Membership Statistics Highlights 2014 - CNO

College of Nurses of Ontario

Membership Statistics Highlights 2014 Revised February 25, 2015

VISION Leading in regulatory excellence MISSION Regulating nursing in the public interest

Membership Statistics Highlights 2014

Pub. No. 43069

ISSN 2292-2784 Copyright © College of Nurses of Ontario, 2015. Commercial or for-profit redistribution of this document in part or in whole is prohibited except with the written consent of CNO. This document may be reproduced in part or in whole for personal or educational use without permission, provided that: • Due diligence is exercised in ensuring the accuracy of the materials reproduced; • CNO is identified as the source; and •T he reproduction is not represented as an official version of the materials reproduced, nor as having been made in affiliation with, or with the endorsement of, CNO. Copies of this booklet can be downloaded, free of charge, from the CNO website at www.cno.org. College of Nurses of Ontario 101 Davenport Rd. Toronto ON M2R 3P1 www.cno.org

B

MEMBERSHIP STATISTICS HIGHLIGHTS 2014

College of Nurses of Ontario

Table of Contents 1

Introduction ....................................................................................................................... 1 1.1 About this document .................................................................................................... 1 1.2 About the College of Nurses of Ontario ....................................................................... 1 2 Methods and Notes ........................................................................................................... 2 2.1 Data Collection ............................................................................................................ 2 2.2 Other Methodological Notes ........................................................................................ 2 2.2.1 2.2.2 2.2.3 2.2.4 2.2.5 2.2.6 2.2.7 2.2.8 2.2.9

Data Tables ............................................................................................................................. 2 Renewal Gain and Loss .......................................................................................................... 2 “Not Specified” Category ......................................................................................................... 3 Data Suppression .................................................................................................................... 3 Non-Practising Class ............................................................................................................... 3 Multiple employers .................................................................................................................. 3 Overall Working Status and Working Status for Employment Positions ................................. 4 On Leave ................................................................................................................................. 5 Data Quality Audits .................................................................................................................. 5

3

Overall Membership 2014 ................................................................................................. 6 3.1 Employment in Nursing in Ontario ............................................................................... 7 4 Registered Nurses in the General Class .......................................................................... 8 4.1 Renewal Gain and Loss of Registered Nurses in the General Class.......................... 10 4.1.1 4.1.2

4.2 4.2.1 4.2.2

Renewal Gain of Registered Nurses in the General Class ................................................... 11 Renewal Loss of Registered Nurses in the General Class ................................................... 12

Registered Nurses in the General Class Employed in Nursing in Ontario .................. 19 Registered Nurses in the General Class Demographics ...................................................... 19 Registered Nurses in the General Class Nursing Employment ............................................ 22

4.3 Registered Nurses in the General Class Employed in Nursing Outside of Ontario ..... 24 4.4 Registered Nurses in the General Class - Registration in Other Jurisdictions ............ 25 5 Registered Nurses in the Non-Practising Class ............................................................ 27 6 Registered Practical Nurses in the General Class ........................................................ 28 6.1 Renewal Gain and Loss of Registered Practical Nurses in the General Class ........... 30 6.1.1 6.1.2

6.2 6.2.1 6.2.2

Renewal Gain of Registered Practical Nurses in the General Class .................................... 31 Renewal Loss of Registered Practical Nurses in the General Class .................................... 32

Registered Practical Nurses in the General Class Employed in Nursing in Ontario.... 40 Registered Practical Nurses in the General Class Demographics ........................................ 40 Registered Practical Nurses in the General Class Nursing Employment ............................. 44

6.3 Registered Practical Nurses in the General Class Employed in Nursing Outside of Ontario .................................................................................................................................. 46 6.4 Registered Practical Nurses in the General Class - Registration in Other Jurisdictions .......................................................................................................................... 47 7 Registered Practical Nurses in the Non-Practising Class ............................................ 49 8 Registered Nurses in the Extended Class (NPs) ........................................................... 50 8.1 Renewal Gain and Loss of Nurse Practitioners .......................................................... 52 8.2 Nurse Practitioners Employed in Nursing in Ontario .................................................. 53 8.2.1 8.2.2 8.2.3

NP Demographics ................................................................................................................. 53 NP Nursing Employment ....................................................................................................... 54 Nurse Practitioner Positions in 2014 ..................................................................................... 56

College of Nurses of Ontario – Membership Statistics Highlights 2014

i

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Renewal Gain and Loss Tables ...................................................................................... 58 9.1 RNs in the General Class Renewal Gain and Loss Tables ........................................ 58 9.2 RPNs in the General Class Renewal Gain and Loss Tables ...................................... 60 10 2014 Employment Positions in Ontario Tables ............................................................. 62 10.1 Registered Nurses in the General Class Tables ........................................................ 62 10.2 Registered Practical Nurses in the General Class Tables .......................................... 66 10.3 Registered Nurses in the Extended Class (NP) Tables .............................................. 70 11 Practice and Employment Definitions ........................................................................... 73 11.1 Nursing Employer ...................................................................................................... 73 11.2 Position in Nursing ..................................................................................................... 75 11.3 Primary Area of Practice ............................................................................................ 76

Revisions Table 5.1 on page 27 was revised on October 16, 2014. Sections 4.2.2, 6.2.2, and 8.2.2 were revised on February 25, 2015.


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1 INTRODUCTION 1.1 About this document This document provides a broad overview of the College’s membership with in-depth analysis of nursing employment and overall gain and loss rates. Readers are encouraged to visit www.cno.org and explore the College’s online data query tool,1 which allows for the creation of user-defined data tables based on a subset of the College’s membership data.

1.2 About the College of Nurses of Ontario The College is the regulatory body for nursing in Ontario. Its mission is to regulate nursing in the public interest. The College sets the requirements for becoming a nurse in Ontario and the standards of practice that must be met to maintain that designation. Only a person with a valid Certificate of Registration from the College can practise as a nurse in Ontario and use the protected titles nurse, Registered Nurse (RN), Registered Practical Nurse (RPN) or Nurse Practitioner (NP).

The data query tool can be accessed at http://www.cno.org/dqt. See section 2.2.1 for more information on the data available in the data query tool. 1


1

2 METHODS AND NOTES 2.1 Data Collection Membership renewal is completed every year by members in the General, Extended and Non-Practising Classes.2 A component of the renewal process is the collection of information that is required by the College to carry out its regulatory mandate and that must be reported to the provincial government. In October, the College notifies all eligible members that renewal has begun and the deadline for completing renewal is December 31. Once completed, the College renews the nurse’s membership, thus making her/him eligible to practise in Ontario on January 1 of the following year. The Regulated Health Professions Act, 1991 allows for late renewal of membership. Members are considered in good standing until they have been formally notified of their suspension due to non-payment of fees. Suspension notices are mailed out annually. Members, who renew after January 1, but before the suspension date,3 are still considered to be in good standing with the College on January 1. Members, who renew after the suspension date, but before the revocation date4, are still counted towards that year’s renewal. Members who do not renew before the revocation date have their memberships revoked and are no longer registered with the College. The data in this report provide a “point-in-time” snapshot of the available labour supply of nurses who renewed their membership for the 2014 practice year (at the end of 2013 or beginning of 2014, before the revocation date). Nurses who became members of the College during 2014 are not included. Information on these nurses can be found in the New Members in the General Class 2014 report, which will be ready in early 2015.

2.2 Other Methodological Notes 2.2.1 Data Tables In 2006, the College developed and launched an online data query tool. This web-based application allows users to create custom tables based on a subset of the College’s General and Extended Classes membership data. The tool produces downloadable tables in html, PDF and Excel file formats and is available free of charge at www.cno.org/dqt. As a result, the College no longer publishes extensive tables with this report. Readers are encouraged to visit the College website to use the data query tool. The data query tool has data covering the years 1992 to 2014. 2.2.2 Renewal Gain and Loss Every year, some members choose not to renew their membership with the College. Members who do not renew their membership could have resigned, been revoked or could have joined another class. These members represent a loss in their class compared to the previous year. The impact of this loss is offset by new members renewing their membership for the first time in these classes, members who are returning to practice (some after several years out of practice) following a reinstatement, or members who are switching from another class (e.g. from the Non-Practising Class to the General Class). These members represent a gain in members in these classes over the previous year. The difference between the loss and the gain is known as the net gain/loss. A net gain occurs when there is an increase in members renewing in a particular class over the previous year, and a net loss occurs when there is a decrease in members renewing over the

For more information about the College’s classes of registration, visit www.cno.org/en/become-a-nurse/about-registration/types-ofregistration 3 For 2014 renewal, the suspension date was February 15, 2014 4 For 2014 renewal, the revocation date was March 20, 2014 2


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previous year in that class. Examining the net gain/loss allows for greater understanding of the trends in the total number of members renewing over time. 2.2.3 “Not Specified” Category The information in this report is based on data reported by members during the 2014 renewal process. Data for individual nurses were aggregated to produce the tables in this document. In many areas, a “not specified” category is reported when a response is not provided, conflicts with other data or is unusable. 2.2.4 Data Suppression The College is committed to protecting the privacy and confidentiality of its members. Cell counts between one and four have been suppressed in this report and the value replaced by an asterisk (*). In cases where this is done, the next smallest cell count is also suppressed to ensure that the values cannot be derived. This value is replaced with two asterisks (**) to allow readers to know the value was not suppressed due to a low cell count. When there are multiple values between one and four in a table, only those values are suppressed. An exception is made when the low cell count is in the “not specified” category. Because this category does not provide any information, it does not need to be suppressed to protect member privacy. 2.2.5 Non-Practising Class The Non-Practising Class was established on January 1, 2013. Members in this class are former members of the College’s General or Extended Classes and include members who are practising in another jurisdiction or not practising at all. To coincide with the introduction of the Non-Practising Class, the College’s Retired Class was eliminated and members in this class were moved into the Non-Practising Class. Nurses registered in this class are still considered members of the College. When a member decides to switch to the Non-Practising Class, this represents a loss from the General or Extended Class membership compared to the previous year. Since 2013 was the first year that members were able to register in the Non-Practising Class, there were no members renewing in this class for 2013. In the 2013 Membership Statistics Highlight report, the NonPractising Class appears as a component of the loss of members in the General Class. This report includes RN and RPN members who renewed in the Non-Practising Class for the first time in separate sections from the General Class. 2.2.6 Multiple employers During renewal, members are asked to report if they have multiple current employers. Historically, between seven per cent and 18 per cent of members have reported having multiple employers. This means that the number of members and number of employers reported by members are not the same. Prior to 2011, this was not an issue as members only provided detailed employment information on their primary employer (as self-selected by the member) resulting in a one-to-one relationship between the members and their detailed employment information provided in this report. This detailed employment information includes information on the employer’s location, whether it was a nursing role, the employer type, and the member’s position and area of practice within the employment setting. In 2011, however, the concept of primary employer was eliminated as members were required to provide detailed employment information about all of their current employers, not just their primary employer. This allows for greater understanding of the employment profile of members but makes comparison of employment information collected in 2011 and subsequent years difficult. For example, it is no longer possible to compare the number of staff nurses from 2011 to those in 2010. The two numbers are not equivalent as they represent different concepts. The 2010 number represents members who reported that their position with their primary employer was a staff nurse. The 2011 number represents members who


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reported that their position with any of their employers was a staff nurse. To accommodate this change, the format of the membership report has been modified. In tables where the collection of additional employment information makes a comparison to previous years impossible only 2011-2014 data will be reported. It is important to note that the counts presented in these tables exceed the number of members for the reason outlined above. Finally, this report adopts the term “employment positions” to communicate that we are discussing the employers and employment information that members have provided. Table 2.1 shows the number of nursing employers reported by members for the 2014 renewal. The RN and RPN categories include members in the General and Non-Practising Classes. The NP category includes members in the Extended Class. Table 2.1 Number of nursing employers reported by overall membership in 2014 RN #

%

RPN #

Employed in Nursing Only

95,974

88.1

One Nursing Employer

80,923

28,676

1,604

111,203

Two Nursing Employers

20,030

36,004

% 84.2

NP # 2,164

13,117

6,456

457

Three or more Nursing Employers

1,934

872

103

Employed in Nursing & Non-Nursing

2,573

One Nursing Employer Two Nursing Employers Three or more Nursing Employers

2.4

1,631

3.8

86

% 91.6

Total # 134,142

2,909 3.6

4,290

2,191

1,380

67

3,638

327

230

**

573

55

21

% 87.1

*

2.8

79

Employed in Non-Nursing Only

1,624

1.5

1,362

3.2

6

0.3

2,992

1.9

On Leave

2,834

2.6

1,210

2.8

61

2.6

4,105

2.7

Not Employed

5,914

5.4

2,550

6.0

45

1.9

8,509

5.5

Not Specified Total

6

0.0

3

0.0

0

0.0

9

0.0

108,925

100

42,760

100

2,362

100

154,047

100

2.2.7 Overall Working Status and Working Status for Employment Positions Overall Working Status (i.e., full-time, part-time or casual) summarizes the working status of a member across all nursing employers. It is calculated by taking the highest reported working status for a member among all nursing employers and designates that as their overall working status. It allows for comparability to previous years as this is the same methodology used in the past for working status. Three examples are shown below to illustrate how this is calculated. Example 1: If a member has two nursing employers and has reported casual employment with the first and full-time employment with the second, the member’s overall working status would be full-time. Example 2: If a member reported three casual nursing employers, the member’s overall working status would be casual. Example 3: If a member reported one part-time nursing employer and one full-time non-nursing employer, the member’s overall working status would be part-time. Working Status for Employment Positions is a new statistic and provides information on the working status of all the employment positions reported in nursing. Unlike Overall Working Status, it does not aggregate working status to the member level but reports it across all nursing employment positions that a member reports. For example, in 2014, there were 135,280 members who reported at least one nursing employer in Ontario. The corresponding Overall Working Status was 63.9 per cent full-time, 28.5 per cent part-time and 7.6 per cent casual. Members reported 161,022 employment positions in nursing in Ontario. The


4

corresponding Working Status for Employment Positions was 53.9 per cent full-time, 28.7 per cent part-time, and 17.4 per cent casual. 2.2.8 On Leave In 2011, the government requested that the College include the option, “On Leave” as an employment status. While the government did not provide a definition of “On Leave”, the College anticipated that members on maternity leave or long term disability would report using this category. In previous years, members on maternity leave were required to report their status as employed. Members on long term disability were required to report their employment status based on their last day of work. 2.2.9 Data Quality Audits To ensure the accuracy and reliability of the data it releases, the College conducts routine data quality audits. As a result of an audit in 2014, the College is restating data previously reported in earlier reports. The revisions are minor (resulting in directional changes of no more than one per cent to data previously reported) and do not have an impact on any trends previously reported. Please refer to the current report for the most up-to-date data. The Data Query Tool has also been updated to reflect these changes.


