cihi - regulated nurses, 2016...in 2016, there were 285,482 rns/nps (4,540 nps), 105,098 lpns and...

Regulated Nurses, 2016

Canada and Jurisdictional HighlightsJune 2017

http://www.cihi.ca

Production of this document is made possible by financial contributions from Health Canada and provincial and territorial governments. The views expressed herein do not necessarily represent the views of Health Canada or any provincial or territorial government.

Unless otherwise indicated, this product uses data provided by Canada’s provinces and territories.

All rights reserved.

The contents of this publication may be reproduced unaltered, in whole or in part and by any means, solely for non-commercial purposes, provided that the Canadian Institute for Health Information is properly and fully acknowledged as the copyright owner. Any reproduction or use of this publication or its contents for any commercial purpose requires the prior written authorization of the Canadian Institute for Health Information. Reproduction or use that suggests endorsement by, or affiliation with, the Canadian Institute for Health Information is prohibited.

For permission or information, please contact CIHI:

Canadian Institute for Health Information495 Richmond Road, Suite 600Ottawa, Ontario K2A 4H6

Phone: 613-241-7860Fax: [email protected]

ISBN 978-1-77109-621-8 (PDF)

© 2017 Canadian Institute for Health Information

How to cite this document:Canadian Institute for Health Information. Regulated Nurses, 2016: Canada and Jurisdictional Highlights. Ottawa, ON: CIHI; 2017.

Cette publication est aussi disponible en français sous le titre Le personnel infirmier réglementé 2016 : points saillants nationaux, provinciaux et territoriaux.ISBN 978-1-77109-622-5 (PDF)

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mailto:[email protected]

Table of contentsOverview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

Regulated professions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

Notes to readers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

Canada . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

Newfoundland and Labrador . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

Prince Edward Island . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

Nova Scotia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

New Brunswick . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

Quebec . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

Ontario . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

Manitoba . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

Saskatchewan . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

Alberta . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

British Columbia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

Yukon . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

Northwest Territories and Nunavut . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24

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Regulated Nurses, 2016: Canada and Jurisdictional Highlights

OverviewCollecting and reporting health human resources (HHR) data assists decision-makers in the planning and distribution of health care providers. Since 2002, the Canadian Institute for Health Information (CIHI) has collected data on the supply, distribution and practice characteristics of the 3 groups of regulated nursing professionals in Canada: registered nurses (including nurse practitioners), licensed practical nurses and registered psychiatric nurses.

Regulated Nurses, 2016: Canada and Jurisdictional Highlights presents the key attributes of the nursing supply and workforce in Canada and each of its provinces and territories.

More informationThe following companion products are available on CIHI’s website:

•Regulated Nurses, 2016: Summary Report (.pdf)

•Regulated Nurses, 2016: Chartbook (.pptx) (available upon request)

•Regulated Nurses, 2016: RN/NP Data Tables (.xlsx)

•Regulated Nurses, 2016: LPN Data Tables (.xlsx)

•Regulated Nurses, 2016: RPN Data Tables (.xlsx)

•Regulated Nurses, 2016: Indicators (.xlsx)

•Regulated Nurses, 2016: Methodology Guide (.pdf)

Information and analyses on 30 other health professions in Canada are also available.

Feedback and questions are welcome at [email protected].

https://www.cihi.ca/en/health-workforce

https://www.cihi.ca/en/health-workforce

mailto:[email protected]

5


Regulated professionsThere are 3 regulated nursing professions in Canada. Each province and territory has its own legislation governing nursing practice, as well as its own body that regulates and licenses its members.

Below is a brief description of each type of regulated nursing provider.

Registered nurses (RNs, including NPs) are self-regulated health care professionals who work both autonomously and in collaboration with others to enable individuals, families, groups, communities and populations to achieve their optimal levels of health. At all stages of life, in situations of health, illness, injury and disability, RNs deliver direct health care services, coordinate care and support clients in managing their own health. RNs contribute to the health care system through their leadership across a wide range of settings in practice, education, administration, research and policy. RNs are currently regulated in all 13 provinces and territories.

Nurse practitioners (NPs) are RNs with additional educational preparation and experience who possess and demonstrate the competencies to autonomously diagnose, order and interpret diagnostic tests, prescribe pharmaceuticals and perform specific procedures within their legislated scope of practice. NPs are currently regulated in all 13 provinces and territories.

