–
–
2,964
A
2415
Laurentides
549,442
2,762
503
1,208
220
–
–
3,970
638
723
A
2416
Montérégie
1,441,423
6,751
468
2,605
181
–
–
9,356
649
F
2417
Nunavik
11,455
15†
1,37†
†
1†
–
–
159
1,388
F
2418
Terres-Cries-de-laBaie-James
14,968
13†
90†
†
†
–
–
136
909
7,907,375
56,769
718
19,887
251
–
–
76,656
969
Quebec (Direct
Care Total)
Ontario (Public Health Units)
C
3526
District of Algoma
117,734
934
793
495
420
–
–
1,429
1,214
A
3527
Brant County
139,455
743
533
342
245
–
–
1,085
778
B
3530
Durham Regional
620,427
2,533
408
1,130
182
–
–
3,663
590
A
3531
Elgin–St. Thomas
90,012
499
554
294
327
–
–
793
881
D
3533
Grey Bruce
163,103
1,000
613
512
314
–
–
1,512
927
A
3534
Haldimand–Norfolk
111,154
453
408
234
211
–
–
687
618
A
3535
Haliburton, Kawartha,
Pine Ridge District
177,799
876
493
484
272
–
–
1,360
765
B
3536
Halton Regional
506,900
2,247
443
725
143
–
–
2,972
586
A
3537
City of Hamilton
533,280
5,364
1,006
1,592
299
–
–
6,956
1,304
A
3538
Hastings and Prince
Edward Counties
162,515
973
599
475
292
–
–
1,448
891
897
D
3539
Huron County
60,503
343
567
200
331
–
–
543
C
3540
Chatham–Kent
109,467
699
639
357
326
–
–
1,056
965
A
3541
Kingston, Frontenac
and Lennox and
Addington
195,713
2,196
1,122
783
400
–
–
2,979
1,522
A
3542
Lambton Health Unit
132,128
837
633
387
293
–
–
1,224
926
A
3543
Leeds, Grenville and
Lanark District
168,159
1,018
605
630
375
–
–
1,648
980
A
3544
Middlesex–London
454,913
5,302
1,165
1,318
290
–
–
6,620
1,455
A
3546
Niagara Regional Area
443,866
2,256
508
1,121
253
–
–
3,377
761
C
3547
North Bay Parry Sound
District
125,671
1,002
797
632
503
–
–
1,634
1,300
H
3549
Northwestern
83,449
592
709
333
399
–
–
925
1,108
B
3551
City of Ottawa
896,529
7,775
867
2,118
236
–
–
9,893
1,103
A
3552
Oxford County
106,917
533
499
284
266
–
–
817
764
J
3553
Peel Regional
1,338,985
4,970
371
1,216
91
–
–
6,186
462
D
3554
Perth District
A
3555
Peterborough County–
City
C
3556
Porcupine
D
3557
Renfrew County and
District
76,904
534
694
220
286
–
–
754
980
138,384
1,192
861
536
387
–
–
1,728
1,249
86,258
703
815
361
419
–
–
1,064
1,234
103,068
609
591
396
384
–
–
1,005
975
A
3558
Eastern Ontario
199,011
936
470
512
257
–
–
1,448
728
B
3560
Simcoe Muskoka
District
518,101
2,921
564
1,383
267
–
–
4,304
831
(continued)
104
Chapter 4—Regulated Nursing Workforce by Health Region
Table 46: Regulated Nursing Workforce, by Health Region, Canada, 2010 (cont’d)
Registered Nurses
Health
Peer Region
Group Code
Health Region Name
Direct
Population Care
Estimates Counts
Licensed Practical
Nurses
Registered Psychiatric
Nurses
All Regulated
Nurses
Direct
Per 100,000 Direct Care Per 100,000 Direct Care Per 100,000 Care
Population Counts
Population Counts
Population Counts
Per 100,000
Population
Ontario (Public Health Units) (cont’d)
C
3561
Sudbury and District
199,407
1,808
907
633
317
–
–
2,441
C
3562
Thunder Bay District
156,681
1,662
1,061
712
454
–
–
2,374
1,515
C
3563
Timiskaming
34,179
247
723
141
413
–
–
388
1,135
B
3565
Waterloo
522,968
2,627
502
1,136
217
–
–
3,763
720
B
3566
Wellington–Dufferin–
Guelph
274,588
1,270
463
631
230
–
–
1,901
692
A
3568
Windsor–Essex County
J
3570
York Regional
G
3595
City of Toronto
Ontario (Direct Care
Total)
1,224
401,872
2,442
608
898
223
–
–
3,340
831
1,040,539
3,490
335
1,199
115
–
–
4,689
451
2,720,028
21,828
802
4,939
182
–
–
26,767
984
13,210,667
85,414
647
29,359
222
–
– 114,773
869
Manitoba (Regional Health Authorities)
A
4610
Winnipeg
698,165
6,964
997
1,075
154
290
42
8,329
1,193
A
4615
Brandon
51,108
520
1,017
224
438
157
307
901
1,763
D
4620
North Eastman
43,236
129
298
78
180
18
42
225
520
E
4625
South Eastman
68,033
236
347
112
165
9
13
357
525
D
4630
Interlake
761
D
4640
Central
D
4645
82,734
306
370
197
238
127
154
630
109,273
486
445
315
288
108
99
909
832
Assiniboine
69,719
349
501
334
479
30
43
713
1,023
H
4660
Parkland
39,884
273
684
190
476
37
93
500
1,254
H
4670
Norman
23,919
170
711
84
351
9
38
263
1,100
F
4685
Burntwood/Churchill
49,341
162
328
82
166
7
14
251
509
1,235,412
9,595
777
2,691
218
792
64
13,078
1,059
Manitoba (Direct Care
Total)
Saskatchewan (Regional Health Authorities)
D
4701
Sun County
53,898
279
518
113
210
45
83
437
811
D
4702
Five Hills
53,116
328
618
117
220
101
190
546
1,028
D
4703
Cypress
43,078
286
664
114
265
17
39
417
968
A
4704
Regina Qu'Appelle
259,552
2,466
950
750
289
238
92
3,454
1,331
D
4705
Sunrise
54,155
426
787
184
340
67
124
677
1,250
A
4706
Saskatoon
314,867
3,082
979
62†
19†
11†
3†
3,821
1,214
D
4707
Heartland
42,625
239
561
100
235
9
21
348
816
D
4708
Kelsey Trail
40,104
235
586
107
267
17
42
359
895
H
4709
Prince Albert Parkland
78,164
523
669
260
333
51
65
834
1,067
H
4710
Prairie North
71,053
464
653
257
362
99
139
820
1,154
F
4714
Mamawetan Churchill
River/Keewatin
Yatthé/Athabaska
35,010
122
348
6†
17†
†
†
184
526
1,045,622
8,450
808
2,690
257
757
72
11,897
1,138
Saskatchewan (Direct
Care Total)
(continued)
105
Regulated Nurses: Canadian Trends, 2006 to 2010
Table 46: Regulated Nursing Workforce, by Health Region, Canada, 2010 (cont’d)
Registered Nurses
Health
Peer Region
Group Code
Health Region Name
Direct
Population Care
Estimates Counts
Licensed Practical
Nurses
Registered Psychiatric
Nurses
All Regulated
Nurses
Direct
Per 100,000 Direct Care Per 100,000 Direct Care Per 100,000 Care
Population Counts
Population Counts
Population Counts
Per 100,000
Population
Alberta (Regional Health Authorities)
A
4831
South Zone
B
4832
Calgary Zone
E
4833
Central Zone
B
4834
Edmonton Zone
E
4835
North Zone
Alberta (Direct Care
Total)
281,647
1,799
639
688
244
55
20
2,542
903
1,387,903
9,238
666
1,761
127
217
16
11,216
808
451,760
2,632
583
1,118
247
325
72
4,075
902
1,173,692
10,390
885
2,719
232
390
33
13,499
1,150
425,944
1,922
451
846
199
52
12
2,820
662
3,720,946
25,981
698
7,132
192
1,039
28
34,152
918
British Columbia (Health Service Delivery Areas)
D
5911
East Kootenay
80,467
314
390
219
272
8
10
541
672
D
5912
Kootenay-Boundary
79,528
398
500
174
219
14
18
586
737
A
5913
Okanagan
351,360
2,036
579
1,035
295
148
42
3,219
916
A
5914
Thompson/Cariboo
223,232
1,027
460
484
217
83
37
1,594
714
A
5921
Fraser East
284,777
1,255
441
483
170
158
55
1,896
666
J
5922
Fraser North
610,093
3,023
495
878
144
626
103
4,527
742
J
5923
Fraser South
714,043
3,047
427
948
133
275
39
4,270
598
J
5931
Richmond
196,858
516
262
188
96
31
16
735
373
G
5932
Vancouver
659,214
5,807
881
853
129
296
45
6,956
1,055
J
5933
North Shore/Coast
Garibaldi
284,820
1,071
376
342
120
73
26
1,486
522
A
5941
South Vancouver Island
372,342
3,048
819
783
210
106
28
3,937
1,057
A
5942
Central Vancouver
Island
264,573
1,323
500
709
268
75
28
2,107
796
121,084
643
531
239
197
27
22
909
751
75,553
342
453
157
208
11
15
510
675
143,789
977
679
325
226
26
18
1,328
924
69,227
205
296
117
169
23
33
345
498
4,530,960
25,032
552
7,934
175
1,980
44
34,946
771
A
5943
North Vancouver Island
H
5951
Northwest
H
5952
Northern Interior
E
5953
Northeast
British Columbia
(Direct Care Total)
(continued)
106
Chapter 4—Regulated Nursing Workforce by Health Region
Table 46: Regulated Nursing Workforce, by Health Region, Canada, 2010 (cont’d)
Registered Nurses
Health
Peer Region
Group Code
Health Region Name
Direct
Population Care
Estimates Counts
Licensed Practical
Nurses
Registered Psychiatric
Nurses
All Regulated
Nurses
Direct
Per 100,000 Direct Care Per 100,000 Direct Care Per 100,000 Care
Population Counts
Population Counts
Population Counts
Per 100,000
Population
Northern Territories
E
6001
Yukon
34,525
288
834
61
177
–
–
349
1,011
E
6101
Northwest Territories
43,759
542
1,239
85
194
–
–
627
1,433
F
6201
Nunavut
33,220
237
713
0
0
–
–
237
713
111,504
1,067
957
146
131
–
–
1,213
1,088
34,108,752
234,147
Northern Territories
(Direct Care Total)
Canada
Canada (Direct
Care Total)
686
78,940
231
4,568
43 317,655
931
Notes
† Digit suppressed in accordance with CIHI’s privacy policy; digit is from 0 to 9.
– Data is not applicable or does not exist.
Value is actually less than 0.05%; <0.1% is used to prevent the display of 0.0 cells that are not true zero values.