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3 OVERALL MEMBERSHIP 2014 A total of 154,047 nurses renewed their membership in the General, Extended or Non-Practising Class for 2014. This represents a 1.8 per cent decrease from 2013 but a 3.6 per cent increase from 2010. Table 3.1 shows a breakdown of General, Extended and Non-Practising Class members who renewed their memberships from 2010 to 2014. Table 3.1 Overall membership, divided by category and class for 2010-2014 2010 RN General Extended (NP)

2011

2012

2013

2014

# 113,302

% 76.2

# 113,332

% 75.6

# 114,214

# 74.6

# 114,824

% 73.2

# 111,287

% 72.2

111,717

75.1

111,532

74.4

112,194

73.3

112,582

71.8

104,298

67.7

1,585

1.1

1,800

1.2

2,020

1.3

2,242

1.4

2,362

1.5

Non-Practising RPN General

35,427

23.8

36,588

35,427

24.4

36,588

38,845

25.4

41,996

38,845

26.8

41,996

Non-Practising Total

148,729

100

149,920

100

153,059

100

156,820

100

4,627

3.0

42,760

27.8

42,018

27.3

742

0.5

154,047

100

Between 2013 and 2014, there was a 2.3 percentage point increase in the overall membership employed in nursing and a 1.2 point decrease in the overall membership employed in non-nursing only. Table 3.2 Employment Status reported by overall membership in 2014 2010

Employed in Nursing Employed in both Nursing and Non-nursing Employed in Non-nursing On Leave

2011

2012

2013

2014

#

%

#

%

#

%

#

%

#

%

128,546

86.4

129,509

86.4

129,442

84.6

133,049

84.8

134,142

87.1

2,752

1.9

2,720

1.8

3,314

2.2

3,965

2.5

4,290

2.8

7,399

5.0

4,990

3.3

7,867

5.1

4,793

3.1

2,992

1.9

0

0.0

3,192

2.1

3,694

2.4

5,159

3.3

4,105

2.7

Not Employed

9,311

6.3

9,509

6.3

8,742

5.7

9,854

6.3

8,509

5.5

Not Specified

721

0.5

0

0.0

0

0.0

0

0.0

9

0.0

148,729

100

149,920

100

153,059

100

156,820

100

154,047

100

Total


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3.1 Employment in Nursing in Ontario Of the 138,432 nurses who reported employment in nursing or both nursing and non-nursing in 2014, 97.7 per cent (135,280) reported employment in nursing in Ontario, an increase of 2.7 per cent from 2013 and an increase of 18.5 per cent from 2005. Figure 3.1 Employment in Nursing in Ontario reported by overall membership in 2014

Members Employed in Nursing in Ontario

140,000 135,280 135,000

131,728 127,603

130,000 125,844

126,400

123,091

125,000 120,265 120,000 115,000

117,097 114,130

115,406

110,000 105,000 2005

2006

2007

2008

2009

2010

2011

2012

2013

2014

For 2014, 63.9 per cent of members employed in nursing in Ontario stated that their overall working status was full-time, the same proportion as in 2010 and a 0.2 percentage point decrease from 2013. Table 3.3 Overall working status reported by overall membership in 2014 2010

2011

2012

2013

2014

Full-time

# 80,356

% 63.9

# 83,968

% 66.4

# 85,005

% 66.6

# 84,460

% 64.1

# 86,403

% 63.9

Part-time

34,939

27.8

32,316

25.6

32,710

25.6

37,141

28.2

38,601

28.5

Casual

10,549

8.4

10,116

8.0

9,888

7.7

10,127

7.7

10,276

7.6

125,844

100

126,400

100

127,603

100

131,728

100

135,280

100

Total


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4 REGISTERED NURSES IN THE GENERAL CLASS There were 104,298 RNs who renewed their membership in the General Class before the revocation date for 20145. Although the total number of RNs renewing in the General Class has decreased by 7.4 per cent since 2013, the number of RNs in the General Class employed in nursing in Ontario (including those employed in and outside Ontario) has increased by 1.4 per cent. The decrease in RNs in the General Class comes from a decrease in members who were employed in nursing outside Ontario, nurses who were employed in non-nursing, and nurses who were not employed or on leave. These decreases can be attributed to the Declaration of Practice requirement which was introduced in 2014.6 Table 4.1 Employment category and status reported by RN General Class members for 2010-2014 Change 2010

2011

2012

2013

2014

20132014

Employed in

#

%

#

%

#

%

#

%

#

%

%

97,208

87.0

96,901

86.9

95,576

85.2

96,723

85.9

94,665

90.8

-2.1

Nursing In Ontario In and Outside

91,461

91,113

90,269

91,455

92,615

1.3

700

521

607

596

694

16.4

5,047

5,023

4,694

4,665

1,349

-71.1

0

244

6

7

7

Ontario Outside Ontario Not Specified Employed in Nursing

1,820

1.6

1,762

1.6

2,091

1.9

2,471

2.2

2,552

2.4

3.3

& Non-Nursing In Ontario In and Outside

1,734

1,671

1,997

2,311

2,452

6.1

21

10

6

24

26

8.3

65

81

88

136

74

-45.6

0

0

0

0

0

Ontario Outside Ontario Not Specified Employed in

5,099

4.6

3,399

3.0

5,527

4.9

2,971

2.6

829

0.8

-72.1

Non-Nursing Seeking Nursing

254

430

636

629

452

-28.1

Employment Not Employed Seeking Nursing

7,113

6.4

1,627

7,245

6.5

2,047

6,234

5.5

2,054

6,746

6.0

2,640

3,738

3.6

2,187

-44.6 -17.2

Employment On Leave Not Specified Total

5 6

0

0.0

2,225

2.0

2,766

2.5

3,671

3.3

2,508

2.4

477

0.4

0

0.0

0

0.0

0

0.0

6

0.0

111,717

100

111,532

100

112,194

100

112,582

100

104,298

100

-31.7

-7.4

The revocation date for the 2014 renewal period was March 20, 2014. Refer to Section 4.1 for information on gains and losses of RNs in the General Class.


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RNs in the General Class who were not employed in nursing and reported that they were seeking nursing employment were asked whether they were seeking full-time, part-time or casual work. Of the 2,639 RNs in the General Class seeking nursing employment, 42.4 per cent were seeking full-time employment, 29.7 per cent were seeking part-time employment, and 27.9 per cent were seeking casual employment. Table 4.2 Employment preference expressed by RN General Class members who were seeking nursing employment for 2014 2014 #

%

Full-time

1,118

42.4

Part-time

785

29.7

Casual

736

27.9

2,639

100

Total

RNs in the General Class who reported employment in nursing were asked whether their preference is for full-time, part-time, or casual work. The majority of members’ overall working statuses matched their working preference. For 95.1 per cent of RNs in the General Class employed full-time, 68.2 per cent employed part-time and 72.4 per cent employed casually, their working preference matches their working status. Table 4.3 Working preference expressed by RN General Class members who were employed in nursing for 2014 Overall Working Status Working Preference

Full-time

Part-time

Casual

#

%

#

%

#

%

Full-time

61,565

95.1

7,460

29.4

944

13.4

Part-time

2,711

4.2

17,331

68.2

1,008

14.3

469

0.7

614

2.4

5,115

72.4

64,745

100

25,405

100

7,067

100

Casual Total


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4.1 Renewal Gain and Loss of Registered Nurses in the General Class7 For 2014, there was a net loss of 8,284 RNs from the General Class as a result of a decrease in gains and a substantial increase in losses. The decrease in gains observed can be mainly attributed to a 22.2 per cent decrease in the number of new members entering the General Class. The substantial losses can largely be attributed to a new registration regulation requirement that was introduced in the 2014 renewal, called the Declaration of Practice.8 With this new requirement, a member can only renew in the General Class if they have:  

Practised nursing in Ontario within the past three years; or Have become registered or reinstated within the past three years

If a member does not meet these conditions, they have the options of moving to the Non-Practising Class, resigning their membership, or doing nothing and having their membership revoked. Of the 12,273 losses in 2014, 49 per cent were a result of revocations and 23.3 per cent were a result of members moving to the Non-Practising Class. The remainder of Section 4.1 looks at RN General Class gains and losses in detail. 9 Figure 4.1 Gains and Losses for RNs in the General Class for 2005-2014 14,000 12,273

RN General Class Gains and Losses

Gain 12,000 Loss 10,000 8,000

6,962 5,395

6,000

4,757

3,934 4,000

4,005

4,029

4,098

4,127

3,989 5,007

3,163 3,758

3,843

2,000

4,312

4,095

2011

2012

3,395

3,324

3,055

2,838

2007

2008

2009

0 2005

2006

2010

2013

2014

7

See section 2.2.2 for more information about renewal gain and loss. For more information about the Declaration of Practice requirement, visit http://www.cno.org/maintain-yourmembership2/declaration-of-practice3/ 9 Refer to Section 9.1 for renewal gains and loss trends of RNs in the General Class 8


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4.1.1 Renewal Gain of Registered Nurses in the General Class There are three types of gains in the General Class: reinstatements, new members and changes in class. Reinstatements are members who were previously registered with the College in the General Class and have re-applied to enter the same class. New members are those who have never been registered with the College. Change in Class includes members who were registered in the Extended Class or Non-Practising Class in the previous practice year and have moved into the General Class. From 2006 to 2014, the proportion of gains that were new members has increased steadily with a corresponding decrease in reinstatements. In 2014, the proportion of gains that were new members was 94.4 per cent, as shown in Figure 4.2. Figure 4.2 Categorization of RN General Class Gains for 2005-2014 8,000 7,000

RN General Class Gains

6,000

7

5,000 * 4,000

47

5,696

Change in Class New Members

3,000 2,686 2,000

3,267

3,388

3,536

3,522

4,183

Reinstatements

4,838 3,766

2,361

1,000 1,266

1,248

802

738

641

562

**

574

550

2007

2008

2009

2010

2011

2012

2013

0 2005

2006


176 2014

11

Figure 4.3 shows gains in RN General Class membership from 2005 to 2014, divided into three age groups. Over the past ten years, the proportion of RN General Class gains between 18 and 29 years of age has increased, while the proportion of gains between 30 and 54 years of age has decreased. The proportion of RN General Class gains in the 55+ age group has also decreased since 2005. For 2014, 73 per cent of gains were in the 18-29 age group, 25.3 per cent of gains were in the 30-54 age group, and 1.7 per cent of gains were in the 55+ age group. Figure 4.3 Age distribution of RN General Class gains for 2005-2014

100%

266

253

167

178

147

168

135

1,523

1,463

135

140

1,478

1,736

69

90%

RN General Class Gains

80% 70%

1,405 1,355 4,128

1,581

1,009

2,138

60%

55+

50%

30-54 18-29

40% 30%

2,422

2,300

2,405

2,529

2008

2009

2010

2011

1,641 20%

2,567

1,543

2005

2006

3,144

3,519

2012

2013

2,911

10% 0% 2007

2014

4.1.2 Renewal Loss of Registered Nurses in the General Class RN losses in the General Class in 2014 are members who renewed for the 2013 practice year, but did not renew for the 2014 practice year. A loss occurs if a member moves to another class, resigns their membership or if their membership is revoked. Change in class includes members who move from the General Class to the Extended or Non-Practising Class. The first year when members were able to register in the Non-Practising Class was 2013. Resignations include members who resigned any time before or during the renewal period for a given year. Starting in 2013 the College revoked the memberships of nurses who did not renew before the revocation date10. Prior to 2013, members who did not renew their memberships before this date would have had their memberships suspended, and were classified as “Not Renewed.” From 2013 onwards, these members are classified as “Revoked.” Table 4.4 includes a more detailed breakdown of RN General Class losses between 2011 and 2014, including resignation reasons and a breakdown of Change in Class. From 2005 to 2012 Change in Class made up a small proportion of RN General Class losses. For 2013 to 2014, there was a significant increase in the proportion of losses as a result of a change in class. This increase can be attributed to the introduction of the Non-Practising Class. Prior to 2013, Change in Class consisted of members entering either the Extended Class or the Retired Class. Table 4.4 shows that the number of RN General Class losses attributable to change to the Extended Class was consistent from 2011 to 2014. The difference between 2012 and 2013 Change in Class losses is driven by RNs in the General Class moving to the Non-Practising Class. 10

The revocation date for the 2014 renewal period was March 20, 2014.


12

The number of RN General Class losses due to resignations has grown gradually since 2005. From 2005 to 2014, resignations made up approximately half of RN General Class losses. In 2013 and 2014, resignations made up a much smaller proportion of losses, despite reaching the highest number of resignations in a year, at 3,183. This is a reflection of the increased number of RN General Class losses due to Change in Class and Revocations. Figure 4.4 Categorization of RN General Class Losses for 2005-2014 14,000 3,082

RN General Class Losses

12,000 10,000 Change in Class 8,000

3,183

Resigned Revoked/Not Renewed

6,000 4,000 2,000

1,866 47 360 3,338

220

47

378

101

142

1,621

1,507

1,898

1,366 2,422

215

264 1,397

1,564

1,602

1,406

1,177

1,453

2007

2008

2009

2010

2,103 2,194

1,626

0 2005

2006

6,008

2,254

2011

2012

1,038 2013

2014

Table 4.4 Categorization of RN General Class Losses for 2011-2014, including resignation reasons and a break-down of Change in Class

Revoked/ Not Renewed Resigned Changing Profession Leave Leaving Canada Leaving Ontario Retiring Other Not Specified Change in Class Extended Non-Practising Total

2011 # 2,194 1,898 84 61 35 137 863 143 575 220 220 0 4,312

% 50.9 44.0 1.9 1.4 0.8 3.2 20.0 3.3 13.3 5.1 5.1 0.0 100

2012 # 1,626 2,254 93 77 87 205 1,186 265 341 215 215 0 4,095

% 39.7 55.0 2.3 1.9 2.1 5.0 29.0 6.5 8.3 5.3 5.25 0.0 100

2013 # 1,038 2,103 84 53 51 165 1,255 168 327 1,866 237 1,629 5,007

% 20.7 42.0 1.7 1.1 1.0 3.3 25.1 3.4 6.5 37.3 4.7 32.5 100

2014 # 6,008 3,183 106 75 119 228 1,866 262 527 3,082 224 2,858 12,273

% 49.0 25.9 0.9 0.6 1.0 1.9 15.2 2.1 4.3 25.1 1.8 23.3 100

Table 4.5 contains a breakdown of losses by the employment status and category that RN General Class members held in the previous practice year. Out of the 12,273 RN losses from the General Class in 2014, 47.1 per cent reported employment in nursing during the 2014 renewal, while 30.3 per cent were not


13

employed, 13.2 were employed in non-nursing, and 9.4 per cent were on leave. The proportion of losses who were employed in nursing has decreased slightly from 2012 to 2014, whereas the proportion of losses who were employed in non-nursing has increased. Table 4.5 Employment category and status held in the previous practice year by RN General Class Losses for 2012-2014 2012 # Employed in Nursing or both Nursing & Non-Nursing In Ontario or Inside and Outside Ontario Outside Ontario Location Not Stated Employed in Non-Nursing Seeking Nursing Employment Not Employed Seeking Nursing Employment On Leave Not Specified Total

%

2013 #

%

2014 #

%

2,245

54.8

2,397

47.9

5,783

47.1

1,797 441 7 270 20 1,321 206 258 1 4,095

43.9 10.8 0.2 6.6 0.5 32.3 5.0 6.3 0.0 100

1,914 482 1 630 43 1,331 214 649 0 5,007

38.2 9.6 0.0 12.6 0.9 26.6 4.3 13.0 0.0 100

2,304 3,477 2 1,614 163 3,723 747 1,153 0 12,273

18.8 28.3 0.0 13.2 1.3 30.3 6.1 9.4 0.0 100

Table 4.6 shows a detailed breakdown of loss categories for employment categories and statuses presented in Table 4.5. Table (a) shows a breakdown of loss categories for RNs who were employed in nursing in Ontario (as well as those employed in and outside of Ontario) during the previous practice year. During the 2014 renewal, 51.1 per cent of these nurses resigned, 40.8 per cent were revoked and 8.2 per cent changed classes. The distribution of loss categories is consistent from 2012 to 2014. Tables (b), (c), (d), and (e) show the breakdown of loss categories for RNs who were employed in nursing outside of Ontario, employed in non-nursing, not employed, and on leave during the previous practice year, respectively. The distribution of losses is similar for these three categories. For 2012, a majority of losses in each employment category were due to resignations. For 2013, there was a significant increase in the proportion of losses due to revocations. For 2014, the proportion of losses due to revocations decreased with the introduction of the Non-Practising Class.