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 are currently regulated in all 13 provinces and territories.

Registered psychiatric nurses (RPNs) work both autonomously and in collaboration with clients and other health care team members to coordinate health care and provide client-centred services to individuals, families, groups and communities. RPNs focus on mental and developmental health, mental illness and addictions, while integrating physical health and utilizing bio-psycho-social and spiritual models for a holistic approach to care. RPNs are currently regulated in the 4 Western provinces (Manitoba, Saskatchewan, Alberta, British Columbia) and Yukon.

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Notes to readersThroughout this document,

• The term regulated nurses is used to describe the 3 groups of regulated nursing professionals as a whole: RNs (including NPs), LPNs and RPNs.

• The term nursing refers collectively to Canada’s 3 regulated nursing professions, unless otherwise specified.

• The term supply refers to all regulated nurses who are eligible to practise in the given year (including those employed and those not employed at the time of registration).

• The term workforce refers to only those regulated nurses who were employed at the time of annual registration.

• Unless otherwise noted and/or referenced, data and information are from the nursing component of CIHI’s Health Workforce Database. At present, this data set excludes RPNs in Yukon and LPNs in Nunavut. More information regarding the collection and reporting of this data is available in the companion document Regulated Nurses, 2016: Methodology Guide.

• Urban/rural population estimates for this report were obtained from the Demography Division, Statistics Canada, in February 2016.

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Canada• The supply of regulated nurses — including those who are and are not employed —

showed a cumulative growth of 17.8% between 2007 (357,584) and 2016 (421,093).

• In 2016, a total of 28,630 regulated nurses registered to practise in a province or territory in which they had not registered in the previous year, representing an inflow of 7.3%. After the 2015 registration year, 22,538 regulated nurses failed to renew their registration with the province or territory, representing an outflow of 5.8%. i

• The regulated nursing workforce — those employed in nursing — grew by 19.0% between 2007 and 2016. In 2016, the workforce included 396,177 regulated nurses, compared with 332,794 in 2007. In 2016, there were 285,482 RNs/NPs (4,540 NPs), 105,098 LPNs and 5,597 RPNs.

• In 2016, 3.5% of regulated nurses indicated that they were not employed in nursing at the time of registration.

• Between 2006 and 2015, the number of entry-to-practice ii graduates from registered nursing programs grew at an average annual rate of 4.7%, reaching 12,650.

• In 2016, a total of 10,022 RNs, 7,939 LPNs and 476 RPNs who obtained a licence to practise in Canada had graduated in the last 2 years.

• 90.7% of regulated nurses who graduated from a Canadian nursing program (and who registered in Canada in 2016) either did not move after graduation or eventually returned to their jurisdiction of graduation. For those who moved after graduation, British Columbia, Alberta and Ontario continued to be the destinations of choice — this trend has remained unchanged since 2006.

• The proportion of internationally educated nurses remained stable between 2007 and 2016, representing 8.1% of all regulated nurses. In 2016, 34.4% of internationally educated nurses had graduated in the Philippines, 13.3% in India and 9.3% in the United Kingdom.

• The average age of regulated nurses was 43.6 in 2016; 29.5% were younger than 35 and 22.7% were 55 and older.

i. LPNs in Quebec are excluded from the inflow and outflow historical trending, as data was not available for all registration years.

ii. Entry-to-practice programs include pre-licensure nursing education entitling successful graduates to apply for initial licensure/registration as a nurse. Please refer to the data tables for each type of nursing professional for a listing of data sources for the Canadian entry-to-practice graduate data.

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• Between 2007 and 2016, the distribution of regulated nurses employed in each care setting shifted:

– In hospital settings, the proportion of LPNs increased from 16.3% to 21.2%, while the proportion of RNs/NPs declined from 83.7% to 78.8%. The proportion of RPNs iii remained stable at 3.5%.

– In nursing home/long-term care settings, the proportion of LPNs increased from 50.3% to 56.3%, while the proportion of RNs/NPs declined to 43.7% from 49.7%. The proportion of RPNsiii declined from 7.7% to 3.5%.