The health region data presented in this publication includes only regulated nurses who work in direct patient care and whose postal
code was within the province or territory of analysis; those employed in administration, education or research are excluded from the
health region totals.
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).
The Ordre des infirmières et infirmiers du Québec (OIIQ) contributed the Quebec data presented in this table.
Sources
Nursing Database, Canadian Institute for Health Information; Statistics Canada, Health Regions Profiles, 2011, retrieved August 25,
2011, from <http://www12.statcan.ca/health-sante/82-228/>; Statistics Canada, “Table 4: Summary Table of Peer Groups and Principal
Characteristics” (webpage), retrieved August 25, 2011, from <http://www.statcan.gc.ca/pub/82-221-x/2011002/regions/hrt4-eng.htm>;
Statistics Canada, Demography Division, accessed from <http://cansim2.statcan.gc.ca/cgi-win/cnsmcgi.pgm?Lang=E&RootDir=CII/
&Array_Pick=1&ArrayId=109-5325&C2DB=PRD&ResultTemplate=CII%2FCII>.
107
Regulated Nurses: Canadian Trends, 2006 to 2010
Table 47: Principal Characteristics of Each Peer Group as Defined by
Statistics Canada
Peer Group
Number of
Health Regions
Percentage of
Population
A
35
33.5%
Principal Characteristics
Urban–rural mix from coast to coast
Average percentage of Aboriginal population
Average percentage of immigrant population
B
8
16.7%
Mainly urban centres in Ontario and Alberta with
moderately high population density
Low percentage of Aboriginal population
Very high employment rate
Higher than average percentage of immigrant population
C
22
10.3%
Sparsely populated urban–rural mix in Eastern and
Central provinces
Average percentage of Aboriginal population
Average employment rate
Low percentage of immigrant population
D
18
5.1%
Mainly rural regions from Quebec to British Columbia
Average percentage of Aboriginal population
High employment rate
E
9
3.1%
Mainly rural and remote regions in the Western provinces
and the territories
High proportion of Aboriginal population
Average percentage of immigrant population
F
5
0.4%
Northern and remote regions
Very high proportion of Aboriginal population
Very low employment rate
Low proportion of immigrants
G
3
15.6%
Largest metro centres with an average population density
of 4,065 people per square kilometre
Very low proportion of Aboriginal population
Average employment rate
Very high proportion of immigrant population
H
10
2.0%
Rural northern regions from coast to coast
High proportion of Aboriginal population
Low proportion of immigrants
I
7
1.7%
Mainly rural Eastern regions
Average percentage of Aboriginal population
Low employment rate
Very low percentage of immigrant population
J
6
11.6%
Mainly urban centers in Ontario and British Columbia with
high population density
Low proportion of Aboriginal population
High proportion of immigrants
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 latter three Statistics Canada
websites noted below in Sources.
Sources
Statistics Canada, “Table 4: Summary Table of Peer Groups and Principal Characteristics,” accessed August 25, 2011,
from <http://www.statcan.gc.ca/pub/82-221-x/2011002/regions/hrt4-eng.htm>; Statistics Canada, Health Region Peer
Groups—User Guide, accessed June 22, 2010, from <http://www.statcan.gc.ca/pub/82-221-x/2009001/regions/
hrpg2007-eng.htm>; Statistics Canada, Health Region Peer Groups, accessed June 22, 2010, from
<http://www.statcan.gc.ca/pub/82-221-x/2009001/regions/hrpg2000-eng.pdf>; Statistics Canada, Health Region Peer Groups,
2003, accessed June 22, 2010, from <http://www.statcan.gc.ca/pub/82-221-x/2009001/regions/hrpg2003-eng.pdf>.
108
Chapter 5—Methodological Notes
Chapter 5—Methodological Notes
This chapter will provide a better understanding of the strengths and limitations
of the nursing data contained in this report and the ways in which 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 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.
111
Regulated Nurses: Canadian Trends, 2006 to 2010
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 licence.
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 RNs and LPNs (in the
case of Ontario); LPNs for Prince Edward Island, Nova Scotia and the Northwest
Territories have only one type of registration. While this is not technically a
source of over-coverage—because all registrations in these jurisdictions are
considered active practising—the result is that some data fields will have a
higher proportion of not stated values.
112
Chapter 5—Methodological Notes
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.
Yukon and the Northwest Territories do submit information on some first-time
LPN registrants; 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 48 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.
113
N.L.
RN
Sex
Birth Year
P.E.I.
LPN
RN
N.S.
N.B.
LPN
Que.
Ont.
RN LPN
Man.
RN
LPN RPN
Sask.
RN
Alta.
B.C.
Y.T.
LPN RPN
N.W.T./Nun.
RN
Canada
LPN
RN
RN
LPN
RN
LPN
LPN RPN
RN
LPN
RPN
RN
RN
LPN
LPN
RN
0.0
0.0
0.0
0.0
0.0
0.0 0.0
0.0
0.0
0.0
0.0
0.0 100.0
0.0 0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
4.3
LPN RPN
0.0
0.0
<0.1
0.0
0.0
0.0
0.0
0.0 0.0
0.0
0.0
0.0 <0.1
0.0 100.0
0.0 0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
4.3
0.0
0.0
Initial/Entry Practical
Nurse Education
0.0
0.0
0.0
0.0
0.0
0.0 0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0 0.0
<0.1
0.0
0.0
0.0
0.0
0.0
0.8
0.0
0.0
0.0
0.0
0.0
0.0
0.1
0.0
0.0
Year of Graduation
0.1
0.0
0.0
0.0
0.0
0.0 0.0
0.0
0.0 <0.1 <0.1
0.1
0.0
0.0 0.0
0.0
0.0
0.0
0.0
0.0
0.0
2.0
1.0
0.0
0.0
0.0
0.0
0.0
0.2
0.1
0.0
Province/Country
of Graduation
0.1
1.1
0.5
0.2
0.0
0.0 <0.1
0.0
0.0
0.0
0.1 <0.1
0.0
0.0 0.0
1.1
0.0
0.0
0.3
0.0
1.3
2.9
0.7
23.2
0.3
0.0
0.3
0.0
0.5
0.1
10.3
Other Education in
Nursing Discipline
(Degree)—RN
0.0
0.0 100.0
0.0
1.5
0.0 0.0
0.0 75.2
0.0
0.0
0.0
0.0
0.0 0.0
1.6
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
34.0
0.0 19.4
0.0
0.0
Education in Other
Nursing Discipline—
LPN and RPN
0.0 100.0
0.0
99.0
0.0
0.0 0.0 100.0
0.0 98.1
0.0
0.0
0.0
9.8 92.4
0.0 20.8
1.1
0.0
0.0
87.1
0.0 46.1
11.5
0.0
4.8
0.0 37.5
41.4
Education in Other
Than Nursing
0.0
0.0 100.0
99.0
2.8
0.0 0.0 100.0 85.0 97.8 54.1 35.5
0.0
9.3 83.9
4.4 15.2
1.4
0.0
0.0
74.4
0.0 41.1
11.0
0.0
4.8
61.0 100.0 41.2 46.9
36.9
Employment in
Nursing
0.0
0.0
2.2
6.3
2.0
0.1 1.8
2.9
0.7
6.0
5.1 1.7
1.4
0.5
0.1
7.3
0.0
3.0
3.3
2.7
0.1
0.0
22.2
1.3
1.2
2.2
3.8
1.0
Province/
Territory of
Employment
2.0
1.6
0.0
1.4
0.1
0.0 0.0
27.1
0.0 <0.1 <0.1
1.1
0.1 0.2
0.7
0.0
0.8
0.1
0.1
0.2 10.3
0.2
0.1
0.0
0.0
0.0
0.0
1.3
1.0
0.3
Place of Work—
Primary
<0.1
0.0
0.0
0.0
0.1
13.1 0.0
0.0
0.0 15.7
1.1
2.0
1.1
0.8 0.0
1.2
0.2
0.5
0.2
0.0
0.1 24.7
1.3
0.4
1.7
0.0
1.4
0.0
3.4
5.4
0.3
Area of
Responsibility—
Primary
<0.1
0.7
0.0
2.7 <0.1
0.7 0.0
1.5
1.3
0.1
1.0
1.6
0.9
0.1 0.5
1.2
0.2
0.6
1.0
0.0
0.2
9.3
1.7
0.6
5.0
0.0
2.9
0.0
2.0
0.9
0.5
<0.1
<0.1
0.3
0.0
0.2
0.7 0.0
0.1
0.4
0.2
0.7
1.5
1.4
0.0 0.1
1.2
0.2
1.0
1.5
0.0
0.3
9.3
0.2
0.4
1.1 100.0
3.2
0.0
1.7
0.7
0.4
0.1
0.0
0.0
0.0 <0.1
0.0 0.0
1.0
0.0
0.0
0.0
0.0
0.0 <0.1 0.1
<0.1
0.0
0.1
0.0
0.0
0.0 <0.1 <0.1
0.0
0.8
0.1
0.0 <0.1 <0.1
<0.1
Position—Primary
Province/Country
of Residence
1.7 11.5
0.0
0.5
Notes
<0.1%: value is actually less than 0.05%; <0.1% is used to prevent the display of 0.0 cells that are not true zero values.
CIHI data will differ from provincial/territorial statistics due to the CIHI collection, processing and reporting methodology.
The Methodological Notes provide more comprehensive information regarding the collection and comparability of the regulated nursing data.
Source
Nursing Database, Canadian Institute for Health Information.
0.0
0.0 100.0
Regulated Nurses: Canadian Trends, 2006 to 2010
114
Table 48: Percentage of Records Employed in Nursing With Not Stated Responses, by Data Element and Province/Territory of Registration,
Canada, 2010
Chapter 5—Methodological Notes
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 RNs 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 36). 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 Employment Status (that is, as full
time, part time or casual) on their registration risk being excluded from the
workforce. However, in cases where Employment Status was not stated but
employment information was provided, CIHI, in consultation with the regulatory
authority, will change Employment Status to employed in nursing discipline—
status unknown 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.
115
Regulated Nurses: Canadian Trends, 2006 to 2010
Figure 36: Tracking Regulatory Authority Data to CIHI: The Regulated
Nursing Workforce
Source
Nursing Database, Canadian Institute for Health Information.
116
Chapter 5—Methodological Notes
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.
117
Regulated Nurses: Canadian Trends, 2006 to 2010
Analytical Methods
Formula for Average Annual Increase
Average Annual Growth Rate (%) =
1,
where Ending Value
current year; Beginning Value
time period
current year
beginning year.
beginning year;
This formula represents the average annual growth rate over a defined time
period (current year – beginning year). The population of each regulated nursing
profession is compared at two points in time. Beginning Value is the population of
regulated nurses at the beginning of the time period, and Ending Value is the
population at the end of the time period, or t years later.
Formula for Canadian Average Age (Including Manitoba Aggregate)
• Calculate average age of registered nurses (RN) for Canada (include
Manitoba RN data).