14

Table 4.6 Categorization of RN General Class Losses, by employment status during previous practice year (a) Employed in Nursing in Ontario or in and Outside of Ontario

Revoked/ Not Renewed Resigned Change In Class Extended Non-Practising Total

2012 # 691 920 186 186 0 1,797

2013 # 827 886 201 201 0 1,914

% 43.2 46.3 10.5 10.5 0.0 100

2014 # 939 1,177 188 180 8 2,304

% 40.8 51.1 8.2 7.8 0.3 100

2012 # % 160 36.3 272 61.7 9 2.0 9 2.0 0 0.0

2013 # 299 171 12 12 0

% 62.0 35.5 2.5 2.5 0.0

2014 # 1,902 389 1,186 13 1173

% 54.7 11.2 34.1 0.4 33.7

441

482

100

3,477

100

2012 # % ** ** 148 54.8 * * * * 0 0.0 270 100

2013 # 712 217 5 5 0 934

% 76.2 23.2 0.5 0.5 0.0 100

2014 # 822 229 563 * ** 1,614

% 50.9 14.2 34.9 * ** 100

2012 # % 527 39.9 783 59.3 11 0.8 11 0.8 0 0.0 1,321 100

2013 # 1,287 583 12 12 0 1,882

% 68.4 31.0 0.6 0.6 0.0 100

2014 # 1,682 1,158 883 6 877 3,723

% 45.2 31.1 23.7 0.2 23.6 100

2013 # 667 245 7 7 0 919

% 72.6 26.7 0.8 0.8 0.0 100

2014 # 661 230 262 23 239 1,153

% 57.3 19.9 22.7 2.0 20.7 100

% 38.5 51.2 10.4 10.4 0.0 100

(b) Employed in Nursing Outside of Ontario


100

(c) Employed in Non-nursing


(d) Not Employed


(e) On Leave


2012 # 123 127 8 8 0 258

% 47.7 49.2 3.1 3.1 0.0 100


15

Figure 4.5 shows RN losses from 2005 to 2014, divided into three age groups based on renewal data from the previous practice year. From 2005 to 2013, the proportion of losses in the 55+ age group increased, with a corresponding decrease in the proportion of losses in the 30-54 age group. However, in 2014, the proportion of losses in the 30-54 age group increased dramatically. Over the past ten years, the proportion of losses in the 18-29 age group did not change significantly. Figure 4.5 Age distribution of RN General Class losses for 2005-2014 100% 90%

RN General Class Losses

80%

1,736

1,861

1,703

70%

1,714

1,562

6,539

1,887 2,907

2,735

3,408

60%

55+

50%

30-54

40%

18-29

30%

1,717

1,629

1,365

1,132

1,096

5,186

1,303

20%

1,184

1,063

1,268

10% 0%

292

344

256

209

180

204

220

297

331

548

2005

2006

2007

2008

2009

2010

2011

2012

2013

2014


16

Figure 4.6 shows a breakdown of loss reasons by age group. In 2014, the proportion of losses in the 30-54 age group increased dramatically. For 2014, 4.5 per cent of losses were aged 18-29, 42.3 per cent of losses were aged 30-54 and 53.3 per cent of losses were aged 55+. Panel (a) shows the loss breakdown for the 18-29 age group. For the 2014 renewal, 20.8 per cent of these nurses resigned, 54.6 per cent had their membership revoked, and 24.6 per cent changed classes. Panel (b) shows the loss breakdown for the 30-54 age group. For the 2014 renewal, 10.2 per cent of these nurses resigned, 57 per cent had their membership revoked, and 32.8 per cent changed classes. Panel (c) shows the loss breakdown for the 55+ age group. For the 2014 renewal, 38.8 per cent of these nurses resigned, 42.1 per cent had their membership revoked, and 19.1 per cent changed classes.


17

Figure 4.6 Categorization of RN General Class Losses by age group (a) Losses aged 18-29 100% 71

74 88 61

80% 60%

117

85

114

40% 20%

158

299

109

0%

2012

2013

2014

(b) Losses aged 30-54 100% 138

145 1,559

80%

334 420

529

60%

Change In Class - Non-Practising

40% 789 20%

Change In Class - Extended

505

Resigned 2,958

Revoked/Not Renewed 0%

2012

2013

2014

(c) Losses aged 55+ 100% 1,238 80%

1,684 1,717 2,540

60% 40% 20%

1,720 1,012

2,751

0% 2012

2013


2014

18

4.2 Registered Nurses in the General Class Employed in Nursing in Ontario For 2014, there were 95,787 RNs in the General Class who reported at least one employment position in nursing in Ontario, an increase of 1.5 per cent over 2013, reaching its highest number over the 10-year period.

RNs in the General Class Employed in Nursing in Ontario

Figure 4.7 Number of RNs in the General Class Employed in Nursing in Ontario for 2005-2014 98,000 95,787 96,000 94,386

93,916

93,315

93,171

94,000

92,879

91,965 92,000 90,000

89,047

89,652

90,233

88,000 86,000 84,000 2005

2006

2007

2008

2009

2010

2011

2012

2013

2014

4.2.1 Registered Nurses in the General Class Demographics Of the RNs in the General Class who reported employment in nursing in Ontario for 2014, 6.1 per cent were male, compared to 4.3 per cent in 2005. The average age of RNs in the General Class employed in nursing in Ontario in 2014 was 45.4 years. Figure 4.8 Age distribution of RNs in the General Class for 2005 and 2014 18,000 15,377

2005

16,000

13,791

13,222 13,128 11,643

2014

14,000 12,000

13,419 12,486 11,382

10,852 9,598

10,000

9,132 9,114

9,309

8,767

8,000 6,292

5,849

6,000

4,388

3,935

4,000 2,000

1,790

1,354

0 18-24

25-29

30-34

35-39

40-44


45-49

50-54

55-59

60-64

65+

19

For 2014, 66.5 per cent of RNs in the General Class employed in nursing in Ontario reported overall fulltime employment, 26.2 per cent reported overall part-time employment, and 7.2 per cent reported overall casual employment. Table 4.7 Overall working status11 held by RNs in the General Class Employed in Nursing in Ontario for 2010-2014 2010

2011

2012

2013

2014

#

%

#

%

#

%

#

%

#

%

Full-time

61,484

65.5

63,384

67.9

63,392

68.3

62,709

66.4

63,740

66.5

Part-time

24,586

26.2

22,510

24.1

22,369

24.1

24,639

26.1

25,128

26.2

7,846

8.4

7,421

8.0

7,118

7.7

7,038

7.5

6,919

7.2

93,916

100

93,315

100

92,879

100

94,386

100

95,787

100

Casual Total

Figure 4.9 shows the full-time, part-time, and casual employment rates reported by RNs in the General Class employed in nursing in Ontario from 2005 to 2014, divided into three age groups. Examining a single panel allows for comparison of employment rates among each age group over time. For example, panel (a) shows that in 2014, RNs aged 30 to 54 had the highest overall full-time employment rate of 71 per cent. The full-time employment rate for RNs aged 18-29 was 64.8 per cent, while that of RNs aged 55+ was 57.5 per cent. The percentages for each year do not add up to 100 per cent because each one is the percentage of a given age group that has reported overall full-time employment. A comparison of overall employment rates for a single age group can be made by examining the matching trend lines in all three panels. For example, for 2014, RNs aged 18-29 reported a 64.8 per cent overall full-time employment rate, a 30.7 per cent overall part-time employment rate, and a 4.5 per cent overall casual employment rate, for a total of 100 per cent. Panel (a) shows that the full-time employment rate of RNs aged 55+ is consistently the lowest. RNs aged 30-54 have a higher full-time employment rate, and it follows a similar trend to the 55+ age group. The full-time employment rate of RNs aged 18-29 is much more volatile. Their rate increased quickly from 58.1 per cent in 2005 to 77 per cent in 2009. After this large increase, their full-time employment rate gradually decreased to 64.8 per cent in 2014. Panel (b) shows that RNs aged 30-54 and 55+ follow a similar path; however, RNs aged 30-54 have a lower part-time employment rate than RNs aged 55+. Nurses in the 55+ age group have had a higher part-time employment rate than RNs in the 30-54 age group since 2007. The part-time employment rate for RNs aged 18-29 also shows more volatility than the other age groups. The gradual increase in their part-time employment rate since 2009 reflects the decrease in the full-time employment rate observed in panel (a). Panel (c) shows that all age groups have a relatively low and stable casual employment rate. RNs aged 55+ have the highest casual employment rate. RNs aged 18-29 and 30-54 have similar casual employment rates. RNs aged 30-54 and 55+ follow a similar trend over time, and RNs aged 18-29 have a more varied casual employment rate over time.

11

See section 2.2.7 for more information on overall working status.


20

Figure 4.9 Overall Working Status rates reported by RNs in the General Class who reported Employment in Nursing in Ontario, broken down by age group

(a) Full-time employment

Full-time Employment Rate

80 75 71.0

70 65

64.8

60 57.5 55 50 2005

2006

2007

2008

2009

2010

2011

2012

2013

2014

(b) Part-time employment

Part-time Employment Rate

40 35 30

30.7

25

27.1 24.8

18-29 30-54 55+

20 15 10 2005

2006

2007

2008

2009

2010

2011

2012

2013

2014

(c) Casual employment 30

Casual Employment Rate

25 20 15.4

15 10

4.5

5

4.2

0 2005

2006

2007

2008

2009

2010

2011


2012

2013

2014

21

4.2.2 Registered Nurses in the General Class Nursing Employment12 For 2014, 84.8 per cent of RNs in the General Class employed in nursing in Ontario reported that they had only one nursing employer, 13.3 per cent reported that they had two nursing employers, and 1.9 per cent reported having three or more nursing employers. A total of 112,411 employment positions in Ontario were reported by these RNs. Despite a decrease in the number of RNs in the General Class, the number of employment positions increased by 1.9 per cent, from 110,306 in 2013 to 112,411 in 2014. The remainder of section 4.2.2 looks at the employment positions reported. Table 4.8 Number of nursing employers reported by RNs in the General Class Employed in Nursing in Ontario for 2011-2014 2011

2012

2013

2014

#

%

#

%

#

%

#

%

One Nursing Employer

80,739

86.5

78,893

84.9

80,330

85.1

81,236

84.8

Two Nursing Employers

11,350

12.2

12,420

13.4

12,396

13.1

12,734

13.3

1,226

1.3

1,566

1.7

1,660

1.8

1,817

1.9

93,315

100

92,879

100

94,386

100.0

95,787

100.0

Three or more Nursing Employers Total RNs Employed in Nursing in Ontario Total Nursing Employment Positions in Ontario

107,625

108,618

110,306

112,411

For 2014, 56.9 per cent of the reported RN employment positions in nursing in Ontario were full-time, 26.3 per cent were part-time, and 16.8 per cent were casual. Compared to 2013, the number of reported full-time positions increased by 1.7 per cent, part-time positions increased by 2.8 per cent, and casual positions increased by 1.2 per cent. Table 4.9 Working status for employment positions13 reported by RNs in the General Class Employed in Nursing in Ontario for 2011-2014 2011

2014

#

%

#

%

#

%

Full-time

63,719

59.2

63,649

58.6

62,848

57.0

63,928

56.9

Part-time

26,153

24.3

26,394

24.3

28,814

26.1

29,619

26.3

Casual

17,753

16.5

18,574

17.1

18,644

16.9

18,864

16.8

0

0.0

1

0.0

0

0.0

0

0.0

107,625

100

108,618

100

110,306

100

112,411

100

Total

13

2013

%

Not Specified

12

2012

#

See section 2.2.6 for discussion of multiple employers. See section 2.2.7 for more information on working status for employment positions.


22

For 2014, the largest percentage of reported RN employment positions was observed in the Toronto Central LHIN at 17.5 per cent and the lowest in the North West LHIN at 2.6 per cent. Table 4.10 Local Health Integration Network (LHIN) Regions for RN General Class employment positions for 2011-2014

Central Central East Central West Champlain Erie St. Clair Hamilton Niagara Haldimand Brant Mississauga Halton North East North Simcoe Muskoka North West South East South West Toronto Central Waterloo Wellington Not Specified Total

2011 # 9,118 9,101 3,407 11,753 4,959 11,683 6,951 5,899 3,624 2,866 4,922 9,797 18,633 4,781 131 107,625

% 8.5 8.5 3.2 10.9 4.6 10.9 6.5 5.5 3.4 2.7 4.6 9.1 17.3 4.4 0.1 100


2012 # 9,020 9,288 3,450 11,768 4,999 11,701 7,250 5,980 3,613 2,885 5,037 9,801 18,864 4,862 100 108,618

% 8.3 8.6 3.2 10.8 4.6 10.8 6.7 5.5 3.3 2.7 4.6 9.0 17.4 4.5 0.1 100

2013 # % 9,307 8.4 9,325 8.5 3,614 3.3 11,894 10.8 5,053 4.6 11,832 10.7 7,474 6.8 6,005 5.4 3,743 3.4 2,897 2.6 5,128 4.6 9,735 8.8 19,128 17.3 4,949 4.5 222 0.2 110,306 100.0

2014 # 9,637 9,392 3,702 11,961 5,148 12,105 7,677 6,104 3,776 2,900 5,181 9,808 19,717 5,117 186 112,411

% 8.6 8.4 3.3 10.6 4.6 10.8 6.8 5.4 3.4 2.6 4.6 8.7 17.5 4.6 0.2 100

23

4.3 Registered Nurses in the General Class Employed in Nursing Outside of Ontario14 The total number of RNs in the General Class reporting employment in nursing outside of Ontario decreased significantly from 5,428 in 2013 to 2,150 in 2014. This change led to a large decrease in the number of reported employment positions in nursing outside of Ontario. For the 2014 renewal, the 2,150 RNs in the General Class employed in nursing outside of Ontario reported 3,844 employment positions. There were 1,796 employment positions reported in another Canadian province and 2,048 employment positions reported outside of Canada. Compared to previous years, there was an increase in the proportion of nurses employed in other provinces in Canada, and a decrease in the proportion of nurses employed in the United States. Table 4.11 Employment position locations for RNs in the General Class Employed in Nursing outside Ontario for 2011-2014

Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Prince Edward Island Quebec Saskatchewan Yukon Canada Total United States Other Outside Canada & United States Not Specified (Outside Ontario) Total

2011 # 243 364 231 54 22 34 73 58 9 1,098 47 16 # 2,249 3,411 578 12 6,250

%† 10.8 16.2 10.3 2.4 1.0 1.5 3.2 2.6 0.4 48.8 2.1 0.7 % 36.0 54.6 9.2 0.2 100

2012 # 260 328 218 58 21 37 81 71 10 1,043 47 18 # 2,192 3,177 548 14 5,931

%† 11.9 15.0 9.9 2.6 1.0 1.7 3.7 3.2 0.5 47.6 2.1 0.8 % 37.0 53.6 9.2 0.2 100

2013 # 277 361 222 65 23 38 75 62 19 1,064 82 19 # 2,307 3,086 569 17 5,979

%† 12.0 15.6 9.6 2.8 1.0 1.6 3.3 2.7 0.8 46.1 3.6 0.8 % 38.6 51.6 9.5 0.3 100

2014 # 233 306 184 37 15 30 71 48 16 750 82 24 # 1,796 1,710 303 35 3,844

%† 13.0 17.0 10.2 2.1 0.8 1.7 4.0 2.7 0.9 41.8 4.6 1.3 % 46.7 44.5 7.9 0.9 100

†

Percentage of Canada Total.

14

Employed in Nursing outside Ontario includes members who reported at least one nursing employment position outside Ontario.