– In community settings, the proportion of LPNs increased from 13.5% to 24.1%, while the proportion of RNs/NPs declined from 86.5% to 75.9%. The proportion of RPNsiii declined slightly from 8.3% to 7.7%.

• In 2016, 11.3% (44,724) of the regulated nurses working in Canadian provinces worked in a rural or remote area; 17.3% of the population lived in these areas in 2015. In comparison, 34.4% (567) of the regulated nurses working in the Canadian territories worked outside of the capital cities (Whitehorse, Yellowknife, Iqaluit), whereas 51.8% of the population lived in these areas.

iii. RPNs are regulated as a separate profession in Manitoba, Saskatchewan, Alberta and British Columbia.

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Newfoundland and Labrador• The supply of regulated nurses — including those who are and are not employed — increased

from 8,289 in 2007 to 8,519 in 2016, growing 2.8%. The 2016 supply consisted of 6,172 RNs/NPs (149 NPs) and 2,347 LPNs.

• In 2016, a total of 658 iv regulated nurses registered to practise in the province for the first time, representing an inflow of 7.6%. After the 2015 registration year, 582 regulated nurses failed to renew their registration with the province, representing an outflow of 6.9%.

• The regulated nursing workforce — those employed in nursing — grew by 1.8% between 2007 and 2016, from 8,172 to 8,322.


• Between 2006 and 2015, the number of entry-to-practice v graduates from the registered nursing program grew at an average annual rate of 3.1%, reaching 247.

• In 2016, a total of 394 RNs and 128 LPNs who obtained a licence to practise in Newfoundland and Labrador had graduated in the last 2 years.

• Of the 10,109 graduates of Newfoundland and Labrador’s nursing programs who registered to practice in Canada in 2016, 76.9% registered in the province. An additional 6.5% registered in Ontario, 5.7% in Alberta and 5.4% in Nova Scotia.

• In 2016, the average age of regulated nurses was 42.8; 27.2% were younger than 35 and 16.0% were 55 and older.

• The proportion of regulated nurses employed full time increased from 66.2% in 2007 to 70.0% in 2016. Newfoundland and Labrador had the highest full-time employment rate of all Canadian provinces. Between 2007 and 2016, the distribution of regulated nurses employed in each care setting shifted:

– In hospital settings, the proportion of LPNs decreased from 22.5% to 17.9%, while the proportion of RNs/NPs increased from 77.5% to 82.1%.

– In nursing home/long-term care settings, the proportions of LPNs and RNs/NPs remained relatively stable (LPNs: 72.5%; RNs/NPs: 27.5%).

– In community settings, the proportions of LPNs and RNs/NPs also remained relatively unchanged (LPNs: 10.1%; RNs/NPs: 89.9%).

• In 2016, 34.3% of regulated nurses were employed in a rural or remote area of the province; in comparison, 50.4% of the province’s population was living in a rural or remote area in 2015.

iv. In 2016, the Association of Registered Nurses of Newfoundland and Labrador provided aggregate counts for inflow/outflow/renewal numbers containing 95 secondary registration numbers.

v. Entry-to-practice programs include pre-licensure nursing education entitling successful graduates to apply for initial licensure/registration as a nurse. Please refer to the data tables for each type of nursing professional for a listing of data sources for the Canadian entry-to-practice graduate data.

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Prince Edward Island• The supply of regulated nurses — including those who are and are not employed —

increased from 2,103 in 2007 to 2,284 in 2016, growing by 8.6%. The 2016 supply consisted of 1,633 RNs/NPs (22 NPs) and 651 LPNs.

• In 2016, a total of 203 regulated nurses registered to practise in the province for the first time, representing an inflow of 8.9%. After the 2015 registration year, 166 regulated nurses failed to renew their registration with the province, representing an outflow of 7.4%.



• Between 2006 and 2015, the number of entry-to-practice vi graduates from the registered nursing program grew at an average annual rate of 1.3%, reaching 63.

• In 2016, a total of 55 RNs and 56 LPNs who obtained a licence to practise in Prince Edward Island had graduated in the last 2 years.

• Of the 2,149 graduates of Prince Edward Island’s nursing programs who registered in Canada in 2016, 77.1% registered in the province. An additional 8.4% registered in Nova Scotia, 4.7% in Alberta and 3.1% in Ontario.