RN_CANA
=
RN_MBAverage
RN_MBNumber
RNCAN Average
RN_MBNumber
RN_CANNumber
where RN_CANN
RN_CANNumber
includes all but MB data.
• Calculate regulated average age for all nurse types (include RN – Manitoba
once calculation is done from above).
Regulated average age =
RN_ALLA
118
RN_ALLN
RN_ALLN
LPNA
LPNN
LPNN
RPNN
RPNA
RPNN
Chapter 5—Methodological Notes
2010 Health Region Populations
Chapter 4 (regulated nursing workforce by health region): rates per 100,000
population by health region.
Using 2009 calendar year population estimates from Statistics Canada, rates were
calculated for RNs, LPNs, RPNs and the regulated nursing workforce (all three
regulated nursing professions) employed in direct care, per 100,000 population for
each health region.
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),3 du Plessis et al. (2001)4 and CIHI (2002).5
119
Regulated Nurses: Canadian Trends, 2006 to 2010
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.
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
Methodological and Historical Changes to Registered
Nursing Data, 2006 to 2010
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.
120
Chapter 5—Methodological Notes
Nurse Practitioner
In the 2008 calendar year, the NP 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.
In the 2009 data year, the Saskatchewan Registered Nurses Association
(SRNA) provided all data elements related to NPs. Refer to the Registered
Nurses System Data Dictionary and Processing Manual on CIHI’s website
at www.cihi.ca.
Table 49: 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.
First Year
1997
of Regulation
2006
2002
2002
2003 1997 2005 2003 2002 2005
RP
2004
2004
Notes
RP = regulation pending.
From 1996 to 2002, NPs in Alberta were referred to as RNs 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.
Source
Canadian Institute for Health Information.
Employment
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 the Northwest Territories and Nunavut (RNANT/NU). For
data years 2006 to 2010, it is not possible to accurately attribute the number of
RNs to the two territories; as a result, data for the Northwest Territories and
Nunavut is combined under a single set of statistics.
Starting in the 2008 data year, the RNANT/NU provided data for the RN and NP
full-time and casual categories, while in the past, for data years 2006 and 2007,
all RNs and NPs employed in registered nursing in the Northwest Territories
and Nunavut were coded as employed in nursing—status unknown.
121
Regulated Nurses: Canadian Trends, 2006 to 2010
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. Additionally, the
province has seen an increase in formerly retired RNs who have re-entered the
workforce on a casual basis.
Manitoba—Employment Status
According to the College of Registered Nurses of Manitoba (CRNM), the
increase of not stated in data year 2010 had an impact on the number of
Employed in Nursing on a Regular Basis, in comparison to data year 2009.
Quebec—Place of Work, Area of Responsibility, Position
The 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.
Ontario—Place of Work
According to the College of Nurses of Ontario (CNO), refinements in the renewal
process for data year 2006 enabled the CNO to reduce the number of not stated
responses to this category.
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 the 2006 data year, 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.
Manitoba—Place of Work
According to the CRNM, the substantial increase in the Place of Work (Primary
Employer) data element was due to RNs and NPs indicating their place of work
for the data year 2010, resulting in a decrease of not stated. In the 2009 data
year, the decrease in primary workplace was the result of RNs and NPs failing to
indicate their place of work; this resulted in an extensive increase of not stated.
122
Chapter 5—Methodological Notes
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 year.
Manitoba—Position
According to the CRNM, an increase in other positions was due to nurse midwife
reporting in the data year 2010. However, the CRNM could not ascertain the
true count, and has decided to move all RNs that reported as nurse midwife to
other positions.
Demographics
Manitoba—Birth Year and Sex
Since data year 2007, the CRNM has submitted age groups and aggregate
tables instead of Birth Year and Sex as a result of changes to provincial
privacy legislation.
Education
Prince Edward Island—Other Education in Nursing
Since data year 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 responses under the category none.
Northwest Territories/Nunavut—Other Education in Nursing
In the 2008 data year, 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—Location of Graduation
Starting in data year 2008, there has been an increase for the categories of
United Kingdom, United States, Hong Kong and other foreign countries. 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 data
years 2006, 2007 and 2008.
123
Regulated Nurses: Canadian Trends, 2006 to 2010
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
In the 2009 data year, the CRNM provided the fields Postal Code of Employer
(Worksite) and partial Postal Code of Residence. While in past years, Postal
Code of Employer (Worksite) was not submitted to CIHI by the CRNM, they did
provide partial Postal Code of Residence.
Alberta—Postal Code
Staring in data year 2007, the College and Association of Registered Nurses of
Alberta (CARNA) provided the fields Postal Code of Employer (Worksite) and
Postal Code of Residence. In the 2006 data year, the fields Postal Code of
Residence and partial Postal Code of Employer (Worksite) were submitted to
CIHI by the CARNA.
Yukon—Postal Code
In the 2009 data year, 75 RNs were employed in small Yukon communities
outside of Whitehorse, but were reported under the employer’s Whitehorse office
postal code. CIHI has moved those 75 RNs from urban area to rural area.
Methodological and Historical Changes to Licensed
Practical Nursing Data, 2006 to 2010
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.
124
Chapter 5—Methodological Notes
Employment
Quebec—Place of Work
Data for the sub-element mental health centre was not collected for the data
years 2006 to 2010, because this type of institution, as defined by CIHI, does not
exist in the province of Quebec. In data year 2006, the Ordre des infirmières et
infirmiers auxiliaires du Québec (OIIAQ) merged most of Quebec’s public-sector
hospitals, long-term care facilities and community health centres into centre
de santé et des services sociaux (CSSS). Since the merger, the OIIAQ has
reclassified its definitions for the field Place of Work.
Alberta—Place of Work
According to the College of Licensed Practical Nurses of Alberta (CLPNA),
this substantial increase in the community health centre for data year 2010 is
the result of many rural hospitals having changed to community health centres.
The CLPNA used to have many facilities in its system associated with different
organization types (home care, community care, etc.), but the rural communities
have now moved the organization types under one facility name.
Demographics
Manitoba—Birth Year and Sex
In the 2008 data year, the College of Licensed Practical Nurses of Manitoba
(CLPNM) submitted age groups and aggregate tables instead of Birth Year and
Sex as a result of changes to provincial privacy legislation.
Education
Nova Scotia—Initial Education in Practical Nursing
For the 2010 data year, the College of Licensed Practical Nurses of Nova Scotia
converted/migrated to a new database. The database change did not capture
the complete count of Initial Education in Practical Nursing option equivalency.
A correction will be applied for next year’s data collection and missing data for
this year will be reviewed in 2011.
Quebec—Location of Graduation
The OIIAQ did not submit data for this field for data year 2006; all records were
defaulted to not stated.
125
Regulated Nurses: Canadian Trends, 2006 to 2010
Alberta—Location of Graduation
Starting in data year 2009, there has been a substantial increase in the
Philippines category compared with previous years, as a larger number of
practical nurses have graduated in this country.
Methodological and Historical Changes to Registered
Psychiatric Nursing Data, 2006 to 2010
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.
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
Manitoba—Employment Status
In the 2009 data year, the College of Registered Psychiatric Nurses of Manitoba
(CRPNM) converted/migrated to a new database. The database change was
done prior to the CIHI data collection, and it was noticed at the registration
renewal period that a high volume of the employment status data was converted
incorrectly. Although, the full-time, part-time and casual numbers did fluctuate
slightly, the differences between data years 2008 and 2009 are more likely a
product of these conversions. CRPNM compared the 2008 data to that of 2010
and believe that this is an accurate reflection of what is happening in the
Manitoba registered psychiatric nurses workforce.
126
Chapter 5—Methodological Notes
Manitoba—Place of Work, Area of Responsibility, Position
For data years 2009 and 2010, CRPNM reported that the variations for Place
of Work (Primary Employer) were another instance where, prior to the CIHI
data collection, the new database seemed to have replaced some of the primary
employer data with the secondary employer data. Although CRPNM does see
many (most) of its new graduates employed in hospitals or personal care homes,
there were not enough of them to account for the large increase in the hospital
category. Likewise, for retirees leaving a community mental health agency/
centre, the decrease was relatively high compared to the number who retired.
Education
Manitoba—Other Education in Psychiatric Nursing
According to the CRPNM, the variances for Other Education in Psychiatric
Nursing are based on coding changes in the 2009 and 2010 data years. Although
not stated probably equals none, it is more accurate to code these in the
category not stated based on the way the question is asked on CRPNM’s
registration renewal form.
British Columbia—Location of Graduation
In data years 2008, 2009 and 2010, 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.
127
Provincial/Territorial Nursing
Workforce Profiles
Provincial/Territorial Nursing Workforce Profiles
Regulated Nursing Workforce Profile, Newfoundland and Labrador, 2010
Licensed Practical
Nurses
Registered Nurses
RN
Canada
%
%
LPN
%
Registered
Psychiatric Nurses
Regulated Nurses
Canada
%
RPN
%
Canada
%
#
Canada
%
%
Employed in Nursing Workforce
6,013
–
–
2,495
–
–
–
–
–
8,508
–
6,013
Per 100,000 Population
Sex
Male
1,180
314
–
5.2
–
6.4
489
290
–
11.6
–
7.5
–
–
–
–
–
22.5
1,669
604
–
7.1
1,180
6.9
5,699
94.8
93.6
2,205
88.4
92.5
–
–
77.5
7,904
92.9
93.1
43.0
–
–
45.0
–
–
–
–
–
43.6
–
–
Female
Average Age
Years
Age
Breakdown
<35 Years
1,466
24.4
21.6
474
19.0
27.8
–
–
13.9
1,940
22.8
22.9
35–49 Years
2,782
46.3
38.0
1,085
43.5
38.2
–
–
39.4
3,867
45.5
38.1
50+ Years
Full Time
1,764
4,494
29.3
74.7
40.3
58.0
936
1,823
37.5
73.1
34.0
49.6
–
–
–
–
46.7
66.6
2,700
6,317
31.7
74.2
39.0
56.2
Part Time
842
14.0
30.0
107
4.3
33.9
–
–
19.6
949
11.2
30.8
Casual
677
11.3
11.9
565
22.6
16.5
–
–
13.9
1,242
14.6
13.0
–
–
–
–
–
–
–
–
–
–
–
–
Employment
Status
Employed—
Status
Unknown
Place of Work
Area of
Responsibility
Position
4,074
67.8
63.0
1,110
44.5
45.1
–
–
45.2
5,184
60.9
58.7
Community
Health Agency
Hospital
758
12.6
14.0
86
3.4
9.5
–
–
24.7
844
9.9
13.1
Nursing
Home/LTC
Facility
509
8.5
9.6
1,260
50.5
38.1
–
–
17.6
1,769
20.8
16.1
Other Place
of Work
670
11.1
13.4
39
1.6
7.3
–
–
12.4
709
8.3
12.0
Direct Care
5,296
88.1
89.3
2,466
99.6
98.2
–
–
89.1
7,762
91.4
91.3
Admin./Educ./
Research
715
11.9
10.7
11
0.4
1.8
–
–
10.9
726
8.6
8.7
Managerial
Positions
666
11.1
6.9
–
–
1.4
–
–
10.0
666
7.8
5.7
4,615
76.8
77.9
2,384
95.6
91.7
–
–
78.5
6,999
82.3
81.1
Other
Positions
730
12.1
15.3
110
4.4
6.9
–
–
11.5
840
9.9
13.3
Single
Employer
5,266
87.7
86.6
2,145
86.0
82.6
–
–
78.3
7,411
87.2
85.5
740
12.3
13.4
350
14.0
17.4
–
–
21.7
1,090
12.8
14.5
Staff/
Community
Health Nurse
Multiple
Employment
Status
Highest
Education in
Nursing
Discipline
Location of
Graduation
Multiple
Employers
Diploma
3,357
55.8
57.7
2,495
100.0
100.0
–
–
88.9
5,852
68.8
67.8
Baccalaureate
Master’s/
Doctorate
2,467
189
41.0
3.1
38.8
3.5
–
–
–
–
–
–
–
–
–
–
10.7
0.4
2,467
189
29.0
2.2
29.5
2.7
Canadian
Trained
5,913
98.4
91.4
2,46†
†
97.3
–
–
92.2
8,37†
†
92.7
96
1.6
8.6
†
†
2.7
–
–
7.8
9†
†
7.3
Internationally
Educated
Notes
– Data is not applicable or does not exist.