24

4.4 Registered Nurses in the General Class - Registration in Other Jurisdictions Members of the College can hold registration with multiple jurisdictions. For 2014, 7.6 per cent or 7,908 RNs in the General Class reported that they had an active registration with another jurisdiction, accounting for 9,352 registrations. Of these registrations, 1,888 were with another Canadian province, 4,178 were with a U.S. state and 3,286 were with a country other than the U.S. Compared to 2013, there was a decrease in registrations in other jurisdictions: 37.2 per cent in Canada, 43.4 per cent in the United States, and 20.6 per cent in other countries. Table 4.12 Concurrent registration locations in Canada and outside of Ontario for RNs in the General Class for 2013-2014 2013 # 381 522 308 87 58 105 110 165 29 1,090 117 35 3,007

Province Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Prince Edward Island Quebec Saskatchewan Yukon Canada Total

% 12.7 17.4 10.2 2.9 1.9 3.5 3.7 5.5 1.0 36.2 3.9 1.2 100

2014 # 248 327 229 49 34 83 72 140 14 553 101 38 1,888

% 13.1 17.3 12.1 2.6 1.8 4.4 3.8 7.4 0.7 29.3 5.3 2.0 100

Table 4.13 Top ten concurrent registration locations within the United States for RNs in the General Class for 2013-2014 State Michigan Florida California New York Minnesota Texas North Carolina Arizona Pennsylvania Connecticut Other States United States Total

2013 # 2,262 775 751 725 567 445 223 133 110 106 1,279 7,376

% 30.7 10.5 10.2 9.8 7.7 6.0 3.0 1.8 1.5 1.4 17.3 100


State Michigan New York Minnesota Florida California Texas North Carolina Vermont Pennsylvania Illinois Other States United States Total

2014 # 1,405 516 504 376 354 191 68 64 55 50 595 4,178

% 33.6 12.4 12.1 9.0 8.5 4.6 1.6 1.5 1.3 1.2 14.2 100

25

Table 4.14 Top ten international concurrent registration locations for RNs in the General Class for 2013-2014 Country Philippines United Kingdom India Hong Kong Australia Israel Iran Jamaica Saudi Arabia Germany Other Countries International Total

2013 # 753 669 462 294 250 199 140 100 91 63 1,115 4,136

% 18.2 16.2 11.2 7.1 6.0 4.8 3.4 2.4 2.2 1.5 27.0 100


Country India Philippines United Kingdom Israel Australia Hong Kong Iran Jamaica South Korea Saudi Arabia Other Countries International Total

2014 # 675 614 325 183 167 165 132 72 62 56 835 3,286

% 20.5 18.7 9.9 5.6 5.1 5.0 4.0 2.2 1.9 1.7 25.4 100

26

5 REGISTERED NURSES IN THE NON-PRACTISING CLASS The Non-Practising Class was established on January 1, 2013. 2014 was the first year when members could renew their membership in this class. RN members in this class are former members of the College’s General, Extended or Retired Classes and include members who are practising in another jurisdiction or not practising at all. A total of 4,627 RNs renewed in the Non-Practising Class for 2014, of this group 4.6 per cent were male and the average age was 55.5 years. Table 5.1 shows the employment status reported by RNs in the Non-Practising Class for 2014. Table 5.1 Employment status reported by RNs in the Non-Practising Class for 2014 2014

Employed in Nursing Outside Ontario

#

%

1,309

28.3

Employed in Nursing & Non-Nursing Outside Ontario

21

0.5

795

17.2

25

0.5

2,176

47.0

Employed in Non-Nursing Seeking Nursing Employment Not Employed

80

1.7

326

7.0

4,627

100

Seeking Nursing Employment On Leave Total

Table 5.2 shows the locations of employment positions outside of Ontario that were reported by RNs in the Non-Practising Class. There were 1,330 RNs in the Non-Practising Class who reported 1,447 nursing employment positions outside of Ontario. Table 5.2 Employment position locations for RNs in the Non-Practising Class employed in nursing outside of Ontario for 2014

Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Prince Edward Island Quebec Saskatchewan Yukon Canada Total United States Other Outside Canada & United States Total † Percentage of Canada Total.

2014 # 59 79 24 5 * 19 5 5 * 252 11 * # 468 870 109 1,447

%† 12.6 16.9 5.1 1.1 * 4.1 1.1 1.1 * 53.8 2.4 * % 32.3 60.1 7.5 100


27

6 REGISTERED PRACTICAL NURSES IN THE GENERAL CLASS There were 42,018 RPNs who renewed their membership in the General Class before the revocation date for 2014.15 Although the total number of RPNs renewing in the General Class has increased by only 0.1 per cent since 2013, the number of RPNs in the General Class employed in nursing in Ontario (including those employed in and outside Ontario) has increased by 5.7 per cent. There were substantial decreases in the number of nurses who were employed in nursing outside of Ontario, nurses employed in non-nursing, and nurses who were not employed or on leave. These decreases can be attributed to the new Declaration of Practice requirement which only allowed members to renew in the General Class.16 Table 6.1 Employment category and status reported by RPN General Class members for 2010-2014 Change 2010

2011

2012

2013

2014

20132014

Employed in

#

%

#

%

#

%

#

%

#

%

%

29,827

84.2

30,925

84.5

31,995

82.4

34,285

81.6

35,933

85.5

4.8


29,469

30,486

31,671

33,855

35,625

5.2

89

31

30

41

49

19.5

269

283

292

388

257

-33.8

0

125

2

1

2


899

2.5

910

2.5

1,161

3.0

1,410

3.4

1,627

3.9

15.4

& Non-Nursing 881

902

1,149

1,389

1,609

15.8

*

0

0

*

*

0.0

Outside Ontario

**

8

12

**

**

-15.0

Not Specified

0

0

0

0

0

In Ontario In and Outside Ontario

Employed in

2,287

6.5

1,585

4.3

2,317

6.0

1,816

4.3

1,080

2.6

-40.5


247

450

666

929

882

-5.1


2,173

6.1

811

2,231

6.1

1,002

2,467

6.4

1,449

3,062

7.3

2,150

2,242

5.3

1,880

-26.8 -12.6

Employment On Leave Not Specified Total

15 16

0

0.0

937

2.6

905

2.3

1,423

3.4

1,133

2.7

-20.4

241

0.7

0

0.0

0

0.0

0

0.0

3

0.0

0.0

35,427

100

36,588

100

38,845

100

41,996

100

42,018

100

0.1

The revocation date for the 2014 renewal period was March 20, 2014. Refer to Section 6.1 for information on gains and losses of RPNs in the General Class.


28

RPNs in the General Class who were not employed in nursing and reported that they were seeking nursing employment were asked whether they are seeking full-time, part-time or casual work. Of the 2,762 RPNs in the General Class seeking nursing employment, 59.6 per cent were seeking full-time employment, 27.9 per cent were seeking part-time employment and 12.5 per cent were seeking casual employment. Table 6.2 Employment preference expressed by RPN General Class members who were seeking nursing employment for 2014 2014 #

%

Full-time

1,645

59.6

Part-time

771

27.9

346

12.5

2,762

100

Casual Total

RPNs in the General Class who reported employment in nursing were asked whether their preference is for full-time, part-time or casual work. The majority of members’ overall working statuses matched their working preference. For 96.4 per cent of RPNs in the General Class employed full-time, 44.9 per cent employed part-time, and 37.3 per cent employed casually, their working preference matches their working status. RPNs employed part-time and casually reported that they would prefer more work; 54.1 per cent of RPNs employed part-time reported that they would prefer full-time employment and 43.3 per cent of RPNs in the General Class employed casually reported a preference for full-time employment. Table 6.3 Working preference expressed by RPN General Class members who were employed in nursing for 2014 Overall Working Status Working Preference

Full-time

Part-time

Casual

#

%

#

%

#

%

Full-time

20,235

96.4

7,144

54.1

1,454

43.3

Part-time

604

2.9

5,938

44.9

651

19.4

Casual Total

145

0.7

135

1.0

1,254

37.3

20,984

100

13,217

100

3,359

100


29

6.1 Renewal Gain and Loss of Registered Practical Nurses in the General Class17 Between 2006 and 2013, gains greatly exceeded losses. In 2013, the annual net gain peaked at 3,151. For 2014, the net gain fell to 22. The small net gain for 2014 can be attributed both to a decrease in gains as well as an increase in losses. The gains in RPN General Class membership have decreased by 29.7 per cent compared to 2013, and the losses have increased by 82.7 per cent. The substantial losses can largely be attributed to a new registration regulation requirement that was introduced in the 2014 renewal, called the Declaration of Practice.18 With this new requirement, a member can only renew in the General Class if they have: 1. Practised nursing in Ontario within the past three years; or 2. Have become registered or reinstated within the past three years If a member does not meet these conditions, they have the options of moving to the Non-Practising Class, resigning their membership, or doing nothing and having their membership revoked. Of the 3,563 losses in 2014, 46.3 per cent were a result of revocations and 13 per cent were a result of members moving to the Non-Practising Class. The remainder of Section 6.1 looks at RPN General Class gains and losses in detail. 19 Figure 6.1 Gains and Losses for RPNs in the General Class for 2005-2014

RPNs in the General Class Gains and Losses

6,000 Gain

5,101

Loss

5,000

4,056 3,585

4,000 3,094 3,000

2,991

2,619 2,207

2,122

2,303

3,563

2,259

2,000 1,715 1,000

1,830

1,799

2011

2012

1,950

1,561 1,191

1,209

1,123

2007

2008

2009

1,300

0 2005

2006

2010

2013

2014

17

Please see section 2.2.2 for more information about gain and loss. For more information about the Declaration of Practice requirement, visit http://www.cno.org/maintain-yourmembership2/declaration-of-practice3/ 19 Refer to Section 9.2 for renewal gains and loss trends of RPNs in the General Class 18


30

6.1.1 Renewal Gain of Registered Practical Nurses in the General Class There are three types of gains in the General Class: reinstatements, new members and changes in class. Reinstatements are members who were previously registered with the College in the General Class and have re-applied to enter the same class. New members are those who have never been registered with the College. Change in class includes members who were registered in the Extended Class or Non-Practising Class in the previous practice year and have moved to the General Class. From 2005 to 2014, the proportion of gains that were new members has increased steadily with a corresponding decrease in reinstatements. 20 In 2014, the proportion of gains that were new members was 97.8 per cent. Figure 6.2 Categorization of RPN General Class Gains for 2005-2014

RPNs in the General Class Gains

6,000

5,000

4,000

* Change in Class

3,000

New Members

4,857

Reinstatements 3,794

2,000 1,515 1,000

0

1,250

465

607

2005

2006

2,893

2,747

2,425

3,505

2,035

2,030

268

229

194

201

244

262

244

2007

2008

2009

2010

2011

2012

2013

** 2014

Figure 6.3 shows gains in RPN General Class membership from 2005 to 2014, divided into three age groups. Over the past ten years, the proportion of RPN General Class gains between 18 and 29 years of age has increased, while the proportion of gains between 30 and 54 years of age has decreased. The proportion of RPN General Class gains in the 55+ age group has also decreased since 2005. For 2014, 54.4 per cent of gains were in the 18-29 age group, 43.8 per cent of gains were in the 30-54 age group, and 1.6 per cent of gains were in the 55+ age group.

20

Refer to Section 9.2 for renewal gains and loss trends for RPNs in the General Class


31

Figure 6.3 Age distribution of RPN General Class gains for 2005-2014 100%

93

90

77

63

82

61

53

72

98

1,186

1,153

1,283

1,529

1,476

1,996

1,108

2,529

59

90%

RPN General Class Gains

80% 70% 974

1,571

60% 55+ 50%

30-54 18-29

40% 30% 20%

648

924

1,040

1,042

1,254

1,504

1,462

1,988

2,474

2006

2007

2008

2009

2010

2011

2012

2013

1,955

10% 0% 2005

2014

6.1.2 Renewal Loss of Registered Practical Nurses in the General Class RPN losses in the General Class in 2014 are members who renewed for the 2013 practice year, but did not renew for the 2014 practice year. A loss occurs if a member moves to another class, resigns their membership or if their membership is revoked. Change in class includes members who move from the General Class to the Non-Practising Class. The first year when members were able to register in the NonPractising Class was 2013. Resignations include members who resigned any time before or during the renewal period for a given year. Starting in 2013, the College revoked the memberships of nurses who did not renew before the revocation date21. Prior to 2013, members who did not renew their memberships before this date would have had their memberships suspended, and were classified as “Not Renewed.” From 2013 onwards, these members are classified as “Revoked.” Table 6.4 includes a more detailed breakdown of RPN General Class losses between 2011 and 2014, including resignation reasons and a breakdown of Change in Class. The number of RPN General Class losses due to resignations has grown gradually since 2005. From 2005 to 2014, resignations made up approximately half of RPN General Class losses. For 2014, resignations reached the highest number, at 1,450.

21

The revocation date for the 2014 renewal period was March 20, 2014.


32

Figure 6.4 Categorization of RPN General Class Losses for 2005-2014 4,000 3,500

RPN General Class Losses

462 3,000 2,500 2,000

1,450 Change in Class

192

Resigned

342

Revoked/Not Renewed

1,500

757 536

1,000

2,015

1,118 569

573

565

622

636

558

645

2007

2008

2009

2010

1,651 1,073

1,025

500

1,119

655

681

489

0 2005

2006

2011

2012

2013

2014

Table 6.4 Categorization of RPN General Class Losses for 2011-2014, including resignation reasons and a breakdown of Change in Class 2011 Revoked/Not Renewed Resigned Changing Profession Leave Leaving Canada Leaving Ontario Retiring Other Not Specified Change in Class Non-Practising Total

2012

2013

2014

#

%

#

%

#

%

#

%

1,073 757 52 ** * 35 240 167 236

58.6 41.4 2.8 ** * 1.9 13.1 9.1 12.9

681 1,118 85 38 7 41 404 372 171

37.9 62.1 4.7 2.1 0.4 2.3 22.5 20.7 9.5

489 1,119 70 ** * 49 369 443 158

25.1 57.4 3.6 ** * 2.5 18.9 22.7 8.1

1,651 1,450 99 31 12 81 561 485 181

46.3 40.7 2.8 0.9 0.3 2.3 15.7 13.6 5.1

0

0.0

0

0.0

342

17.5

462

13.0

1,830

100

1,799

100

1,950

100

3,563

100


33

Table 6.5 contains a breakdown of losses by the employment status and category that RPN General Class members held in the previous practice year. Out of the 3,563 RPN losses from the General Class in 2014, 40.3 per cent reported employment in nursing during the 2013 renewal, while 27.5 per cent were not employed and 20.9 were employed in non-nursing. The proportion of losses who were employed in nursing only has decreased from 2012 to 2014, whereas the proportion of losses who were employed in non-nursing only has increased. Table 6.5 Employment category and status held in the previous practice year by RPN General Class losses for 2012-2014 2012 # Employed in Nursing or Both Nursing & Non-Nursing In Ontario or Inside and Outside Ontario Outside Ontario Location Not Stated Employed in Non-Nursing Seeking Nursing Employment Not Employed Seeking Nursing Employment On Leave Not Specified Total

%

2013 #

2014 #

%

%

1,076

59.8

1,097

56.3

1,436

40.3

1,029 41 6 174 23 428 112 121 0 1,799

57.2 2.3 0.3 9.7 1.3 23.8 6.2 6.7 0.0 100

1,047 50 0.0 263 42 359 150 231 0 1,950

53.7 2.6 0.0 13.5 2.2 18.4 7.7 11.8 0.0 100

1,215 220 1 744 168 980 414 403 0 3,563

34.1 6.2 0.0 20.9 4.7 27.5 11.6 11.3 0.0 100

Figure 6.5 shows RPN losses from 2005 to 2014, divided into three age groups based on renewal data from the previous practice year. From 2005 to 2013, the proportion of losses in the 55+ age group increased, with a corresponding decrease in the proportion of losses in the 30-54 age group. However, in 2014, the proportion of losses in the 30-54 age group increased. Over the past ten years, the proportion of losses in the 18-29 age group has not changed significantly. Figure 6.5 Age distribution of RPN General Class losses for 2005-2014 100% 90%


629 80%

639

525

589

492

614

70%

986

890

960

1,531

55+

60%

30-54

50% 40%

18-29

1,324 802

30%

581

485 533

519

642

687

1,601

267

303

431

2012

2013

2014

650

20% 10% 254

120

85

87

2005

2006

2007

2008

0%

145

167

194

2009

2010

2011


34

Table 6.6Table 4.6 shows a detailed breakdown of loss categories for the employment categories and status presented in Table 6.5. Table (a) shows a breakdown of loss categories for RPNs who were employed in nursing in Ontario (as well as those employed in and outside of Ontario) during the previous practice year. During the 2014 renewal, 65.1 per cent of these nurses resigned, 34.4 per cent were revoked and 0.5 per cent changed classes. The distribution of loss categories is consistent from 2012 to 2014. Tables (b), (c), (d) and (e) show the breakdown of loss categories for RPNs who were employed in nursing outside of Ontario, employed in non-nursing, not employed, and on leave during the previous practice year, respectively. The distribution of losses is similar for these four categories. For 2012, a majority of losses in each employment category were due to resignation. For 2013, there was an increase in the proportion of losses due to revocations. For 2014, the proportion of losses due to revocation decreased with the introduction of the Non-Practising class.