• The proportion of regulated nurses employed full time increased from 47.1% in 2007 to 51.0% in 2016.


– In hospital settings, the proportion of LPNs decreased from 26.0% to 23.2%, while the proportion of RNs/NPs increased from 74.0% to 76.8%.

– In nursing home/long-term care settings, the proportion of LPNs decreased from 52.8% to 45.3%, while the proportion of RNs/NPs increased to 54.7% from 47.2%.

– In community settings, the proportion of LPNs increased from 23.8% to 50.0%, while the proportion of RNs/NPs declined from 76.2% to 50.0%.


vi. Entry-to-practice programs include pre-licensure nursing education entitling successful graduates to apply for initial licensure/registration as a nurse. Please refer to the data tables for each type of nursing professional for a listing of data sources for the Canadian entry-to-practice graduate data.

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Nova Scotia• The supply of regulated nurses — including those who are and are not employed — increased

from 12,476 in 2007 to 13,649 in 2016, growing 9.4%. The 2016 supply consisted of 9,635 RNs/NPs (146 NPs) and 4,014 LPNs.

• In 2016, a total of 1,124 regulated nurses registered to practise in the province for the first time, representing an inflow of 8.2%. After the 2015 registration year, 1,056 regulated nurses failed to renew their registration with the province, representing an outflow of 7.8%.



• Between 2006 and 2015, the number of entry-to-practice vii graduates from registered nursing programs grew at an average annual rate of 4.8%, reaching 391.

• In 2016, a total of 388 RNs and 152 LPNs who obtained a licence to practise in Nova Scotia had graduated in the last 2 years.

• Of the 13,188 graduates of Nova Scotia’s nursing programs who registered in Canada in 2016, 81.1% registered in the province. An additional 5.5% registered in Ontario, 4.3% in Alberta and 2.7% in New Brunswick.

• The number of internationally educated nurses increased from 234 in 2007 to 551 in 2016, growing by 2.1 percentage points. This included 337 RNs/NPs and 214 LPNs.




– In hospital settings, the proportion of LPNs increased from 19.7% to 22.1%, while the proportion of RNs/NPs declined from 80.3% to 77.9%.

– In nursing home/long-term care settings, the proportion of LPNs increased from 53.2% to 56.4%, while the proportion of RNs/NPs declined from 46.8% to 43.6%.


• In 2016, 27.0% of regulated nurses were employed in a rural area of the province; in comparison, 33.7% of the province’s population was living in a rural area in 2015.

vii. Entry-to-practice programs include pre-licensure nursing education entitling successful graduates to apply for initial licensure/registration as a nurse. Please refer to the data tables for each type of nursing professional for a listing of data sources for the Canadian entry-to-practice graduate data.

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New Brunswick• The supply of regulated nurses — including those who are and are not employed —

increased from 10,926 in 2007 to 11,495 in 2016, growing by 5.2%. The 2016 supply consisted of 8,150 RNs/NPs (117 NPs) and 3,345 LPNs.

• In 2016, a total of 673 regulated nurses registered to practise in the province for the first time, representing an inflow of 5.9%. After the 2015 registration year, 806 regulated nurses failed to renew their registration with the province, representing an outflow of 6.9%.



• Between 2006 and 2015, the number of entry-to-practice viii graduates from registered nursing programs remained relatively stable, declining at an average annual rate of -0.1%, to 268.

• In 2016, a total of 211 RNs and 196 LPNs who obtained a licence to practise in New Brunswick had graduated in the last 2 years.

• Of the 12,579 graduates of New Brunswick’s nursing programs who registered in Canada in 2016, 80.3% registered in the province. An additional 5.2% registered in each of Nova Scotia and Ontario, and 3.3% in Alberta.


• The proportion of regulated nurses employed full time remained close to 60% between 2007 (59.8%) and 2016 (60.7%).



– In nursing home/long-term care settings, the proportion of LPNs increased slightly from 58.5% to 60.4%, while the proportion of RNs/NPs declined slightly from 41.5% to 39.6%.


• In 2016, 23.1% of regulated nurses were employed in a rural area of the province; in comparison, 38.2% of the province’s population was living in a rural area in 2015.

viii. Entry-to-practice programs include pre-licensure nursing education entitling successful graduates to apply for initial licensure/registration as a nurse. Please refer to the data tables for each type of nursing professional for a listing of data sources for the Canadian entry-to-practice graduate data.