† Digit suppressed in accordance with CIHI’s privacy policy; digit is from 0 to 9.
Employed—status unknown are excluded from percentage distributions.
Source
Nursing Database, Canadian Institute for Health Information.
131
Regulated Nurses: Canadian Trends, 2006 to 2010
Regulated Nursing Workforce Profile, Prince Edward Island, 2010
Licensed Practical
Nurses
Registered Nurses
Regulated Nurses
Employed in Nursing Workforce
RN
1,472
–
Canada
%
–
Per 100,000 Population
1,035
–
–
415
–
–
–
–
–
1,449
–
–
36
2.4
6.4
50
8.5
7.5
–
–
22.5
86
4.2
6.9
93.1
Sex
Male
Female
%
LPN
590
%
–
Canada
%
–
RPN
–
%
–
Canada
%
–
#
2,062
Canada
%
%
–
1,436
97.6
93.6
540
91.5
92.5
–
–
77.5
1,976
95.8
Average Age
Years
47.2
–
–
47.3
–
–
–
–
–
47.3
–
–
Age
Breakdown
<35 Years
251
17.1
21.6
86
14.6
27.8
–
–
13.9
337
16.3
22.9
35–49 Years
568
38.6
38.0
234
39.7
38.2
–
–
39.4
802
38.9
38.1
50+ Years
653
44.4
40.3
270
45.8
34.0
–
–
46.7
923
44.8
39.0
Full Time
744
50.5
58.0
271
45.9
49.6
–
–
66.6
1,015
49.2
56.2
Part Time
538
36.5
30.0
225
38.1
33.9
–
–
19.6
763
37.0
30.8
Casual
190
12.9
11.9
94
15.9
16.5
–
–
13.9
284
13.8
13.0
–
–
–
–
–
–
–
–
–
–
–
–
854
58.0
63.0
288
48.8
45.1
–
–
45.2
1,142
55.4
58.7
46
3.1
14.0
3†
†
9.5
–
–
24.7
8†
†
13.1
Nursing
Home/LTC
Facility
219
14.9
9.6
211
35.8
38.1
–
–
17.6
430
20.9
16.1
Other Place
of Work
Direct Care
353
24.0
13.4
5†
†
7.3
–
–
12.4
40†
†
12.0
1,298
88.2
89.3
567
98.8
98.2
–
–
89.1
1,865
91.2
91.3
174
11.8
10.7
7
1.2
1.8
–
–
10.9
181
8.8
8.7
158
10.8
6.9
8
1.4
1.4
–
–
10.0
166
8.1
5.7
1,092
74.4
77.9
540
91.5
91.7
–
–
78.5
1,632
79.3
81.1
218
14.9
15.3
42
7.1
6.9
–
–
11.5
260
12.6
13.3
1,277
86.8
86.6
494
83.7
82.6
–
–
78.3
1,771
85.9
85.5
195
13.2
13.4
96
16.3
17.4
–
–
21.7
291
14.1
14.5
Employment
Status
Employed—
Status
Unknown
Place of Work
Hospital
Community
Health Agency
Area of
Responsibility
Position
Multiple
Employment
Status
Highest
Education in
Nursing
Discipline
Location of
Graduation
Admin./Educ./
Research
Managerial
Positions
Staff/
Community
Health Nurse
Other
Positions
Single
Employer
Multiple
Employers
Diploma
1,015
69.0
57.7
100.0
–
–
88.9
1,605
77.8
67.8
Baccalaureate
457
31.0
38.8
590 100.0
–
–
–
–
–
10.7
457
22.2
29.5
Master’s/
Doctorate
Canadian
Trained
Internationally
Educated
–
–
3.5
–
–
–
–
–
0.4
–
–
2.7
1,437
98.2
91.4
58†
†
97.3
–
–
92.2
2,02†
†
92.7
27
1.8
8.6
†
†
2.7
–
–
7.8
2†
†
7.3
Notes
– Data is not applicable or does not exist.
† Digit suppressed in accordance with CIHI’s privacy policy; digit is from 0 to 9.
Employed—status unknown are excluded from percentage distributions.
Source
Nursing Database, Canadian Institute for Health Information.
132
Registered
Psychiatric Nurses
Provincial/Territorial Nursing Workforce Profiles
Regulated Nursing Workforce Profile, Nova Scotia, 2010
Licensed Practical
Nurses
Registered Nurses
Registered
Psychiatric Nurses
Regulated Nurses
–
Canada
%
–
–
Canada
%
–
Per 100,000 Population
973
–
–
375
–
–
–
–
–
1,348
–
–
Sex
379
4.1
6.4
180
5.1
7.5
–
–
22.5
559
4.4
6.9
8,794
95.9
93.6
3,350
94.9
92.5
–
–
77.5
12,144
95.6
93.1
46.8
–
–
45.2
–
–
–
–
–
46.4
–
–
1,496
16.3
21.6
669
19.0
27.8
–
–
13.9
2,165
17.0
22.9
Employed in Nursing Workforce
Male
Female
Average Age
Years
Age
Breakdown
<35 Years
Employment
Status
Multiple
Employment
Status
Highest
Education in
Nursing
Discipline
Location of
Graduation
%
RPN
–
%
–
Canada
%
–
#
12,703
Canada
%
%
–
3,589
39.1
38.0
1,517
43.0
38.2
–
–
39.4
5,106
40.2
38.1
4,088
44.6
40.3
1,344
38.1
34.0
–
–
46.7
5,432
42.8
39.0
Full Time
6,001
65.4
58.0
1,542
45.6
49.6
–
–
66.6
7,543
60.1
56.2
Part Time
2,228
24.3
30.0
1,157
34.2
33.9
–
–
19.6
3,385
27.0
30.8
943
10.3
11.9
681
20.1
16.5
–
–
13.9
1,624
12.9
13.0
1
–
–
150
–
–
–
–
–
151
–
–
6,117
66.7
63.0
1,423
46.4
45.1
–
–
45.2
7,540
61.6
58.7
937
10.2
14.0
446
14.5
9.5
–
–
24.7
1,383
11.3
13.1
Nursing
Home/LTC
Facility
1,007
11.0
9.6
1,117
36.4
38.1
–
–
17.6
2,124
17.4
16.1
Other Place
of Work
Direct Care
1,106
12.1
13.4
80
2.6
7.3
–
–
12.4
1,186
9.7
12.0
8,057
87.9
89.3
3,469
98.9
98.2
–
–
89.1
11,526
90.9
91.3
Admin./Educ./
Research
Managerial
Positions
Staff/
Community
Health Nurse
1,114
12.1
10.7
38
1.1
1.8
–
–
10.9
1,152
9.1
8.7
967
10.6
6.9
88
2.5
1.4
–
–
10.0
1,055
8.3
5.7
6,938
75.8
77.9
3,255
92.8
91.7
–
–
78.5
10,193
80.5
81.1
Other
Positions
Single
Employer
1,248
13.6
15.3
164
4.7
6.9
–
–
11.5
1,412
11.2
13.3
8,298
90.5
86.6
3,006
85.2
82.6
–
–
78.3
11,304
89.0
85.5
875
9.5
13.4
524
14.8
17.4
–
–
21.7
1,399
11.0
14.5
Hospital
Community
Health Agency
Position
LPN
3,530
50+ Years
Employed—
Status
Unknown
Area of
Responsibility
%
35–49 Years
Casual
Place of Work
RN
9,173
Multiple
Employers
Diploma
4,983
54.3
57.7
3,530
100.0
100.0
–
–
88.9
8,513
67.0
67.8
Baccalaureate
3,846
41.9
38.8
–
–
–
–
–
10.7
3,846
30.3
29.5
Master’s/
Doctorate
Canadian
Trained
Internationally
Educated
344
3.8
3.5
–
–
–
–
–
0.4
344
2.7
2.7
8,900
97.0
91.4
3,505
99.3
97.3
–
–
92.2
12,405
97.7
92.7
273
3.0
8.6
25
0.7
2.7
–
–
7.8
298
2.3
7.3
Notes
– Data is not applicable or does not exist.
Employed—status unknown are excluded from percentage distributions.
Source
Nursing Database, Canadian Institute for Health Information.