35

Table 6.6 Categorization of RPN General Class Losses, by employment during previous practice year (a) Employed in Nursing in Ontario or in and Outside of Ontario

Revoked/ Not Renewed Resigned Change In Class – NonPractising Total

2012 # 407 622

% 39.6 60.4

2013 # 350 697

% 33.4 66.6

2014 # 418 791

% 34.4 65.1

0

0.0

0

0.0

6

0.5

1,029

100

1,047

100

1,215

100

(b) Employed in Nursing Outside of Ontario


2012 # 19 22

% 46.3 53.7

2013 # 29 21

% 58.0 42.0

2014 # 132 41

% 60.0 18.6

0

0.0

0

0.0

47

21.4

41

100

50

100

220

100

2012 # 62 112

% 35.6 64.4

2013 # 152 111

% 57.8 42.2

2014 # 369 160

% 49.6 21.5

0

0.0

0

0.0

215

28.9

174

100

263

100

744

100

2012 # 135 293

% 31.5 68.5

2013 # 176 183

% 49.0 51.0

2014 # 480 354

% 49.0 36.1

0

0.0

0

0.0

146

14.9

428

100

359

100

980

100

% 45.5 54.5

2013 # 124 107

% 53.7 46.3

2014 # 251 104

% 62.3 25.8

(c) Employed in Non-nursing


(d) Not Employed


(e) On Leave


2012 # 55 66 0

0.0

0

0.0

48

11.9

121

100

231

100

403

100


36


37

Figure 6.6 shows RPN losses from 2005 to 2014, divided into three age groups based on renewal data from the previous practice year. From 2005 to 2013, the proportion of losses in the 55+ age group increased, with a corresponding decrease in the proportion of losses in the 30-54 age group. However, in 2014, the proportion of losses in the 30-54 age group increased. Over the past ten years, the proportion of losses in the 18-29 age group has not changed significantly. Figure 6.6 Age distribution of RPN General Class Losses for 2005-2014 100% 90% 629


80%

639

525

589

492

614

70%

986

890

960

1,531

55+

60%

30-54

50% 40%

18-29

1,324 802

30%

581

485 533

519

642

687

1,601

267

303

431

2012

2013

2014

650

20% 10% 254

120

85

87

2005

2006

2007

2008

0%

145

167

194

2009

2010

2011

Figure 6.7 shows a breakdown of loss reasons by age group. For 2014, 12.1 per cent of losses were aged 18-29, 44.9 per cent of losses were aged 30-54 and 43 per cent of losses were aged 55+. Panel (a) shows the loss breakdown for the 18-29 age group. For the 2014 renewal, 53.6 per cent of these nurses resigned, 42.5 per cent had their membership revoked and 3.9 per cent changed classes. Panel (b) shows the loss breakdown for the 30-54 age group. For the 2014 renewal, 27.9 per cent of these nurses resigned, 55.5 per cent had their membership revoked and 16.6 per cent changed classes. Panel (c) shows the loss breakdown for the 55+ age group. For the 2014 renewal, 50.4 per cent of these nurses resigned, 37.9 per cent had their membership revoked and 11.7 per cent changed classes.


38

Figure 6.7 Categorization of RPN General Class Losses by age group (a) Losses aged 18-29 100% 80% 172

198

95

105

2012

2013

231

60% 40% 20%

183

0%

2014

(b) Losses aged 30-54 100% 266 80% 341

348

447

60%

Change In Class - Non-Practising Resigned

40% 20%

Revoked/Not Renewed 301

339

2012

2013

888

0%

2014

(c) Losses aged 55+ 100% 179 80% 605

573 772

60% 40% 20%

285

387

580

2013

2014

0%

2012


39

6.2 Registered Practical Nurses in the General Class Employed in Nursing in Ontario For 2014, there were 37,284 RPNs who reported at least one employment position in nursing in Ontario, an increase of 5.7 per cent over 2013, reaching its highest number of the 10-year period.

RPNs in the General Class Employed in Nursing in Ontario

Figure 6.8 Number of RPNs in the General Class Employed in Nursing in Ontario for 2005-2014

39,000

37,284 35,286

37,000 35,000

32,850

33,000

31,419

30,442

31,000

28,800

29,000

27,432 25,115

27,000

26,135

24,481

25,000 23,000 2005

2006

2007

2008

2009

2010

2011

2012

2013

2014

6.2.1 Registered Practical Nurses in the General Class Demographics Of the RPNs in the General Class who reported employment in nursing in Ontario for 2014, 8 per cent were male, compared to 5.9 per cent in 2005. The average age of RPNs employed in nursing in Ontario in 2014 was 41.9 years, a decrease from the average age of 45.3 years in 2005. Figure 6.9 Age distribution of RPNs in the General Class for 2005 and 2014 6,000

RPNs in the General Class

5,311

2005

5,000

2014

4,748

4,570

4,488 4,466

4,323 4,143

4,000

4,278 3,797

3,648 3,344 2,766

3,000

2,548 2,298

2,292

2,000 1,494

1,000

1,382 923

635 309

0 2005

2006

2007

2008

2009

2010


2011

2012

2013

2014

40

For 2014, 55.9 per cent of RPNs in the General Class employed in nursing in Ontario reported overall fulltime employment, 35.2 per cent reported overall part-time employment and 8.9 per cent reported overall casual employment. Table 6.7 Overall working status22 held by RPNs in the General Class Employed in Nursing in Ontario for 2010-2014 2010

2012

2013

2014

%

#

%

#

%

#

%

#

%

Full-time

17,641

57.9

19,183

61.1

20,022

60.9

20,040

56.8

20,836

55.9

Part-time

10,143

33.3

9,575

30.5

10,087

30.7

12,202

34.6

13,136

35.2

2,658

8.7

2,661

8.5

2,741

8.3

3,044

8.6

3,312

8.9

30,442

100

31,419

100

32,850

100

35,286

100

37,284

100

Casual Total

22

2011

#

See section 2.2.7 for more information on Overall Working Status.


41

Figure 6.10 shows the full-time, part-time, and casual employment rates reported by RPNs in the General Class employed in nursing in Ontario from 2005 to 2014, divided into three age groups. Examining a single panel allows for comparison of employment rates among each age group over time. For example, panel (a) shows that in 2014, RPNs in the 55+ age group reported the highest overall full-time employment rate, followed by RNs aged 30-54 at 59.8 per cent, followed by RPNs aged 18-29 at 40.6 per cent. The percentages for each year do not add up to 100 per cent because each one is the percentage of a given age group that has reported overall full-time employment. A comparison of overall employment rates for a single age group can be made by examining the matching trend lines in all three panels. For example, for 2014, RPNs aged 18-29 reported a 40.6 per cent overall full-time employment rate, a 47.6 per cent overall part-time employment rate, and an 11.8 per cent overall casual employment rate, for a total of 100 per cent. Panel (a) shows that the full-time employment rate of RPNs aged 18-29 is consistently the lowest. RPNs aged 30-54 and 55+ have a higher full-time employment rate and follow the same trend over time. The fulltime employment rate of RPNs aged 18-29 is much more volatile. Their rate increased quickly from 35 per cent in 2006 to 45.4 per cent in 2009. In 2012, their full-time employment rate peaked at 47.4 per cent and fell to 40.6 per cent in 2014. Panel (b) shows that the part-time employment rate of RPNs aged 18-29 is consistently the highest. RPNs aged 30-54 and 55+ have a lower part-time employment rate and follow the same trend over time. The parttime employment rate for RPNs aged 18-29 also shows more volatility than the other age groups. The gradual increase in their part-time employment rate since 2006 reflects the increase in full-time employment observed in panel (a). Panel (c) shows that all age groups have a relatively low and stable casual employment rate.


42

Figure 6.10 Overall Working Status rates reported by RPNs in the General Class who reported employment in nursing in Ontario, broken down by age group (a) Full-time employment 70

Full-time Employment Rate

65 60.6 60

59.8

55 50 45 40.6

40 35 30 2005

2006

2007

2008

2009

2010

2011

2012

2013

2014

(b) Part-time employment 60

Part-time Employment Rate

55 50

47.6

45 18-29 40

30-54

35

33.3

55+

30 27.6 25 20 2005

2006

2007

2008

2009

2010

2011

2012

2013

2014

(c) Casual employment

Casual Employment Rate

40 35 30 25 20 15

11.8 11.8

10

7.0

5 0 2005

2006

2007

2008

2009

2010


2011

2012

2013

2014

43

6.2.2 Registered Practical Nurses in the General Class Nursing Employment23 For 2014, 79.9 per cent of RPNs in the General class employed in nursing in Ontario reported that they had only one nursing employer, 17.7 per cent reported that they had two nursing employers, and 2.3 per cent reported having three or more nursing employers. A total of 45,742 employment positions in Ontario were reported by these RPNs. The number of employment positions increased by 6.2 per cent from 43,060 in 2013 to 45,742 in 2014. The remainder of section 6.3.2 looks at employment positions reported. Table 6.8 Number of nursing employers reported by RPNs in the General Class Employed in Nursing in Ontario for 2011-2014 2011

2012

2013

2014

#

%

#

%

#

%

#

%

25,910

82.4

26,449

80.5

28,373

80.4

29,805

79.9

4,981

15.8

5,691

17.3

6,133

17.4

6,609

17.7

538

1.7

710

2.2

780

2.2

870

2.3

Total RPNs Employed in Nursing in Ontario

31,429

100

32,850

100

35,286

100

37,284

100

Total Nursing Employment Positions in Ontario

37,775

One Nursing Employer Two Nursing Employers Three or more Nursing Employers

40,049

43,060

45,742

For 2014, 46 per cent of the reported RPN employment positions in nursing in Ontario were full-time, 35.1 per cent were part-time and 18.9 per cent were casual. Compared to 2013, the number of reported full-time positions increased by 4.2 percent, part-time positions increased by 7.5 and casual positions increased by 8.9 per cent. Table 6.9 Working status for employment positions 24 reported by RPNs in the General Class Employed in Nursing in Ontario for 2011-2014 2011

2012 #

23

24

2013 %

#

2014 %

#

%

Full-time

19,445

51.5

20,263

50.6

20,186

46.9

21,034

46.0

Part-time Casual

11,824 6,506

31.3 17.2

12,525 7,261

31.3 18.1

14,936 7,938

34.7 18.4

16,061 8,647

35.1 18.9

Total

37,775

100

40,049

100

43,060

100

45,742

100

See section 2.2.6 for discussion of multiple employers. See section 2.2.7 for more information on working status for employment positions.


44

For 2014, the largest percentage of reported RPN employment positions was observed in the Hamilton Niagara Haldimand Brant LHIN at 12.1 per cent and the lowest in the North West LHIN at 3.1 per cent. Table 6.10 Local Health Integration Network (LHIN) Regions for RPN General Class employment positions for 2011-2014


2011 # 3,297 3,779 1,127 4,097 2,031 4,531 1,873 2,654 1,594 1,273 2,142 3,488 3,710 2,115 64 37,775

% 8.7 10.0 3.0 10.8 5.4 12.0 5.0 7.0 4.2 3.4 5.7 9.2 9.8 5.6 0.2 100

2012 # 3,498 4,003 1,298 4,296 2,224 4,790 2,108 2,764 1,685 1,313 2,232 3,594 3,917 2,276 51 40,049


% 8.7 10.0 3.2 10.7 5.6 12.0 5.3 6.9 4.2 3.3 5.6 9.0 9.8 5.7 0.1 100

2013 # 3,869 4,325 1,439 4,428 2,351 5,085 2,393 2,932 1,873 1,348 2,369 3,749 4,326 2375 198 43,060

% 9.0 10.0 3.3 10.3 5.5 11.8 5.6 6.8 4.3 3.1 5.5 8.7 10.0 5.5 0.5 100

2014 # 4,189 4,484 1,486 4,655 2,568 5,535 2,599 3,050 1,971 1,430 2,472 3,889 4,594 2,567 253 45,742

% 9.2 9.8 3.2 10.2 5.6 12.1 5.7 6.7 4.3 3.1 5.4 8.5 10.0 5.6 0.6 100

45

6.3 Registered Practical Nurses in the General Class Employed in Nursing Outside of Ontario25 For the 2014 renewal, 324 RPNs in the General Class reported they were employed in nursing outside of Ontario; those nurses reported 477 employment positions. There were 395 employment positions reported in another Canadian province, and 82 employment positions reported outside of Canada. The total number of nursing positions outside of Ontario reported by RPNs in the General Class fell from 525 in 2013 to 477 in 2014. For 2014, there was an increase in the proportion of nurses employed in other provinces in Canada, and a decrease in the proportion of nurses employed in the United States. Table 6.11 Employment position locations for RPNs in the General Class Employed in Nursing outside Ontario for 2011-2014

Alberta British Columbia Manitoba New Brunswick Newfoundland Nova Scotia Northwest Territories Nunavut Prince Edward Island Quebec Saskatchewan Yukon Canada Total United States Other Outside Canada & United States Not Specified (Outside Ontario) Total † Percentage of Canada Total.

25

2011 # 66 33 21 2 5 9 14 7 4 58 10 5 # 234 113 23 1 371

%T 28.2 14.1 9.0 0.9 2.1 3.8 6.0 3.0 1.7 24.8 4.3 2.1 % 63.1 30.5 6.2 0.3 100

2012 # 71 34 11 7 * 13 13 7 ** 72 10 5 # 251 107 25 3 386

%T 28.3 13.5 4.4 2.8 * 5.2 5.2 2.8 ** 28.7 4.0 2.0 % 65.0 27.7 6.5 0.8 100

2013 # 121 56 23 6 * 10 15 8 * 114 30 * # 391 102 31 1 525

%T 30.9 14.3 5.9 1.5 * 2.6 3.8 2.0 * 29.2 7.7 * % 74.5 19.4 5.9 0.2 100

2014 # 127 53 36 12 ** 6 13 5 * 98 32 6 # 395 63 17 2 477

%T 32.2 13.4 9.1 3.0 ** 1.5 3.3 1.3 * 24.8 8.1 1.5 % 82.8 13.2 3.6 0.4 100

Employed in Nursing outside Ontario includes members who reported at least one nursing employment position outside Ontario.


46

6.4 Registered Practical Nurses in the General Class - Registration in Other Jurisdictions Members of the College can hold registration with multiple jurisdictions. In 2014, four per cent or 1,690 RPNs in the General Class reported that they had an active registration with another jurisdiction, accounting for 1,917 registrations. Of these registrations, 808 were with another Canadian province, 190 were with a U.S. state and 919 were with a country other than the U.S. Compared to 2013, there is a 5.5 per cent increase in registrations with other Canadian jurisdictions, a 23.1 per cent decrease in registrations with US jurisdictions and a 7.9 per cent increase in registrations with other countries. Table 6.12 Concurrent registration locations in Canada and outside of Ontario for RPNs in the General Class for 2013-2014 2013 # 343 94 34 16 12 13 28 22 8 150 35 11 766

Province Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Prince Edward Island Quebec Saskatchewan Yukon Canada Total

% 44.8 12.3 4.4 2.1 1.6 1.7 3.7 2.9 1.0 19.6 4.6 1.4 100

2014 # 397 86 46 20 13 24 12 25 7 124 44 10 808

% 49.1 10.6 5.7 2.5 1.6 3.0 1.5 3.1 0.9 15.3 5.4 1.2 100

Table 6.13 Top ten concurrent registration locations within the United States for RPNs in the General Class for 2013-2014 State Michigan New York Florida California Minnesota Connecticut Texas Vermont Ohio North Carolina Other States United States Total

2013 # 59 40 26 12 11 9 9 9 7 6 59 247

2014 % 23.9 16.2 10.5 4.9 4.5 3.6 3.6 3.6 2.8 2.4 23.9 100


State Michigan New York Florida Minnesota California Vermont Connecticut Texas Ohio Pennsylvania Other States United States Total

# 51 36 18 9 9 8 8 7 ** * 35 190

% 26.8 18.9 9.5 4.7 4.7 4.2 4.2 3.7 ** * 18.4 100

47

Table 6.14 Top ten international concurrent registration locations for RPNs in the General Class for 2013-2014 Country Philippines India United Kingdom Israel Nigeria Hong Kong Romania Poland Jamaica China Other Countries International Total

2013 # 280 254 29 26 18 14 14 11 10 9 187 852

2014 % 32.9 29.8 3.4 3.1 2.1 1.6 1.6 1.3 1.2 1.1 21.9 100


Country India Philippines United Kingdom Israel Nigeria Saudi Arabia Pakistan Russian Federation United Arab Emirates Singapore Other Countries International Total

# 325 323 32 21 18 12 11 9 8 8 152 919

% 35.4 35.1 3.5 2.3 2.0 1.3 1.2 1.0 0.9 0.9 16.5 100

48

7 REGISTERED PRACTICAL NURSES IN THE NON-PRACTISING CLASS The Non-Practising Class was established on January 1, 2013. 2014 was the first year when members could renew their membership in this class. RPN members in this class are former members of the College’s General or Retired Class, and include members who are practising in another jurisdiction or not practising at all. A total of 742 RPNs renewed in the Non-Practising Class for 2014, of this group 7.1 per cent were male and the average age was 51.6 years. Table 7.1 shows the employment status reported by RPNs in the Non-Practising Class for 2014. Table 7.1 Employment status reported by RPNs in the Non-Practising Class for 2014 2014

Employed in Nursing Outside Ontario Employed in Nursing & Non-Nursing Outside Ontario Employed in Non-Nursing Seeking Nursing Employment Not Employed Seeking Nursing Employment On Leave Total

#

%

71

9.6

4

0.5

282

38.0

19

2.6

308

41.5

24

3.2

77

10.4

742

100

Table 7.2 shows the locations of employment positions outside of Ontario that were reported by RPNs in the Non-Practising Class. There were 75 RPNs in the Non-Practising Class who reported 90 nursing employment positions outside of Ontario. Table 7.2 Employment position locations for RPNs in the Non-Practising Class employed in nursing outside of Ontario for 2014

Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Prince Edward Island Quebec Saskatchewan Yukon Canada Total United States Other Outside Canada & United States Not Specified (Outside Ontario) Total † Percentage of Canada Total.