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Quebec• The supply of regulated nurses — including those who are and are not employed —

increased from 86,390 in 2007 to 98,834 in 2016, growing by 14.4%. The 2016 supply consisted of 70,980 RNs/NPs (380 NPs) and 27,854 LPNs. In the most recent year, the supply declined by 0.2%.




• Between 2006 and 2015, the number of entry-to-practice ix graduates from registered nursing programs grew at an average annual rate of 1.5%, reaching 3,398.

• In 2016, a total of 3,365 RNs and 2,389 LPNs who obtained a licence to practise in Quebec had graduated in the last 2 years.

• Of the 98,739 graduates of Quebec’s nursing programs who registered in Canada in 2016, 95.7% registered in the province. An additional 2.8% registered in Ontario, 0.5% in British Columbia and 0.4% in Alberta.

• In 2016, the average age of regulated nurses was 41.8, the youngest among the provinces; 31.7% were younger than 35 and 16.7% were 55 and older.




– In nursing home/long-term care settings, the proportion of RNs/NPs increased from 50.6% to 67.0%, while the proportion of LPNs decreased from 49.4% to 33.0%.

– In community settings, the proportions of RNs/NPs and LPNs remained relatively stable (LPNs: 5.0%; RNs/NPs: 95.0%).


ix. Entry-to-practice programs include pre-licensure nursing education entitling successful graduates to apply for initial licensure/registration as a nurse. Please refer to the data tables for each type of nursing professional for a listing of data sources for the Canadian entry-to-practice graduate data.

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Ontario• The supply of regulated nurses — including those who are and are not employed —

increased from 133,626 in 2007 to 151,027 in 2016, growing by 13.0%. The 2016 supply consisted of 104,775 RNs/NPs (2,769 NPs) and 46,252 LPNs (also known as registered practical nurses in Ontario).

• In 2016, a total of 9,238 regulated nurses registered to practise in the province for the first time, representing an inflow of 6.1%. After the 2015 registration year, 6,877 regulated nurses failed to renew their registration with the province, representing an outflow of 4.6% — the smallest outflow among all provinces.



• Between 2006 and 2015, the number of entry-to-practice x graduates from registered nursing programs grew at an average annual rate of 8.3%, reaching 4,141.

• In 2016, a total of 2,469 RNs and 2,011 LPNs who obtained a licence to practise in Ontario had graduated in the last 2 years.

• Of the 135,669 graduates of Ontario’s nursing programs who registered in Canada in 2016, 93.7% registered in the province. An additional 2.2% registered in Alberta, 1.9% in British Columbia and 0.4% in Manitoba.





– In nursing home/long-term care settings, the proportion of LPNs increased from 54.2% to 66.2%, while the proportion of RNs/NPs declined to 33.8% from 45.8%.



x. Entry-to-practice programs include pre-licensure nursing education entitling successful graduates to apply for initial licensure/registration as a nurse. Please refer to the data tables for each type of nursing professional for a listing of data sources for the Canadian entry-to-practice graduate data.

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Manitoba• The supply of regulated nurses — including those who are and are not employed —

increased from 15,079 in 2007 to 17,127 in 2016, growing by 13.6%. The 2016 supply consisted of 12,870 RNs/NPs (163 NPs), 3,235 LPNs and 1,022 RPNs.

• In 2016, a total of 1,059 regulated nurses registered to practise in the province for the first time, representing an inflow of 6.2%. After the 2015 registration year, 916 regulated nurses failed to renew their registration with the province, representing an outflow of 5.4%.



• Between 2006 and 2015, the number of entry-to-practice xi graduates from registered nursing programs grew at an average annual rate of 1.7%, reaching 470 in 2015.

• In 2016, a total of 543 RNs, 145 LPNs and 112 RPNs who obtained a licence to practise in Manitoba had graduated in the last 2 years.

• Of the 17,299 graduates of Manitoba’s nursing programs who registered in Canada in 2016, 82.8% registered in the province. An additional 5.6% registered in British Columbia, 4.6% in Alberta and 3.4% in Ontario.