133
Regulated Nurses: Canadian Trends, 2006 to 2010
Regulated Nursing Workforce Profile, New Brunswick, 2010
Licensed Practical
Nurses
Registered Nurses
Canada
%
–
LPN
2,802
RPN
–
%
–
Canada
%
–
#
10,904
%
–
Canada
%
Per 100,000 Population
1,078
–
–
373
–
–
–
–
–
1,450
–
–
371
4.6
6.4
310
11.1
7.5
–
–
22.5
681
6.2
6.9
7,731
95.4
93.6
2,492
88.9
92.5
–
–
77.5 10,223
93.8
93.1
45.2
–
–
43.7
–
–
–
–
–
44.8
–
–
Female
Average Age
Years
Age
Breakdown
<35 Years
1,604
19.8
21.6
675
24.1
27.8
–
–
13.9
2,279
20.9
22.9
35–49 Years
3,402
42.0
38.0
1,194
42.6
38.2
–
–
39.4
4,596
42.1
38.1
50+ Years
3,096
38.2
40.3
933
33.3
34.0
–
–
46.7
4,029
36.9
39.0
Full Time
5,225
64.5
58.0
1,522
54.3
49.6
–
–
66.6
6,747
61.9
56.2
Part Time
2,093
25.8
30.0
884
31.5
33.9
–
–
19.6
2,977
27.3
30.8
784
9.7
11.9
396
14.1
16.5
–
–
13.9
1,180
10.8
13.0
–
–
–
–
–
–
–
–
–
–
–
–
Employment
Status
Casual
Employed—
Status
Unknown
Place of Work
Area of
Responsibility
Position
Multiple
Employment
Status
Highest
Education in
Nursing
Discipline
Location of
Graduation
5,455
67.3
63.0
1,552
55.4
45.1
–
–
45.2
7,007
64.3
58.7
Community
Health Agency
Hospital
939
11.6
14.0
112
4.0
9.5
–
–
24.7
1,051
9.6
13.1
Nursing
Home/LTC
Facility
798
9.8
9.6
1,055
37.7
38.1
–
–
17.6
1,853
17.0
16.1
Other Place
of Work
Direct Care
910
11.2
13.4
83
3.0
7.3
–
–
12.4
993
9.1
12.0
7,248
89.5
89.3
2,627
95.2
98.2
–
–
89.1
9,875
90.9
91.3
854
10.5
10.7
132
4.8
1.8
–
–
10.9
986
9.1
8.7
941
11.6
6.9
52
1.9
1.4
–
–
10.0
993
9.1
5.7
6,423
79.3
77.9
2,518
90.0
91.7
–
–
78.5
8,941
82.0
81.1
738
9.1
15.3
228
8.1
6.9
–
–
11.5
966
8.9
13.3
7,314
90.3
86.6
2,579
92.0
82.6
–
–
78.3
9,893
90.7
85.5
223
8.0
17.4
–
–
21.7
1,011
9.3
14.5
2,802 100.0
Admin./Educ./
Research
Managerial
Positions
Staff/
Community
Health Nurse
Other
Positions
Single
Employer
Multiple
Employers
Diploma
788
9.7
13.4
3,831
47.3
57.7
100.0
–
–
88.9
6,633
60.8
67.8
Baccalaureate
4,028
49.7
38.8
–
–
–
–
–
10.7
4,028
36.9
29.5
Master’s/
Doctorate
Canadian
Trained
Internationally
Educated
243
3.0
3.5
–
–
–
–
–
0.4
243
2.2
2.7
7,970
98.4
91.4
2,788
99.5
97.3
–
–
92.2 10,758
98.7
92.7
131
1.6
8.6
14
0.5
2.7
–
–
1.3
7.3
Notes
– Data is not applicable or does not exist.
Employed—status unknown are excluded from percentage distributions.
Source
Nursing Database, Canadian Institute for Health Information.
134
Canada
%
–
Employed in Nursing Workforce
Male
%
–
Regulated Nurses
RN
8,102
Sex
%
–
Registered
Psychiatric Nurses
7.8
145
Provincial/Territorial Nursing Workforce Profiles
Regulated Nursing Workforce Profile, Quebec, 2010
Licensed Practical
Nurses
Registered Nurses
Employed in Nursing Workforce
Per 100,000 Population
Sex
Male
Female
RN
66,333
Canada
%
%
256
–
–
6,497
9.8
6.4
1,819
9.0
7.5
59,836
90.2
93.6
18,425 91.0
43.5
–
–
–
–
–
22.5
8,316
9.6
6.9
93.1
–
77.5
78,261
90.4
–
–
43.0
–
–
21.6
6,144 30.3
27.8
–
–
13.9
24,200
28.0
22.9
37.3
38.0
8,348 41.2
38.2
–
–
39.4
33,097
38.2
38.1
35.5
40.3
5,752 28.4
34.0
–
–
46.7
29,280
33.8
39.0
37,675
56.9
58.0
7,944 39.2
49.6
–
–
66.6
45,619
52.8
56.2
21,588
32.6
30.0
9,691 47.9
33.9
–
–
19.6
31,279
36.2
30.8
6,925
10.5
11.9
2,609 12.9
145
–
–
Part Time
Location of
Graduation
1,095
Canada
%
–
–
–
Full Time
Highest
Education in
Nursing
Discipline
–
%
–
23,528
Multiple
Employment
Status
–
#
86,577
–
24,749
37,563
56.6
63.0
Community
Health Agency
6,916
10.4
14.0
Nursing
Home/LTC
Facility
8,103
12.2
Other Place
of Work
Direct Care
13,751
20.7
Other
Positions
Single
Employer
Canada
%
92.5
50+ Years
Position
–
Regulated Nurses
–
35–49 Years
Admin./Educ./
Research
Managerial
Positions
Staff/
Community
Health Nurse
–
–
27.2
Area of
Responsibility
–
–
18,056
Hospital
%
–
–
<35 Years
Place of Work
RPN
–
–
Age
Breakdown
Employed—
Status
Unknown
Canada
%
–
839
Years
Casual
%
–
LPN
20,244
Average Age
Employment
Status
Registered
Psychiatric Nurses
41.6
16.5
–
–
13.9
9,534
11.0
13.0
–
–
–
–
–
145
–
–
7,101 41.6
–
45.1
–
–
45.2
44,664
53.6
58.7
1.9
9.5
–
–
24.7
7,244
8.7
13.1
9.6
7,619 44.7
38.1
–
–
17.6
15,722
18.9
16.1
13.4
2,013 11.8
7.3
–
–
12.4
15,764
18.9
12.0
19,887 98.4
328
56,769
86.7
89.3
98.2
–
–
89.1
76,656
89.4
91.3
8,712
13.3
10.7
332
1.6
1.8
–
–
10.9
9,044
10.6
8.7
3,897
5.9
6.9
–
–
1.4
–
–
10.0
3,897
4.5
5.7
52,988
80.2
77.9
19,628 97.2
91.7
–
–
78.5
72,616
84.2
81.1
9,179
13.9
15.3
2.8
6.9
–
–
11.5
9,753
11.3
13.3
60,264
90.9
86.6
17,207 85.0
82.6
–
–
78.3
77,471
89.5
85.5
6,069
9.1
13.4
3,037 15.0
17.4
–
–
21.7
9,106
10.5
14.5
574
Multiple
Employers
Diploma
44,405
66.9
57.7
20,244 100.0
100.0
–
–
88.9
64,649
74.7
67.8
Baccalaureate
19,991
30.1
38.8
–
–
–
–
–
10.7
19,991
23.1
29.5
Master’s/
Doctorate
Canadian
Trained
Internationally
Educated
1,937
2.9
3.5
–
–
–
–
–
0.4
1,937
2.2
2.7
64,553
97.3
91.4
20,244 100.0
97.3
–
–
92.2
84,797
97.9
92.7
1,780
2.7
8.6
–
2.7
–
–
7.8
1,780
2.1
7.3
–
Notes
– Data is not applicable or does not exist.
Employed—status unknown are excluded from percentage distributions.
Source
Nursing Database, Canadian Institute for Health Information.
135
Regulated Nurses: Canadian Trends, 2006 to 2010
Regulated Nursing Workforce Profile, Ontario, 2010
Licensed Practical
Nurses
Registered Nurses
Employed in Nursing Workforce
Per 100,000 Population
Sex
Male
Female
Average Age
Years
Age
Breakdown
<35 Years
Employment
Status
Position
Multiple
Employment
Status
Highest
Education in
Nursing
Discipline
Location of
Graduation
721
–
–
230
–
–
–
–
–
951
–
–
4,747
5.0
6.4
2,016
6.6
7.5
–
–
22.5
6,763
5.4
6.9
90,438
95.0
93.6
28,407
93.4
92.5
–
–
77.5 118,845
94.6
93.1
46.5
–
–
44.2
–
–
–
–
–
45.9
–
–
17,495
18.4
21.6
7,781
25.6
27.8
–
–
13.9
25,276
20.1
22.9
%
LPN
30,423
–
RPN
–
%
–
Canada
%
#
– 125,608
%
Canada
%
–
–
36,865
38.7
38.0
11,195
36.8
38.2
–
–
39.4
48,060
38.3
38.1
40,823
42.9
40.3
11,447
37.6
34.0
–
–
46.7
52,270
41.6
39.0
Full Time
62,602
65.8
58.0
17,636
58.0
49.6
–
–
66.6
80,238
63.9
56.2
Part Time
24,742
26.0
30.0
10,132
33.3
33.9
–
–
19.6
34,874
27.8
30.8
7,841
8.2
11.9
2,655
8.7
16.5
–
–
13.9
10,496
8.4
13.0
–
–
–
–
–
–
–
–
–
–
–
–
Hospital
61,449
65.3
63.0
13,373
44.9
45.1
–
–
45.2
74,822
60.4
58.7
Community
Health Agency
15,374
16.3
14.0
3,418
11.5
9.5
–
–
24.7
18,792
15.2
13.1
Nursing
Home/LTC
Facility
7,854
8.3
9.6
11,164
37.5
38.1
–
–
17.6
19,018
15.3
16.1
Other Place
of Work
Direct Care
9,465
10.1
13.4
1,855
6.2
7.3
–
–
12.4
11,320
9.1
12.0
85,414
90.7
89.3
29,359
98.1
98.2
–
–
89.1 114,773
92.4
91.3
8,805
9.3
10.7
579
1.9
1.8
–
–
10.9
9,384
7.6
8.7
5,522
5.8
6.9
704
2.3
1.4
–
–
10.0
6,226
5.0
5.7
72,249
76.5
77.9
26,458
88.3
91.7
–
–
78.5
98,707
79.3
81.1
16,715
17.7
15.3
2,816
9.4
6.9
–
–
11.5
19,531
15.7
13.3
82,729
86.9
86.6
25,523
83.9
82.6
–
–
78.3 108,252
86.2
85.5
4,900
16.1
17.4
–
–
21.7
17,356
13.8
14.5
30,423 100.0
Admin./Educ./
Research
Managerial
Positions
Staff/
Community
Health Nurse
Other
Positions
Single
Employer
Multiple
Employers
Diploma
12,456
13.1
13.4
56,405
59.3
57.7
100.0
–
–
88.9
86,828
69.1
67.8
Baccalaureate
35,169
36.9
38.8
–
–
–
–
–
10.7
35,169
28.0
29.5
Master’s/
Doctorate
Canadian
Trained
Internationally
Educated
3,611
3.8
3.5
–
–
–
–
–
0.4
3,611
2.9
2.7
83,572
87.9
91.4
29,013
95.4
97.3
–
–
92.2 112,585
89.7
92.7
11,492
12.1
8.6
1,401
4.6
2.7
–
–
10.3
7.3
Notes
– Data is not applicable or does not exist.
Employed—status unknown are excluded from percentage distributions.
Source
Nursing Database, Canadian Institute for Health Information.