2014 # 24 12 6 * * * * * 0 9 7 * # 69 19 2 0 90

%T 34.8 17.4 8.7 * * * * * 0.0 13.0 10.1 * % 76.7 21.1 2.2 0.0 100


49

8 REGISTERED NURSES IN THE EXTENDED CLASS (NPS)26 For the 2014 renewal, there were 2,362 NPs who renewed their membership before the revocation date. 91.6 per cent of NPs reported employment in nursing, and 3.6 per cent reported employment in both nursing and non-nursing. There was a decrease in the number of NPs employed in nursing outside of Ontario, not employed and on leave. Table 8.1 Employment category and status reported by NPs for 2010-2014 Change 2010

2011

2012

2013

2014

20132014

# Employed in

%

1,511

95.3

# 1,684

%

#

%

93.6

1,871

92.6

#

%

2,041

91.0

#

%

2,164

%

91.6

6.0%

3.6

2.4%

**

0.0%

1.9

-2.2%

-6.2%


1,444

1,602

1,785

1,939

2,091

9

18

29

35

37

58

62

57

67

36

0

2

0

0

0


33

2.1

47

2.6

62

3.1

84

3.7

86

& Non-Nursing In Ontario In and Outside

**

**

59

81

79

*

0

*

*

*

0

*

*

*

*

Ontario Outside Ontario Employed in

13

0.8

**

**

**

**

**

**

**


0

*

*

*

*


25

1.6

18

33

1.8

41

14

2.0

20

46

2.1

29

45 32

Employment On Leave

0

0.0

30

1.7

23

1.1

65

2.9

61

2.6

Not Specified

3

0.2

0

0.0

0

0.0

0

0.0

0

0.0

1,585

100

1,800

100

2,020

100

2,242

100

2,362

100

Total

5.4%

26

In this report, Nurse Practitioner (NP) refers to Registered Nurses in the Extended Class. For more information about the College’s classes of registration, see http://www.cno.org/en/become-a-nurse/types-of-registration/.


50

In 2007, the College began registering NPs in three specialties – Adult, Paediatrics and Primary Health Care. A member is able to hold more than one specialty. Table 8.2 NP Specialties 2010 # 274 110 1,208 1,592

NP - Adult NP - Paediatrics NP - Primary Health Care Total

% 17.2 6.9 75.9 100

2011 # % 329 18.2 142 7.8 1,340 74.0 1,811 100

7

Members with two specialties

2012 # % 387 19.0 167 8.2 1,480 72.8 2,034 100

11

14

2013 # % 425 18.8 196 8.7 1,637 72.5 2,258 100 16

2014 # % 466 19.6 202 8.5 1,711 71.9 2,379 100 17

NPs who were not employed in nursing and reported that they were seeking nursing employment were asked whether they are seeking full-time, part-time or casual work. Of the 36 NPs seeking nursing employment, 58.3 per cent were seeking full-time employment.

NPs who reported employment in nursing were asked whether their preference is for full-time, part-time or casual work. The majority of members’ overall working statuses matched their working preference. For 94.6 per cent of NPs employed full-time, their working preference matches their working status, whereas 22.3 per cent of NPs who are employed part-time reported they would prefer full-time employment. The majority of NPs employed casually also expressed that they would prefer more work; 22.4 per cent reported a preference for part-time employment and 38.8 per cent reported a preference for full-time employment. Table 8.3 Working preference expressed by NPs who were employed in nursing for 2014 Overall Working Status Working Preference

Full-Time

Part-Time

Casual

#

%

#

%

#

%

Full-time

1,762

94.6

76

22.3

19

38.8

Part-time

92

4.9

259

76.0

11

22.4

8

0.4

6

1.8

19

38.8

1,862

100

341

100

49

100

Casual Total


51

8.1 Renewal Gain and Loss of Nurse Practitioners For 2014, there was a net gain of 120 NPs. NP gains have been consistent from 2011 to 2014; however, NP losses have been increasing. Figure 8.1 Gains and Losses for NPs for 2005-2014 450 Gain

392

400 Loss

NP Gains and Losses

350

272

300

229 250

261 238

230

200 145 150

110

105 100

59

60

*

12

6

7

2005

2006

2007

2008

39

50

*

13

14

18

2009

2010

2011

2012

0


2013

2014

52

8.2 Nurse Practitioners Employed in Nursing in Ontario The number of NPs who reported employment in nursing in Ontario continues to increase. For 2014, 2,209 NPs reported employment in nursing in Ontario, an increase of 7.4 per cent over 2013. Figure 8.2 Number of NPs employed in nursing in Ontario for 2005-2014

NPs Employed in Nursing in Ontario

2,400 2,056

2,150

2,209

1,874

1,900

1,666

1,650

1,486

1,400 1,120 1,150 868 900 650

729 594

639

2005

2006

400 2007

2008

2009

2010

2011

2012

2013

2014

8.2.1 NP Demographics Of the NPs who reported employment in nursing in Ontario for 2014, 6.1 per cent were male, compared to 5.7 per cent in 2005. The average age of NPs employed in nursing in Ontario in 2014 was 44.6 years, a decrease from the average age of 45.8 years in 2005. Figure 8.3 Age distribution of NPs for 2005 and 2014 450 2005

400 350

376

364

355 2014

313 287

300

267

250 200 152 150

114 99

100 50

**

137 114

114

37

29

*

0 18-24

19

15

25-29

30-34

35-39

40-44


45-49

50-54

55-59

60-64

53

For 2014, 82.7 per cent of NPs employed in nursing in Ontario reported overall full-time employment, 15.3 per cent reported overall part-time employment, and two per cent reported overall casual employment. Table 8.4 Overall working status27 held by NPs employed in nursing in Ontario for 2010-2014 2010

2011

2012

2013

2014

#

%

#

%

#

%

#

%

#

%

Full-time

1,231

82.8

1,401

84.1

1,591

84.9

1,711

83.2

1,827

82.7

Part-time

210

14.1

231

13.9

254

13.6

300

14.6

337

15.3

Casual Total

45

3.0

34

2.0

29

1.5

45

2.2

45

2.0

1,486

100

1,666

100

1,874

100

2,056

100

2,209

100

8.2.2 NP Nursing Employment28 For 2014, 75.6 per cent of NPs employed in nursing in Ontario reported that they had one nursing employer, 20.1 per cent reported that they had two nursing employers, and 4.3 per cent reported that they had three or more nursing employers. A total of 2,869 employment positions in Ontario were reported by these NPs. The number of employment positions has increased by 8.6 per cent, from 2,641 positions in 2013. The remainder of section 8.2.2 looks at the employment positions reported. Table 8.5 Number of nursing employers reported by NPs Employed in Nursing in Ontario for 20112014 2011 # One Nursing Employer

%

2012 #

%

2013 #

%

2014 #

%

1,300

78.0

1,446

77.2

1,576

76.7

1,671

75.6

296

17.8

339

18.1

396

19.3

444

20.1

70

4.2

89

4.7

84

4.1

94

4.3

Total NPs Employed in Nursing in Ontario

1,666

100

1,874

100

2,056

100.0

2,209

100

Total Nursing Employment Positions in Ontario

2,110

Two Nursing Employers Three or more Nursing Employers

2,402

2,641

2,869

For 2014, 63.9 per cent of reported NP employment positions in nursing in Ontario were full-time, 19.5 per cent were part-time, and 16.6 per cent were casual. Compared to 2013, the number of reported full-time positions increased by 7.1 per cent, part-time positions increased by 11.6 per cent, and casual positions increased by 11.2 per cent.

27 28

See section 2.2.7 for more information on overall working status. See section 2.2.6 for discussion of multiple employers.


54

Table 8.6 Working status for employment positions29 reported by NPs Employed in Nursing in Ontario for 2011-2014

Full-time

2011 # 1,419

% 67.3

2012 # 1,599

% 66.6

2013 # 1,712

% 64.8

2014 # 1,834

% 63.9

Part-time Casual Total

373 318 2,110

17.7 15.1 100

435 368 2,402

18.1 15.3 100

502 427 2,641

19.0 16.2 100

560 475 2,869

19.5 16.6 100

For 2014, the largest percentage of NP employment positions was observed in the Toronto Central LHIN at 19.7 per cent and the lowest percentage in Central West at 2.0 per cent. Table 8.7 Local Health Integration Network (LHIN) Regions for NP employment positions for 20112014


29

2011 # % 82 3.9 136 6.4 35 1.7 204 9.7 122 5.8 230 10.9 70 3.3 201 9.5 81 3.8 112 5.3 121 5.7 178 8.4 403 19.1 131 6.2 4 0.2 2,110 100

2012 # 95 158 37 243 143 249 90 222 102 125 138 195 445 157 3 2,402

% 4.0 6.6 1.5 10.1 6.0 10.4 3.7 9.2 4.2 5.2 5.7 8.1 18.5 6.5 0.1 100

2013 # % 113 4.3 175 6.6 49 1.9 250 9.5 162 6.1 253 9.6 95 3.6 247 9.4 107 4.1 151 5.7 158 6.0 207 7.8 491 18.6 173 6.6 10 0.4 2,641 100

2014 # % 118 4.1 205 7.1 57 2.0 262 9.1 176 6.1 270 9.4 102 3.6 268 9.3 122 4.3 145 5.1 159 5.5 227 7.9 566 19.7 181 6.3 11 0.4 2,869 100

See section 2.2.7 for more information on working status for employment positions.


55

8.2.3 Nurse Practitioner Positions in 201430 A nurse who holds a certificate of registration of a Nurse Practitioner can also work in a non-Nurse Practitioner role. For 2014, 2,004 NPs reported employment as a Nurse Practitioner, accounting for 2,222 Nurse Practitioner positions. For 2014, the largest percentage of reported Nurse Practitioner employment positions was observed in the Toronto Central LHIN at 17.9 per cent and the lowest was in Central West at 2.1 per cent. Table 8.8 Local Health Integration Network (LHIN) Regions for NPs employed in Nurse Practitioner Positions 2011-2014


2011 # 52 107 26 135 96 180 52 167 61 71 82 133 296 95 3 1,556

% 3.3 6.9 1.7 8.7 6.2 11.6 3.3 10.7 3.9 4.6 5.3 8.5 19.0 6.1 0.2 100

2012 # 69 127 29 166 116 198 68 189 76 87 105 161 334 121 3 1,849

% 3.7 6.9 1.6 9.0 6.3 10.7 3.7 10.2 4.1 4.7 5.7 8.7 18.1 6.5 0.2 100

2013 # 79 143 36 176 133 200 74 206 85 97 114 173 347 127 6 1,996

% 4.0 7.2 1.8 8.8 6.7 10.0 3.7 10.3 4.3 4.9 5.7 8.7 17.4 6.4 0.3 100

2014 # % 83 3.7 173 7.8 46 2.1 191 8.6 147 6.6 217 9.8 81 3.6 219 9.9 98 4.4 104 4.7 125 5.6 193 8.7 397 17.9 141 6.3 7 0.3 2,222 100

For 2014, NPs employed in a Nurse Practitioner role report community sector as the largest sector of employment positions at 59 per cent, followed by hospital at 35.8 per cent, and long-term care at 3.1 per cent. Table 8.9 Employment sectors for NP employment positions in nursing in Ontario for 2013-2014

Hospital Community Long-Term Care Other Total

2013 # % 700 35.1 1,180 59.1 67 3.4 49 2.5 1,996 100

2014 # % 796 35.8 1,311 59.0 69 3.1 46 2.1 2,222 100

The top five NP employers and primary areas of practice in 2013 and 2014 for Nurse Practitioner employment positions were reported as follows:

The position in nursing “Nurse Practitioner (NP)” only applies to Registered Nurses in the Extended Class. See section 10.3 for a complete breakdown of NPs by position in nursing. 30


56

Table 8.10 Top five nursing employers for NP employment positions in nursing in Ontario for 2013-2014

Acute Care Hospital Family Health Team (FHT) Community Health Centre/CHO Nurse Practitioner Led Clinic Physician's Office Other Employers Total

2013 # 618 434 357 103 79 405 1,996

% 31.0 21.7 17.9 5.2 4.0 20.3 100

Acute Care Hospital Family Health Team (FHT) Community Health Centre/CHO Nurse Practitioner Led Clinic Community Care Access Centre Other Employers Total

2014 # 693 465 391 100 85 488 2,222

% 31.2 20.9 17.6 4.5 3.8 22.0 100

Table 8.11 Top five primary areas of practice for NP employment positions in nursing in Ontario for 2013-2014

Primary Care Geriatrics Acute Care Cardiac Care Emergency Care/Emergency Other Areas of Practice Total

2013 # 1,053 130 85 83 71 574 1,996

% 52.8 6.5 4.3 4.2 3.6 28.8 100


Primary Care Geriatrics Acute Care Cardiac Care Emergency Care/Emergency Other Areas of Practice Total

2014 # % 1,167 52.5 164 7.4 114 5.1 91 4.1 71 3.2 615 27.7 2,222 100

57

9 RENEWAL GAIN AND LOSS TABLES 9.1 RNs in the General Class Renewal Gain and Loss Tables Table 9.1 RNs in the General Class Gain and Loss 2005-2014 2005 Gain Loss Net Change

6,962 3,745 3,217

2006

2007

3,934 3,835 99

2008

2009

2010

2011

2012

4,005 3,055 950

4,029 2,838 1,191

4,098 3,395 703

4,127 4,312 -185

4,757 4,095 662

2013 5,395 5,007 388

2014 3,989 12,273 -8,284

2008 # % 3,267 81.6 738 18.4 0 0.0 4,005 100

2009 # % 3,388 84.1 641 15.9 0 0.0 4,029 100

2010 # % 3,536 86.3 562 13.7 0 0.0 4,098 100

2011 # % 3,522 85.3 ** ** * * 4,127 100

2012 # % 4,183 87.9 574 12.1 0 0.0 4,757 100

2013 # % 4,838 89.7 550 10.2 7 0.1 5,395 100

2014 # % 3,766 94.4 176 4.4 47 1.2 3,989 100

2009 # % 1,152 28.6 1,146 28.4 494 12.3 427 10.6 316 7.8 222 5.5 125 3.1 72 1.8 36 0.9 38 0.9 1 0.0 4,029 100

2010 # % 1,163 28.4 1,242 30.3 502 12.2 384 9.4 300 7.3 219 5.3 118 2.9 88 2.1 50 1.2 30 0.7 2 0.0 4,098 100

2011 # % 1,538 37.3 991 24.0 488 11.8 354 8.6 289 7.0 210 5.1 122 3.0 71 1.7 44 1.1 20 0.5 0 0.0 4,127 100

2012 # % 1,895 39.8 1,249 26.3 511 10.7 377 7.9 306 6.4 188 4.0 96 2.0 82 1.7 33 0.7 20 0.4 0 0.0 4,757 100

2013 # % 2,087 38.7 1,432 26.5 667 12.4 421 7.8 313 5.8 202 3.7 133 2.5 67 1.2 39 0.7 34 0.6 0 0 5,395 100

2014 # % 1,915 48.0 996 25.0 411 10.3 247 6.2 184 4.6 116 2.9 51 1.3 44 1.1 16 0.4 9 0.2 0 0 3,989 100