• The number of internationally educated nurses increased from 861 in 2007 to 1,598 in 2016; their proportion increased by 3.6 percentage points to 9.3%.


• The proportion of regulated nurses employed full time declined from 46.2% in 2007 to 43.9% in 2016.

• Between 2007 and 2016, the distribution of regulated nurses employed in each care setting in Manitoba saw very little change:

– In hospital settings, the proportions of RNs/NPs and LPNs remained relatively stable (from 83.3% to 82.3% and from 13.8% to 12.9%, respectively); the proportion of RPNs increased slightly from 2.9% to 4.8%.

– In nursing home/long-term care settings, the proportions of RNs/NPs and LPNs increased slightly (from 47.6% to 49.5% and from 43.1% to 45.1%, respectively); the proportion of RPNs declined from 9.4% to 5.4%.

xi. Entry-to-practice programs include pre-licensure nursing education entitling successful graduates to apply for initial licensure/registration as a nurse. Please refer to the data tables for each type of nursing professional for a listing of data sources for the Canadian entry-to-practice graduate data.

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– In community settings, the proportions of RNs/NPs and LPNs increased slightly (from 71.0% to 73.8% and from 13.5% to 17.1%, respectively); the proportion of RPNs declined from 15.5% to 9.1%.


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Saskatchewan• The supply of regulated nurses — including those who are and are not employed —

increased from 12,051 in 2007 to 15,090 in 2016, growing by 25.2%. The 2016 supply consisted of 10,713 RNs/NPs (206 NPs), 3,526 LPNs and 851 RPNs.




• Between 2006 and 2015, the number of entry-to-practice xii graduates from registered nursing programs grew at an average annual rate of 11.9%, reaching 590 in 2015.

• In 2016, a total of 563 RNs, 270 LPNs and 41 RPNs who obtained a licence to practise in Saskatchewan had graduated in the last 2 years.

• Of the 13,865 graduates of Saskatchewan’s nursing programs who registered in Canada in 2016, 78.8% registered in the province. An additional 12.1% registered in Alberta, 5.5% in British Columbia and 1.6% in Ontario.

• Between 2007 and 2016, the proportion of internationally educated nurses increased 5.7 percentage points, from 2.5% (295) in 2007 to 8.2% (1,217) in 2016.


• The proportion of regulated nurses employed full time remained stable between 2007 and 2016 (57.3%).


– In hospital settings, the proportion of RNs/NPs increased slightly from 73.5% to 75.4%; the proportions of LPNs and RPNs decreased slightly from 23.3% to 21.9% and from 3.2% to 2.6%, respectively.

– In nursing home/long-term care settings, the proportion of LPNs increased from 27.4% to 34.6%, the proportion of RPNs decreased from 18.9% to 11.8% and the proportion of RNs/NPs remained relatively stable (53.6% in 2016).

xii. Entry-to-practice programs include pre-licensure nursing education entitling successful graduates to apply for initial licensure/registration as a nurse. Please refer to the data tables for each type of nursing professional for a listing of data sources for the Canadian entry-to-practice graduate data.

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– In community settings, the proportion of LPNs increased from 10.9% to 29.9%, the proportion of RNs/NPs decreased from 80.9% to 62.7% and the proportion of RPNs declined slightly from 8.2% to 7.4%.


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Alberta• The supply of regulated nurses — including those who are and are not employed —





• Between 2006 and 2015, the number of entry-to-practice xiii graduates from registered nursing programs grew at an average annual rate of 4.7%, reaching 1,711 in 2015.

• In 2016, a total of 1,001 RNs, 1,978 LPNs and 66 RPNs who obtained a licence to practise in Alberta had graduated in the last 2 years.

• Of the 42,162 graduates of Alberta’s nursing programs who registered in Canada in 2016, 85.6% registered in the province. An additional 7.3% registered in British Columbia, 3.5% in Saskatchewan and 1.7% in Ontario.

• The proportion of internationally educated nurses doubled between 2007 and 2016, from 4.3% (1,489) to 8.6% (4,317).




– In hospital settings, the proportion of LPNs increased from 15.3% to 17.6%, the proportion of RNs/NPs decreased from 81.6% to 79.8% and the proportion of RPNs remained relatively stable (from 3.0% to 2.6%).