136
%
50+ Years
Employed—
Status
Unknown
Area of
Responsibility
–
Canada
%
–
RN
95,185
Canada
%
–
Regulated Nurses
35–49 Years
Casual
Place of Work
Registered
Psychiatric Nurses
7.8
12,893
Provincial/Territorial Nursing Workforce Profiles
Regulated Nursing Workforce Profile, Manitoba, 2010
Licensed Practical
Nurses
Registered Nurses
Regulated Nurses
–
–
LPN
2,732
–
Canada
%
–
Per 100,000 Population
941
–
–
221
–
–
77
–
–
1,239
–
–
Sex
760
6.5
6.4
163
6.0
7.5
212
22.3
22.5
1,135
7.4
6.9
10,870
93.5
93.6
2,569
94.0
92.5
737
77.7
77.5
14,176
92.6
93.1
46.3
–
–
46.1
–
–
47.7
–
–
46.3
–
–
2,092
18.0
21.6
524
19.2
27.8
140
14.8
13.9
2,756
18.0
22.9
Employed in Nursing Workforce
Male
Female
Average Age
Years
Age
Breakdown
<35 Years
Employment
Status
Area of
Responsibility
Position
Multiple
Employment
Status
Highest
Education in
Nursing
Discipline
Location of
Graduation
%
%
RPN
949
%
–
Canada
%
–
#
15,311
Canada
%
%
–
35–49 Years
4,589
39.5
38.0
1,030
37.7
38.2
338
35.6
39.4
5,957
38.9
38.1
50+ Years
4,949
42.6
40.3
1,178
43.1
34.0
471
49.6
46.7
6,598
43.1
39.0
Full Time
5,344
46.5
58.0
953
34.9
49.6
563
60.1
66.6
6,860
45.2
56.2
Part Time
5,074
44.1
30.0
1,498
54.8
33.9
293
31.3
19.6
6,865
45.2
30.8
Casual
1,086
9.4
11.9
281
10.3
16.5
80
8.5
13.9
1,447
9.5
13.0
126
–
–
–
–
–
13
–
–
139
–
–
Employed—
Status
Unknown
Place of Work
RN
11,630
Canada
%
Registered
Psychiatric Nurses
Hospital
6,878
59.8
63.0
1,100
40.6
45.1
367
38.7
45.2
8,345
55.1
58.7
Community
Health Agency
2,041
17.7
14.0
281
10.4
9.5
237
25.0
24.7
2,559
16.9
13.1
Nursing
Home/LTC
Facility
1,304
11.3
9.6
1,165
43.0
38.1
226
23.8
17.6
2,695
17.8
16.1
Other Place
of Work
Direct Care
1,276
11.1
13.4
163
6.0
7.3
119
12.5
12.4
1,558
10.3
12.0
10,010
86.8
89.3
2,691
98.6
98.2
799
84.6
89.1
13,500
88.8
91.3
Admin./Educ./
Research
Managerial
Positions
Staff/
Community
Health Nurse
1,517
13.2
10.7
39
1.4
1.8
145
15.4
10.9
1,701
11.2
8.7
846
7.4
6.9
43
1.6
1.4
91
9.6
10.0
980
6.5
5.7
8,573
74.7
77.9
2,553
93.4
91.7
706
74.5
78.5
11,832
78.1
81.1
Other
Positions
Single
Employer
2,052
17.9
15.3
136
5.0
6.9
151
15.9
11.5
2,339
15.4
13.3
126
100.0
86.6
2,077
76.0
82.6
784
82.6
78.3
2,987
78.5
85.5
–
–
13.4
655
24.0
17.4
165
17.4
21.7
820
21.5
14.5
2,732 100.0
Multiple
Employers
Diploma
6,691
57.5
57.7
100.0
710
74.8
88.9
10,133
66.2
67.8
Baccalaureate
4,603
39.6
38.8
–
–
–
239
25.2
10.7
4,842
31.6
29.5
Master’s/
Doctorate
Canadian
Trained
Internationally
Educated
336
2.9
3.5
–
–
–
–
–
0.4
336
2.2
2.7
10,836
93.2
91.4
2,630
96.3
97.3
938
98.8
92.2
14,404
94.1
92.7
794
6.8
8.6
102
3.7
2.7
11
1.2
7.8
907
5.9
7.3
Notes
– Data is not applicable or does not exist.
Employed—status unknown are excluded from percentage distributions.
Source
Nursing Database, Canadian Institute for Health Information.
137
Regulated Nurses: Canadian Trends, 2006 to 2010
Regulated Nursing Workforce Profile, Saskatchewan, 2010
Licensed Practical
Nurses
Registered Nurses
–
Per 100,000 Population
912
–
–
260
–
–
80
–
–
1,253
–
–
Sex
518
5.4
6.4
99
3.6
7.5
132
15.8
22.5
749
5.7
6.9
9,020
94.6
93.6
2,624 96.4
92.5
705
84.2
77.5
12,349
94.3
93.1
45.3
–
–
42.8
–
–
49.4
–
–
45.1
–
–
Male
Female
RN
9,538
%
LPN
2,723
%
–
Canada
%
–
RPN
837
Regulated Nurses
Canada
%
–
Employed in Nursing Workforce
%
–
Canad
a%
–
#
13,098
%
Canada
%
–
–
Average Age
Years
Age
Breakdown
<35 Years
2,268
23.8
21.6
880
32.3
27.8
40
4.8
13.9
3,188
24.3
22.9
35–49 Years
3,225
33.8
38.0
859
31.5
38.2
389
46.5
39.4
4,473
34.2
38.1
50+ Years
4,045
42.4
40.3
984
36.1
34.0
408
48.7
46.7
5,437
41.5
39.0
Full Time
5,753
60.3
58.0
1,476 54.3
49.6
614
73.4
66.6
7,843
59.9
56.2
Part Time
2,612
27.4
30.0
730
26.9
33.9
152
18.2
19.6
3,494
26.7
30.8
Casual
1,173
12.3
11.9
510
18.8
16.5
70
8.4
13.9
1,753
13.4
13.0
–
–
–
7
–
–
1
–
–
8
–
–
1,805 66.4
Employment
Status
Employed—
Status
Unknown
Place of Work
Area of
Responsibility
Position
Multiple
Employment
Status
Highest
Education in
Nursing
Discipline
Location of
Graduation
Hospital
5,404
57.3
63.0
45.1
205
24.6
45.2
7,414
57.1
58.7
Community
Health Agency
1,702
18.1
14.0
251
9.2
9.5
197
23.6
24.7
2,150
16.6
13.1
Nursing
Home/LTC
Facility
1,108
11.8
9.6
586
21.6
38.1
300
36.0
17.6
1,994
15.4
16.1
Other Place
of Work
Direct Care
1,214
12.9
13.4
76
2.8
7.3
131
15.7
12.4
1,421
10.9
12.0
8,553
90.7
89.3
2,690 99.0
98.2
758
91.1
89.1
12,001
92.5
91.3
874
9.3
10.7
28
1.0
1.8
74
8.9
10.9
976
7.5
8.7
656
7.0
6.9
21
0.8
1.4
108
13.0
10.0
785
6.1
5.7
7,369
78.2
77.9
2,374 87.3
91.7
629
75.9
78.5
10,372
79.9
81.1
1,402
14.9
15.3
323
11.9
6.9
92
11.1
11.5
1,817
14.0
13.3
7,461
78.8
86.6
2,13†
†
82.6
675
80.6
78.3
10,27†
†
85.5
57†
†
17.4
162
19.4
21.7
2,74†
†
14.5
2,723 100.0
Admin./Educ./
Research
Managerial
Positions
Staff/
Community
Health Nurse
Other
Positions
Single
Employer
Multiple
Employers
Diploma
2,013
21.2
13.4
4,911
51.5
57.7
100.0
809
96.7
88.9
8,443
64.5
67.8
Baccalaureate
4,359
45.7
38.8
–
–
–
28
3.3
10.7
4,387
33.5
29.5
Master’s/
Doctorate
Canadian
Trained
Internationally
Educated
267
2.8
3.5
–
–
–
–
–
0.4
267
2.0
2.7
8,786
93.1
91.4
2,689 98.8
97.3
826
98.7
92.2
12,301
94.7
92.7
649
6.9
8.6
2.7
11
1.3
7.8
694
5.3
7.3
34
1.2
Notes
– Data is not applicable or does not exist.
† Digit suppressed in accordance with CIHI’s privacy policy; digit is from 0 to 9.
Employed—status unknown are excluded from percentage distributions.
Source
Nursing Database, Canadian Institute for Health Information.
138
Registered
Psychiatric Nurses
Provincial/Territorial Nursing Workforce Profiles
Regulated Nursing Workforce Profile, Alberta, 2010
Licensed Practical
Nurses
Registered Nurses
–
–
–
Canada
%
–
–
Canada
%
–
771
–
–
196
–
–
31
–
–
998
–
–
1,369
4.8
6.4
413
5.7
7.5
289
25.2
22.5
2,071
5.6
6.9
27,312
95.2
93.6
6,888
94.3
92.5
858
74.8
77.5
35,058
94.4
93.1
45.0
–
–
42.2
–
–
47.6
–
–
44.5
–
–
6,862
23.9
21.6
2,533
34.7
27.8
193
16.8
13.9
9,588
25.8
22.9
35–49 Years
10,665
37.2
38.0
2,359
32.3
38.2
410
35.7
39.4
13,434
36.2
38.1
50+ Years
11,154
38.9
40.3
2,409
33.0
34.0
544
47.4
46.7
14,107
38.0
39.0
Full Time
11,593
40.4
58.0
3,308
45.3
49.6
664
57.9
66.6
15,565
41.9
56.2
Part Time
13,247
46.2
30.0
3,004
41.1
33.9
346
30.2
19.6
16,597
44.7
30.8
3,841
13.4
11.9
989
13.5
16.5
137
11.9
13.9
4,967
13.4
13.0
–
–
–
–
–
–
–
–
–
–
–
–
Employed in Nursing Workforce
Per 100,000 Population
Sex
Male
Female
Average Age
Years
Age
Breakdown
<35 Years
Employment
Status
Casual
Employed—
Status
Unknown
Place of Work
Area of
Responsibility
Position
Multiple
Employment
Status
Highest
Education in
Nursing
Discipline
Location of
Graduation
Regulated Nurses
LPN
7,301
Hospital
RN
28,681
Canada
%
Registered
Psychiatric Nurses
%
%
RPN
1,147
%
#
37,129
Canada
%
%
–
18,735
65.4
63.0
3,030
41.5
45.1
657
57.3
45.2
22,422
60.5
58.7
Community
Health Agency
4,012
14.0
14.0
1,890
25.9
9.5
279
24.3
24.7
6,181
16.7
13.1
Nursing
Home/LTC
Facility
2,012
7.0
9.6
1,707
23.4
38.1
107
9.3
17.6
3,826
10.3
16.1
Other Place
of Work
Direct Care
3,871
13.5
13.4
674
9.2
7.3
103
9.0
12.4
4,648
12.5
12.0
26,010
91.6
89.3
7,132
97.7
98.2
1,043
91.1
89.1
34,185
92.8
91.3
2,397
8.4
10.7
169
2.3
1.8
102
8.9
10.9
2,668
7.2
8.7
2,017
7.1
6.9
100
1.4
1.4
89
7.8
10.0
2,206
6.0
5.7
22,199
78.6
77.9
6,710
91.9
91.7
941
82.3
78.5
29,850
81.4
81.1
4,029
14.3
15.3
491
6.7
6.9
114
10.0
11.5
4,634
12.6
13.3
23,815
83.0
86.6
5,763
78.9
82.6
975
85.0
78.3
30,553
82.3
85.5
4,866
17.0
13.4
1,538
21.1
17.4
172
15.0
21.7
6,576
17.7
14.5
7,301 100.0
Admin./Educ./
Research
Managerial
Positions
Staff/
Community
Health Nurse
Other
Positions
Single
Employer
Multiple
Employers
Diploma
14,231
49.6
57.7
100.0
1,112
96.9
88.9
22,644
61.0
67.8
Baccalaureate
13,422
46.8
38.8
–
–
–
3†
†
10.7
13,45†
†
29.5
Master’s/
Doctorate
Canadian
Trained
Internationally
Educated
1,028
3.6
3.5
–
–
–
†
†
0.4
1,03†
†
2.7
25,507
89.2
91.4
6,812
93.3
97.3
1,011
89.3
92.2
33,330
90.0
92.7
3,076
10.8
8.6
489
6.7
2.7
121
10.7
7.8
3,686
10.0
7.3
Notes
– Data is not applicable or does not exist.