3,163 3,324 -161

Table 9.2 RNs in the General Class Gain by Type 2005-2014

New Members Reinstatements Change in Class Total

2005 # % 5,696 81.8 1,266 18.2 0 0.0 6,962 100

2006 # % 2,686 68.3 1,248 31.7 0 0.0 3,934 100

2007 # % 2,361 74.6 802 25.4 0 0.0 3,163 100

Table 9.3 RNs in the General Class Gain by Age Group 2005-2014

18 – 24 25 – 29 30 – 34 35 – 39 40 – 44 45 – 49 50 – 54 55 – 59 60 – 64 65+ Not Specified Total

2005 # % 1,040 14.9 1,528 21.9 1,270 18.2 1,067 15.3 818 11.7 621 8.9 351 5.0 162 2.3 66 0.9 37 0.5 2 0.0 6,962 100

2006 # % 633 16.1 910 23.1 603 15.3 556 14.1 436 11.1 321 8.2 222 5.6 130 3.3 87 2.2 36 0.9 0 0.0 3,934 100

2007 # % 739 23.4 903 28.5 401 12.7 364 11.5 257 8.1 182 5.8 150 4.7 80 2.5 54 1.7 33 1.0 0 0.0 3,163 100


2008 # % 1,356 33.9 1,067 26.6 444 11.1 373 9.3 245 6.1 214 5.3 128 3.2 91 2.3 56 1.4 30 0.7 1 0.0 4,005 100

58

Table 9.4 RNs in the General Class Loss by Type 2005-2014

Revoked/Not Renewed Resigned Change in Class Total

2005 # % 3,338 89.1 360 9.6 47 1.3 3,745 100

2006 # % 2,422 63.2 1,366 35.6 47 1.2 3,835 100

2007 # % 1,602 48.2 1,621 48.8 101 3.0 3,324 100

2008 # % 1,406 46.0 1,507 49.3 142 4.6 3,055 100

2009 # % 1,177 41.5 1,397 49.2 264 9.3 2,838 100

2010 # % 1,453 42.8 1,564 46.1 378 11.1 3,395 100

2011 # % 2,194 50.9 1,898 44.0 220 5.1 4,312 100

2012 # % 1,626 39.7 2,254 55.0 215 5.3 4,095 100

2013 # % 1,038 20.7 2,103 42.0 1,866 37.3 5,007 100

2014 # 6,008 3,183 3,082 12,273

% 49.0 25.9 25.1 100

2009 # % 27 1.0 153 5.4 194 6.8 246 8.7 211 7.4 224 7.9 221 7.8 371 13.1 605 21.3 586 20.6 0 0.0 2,838 100

2010 # % 34 1.0 153 4.5 238 7.0 265 7.8 272 8.0 264 7.8 271 8.0 461 13.6 714 21.0 723 21.3 0 0.0 3,395 100

2011 # % 26 0.6 194 4.5 196 4.5 239 5.5 227 5.3 260 6.0 262 6.1 564 13.1 1,013 23.5 1,331 30.9 0 0.0 4,312 100

2012 # % 50 1.2 247 6.0 220 5.4 187 4.6 202 4.9 204 5.0 250 6.1 673 16.4 1,166 28.5 896 21.9 0 0.0 4,095 100

2013 # % 59 1.2 272 5.4 223 4.5 219 4.4 220 4.4 276 5.5 330 6.6 889 17.8 1,413 28.2 1,106 22.1 0 0 5,007 100

2014 # 96 452 667 796 1,125 1,245 1,353 2,189 2,581 1,769 0 12,273

% 0.8 3.7 5.4 6.5 9.2 10.1 11.0 17.8 21.0 14.4 0.0 100

Table 9.5 RNs in the General Class Loss by Age Group 2005-2014


2005 # % 46 1.2 246 6.6 301 8.0 349 9.3 350 9.3 314 8.4 403 10.8 579 15.5 723 19.3 434 11.6 0 0.0 3,745 100

2006 # % 76 2.0 268 7.0 337 8.8 319 8.3 319 8.3 296 7.7 358 9.3 599 15.6 755 19.7 507 13.2 1 0.0 3,835 100

2007 # % 39 1.2 217 6.5 251 7.6 311 9.4 267 8.0 248 7.5 288 8.7 504 15.2 666 20.0 532 16.0 1 0.0 3,324 100


2008 # % 32 1.0 177 5.8 232 7.6 215 7.0 233 7.6 206 6.7 246 8.1 464 15.2 684 22.4 566 18.5 0 0.0 3,055 100

59

9.2 RPNs in the General Class Renewal Gain and Loss Tables Table 9.6 RPNs in the General Class Gain and Loss 2005-2014 Gain Loss Net Change

2005 1,715 2,207 -492

2006 2,122 1,562 560

2007 2,303 1,191 1,112

2008 2,259 1,209 1,050

2009 2,619 1,123 1,496

2010 3,094 1,300 1,794

2011 2,991 1,830 1,161

2012 4,056 1,799 2,257

2013 5,101 1,950 3,151

2014 3,585 3,563 22

2008 # % 2,029 89.8 230 10.2 0 0.0 2,259 100

2009 # % 2,425 92.6 194 7.4 0 0.0 2,619 100

2010 # % 2,893 93.5 201 6.5 0 0.0 3,094 100

2011 # % 2,747 91.8 244 8.2 0 0.0 2,991 100

2012 # % 3,794 93.5 262 6.5 0 0.0 4,056 100

2013 # % 4,857 95.2 244 4.8 0 0.0 5,101 100

2014 # % 3,505 97.8 80 2.2 0 0.0 3,585 100

2009 # % 639 24.4 615 23.5 404 15.4 333 12.7 274 10.5 183 7.0 89 3.4 51 1.9 26 1.0 5 0.2 0 0.0 2,619 100

2010 # % 813 26.3 691 22.3 449 14.5 388 12.5 328 10.6 247 8.0 117 3.8 42 1.4 9 0.3 10 0.3 0 0.0 3,094 100

2011 # % 887 29.7 575 19.2 435 14.5 418 14.0 315 10.5 208 7.0 100 3.3 39 1.3 ** ** * * 0 0.0 2,991 100

2012 # % 1,077 26.6 911 22.5 609 15.0 551 13.6 433 10.7 274 6.8 129 3.2 54 1.3 ** ** * * 0 0.0 4,056 100

2013 # % 1,257 24.6 1,217 23.9 782 15.3 666 13.1 578 11.3 326 6.4 177 3.5 77 1.5 16 0.3 5 0.1 0 0.0 5,101 100

2014 # % 1,050 29.3 905 25.2 531 14.8 420 11.7 331 9.2 205 5.7 84 2.3 44 1.2 ** ** * * 0 0.0 3,585 100

Table 9.7 RPNs in the General Class Gain by Type 2005-2014

New Members Reinstatements Change in Class Total

2005 # % 1,285 74.9 430 25.1 0 0.0 1,715 100

2006 # % 1,704 80.3 418 19.7 0 0.0 2,122 100

2007 # % 2,031 88.2 272 11.8 0 0.0 2,303 100

Table 9.8 RPNs in the General Class Gain by Age Group 2005-2014


2005 # % 385 22.4 262 15.3 245 14.3 244 14.2 220 12.8 171 10.0 95 5.5 63 3.7 19 1.1 10 0.6 1 0.1 1,715 100

2006 # % 509 24.0 413 19.5 276 13.0 280 13.2 243 11.5 185 8.7 124 5.8 58 2.7 26 1.2 7 0.3 1 0.0 2,122 100

2007 # % 579 25.1 460 20.0 320 13.9 299 13.0 280 12.2 169 7.3 118 5.1 53 2.3 18 0.8 6 0.3 1 0.0 2,303 100


2008 # % 553 24.5 488 21.6 324 14.3 317 14.0 239 10.6 172 7.6 102 4.5 40 1.8 14 0.6 9 0.4 1 0.0 2,259 100

60

Table 9.9 RPNs in the General Class Gain by Type 2005-2014

Revoked/Not Renewed Resigned Change in Class Total

2005 # % 2,015 91.3 192 8.7 0 0.0 2,207 100

2006 # % 1,025 65.7 536 34.3 0 0.0 1,561 100

2007 # % 622 52.2 569 47.8 0 0.0 1,191 100

2008 # % 636 52.6 573 47.4 0 0.0 1,209 100

2009 # % 558 49.7 565 50.3 0 0.0 1,123 100

2010 # % 645 49.6 655 50.4 0 0.0 1,300 100

2011 # % 1,073 58.6 757 41.4 0 0.0 1,830 100

2012 # % 681 37.9 1,118 62.1 0 0.0 1,799 100

2013 # % 489 25.1 1,119 57.4 342 17.5 1,950 100

2014 # % 1,651 46.3 1,450 40.7 462 13.0 3,563 100

2009 # % 42 3.7 103 9.2 71 6.3 105 9.3 95 8.5 97 8.6 117 10.4 166 14.8 212 18.9 114 10.2 1 0.1 1,123 100

2010 # % 33 2.5 134 10.3 100 7.7 88 6.8 101 7.8 111 8.5 119 9.2 212 16.3 239 18.4 163 12.5 0 0.0 1,300 100

2011 # % 41 2.2 153 8.4 118 6.4 116 6.3 107 5.8 135 7.4 174 9.5 310 16.9 397 21.7 279 15.2 0 0.0 1,830 100

2012 # % 79 4.4 188 10.5 109 6.1 125 6.9 124 6.9 138 7.7 146 8.1 335 18.6 369 20.5 186 10.3 0 0.0 1,799 100

2013 # % 99 5.1 204 10.5 118 6.1 121 6.2 122 6.3 148 7.6 178 9.1 339 17.4 410 21.0 211 10.8 0 0.0 1,950 100

2014 # % 115 3.2 316 8.9 251 7.0 249 7.0 311 8.7 351 9.9 439 12.3 607 17.0 636 17.9 288 8.1 0 0.0 3,563 100

Table 9.10 RPNs in the General Class Loss by Age Group 2005-2014


2005 # % 55 2.5 199 9.0 243 11.0 285 12.9 287 13.0 229 10.4 280 12.7 321 14.5 229 10.4 79 3.6 0 0.0 2,207 100

2006 # % 31 2.0 89 5.7 100 6.4 142 9.1 184 11.8 173 11.1 204 13.1 303 19.4 235 15.0 101 6.5 0 0.0 1,562 100

2007 # % 25 2.1 60 5.0 79 6.6 115 9.7 119 10.0 119 10.0 148 12.4 234 19.6 191 16.0 100 8.4 1 0.1 1,191 100


2008 # % 31 2.6 56 4.6 65 5.4 109 9.0 111 9.2 108 8.9 140 11.6 261 21.6 214 17.7 114 9.4 0 0.0 1,209 100

61

10 2014 EMPLOYMENT POSITIONS IN ONTARIO TABLES 10.1 Registered Nurses in the General Class Tables Table 10.1 RN General Class Nursing Employers 201431

Nursing Employer

Hospital

Community

#

%

#

%

88. 1

60,194

53. 5

3,085

4.5

3,085

2.7

1,784

2.6

1,784

1.6

Rehabilitation Hospital

1,500

2.2

1,500

1.3

Other Hospital

1,759

2.6

1,759

1.6

Addiction & Mental Health Centre/Psychiatric Hospital Complex Continuing Care/Rehabilitation Hospital

Blood Transfusion Centre

#

%

#

%

98

0.4

98

0.1

543

2.4

543

0.5

69

0.3

69

0.1

471

2.1

471

0.4

Community Care Access Centre

4,028

17. 8

4,028

3.6

Community Health Centre

1,289

5.7

1,289

1.1

Community Mental Health Program

696

3.1

696

0.6

Diabetes Education Centre (DEC)

208

0.9

208

0.2

1,126

5.0

1,126

1.0

454

2.0

454

0.4

47

0.2

47

0.0

2,473

2.2

2,715

2.4

4,129

3.7

Cancer Centre Children Treatment Centre (CTC) Client's Environment

Family Health Team (FHT) Hospice Nurse Practitioner Led Clinic Nursing/Staffing Agency

2,473

Physician's Office/Family Practice Unit

2,715

Public Health Unit/Department

4,129

Remote Nursing Station Other Community

10. 9 12. 0 18. 2

304

1.3

304

0.3

3,997

17. 6

3,997

3.6

9,211

90. 8

9,211

8.2

Retirement Home

658

6.5

658

0.6

Other Long-Term Care Facility

270

2.7

270

0.2

Long-Term Care Facility

31

%

Nursing Employer Total

Other

60,19 4

Acute Care Hospital

#

Long-Term Care

The data in this table is not comparable to information provided prior to 2011. Please see section 2.2.6 for more information.


62

Correctional Facility

689

Colleges/Universities

4,143

Government/Association/Regulatory/Unio n

1,472

Health-Related Business/Industry

1,766

6.1 36. 7 13. 0 15. 6

689

0.6

4,143

3.7

1,472

1.3

1,766

1.6

Industry (Not Health-Related)