– In nursing home/long-term care settings, the proportion of LPNs increased from 41.9% to 59.3%, the proportion of RNs/NPs decreased from 54.9% to 39.1% and the proportion of RPNs declined from 3.2% to 1.7%.

xiii. Entry-to-practice programs include pre-licensure nursing education entitling successful graduates to apply for initial licensure/registration as a nurse. Please refer to the data tables for each type of nursing professional for a listing of data sources for the Canadian entry-to-practice graduate data.

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– In community settings, the proportion of LPNs increased from 16.3% to 33.5%, the proportion of RNs/NPs decreased from 79.0% to 62.8% and the proportion of RPNs declined slightly, from 4.7% to 3.7%.


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British Columbia• The supply of regulated nurses — including those who are and are not employed —


• In 2016, a total of 4,635 regulated nurses registered to practise in the province for the first time, representing an inflow of 9.0% — the largest inflow among all provinces. After the 2015 registration year, 3,211 regulated nurses failed to renew their registration with the province, representing an outflow of 6.4%.



• Between 2006 and 2015, the number of entry-to-practice xiv graduates from registered nursing programs grew at an average annual rate of 5.2%, reaching 1,352 in 2015.

• In 2016, a total of 992 RNs, 609 LPNs and 257 RPNs who obtained a licence to practise in British Columbia had graduated in the last 2 years.

• Of the 38,535 graduates of British Columbia’s nursing programs who registered in Canada in 2016, 92.2% registered in the province. An additional 4.6% registered in Alberta, 1.4% in Ontario and 0.6% in Saskatchewan.


• The proportion of regulated nurses employed full time decreased slightly, from 55.0% in 2007 to 53.6% in 2016.


– In hospital settings, the proportions of all regulated nurses remained relatively stable (LPNs: 14.5%; RNs/NPs: 81.3%; RPNs: 4.2%).

– In nursing home/long-term care settings, the proportion of LPNs increased from 36.8% to 64.1%, the proportion of RNs/NPs decreased from 56.9% to 33.8% and the proportion of RPNs declined from 6.3% to 2.1%.

xiv. Entry-to-practice programs include pre-licensure nursing education entitling successful graduates to apply for initial licensure/registration as a nurse. Please refer to the data tables for each type of nursing professional for a listing of data sources for the Canadian entry-to-practice graduate data.

22


– In community settings, the proportion of LPNs increased from 4.7% to 14.6%, the proportion of RPNs increased from 8.8% to 12.1% and the proportion of RNs/NPs decreased from 86.5% to 73.3%.


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Yukon xv

• The supply of regulated nurses — including those who are and are not employed — increased from 389 in 2007 to 528 in 2016, growing by 35.7%. The 2016 supply consisted of 414 RNs/NPs (5 NPs) and 114 LPNs.

• In 2016, a total of 97 regulated nurses registered to practise in Yukon for the first time, representing an inflow of 18.4%. After the 2015 registration year, 82 regulated nurses failed to renew their registration with the territory, representing an outflow of 16.0%.

• The regulated nursing workforce — those employed in nursing — grew by 34.9% between 2007 and 2016, from 381 to 514.


• In 2016, a total of 15 RNs and 5 LPNs who obtained a licence to practise in Yukon had graduated in the last 2 years.

• Of the 67 graduates from Yukon’s practical nursing program who registered in Canada in 2016, 82.1% registered in the territory.

• The proportion of internationally educated nurses increased between 2007 and 2016, from 6.4% (25) to 8.3% (44).





– In nursing home/long-term care settings, the proportion of LPNs increased from 56.3% to 69.8%, while the proportion of RNs/NPs declined from 43.8% to 30.2%.

– In community settings, the proportions of RNs/NPs and LPNs remained relatively stable.

• In 2016, 16.7% of regulated nurses worked outside of Whitehorse; in comparison, 23.2% of Yukon’s population was living outside of Whitehorse in 2015.

xv. RPNs licensed in Yukon are not included in the analyses.

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Northwest Territories and Nunavut The Registered Nurses Association of the Northwest Territories and Nunavut regulates RNs and NPs for both territories. Data for LPNs in the Northwest Territories is submitted by the Northwest Territories Department of Health and Social Services. While LPNs in Nunavut xvi are regulated, only aggregate data is submitted to CIHI at this time; therefore, this data is not included in the analyses.