† Digit suppressed in accordance with CIHI’s privacy policy; digit is from 0 to 9.
Employed—status unknown are excluded from percentage distributions.
Source
Nursing Database, Canadian Institute for Health Information.
139
Regulated Nurses: Canadian Trends, 2006 to 2010
Regulated Nursing Workforce Profile, British Columbia, 2010
Licensed Practical
Nurses
Registered Nurses
Employed in Nursing Workforce
Per 100,000 Population
Sex
Male
Female
Average Age
Years
Age
Breakdown
<35 Years
Employment
Status
Area of
Responsibility
Position
Multiple
Employment
Status
Highest
Education in
Nursing
Discipline
Location of
Graduation
RN
30,919
%
–
Canada
%
–
LPN
8,235
%
–
Canada
%
–
RPN
2,241
%
–
Canada
%
–
#
41,395
682
–
–
182
–
–
49
–
–
914
–
–
2,024
6.5
6.4
719
8.7
7.5
531
23.7
22.5
3,274
7.9
6.9
28,895
93.5
93.6
7,516
91.3
92.5
1,710
76.3
77.5
38,121
92.1
93.1
46.2
–
–
41.2
–
–
47.2
–
–
45.3
–
–
6,167
19.9
21.6
2,789
33.9
27.8
346
15.4
13.9
9,302
22.5
22.9
Canada
%
%
–
11,207
36.2
38.0
3,143
38.2
38.2
904
40.3
39.4
15,254
36.8
38.1
50+ Years
13,545
43.8
40.3
2,303
28.0
34.0
991
44.2
46.7
16,839
40.7
39.0
Full Time
15,123
49.9
58.0
3,601
43.8
49.6
1,586
71.1
66.6
20,310
49.8
56.2
Part Time
7,253
23.9
30.0
56
0.7
33.9
217
9.7
19.6
7,526
18.5
30.8
Casual
7,926
26.2
11.9
4,559
55.5
16.5
427
19.1
13.9
12,912
31.7
13.0
617
–
–
19
–
–
11
–
–
647
–
–
16,417
70.6
63.0
3,770
46.4
45.1
1,105
49.5
45.2
21,292
63.3
58.7
Community
Health Agency
Hospital
2,907
12.5
14.0
466
5.7
9.5
563
25.2
24.7
3,936
11.7
13.1
Nursing
Home/LTC
Facility
1,936
8.3
9.6
3,352
41.2
38.1
276
12.4
17.6
5,564
16.5
16.1
Other Place
of Work
Direct Care
2,008
8.6
13.4
539
6.6
7.3
289
12.9
12.4
2,836
8.4
12.0
25,072
89.4
89.3
7,942
98.1
98.2
1,986
89.2
89.1
35,000
91.3
91.3
2,964
10.6
10.7
150
1.9
1.8
241
10.8
10.9
3,355
8.7
8.7
2,296
8.2
6.9
118
1.4
1.4
227
10.2
10.0
2,641
6.9
5.7
21,934
78.2
77.9
7,408
90.2
91.7
1,769
79.3
78.5
31,111
80.8
81.1
3,825
13.6
15.3
691
8.4
6.9
236
10.6
11.5
4,752
12.3
13.3
24,779
80.1
86.6
6,007
72.9
82.6
1,543
71.8
78.3
32,329
78.3
85.5
21.7
8,973
21.7
14.5
Admin./Educ./
Research
Managerial
Positions
Staff/
Community
Health Nurse
Other
Positions
Single
Employer
Multiple
Employers
Diploma
6,140
19.9
13.4
2,228
27.1
17.4
605
28.2
14,230
46.2
57.7
8,235 100.0
100.0
1,969
87.9
88.9
24,434
59.2
67.8
Baccalaureate
15,061
48.9
38.8
–
–
–
25†
†
10.7
15,31†
†
29.5
Master’s/
Doctorate
Canadian
Trained
Internationally
Educated
1,480
4.8
3.5
–
–
–
1†
†
0.4
1,49†
†
2.7
25,385
84.5
91.4
8,044
98.4
97.3
1,500
87.2
92.2
34,929
87.5
92.7
4,643
15.5
8.6
130
1.6
2.7
221
12.8
7.8
4,994
12.5
7.3
Notes
– Data is not applicable or does not exist.
† Digit suppressed in accordance with CIHI’s privacy policy; digit is from 0 to 9.
Employed—status unknown are excluded from percentage distributions.
Source
Nursing Database, Canadian Institute for Health Information.
140
Regulated Nurses
35–49 Years
Employed—
Status
Unknown
Place of Work
Registered
Psychiatric Nurses
Provincial/Territorial Nursing Workforce Profiles
Regulated Nursing Workforce Profile, Yukon, 2010
Licensed Practical
Nurses
Registered Nurses
Employed in Nursing Workforce
Per 100,000 Population
Sex
Male
Registered
Psychiatric Nurses
Regulated Nurses
RN
357
%
–
Canada
%
–
LPN
63
%
–
Canada
%
–
RPN
–
%
–
Canada
%
–
#
420
Canada
%
1,034
–
–
182
–
–
–
–
–
1,217
–
–
37
10.4
6.4
†
†
7.5
–
–
22.5
4†
†
6.9
93.1
%
–
Female
320
89.6
93.6
6†
†
92.5
–
–
77.5
38†
†
Average Age
Years
45.1
–
–
46.4
–
–
–
–
–
45.3
–
–
Age
Breakdown
<35 Years
77
21.6
21.6
10
15.9
27.8
–
–
13.9
87
20.7
22.9
35–49 Years
138
38.7
38.0
24
38.1
38.2
–
–
39.4
162
38.6
38.1
50+ Years
142
39.8
40.3
29
46.0
34.0
–
–
46.7
171
40.7
39.0
Full Time
176
49.3
58.0
47
74.6
49.6
–
–
66.6
223
53.1
56.2
Part Time
114
31.9
30.0
1†
†
33.9
–
–
19.6
12†
†
30.8
67
18.8
11.9
†
†
16.5
–
–
13.9
7†
†
13.0
–
–
–
–
–
–
–
–
–
–
–
–
Employment
Status
Casual
Employed—
Status
Unknown
Place of Work
Area of
Responsibility
Position
Multiple
Employment
Status
Highest
Education in
Nursing
Discipline
Location of
Graduation
Hospital
148
42.2
63.0
21
33.3
45.1
–
–
45.2
169
40.8
58.7
Community
Health Agency
135
38.5
14.0
†
†
9.5
–
–
24.7
13†
†
13.1
Nursing
Home/LTC
Facility
27
7.7
9.6
39
61.9
38.1
–
–
17.6
66
15.9
16.1
Other Place
of Work
Direct Care
41
11.7
13.4
†
†
7.3
–
–
12.4
4†
†
12.0
300
88.5
89.3
6†
†
98.2
–
–
89.1
36†
†
91.3
39
11.5
10.7
†
†
1.8
–
–
10.9
4†
†
8.7
37
10.5
6.9
–
–
1.4
–
–
10.0
37
10.5
5.7
288
81.6
77.9
–
–
91.7
–
–
78.5
288
81.6
81.1
28
7.9
15.3
–
–
6.9
–
–
11.5
28
7.9
13.3
273
76.5
86.6
58
92.1
82.6
–
–
78.3
331
78.8
85.5
84
23.5
13.4
5
7.9
17.4
–
–
21.7
89
21.2
14.5
63 100.0
Admin./Educ./
Research
Managerial
Positions
Staff/
Community
Health Nurse
Other
Positions
Single
Employer
Multiple
Employers
Diploma
145
40.6
57.7
100.0
–
–
88.9
208
49.5
67.8
Baccalaureate
200
56.0
38.8
–
–
–
–
–
10.7
200
47.6
29.5
Master’s/
Doctorate
Canadian
Trained
Internationally
Educated
12
3.4
3.5
–
–
–
–
–
0.4
12
2.9
2.7
331
93.0
91.4
63 100.0
97.3
–
–
92.2
394
94.0
92.7
25
7.0
8.6
2.7
–
–
7.8
25
6.0
7.3
–
–
Notes
– Data is not applicable or does not exist.
† Digit suppressed in accordance with CIHI’s privacy policy; digit is from 0 to 9.
Employed—status unknown are excluded from percentage distributions.
Source
Nursing Database, Canadian Institute for Health Information.