• The supply of regulated nurses — including those who are and are not employed — increased from 1,155 in 2007 to 1,180 in 2016, growing 2.2%. The 2016 supply consisted of 1,063 RNs/NPs (41 NPs) and 117 LPNs in 2016.

• In 2016, a total of 219 regulated nurses registered to practise in the Northwest Territories and Nunavut for the first time, representing an inflow of 18.6%. After the 2015 registration year, 230 regulated nurses failed to renew their registration, representing an outflow of 19.3%. In the Northwest Territories and Nunavut, the outflow often exceeds the inflow. This may in part be attributed to the reliance on short-term agency/contract nurses who provide relief to permanent staff.

• In 2015, there were 16 entry-to-practice xvii graduates from the registered nursing program in the Northwest Territories.

• The average age of regulated nurses was 45.8 in 2016; 25.2% were younger than 35 and 28.9% were 55 and older.

• In 2016, 96.3% (1,136) of regulated nurses licensed to practise in the Northwest Territories and Nunavut were employed in nursing; the majority were involved in providing direct patient care (93.2%).

xvi. In 2016, there were 92 LPNs licensed with the Department of Health and Social Services in Nunavut.xvii. Entry-to-practice programs include pre-licensure nursing education entitling successful graduates to apply for initial

licensure/registration as a nurse. Please refer to the data tables for each type of nursing professional for a listing of data sources for the Canadian entry-to-practice graduate data.

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The following highlights are presented to more accurately portray regulated nurses employed in the Northwest Territories and Nunavut. The analysis is based on postal code of worksite. Postal codes that are not located in the Northwest Territories or Nunavut are excluded from the analysis. xviii

Northwest Territories• In 2016, there were 668 regulated nurses employed in the Northwest Territories, including

563 RNs/NPs (26 NPs) and 105 LPNs.

• In 2016, the average age of regulated nurses was 44.4; 28.1% of regulated nurses were younger than 35 and 24.9% were 55 and older.

• In 2016, half of regulated nurses (50.2%; 319) were employed in a hospital setting, 29.4% (187) in a nursing station xix and 9.4% (60) in a nursing home/long-term care setting.

– In the hospital setting, RNs/NPs accounted for 90.9% (290) and LPNs 9.1% (29) of employed regulated nurses.

– In nursing stations, 85.6% (160) of regulated nurses were RNs/NPs and 14.4% (27) were LPNs.

– In the nursing home/long-term care setting, 23.3% (14) of regulated nurses were RNs/NPs and 76.6% (46) were LPNs.

• In 2016, 40.9% of regulated nurses worked outside of Yellowknife; in comparison, 53.1% of the Northwest Territories’ population was living outside of Yellowknife in 2015.

Nunavut xx• In 2016, there were 297 RNs and 9 NPs employed in Nunavut. xxi

• The average age of RNs/NPs was 47.6; 20.9% were younger than 35 and 34.0% were 55 and older.

• Of the RNs/NPs employed in Nunavut in 2016,

– 70 RNs were in a hospital setting;

– 158 RNs/NPs were in a nursing station; xxii and

– 55 RNs/NPs were working in other places of work. xxiii

• In 2016, 64.7% of RNs/NPs (including 192 RNs and 6 NPs) worked outside of Iqaluit; in comparison, 79.0% of Nunavut’s population was living outside of Iqaluit in 2015.

xviii. 162 regulated nurses are not included in this analysis, as their postal code of worksite is located outside of the Northwest Territories and Nunavut.

xix. In the Northwest Territories, nursing stations are considered to be the same as community health centres.xx. Record-level data on LPNs licensed in Nunavut is not currently collected and is excluded from the analyses. xxi. In 2016, there were 92 LPNs licensed with the Department of Health and Social Services in Nunavut.xxii. In Nunavut, nursing stations are considered to be the same as community health centres.xxiii. Other places of work include nursing homes/long-term care facilities, home care agencies, business/industry/occupational

health offices, private nursing agencies/private duty, self-employed, educational institutions, associations/government and other places of work.

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cihi - regulated nurses, 2016...in 2016, there were 285,482 rns/nps (4,540 nps), 105,098 lpns and...

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