141
Regulated Nurses: Canadian Trends, 2006 to 2010
Regulated Nursing Workforce Profile, Northwest Territories
and Nunavut, 2010
Licensed Practical
Nurses
Registered Nurses
Regulated Nurses
Employed in Nursing Workforce
RN
1,109
%
–
Canada
%
–
LPN
86
%
–
Canada
%
–
RPN
–
%
–
Canada
%
–
#
1,195
Per 100,000 Population
1,441
–
–
112
–
–
–
–
–
1,552
–
–
111
10.0
6.4
†
†
7.5
–
–
22.5
12†
†
6.9
93.1
Sex
Male
Canada
%
%
–
Female
998
90.0
93.6
7†
†
92.5
–
–
77.5
1,07†
†
Average Age
Years
45.3
–
–
46.1
–
–
–
–
–
45.4
–
–
Age
Breakdown
<35 Years
280
25.2
21.6
14
16.3
27.8
–
–
13.9
294
24.6
22.9
35–49 Years
378
34.1
38.0
32
37.2
38.2
–
–
39.4
410
34.3
38.1
50+ Years
451
40.7
40.3
40
46.5
34.0
–
–
46.7
491
41.1
39.0
Full Time
625
56.4
58.0
74
86.0
49.6
–
–
66.6
699
58.5
56.2
Employment
Status
Part Time
–
–
30.0
†
†
33.9
–
–
19.6
†
†
30.8
484
43.6
11.9
†
†
16.5
–
–
13.9
49†
†
13.0
–
–
–
–
–
–
–
–
–
–
–
–
Hospital
420
38.4
63.0
46
53.5
45.1
–
–
45.2
466
39.5
58.7
Community
Health Agency
460
42.1
14.0
–
–
9.5
–
–
24.7
460
39.0
13.1
Nursing
Home/LTC
Facility
14
1.3
9.6
20
23.3
38.1
–
–
17.6
34
2.9
16.1
Other Place
of Work
Direct Care
199
18.2
13.4
20
23.3
7.3
–
–
12.4
219
18.6
12.0
985
91.5
89.3
8†
†
98.2
–
–
89.1
1,07†
†
91.3
92
8.5
10.7
†
†
1.8
–
–
10.9
9†
†
8.7
125
11.6
6.9
–
–
1.4
–
–
10.0
125
10.8
5.7
803
74.8
77.9
79
91.9
91.7
–
–
78.5
882
76.0
81.1
Other
Positions
Single
Employer
146
13.6
15.3
7
8.1
6.9
–
–
11.5
153
13.2
13.3
95
35.2
86.6
†
†
82.6
–
–
78.3
9†
†
85.5
Multiple
Employers
Diploma
175
64.8
13.4
–
–
17.4
–
–
21.7
17†
†
14.5
546
49.2
57.7
86 100.0
100.0
–
–
88.9
632
52.9
67.8
Baccalaureate
502
45.3
38.8
–
–
–
–
–
10.7
502
42.0
29.5
Master’s/
Doctorate
Canadian
Trained
Internationally
Educated
61
5.5
3.5
–
–
–
–
–
0.4
61
5.1
2.7
1,016
91.9
91.4
86 100.0
97.3
–
–
92.2
1,102
92.4
92.7
90
8.1
8.6
2.7
–
–
7.8
90
7.6
7.3
Casual
Employed—
Status
Unknown
Place of Work
Area of
Responsibility
Position
Multiple
Employment
Status
Highest
Education in
Nursing
Discipline
Location of
Graduation
Admin./Educ./
Research
Managerial
Positions
Staff/
Community
Health Nurse
–
–
Notes
– Data is not applicable or does not exist.
† Digit suppressed in accordance with CIHI’s privacy policy; digit is from 0 to 9.
Employed—status unknown are excluded from percentage distributions.
Source
Nursing Database, Canadian Institute for Health Information.
142
Registered
Psychiatric Nurses
Provincial/Territorial Nursing Workforce Profiles
Regulated Nursing Workforce Profile, Canada, 2010
Registered
Nurses
RPN
5,174
Sex
#
354,910
238
–
49
–
1,041
6.4
6,071
–
7.5
1,164
22.5
24,398
6.9
251,349
93.6
45.4
–
75,153
92.5
4,010
77.5
330,512
93.1
43.2
–
47.7
–
44.9
58,114
–
21.6
22,579
27.8
719
13.9
81,412
22.9
35–49 Years
50+ Years
102,157
38.0
31,020
38.2
2,041
39.4
135,218
38.1
108,238
40.3
27,625
34.0
2,414
46.7
138,277
39.0
Full Time
155,355
58.0
40,197
49.6
3,427
66.6
198,979
56.2
Part Time
80,331
30.0
27,497
33.9
1,008
19.6
108,836
30.8
Casual
31,937
11.9
13,354
16.5
714
13.9
46,005
13.0
889
–
176
–
25
–
1,090
–
Male
Female
Average Age
Years
Age
Breakdown
<35 Years
Employment
Status
Employed—
Status
Unknown
Place of Work
Area of
Responsibility
Position
Multiple
Employment
Status
Highest
Education in
Nursing
Discipline
Location of
Graduation
Hospital
–
LPN
81,224
787
–
17,163
%
Regulated Nurses
–
Per 100,000 Population
%
Registered
Psychiatric
Nurses
–
Employed in Nursing Workforce
RN
268,512
Licensed
Practical Nurses
%
%
–
163,514
63.0
34,619
45.1
2,334
45.2
200,467
58.7
Community
Health Agency
36,227
14.0
7,317
9.5
1,276
24.7
44,820
13.1
Nursing
Home/LTC
Facility
24,891
9.6
29,295
38.1
909
17.6
55,095
16.1
Other Place
of Work
Direct Care
34,864
13.4
5,597
7.3
642
12.4
41,103
12.0
235,012
89.3
78,976
98.2
4,586
89.1
318,574
91.3
28,257
10.7
1,488
1.8
562
10.9
30,307
8.7
18,128
6.9
1,134
1.4
515
10.0
19,777
5.7
205,471
77.9
73,907
91.7
4,045
78.5
283,423
81.1
40,310
15.3
5,582
6.9
593
11.5
46,485
13.3
221,697
86.6
66,996
82.6
3,977
78.3
292,670
85.5
34,401
13.4
14,130
17.4
1,104
21.7
49,635
14.5
Admin./Educ./
Research
Managerial
Positions
Staff/
Community
Health Nurse
Other
Positions
Single
Employer
Multiple
Employers
Diploma
154,750
57.7
81,224
100.0
4,600
88.9
240,574
67.8
Baccalaureate
104,105
38.8
–
–
553
10.7
104,658
29.5
Master’s/
Doctorate
Canadian
Trained
Internationally
Educated
9,508
3.5
–
–
21
0.4
9,529
2.7
244,206
91.4
78,928
97.3
4,275
92.2
327,409
92.7
23,076
8.6
2,197
2.7
364
7.8
25,637
7.3
Notes
– Data is not applicable or does not exist.
Employed—status unknown are excluded from percentage distributions.
Source
Nursing Database, Canadian Institute for Health Information.
143
Regulated Nursing Contact Information
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
St. John’s, Newfoundland and Labrador A1C 2C5
Website: www.arnnl.ca
Prince Edward Island
Licensed Practical Nurses Association of Prince Edward Island
P.O. Box 20058
Charlottetown, Prince Edward Island C1A 1E9
Website: www.lpna.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
Starlight Gallery
7071 Bayers Road, Suite 302
Halifax, Nova Scotia B3L 2C2
Website: www.clpnns.ca
College of Registered Nurses of Nova Scotia
7071 Bayers Road, Suite 4005
Halifax, Nova Scotia B3L 2C2
Website: www.crnns.ca
147
Regulated Nurses: Canadian Trends, 2006 to 2010
New Brunswick
Association of New Brunswick Licensed Practical Nurses
384 Smythe Street
Fredericton, New Brunswick E3B 3E4
Website: www.anblpn.ca
Nurses Association of New Brunswick
165 Regent Street
Fredericton, New Brunswick E3B 7B4
Website: www.nanb.nb.ca
Quebec
Ordre des infirmières et infirmiers auxiliaires du Québec
531 Sherbrooke Street East
Montréal, Quebec H2L 1K2
Website: www.oiiaq.org
Ordre des infirmières et infirmiers du Québec
4200 Dorchester Boulevard West
Westmount, Quebec H3Z 1V4
Website: www.oiiq.org
Ontarioii
College of Nurses of 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
ii. 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.”
148
Regulated Nursing Contact Information
College of Registered Psychiatric Nurses of Manitoba
1854 Portage Avenue
Winnipeg, Manitoba R3J 0G9
Website: www.crpnm.mb.ca
Saskatchewan
Saskatchewan Association of Licensed Practical Nurses
700A-4400 4th Avenue
Regina, Saskatchewan S4T 0H8
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, 146th Street
Edmonton, Alberta T5L 4S8
Website: www.clpna.com
College and Association of Registered Nurses of Alberta
11620, 168th Street
Edmonton, Alberta T5M 4A6
Website: www.nurses.ab.ca
College of Registered Psychiatric Nurses of Alberta
9711, 45th Avenue, Suite 201
Edmonton, Alberta T6E 5V8
Website: www.crpna.ab.ca
149
Regulated Nurses: Canadian Trends, 2006 to 2010
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
College of Registered Psychiatric Nurses of British Columbia
307–2502 St. Johns Street
Port Moody, British Columbia V3H 2B4
Website: www.crpnbc.ca
Yukon
Yukon Consumer Services
P.O. Box 2703 (C-5)
Whitehorse, Yukon Y1A 2C6
Website: www.gov.yk.ca
Yukon Registered Nurses Association
204–4133 4th Avenue
Whitehorse, Yukon Y1A 1H8
Website: www.yrna.ca
Northwest Territories and Nunavut
Licensed Practical Nurses of the Northwest Territories and Nunavut
Department of Health and Social Services, Registrar, Professional Licensing
8th Floor, Centre Square Tower
P.O. Box 1320
Yellowknife, Northwest Territories X1A 2L9
Website: www.hlthss.gov.nt.ca
Registered Nurses Association of the Northwest Territories and Nunavut
P.O. Box 2757
Yellowknife, Northwest Territories X1A 2R1
Website: www.rnantnu.ca
150
Regulated Nursing Contact Information
Other Nursing Associations
Canadian Council for Practical Nurse Regulators
Website: www.ccpnr.ca
Canadian Nurses Association
50 The Driveway
Ottawa, Ontario K2P 1E2
Website: www.cna-aiic.ca
Registered Psychiatric Nurses of Canada
Website: www.rpnc.ca
Canadian Association of Schools of Nursing
99 Fifth Avenue, Suite 15
Ottawa, Ontario K1S 5K4
Website: www.casn.ca
Canadian Federation of Nurses Unions
2841 Riverside Drive
Ottawa, Ontario K1V 8X7
Website: www.nursesunions.ca
Aboriginal Nurses Association of Canada
16 Concourse Gate, Unit 600
Ottawa, Ontario K2E 7S8
Website: www.anac.on.ca
151
References
References
1. Canadian Nurses Association, accessed on October 16, 2011, from
<http://www.cna-aiic.ca/CNA/practice/advanced/default_e.aspx>.
2. Statistics Canada, Health Regions: Boundaries and Correspondence With
Census Geography, 2007 (updates) (Ottawa, Ont.: Statistics Canada Health
Statistics Division, 2009), accessed on October 16, 2010, from
<http://www.statcan.gc.ca/bsolc/olc-cel/olc-cel?catno=
82-402-XIE&lang=eng#formatdisp>.
3. 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>.
4. 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>.
5. 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>.
153
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ISBN 978-1-77109-005-6 (PDF)
© 2012 Canadian Institute for Health Information
How to cite this document:
Canadian Institute for Health Information, Regulated Nurses: Canadian Trends,
2006 to 2010 (Ottawa, Ont.: CIHI, 2011).
Cette publication est aussi disponible en français sous le titre Infirmières
réglementées : tendances canadiennes, 2006 à 2010.
ISBN 978-1-77109-006-3 (PDF)
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