440

3.9

440

0.4

Schools

448

4.0

448

0.4

71

0.6

71

0.1

308

2.7

308

0.3

1,966

17. 4

1,966

1.7

11,30 3

100

112,41 1

100

Spa Telephone Health Advisory Services Other Sector Total

68,32 2

100

22,64 7


100

10,13 9

100

63

Table 10.2 RN General Class Positions in Nursing 201432

Position in Nursing

Community

Long-Term Care

Other

Position Total

#

%

#

%

#

%

#

%

#

%

379

0.6

61

0.3

17

0.2

14

0.1

471

0.4

233

0.3

80

0.4

13

0.1

28

0.2

354

0.3

Case Manager

497

0.7

3,396

15.0

19

0.2

336

3.0

4,248

3.8

Clinical Educator

821

1.2

229

1.0

71

0.7

1,144

10.1

2,265

2.0

Consultant

207

0.3

333

1.5

109

1.1

647

5.7

1,296

1.2

Educator/Faculty

153

0.2

140

0.6

42

0.4

2,613

23.1

2,948

2.6

Infection Control Nurse

238

0.3

32

0.1

41

0.4

21

0.2

332

0.3

Informatics Analyst

224

0.3

7

0.0

10

0.1

36

0.3

277

0.2

1,897

2.8

944

4.2

656

6.5

364

3.2

3,861

3.4

Occupational Health Nurse

291

0.4

63

0.3

11

0.1

543

4.8

908

0.8

Office Nurse

111

0.2

2,122

9.4

15

0.1

233

2.1

2,481

2.2

Outpost Nurse

**

**

289

1.3

*

*

11

0.1

313

0.3

Policy Analyst

*

*

11

0.0

*

*

42

0.4

56

0.0

Public Health Nurse

*

*

3,293

14.5

*

*

42

0.4

3,340

3.0

198

0.3

**

**

*

*

177

1.6

444

0.4

Sales/Marketing Representative

*

*

**

**

**

**

102

0.9

116

0.1

Senior Manager

463

0.7

453

2.0

689

6.8

233

2.1

1,838

1.6

59,395

86.9

5,619

24.8

7,301

72.0

2,310

20.4

74,625

66.4

Visiting Nurse

86

0.1

3,010

13.3

49

0.5

170

1.5

3,315

2.9

Volunteer

15

0.0

160

0.7

22

0.2

77

0.7

274

0.2

3,097

4.5

2,331

10.3

1,061

10.5

2,160

19.1

8,649

7.7

68,322

100

22,647

100

10,139

100

11,303

100

112,411

100

Advanced Practice Nurse CNS Advanced Practice Nurse Other

Middle Manager

Researcher

Staff Nurse

Other Position (please specify) Sector Total

32

Hospital



64

Table 10.3 RN General Class Primary Areas of Practice 2014 33

Primary Area of Practice

Long-Term Care

Community

Primary Area of Practice Total

Other

#

%

#

%

#

%

#

%

#

%

8,574

12.5

596

2.6

36

0.4

508

4.5

9,714

8.6

997

1.5

741

3.3

557

5.5

492

4.4

2,787

2.5

Cancer Care

1,912

2.8

605

2.7

0

0.0

60

0.5

2,577

2.3

Cardiac Care

2,716

4.0

108

0.5

*

*

**

**

2,893

2.6

158

0.2

3,048

13.5

14

0.1

498

4.4

3,718

3.3

Acute Care Administration

Case Management Chronic Care

187

0.3

674

3.0

40

0.4

102

0.9

1,003

0.9

Complex Continuing Care

1,586

2.3

411

1.8

304

3.0

105

0.9

2,406

2.1

Critical Care

7,278

10.7

46

0.2

0

0.0

129

1.1

7,453

6.6

Diabetes Care

280

0.4

403

1.8

0

0.0

52

0.5

735

0.7

Education

295

0.4

316

1.4

73

0.7

2,605

23.0

3,289

2.9

7,064

10.3

102

0.5

*

*

**

**

7,260

6.5

Foot Care

7

0.0

316

1.4

50

0.5

79

0.7

452

0.4

Geriatrics

716

1.0

427

1.9

8,115

80.0

290

2.6

9,548

8.5

Infection Control

230

0.3

204

0.9

43

0.4

73

0.6

550

0.5

Emergency Care/Emergency

Informatics

297

0.4

41

0.2

28

0.3

148

1.3

514

0.5

Maternal/Newborn

5,494

8.0

550

2.4

*

*

**

**

6,270

5.6

Medicine

4,966

7.3

491

2.2

60

0.6

297

2.6

5,814

5.2

Mental Health/Psychiatric/Addiction

5,360

7.8

996

4.4

50

0.5

415

3.7

6,821

6.1

Nephrology

2,170

3.2

108

0.5

*

*

**

**

2,326

2.1

338

0.5

89

0.4

13

0.1

660

5.8

1,100

1.0

Occupational Health Palliative Care

571

0.8

1,271

5.6

109

1.1

42

0.4

1,993

1.8

4,333

6.3

228

1.0

*

*

**

**

4,730

4.2

**

**

21

0.1

*

*

97

0.9

131

0.1

Primary Care

416

0.6

3,125

13.8

274

2.7

589

5.2

4,404

3.9

Public Health

12

0.0

3,703

16.4

6

0.1

294

2.6

4,015

3.6

Rehabilitation

1,738

2.5

112

0.5

39

0.4

107

0.9

1,996

1.8

Perioperative Care Policy

Sales Surgery Telehealth Other Responsibility (Not Listed) Sector Total

33

Hospital

*

*

6

0.0

*

*

75

0.7

88

0.1

5,451

8.0

457

2.0

*

*

**

**

6,180

5.5

73

0.1

60

0.3

0

0.0

310

2.7

443

0.4

5,090

7.5

3,392

15.0

309

3.0

2,410

21.3

11,201

10.0

68,322

100

22,647

100

10,139

100

11,303

100

112,411

100



65

10.2 Registered Practical Nurses in the General Class Tables Table 10.4 RPN General Class Nursing Employers 201434

Nursing Employer

Acute Care Hospital Addiction & Mental Health Centre/Psychiatric Hospital Complex Continuing Care/Rehabilitation Hospital Rehabilitation Hospital Other Hospital

Hospital

Community

#

%

10,192

#

%

58.6

10,192

22.3

2,343

13.5

2,343

5.1

2,642

15.2

2,642

5.8

1,429

8.2

1,429

3.1

789

4.5

789

1.7

%

#

%

8

0.1

8

0.0

Cancer Centre

21

0.2

21

0.0

Children Treatment Centre (CTC)

26

0.3

26

0.1

Client's Environment

353

4.2

353

0.8

Community Care Access Centre

581

6.9

581

1.3

Community Health Centre

680

8.1

680

1.5

Community Mental Health Program

232

2.8

232

0.5

16

0.2

16

0.0

Family Health Team (FHT)

460

5.5

460

1.0

Hospice

257

3.1

257

0.6

29

0.3

29

0.1

Nursing/Staffing Agency

1,939

23.0

1,939

4.2


1,334

15.8

1,334

2.9

209

2.5

209

0.5

16

0.2

16

0.0

2,262

26.9

2,262

4.9

Diabetes Education Centre (DEC)

Nurse Practitioner Led Clinic

Public Health Unit/Department Remote Nursing Station Other Community Long-Term Care Facility Retirement Home Other Long-Term Care Facility

34

#

Nursing Employer Total

Other

#

Blood Transfusion Centre

%

Long-Term Care

14,267

80.0

14,267

31.2

3,237

18.1

3,237

7.1

337

1.9

337

0.7


71

3.4

71

0.2


433

20.8

433

0.9



66

Government/Association/Regulatory/Union

91

4.4

91

0.2

496

23.8

496

1.1

71

3.4

71

0.2

270

13.0

270

0.6

Spa

30

1.4

30

0.1

Telephone Health Advisory Services

22

1.1

22

0.0

599

28.8

599

1.3

2,083

100

45,742

100

Health-Related Business/Industry Industry (Not Health-Related) Schools

Other Sector Total

17,395

100

8,423


100

17,841

100

67

Table 10.5 RPN General Class Positions in Nursing 201435

Position in Nursing

Case Manager Clinical Educator

Community

Long-Term Care

Other

Position Total

#

%

#

%

#

%

#

%

#

%

35

0.2

181

2.1

12

0.1

81

3.9

309

0.7 0.7

18

0.1

26

0.3

32

0.2

226

10.8

302

Consultant

*

*

13

0.2

**

**

44

2.1

73

0.2

Educator/Faculty

6

0.0

24

0.3

17

0.1

231

11.1

278

0.6

Infection Control Nurse

7

0.0

5

0.1

7

0.0

0

0.0

19

0.0

Informatics Analyst

20

0.1

*

*

29

0.2

**

**

59

0.1

Middle Manager

13

0.1

173

2.1

260

1.5

24

1.2

470

1.0


28

0.2

16

0.2

25

0.1

65

3.1

134

0.3

Office Nurse

65

0.4

1,049

12.5

93

0.5

87

4.2

1,294

2.8

Outpost Nurse

10

0.1

7

0.1

11

0.1

5

0.2

33

0.1

Policy Analyst

0

0.0

0

0.0

*

*

*

*

**

**

Public Health Nurse

8

0.0

130

1.5

10

0.1

6

0.3

154

0.3

Researcher

8

0.0

12

0.1

0

0.0

12

0.6

32

0.1


*

*

*

*

5

0.0

16

0.8

26

0.1

Senior Manager

6

0.0

52

0.6

164

0.9

17

0.8

239

0.5

16,410

94.3

2,673

31.7

15,195

85.2

578

27.7

34,856

76.2

48

0.3

2,737

32.5

109

0.6

121

5.8

3,015

6.6

6

0.0

27

0.3

14

0.1

22

1.1

69

0.2

702

4.0

1,292

15.3

1,845

10.3

537

25.8

4,376

9.6

17,395

100

8,423

100

17,841

100

2,083

100

45,742

100

Staff Nurse Visiting Nurse Volunteer Other Position (please specify) Sector Total

35

Hospital



68

Table 10.6 RPN General Class Primary Areas of Practice 2014 36

Primary Area of Practice

Acute Care Administration

Long-Term Care

Community

Primary Area of Practice Total

Other

#

%

#

%

#

%

#

%

#

%

2,050

11.8

532

6.3

122

0.7

65

3.1

2,769

6.1 1.1

36

0.2

193

2.3

223

1.2

53

2.5

505

Cancer Care

111

0.6

30

0.4

*

*

**

**

151

0.3

Cardiac Care

154

0.9

**

**

0

0.0

*

*

172

0.4

7

0.0

184

2.2

7

0.0

71

3.4

269

0.6

37

0.2

199

2.4

80

0.4

23

1.1

339

0.7

2,568

14.8

438

5.2

671

3.8

61

2.9

3,738

8.2

29

0.2

**

**

*

*

0

0.0

42

0.1

**

**

58

0.7

5

0.0

14

0.7

82

0.2

16

0.1

63

0.7

29

0.2

357

17.1

465

1.0

497

2.9

**

**

*

*

16

0.8

532

1.2

Foot Care

11

0.1

435

5.2

124

0.7

108

5.2

678

1.5

Geriatrics

676

3.9

525

6.2

14,082

78.9

139

6.7

15,422

33.7

Infection Control

11

0.1

27

0.3

18

0.1

5

0.2

61

0.1

Informatics

21

0.1

10

0.1

51

0.3

25

1.2

107

0.2

568

3.3

60

0.7

*

*

**

**

640

1.4

Medicine

2,103

12.1

302

3.6

399

2.2

59

2.8

2,863

6.3


2,800

16.1

342

4.1

106

0.6

96

4.6

3,344

7.3

229

1.3

11

0.1

*

*

*

*

245

0.5

**

**

20

0.2

*

*

71

3.4

112

0.2

Palliative Care

381

2.2

629

7.5

186

1.0

22

1.1

1,218

2.7

Perioperative Care

562

3.2

29

0.3

*

*

18

0.9

612

1.3

0

0.0

*

*

*

*

**

**

10

0.0

Primary Care

275

1.6

1,780

21.1

1,058

5.9

142

6.8

3,255

7.1

Public Health

10

0.1

489

5.8

10

0.1

29

1.4

538

1.2

Rehabilitation

1,763

10.1

68

0.8

95

0.5

35

1.7

1,961

4.3

*

*

**

**

*

*

22

1.1

35

0.1

1,530

8.8

86

1.0

*

*

**

**

1,672

3.7

17

0.1

18

0.2

*

*

**

**

46

0.1

908

5.2

1,847

21.9

547

3.1

557

26.7

3,859

8.4

17,395

100

8,423

100

17,841

100

2,083

100

45,742

100

Case Management Chronic Care Complex Continuing Care Critical Care Diabetes Care Education Emergency Care/Emergency

Maternal/Newborn

Nephrology Occupational Health

Policy

Sales Surgery Telehealth Other Responsibility (Not Listed) Sector Total

36

Hospital



69

10.3 Registered Nurses in the Extended Class (NP) Tables Table 10.7 NP Nursing Employers 201437 Nursing Employer

#

%

Acute Care Hospital

949

33.1

Addiction & Mental Health Centre/Psychiatric Hospital

30

1.0

Complex Continuing Care/Rehabilitation Hospital

19

0.7

Rehabilitation Hospital

19

0.7

Other Hospital

60

2.1

0

0.0

13

0.5

Blood Transfusion Centre Cancer Centre Children Treatment Centre (CTC)

*

*

Client's Environment

0

0.0

91

3.2

404

14.1

13

0.5

*

*

483

16.8

*

*

108

3.8

Community Care Access Centre Community Health Centre Community Mental Health Program Diabetes Education Centre (DEC) Family Health Team (FHT) Hospice Nurse Practitioner Led Clinic Nursing/Staffing Agency

*

*


91

3.2

Public Health Unit/Department

54

1.9

Remote Nursing Station

62

2.2

122

4.3

71

2.5

Retirement Home

7

0.2

Other Long-Term Care Facility

*

*


5

0.2

Other Community Long-Term Care Facility


181

6.3

Government/Association/Regulatory/Union

18

0.6

Health-Related Business/Industry

21

0.7

Industry (Not Health-Related)

6

0.2

Schools

*

*

Spa

*

*

Telephone Health Advisory Services Other Sector Total

37

*

*

22

0.8

2,869

100



70

Table 10.8 NP Positions in Nursing 201438 Position in Nursing

#

%

Advanced Practice Nurse - CNS

18

0.6

Advanced Practice Nurse - Other

31

1.1

*

*

29

1.0

Case Manager Clinical Educator Consultant Educator/Faculty Informatics Analyst Middle Manager

0.7 4.9

0

0.0

26

0.9


*

*

Office Nurse

*

*

Outpost Nurse

35

1.2

Policy Analyst

0

0.0

2,222

77.4

Nurse Practitioner (NP) Public Health Nurse

11

0.4

Researcher

5

0.2


0

0.0

Senior Manager Staff Nurse Visiting Nurse Volunteer Other Position (please specify) Total

38

19 142

19

0.7

212

7.4

5

0.2

*

*

82

2.9

2,869

100



71

Table 10.9 NP Primary Areas of Practice 201439 Primary Area of Practice

#

%

181

6.3

Administration

31

1.1

Cancer Care

71

2.5

Cardiac Care

100

3.5

Acute Care

Case Management

*

*

Chronic Care

55

1.9

Complex Continuing Care

24

0.8

Critical Care

67

2.3

Diabetes Care

32

1.1

Education

113

3.9

Emergency Care/Emergency

125

4.4

Foot Care

0

0.0

Geriatrics

180

6.3

Infection Control

*

*

Informatics

*

*

Maternal/Newborn

48

1.7

Medicine

56

2.0


53

1.8

Nephrology

27

0.9

Occupational Health Palliative Care

8

0.3

69

2.4

9

0.3

Perioperative Care Policy

*

*

Primary Care

1,276

44.5

Public Health

34

1.2

Rehabilitation

16

0.6

Surgery

49

1.7

*

*

Telehealth Services Other Responsibility (Not Listed) Total

39

236

8.2

2,869

100



72

11 PRACTICE AND EMPLOYMENT DEFINITIONS 11.1 Nursing Employer Hospitals Acute Care Hospital A category of health care facility that is staffed and equipped to deliver care to clients in an acute phase of illness. Acute care hospitals have medical, surgical, nursing and allied health professionals available at all times to provide rapid, intensive interventions. These hospitals commonly provide diagnostic services utilizing high technology. An acute care hospital may also provide other non-acute services, such as rehabilitation or chronic care. Addiction & Mental Health Centre/Psychiatric Hospital A health care facility that specializes in treating persons with mental health and/or addiction problems. Psychiatric hospitals that are part of a larger organization and short-term treatment programs are included in this group. Complex Continuing Care Hospital A Complex Continuing Care Hospital provides care to patients who are unstable and require 24-hour nursing care for chronic or fluctuating serious illness. Complex continuing care hospitals that are part of a larger organization are included in this group. Rehabilitation Hospital A Rehabilitation Hospital primarily provides the continuing assessment and treatment of clients whose conditions are expected to improve significantly through the provision of physical medicine and other rehabilitative services. Rehabilitation hospitals that are part of a larger organization are included in this group. Other Hospital Any other hospital, excluding teaching hospitals, community hospitals, addiction and mental health centres/psychiatric hospitals, complex continuing care hospitals, and rehabilitation hospitals. Community Blood Transfusion Centre Refers to a facility that collects, screens, tests, processes, stores and/or supplies blood, blood products, or its alternatives for the purposes of transfusion (e.g., Canadian Blood Services). Cancer Centre A facility that specializes in services related to the treatment, prevention and research of cancer. Children Treatment Centre (CTC) This centre is a community-based organization that serves children with physical disabilities and multiple special needs. The centre provides physiotherapy, occupational therapy and speech therapy along with other additional services. There are 19 Children Treatment Centres in Ontario. Client’s Environment The nurse travels to one or more sites that may be the client’s home, school and/or workplace environment to provide services. Community Care Access Centre (CCAC) An organization providing simplified service access to visiting professional and personal support health services at home and in schools; long-term care placement; service planning and case management and information; and referrals to other long-term care services, including volunteer-based community services. Community Health Centre (CHC) A not-for-profit, community-governed organization that provides primary health care, health promotion and community development services using multidisciplinary teams of health care providers. Community Mental Health Program A community program that is not hospital bed based and that serves people with mental health and/or addiction problems.


73

Diabetes Education Centre (DEC) A Diabetes Education Centre, usually staffed by nurses and dietitians, provides education and support to people with diabetes, their families, friends and community agencies. Family Health Team (FHT) A Family Health Team is a group that includes physicians and other interdisciplinary providers, such as nurse practitioners, nurses, pharmacists, mental health workers and dietitians. The FHT provides comprehensive primary health care (PHC) services. The FHT provides services on a 24/7 basis through a combination of regular office hours, after-hours services and access to a Registered Nurse through the Telephone Health Advisory Service (THAS). The FHT emphasizes health promotion, disease prevention and chronic disease management based on local population health needs. The FHT must enroll patients. The group must be recognized as a FHT and there are 150 FHTs in Ontario (2008). Hospice An organization with a mission to help people with a life-threatening illness live at home or in a home-like setting. Nurse Practitioner Led Clinic This clinic is led by a Nurse Practitioner and provides primary health care in collaboration with family physicians, and other interdisciplinary health care providers. The focus of the clinic is on comprehensive primary health care services in areas where access to family health care is limited. Nursing/Staffing Agency An agency that provides a range of nursing services to support client care in the community and health care facilities. Services are delivered in homes, hospitals and other settings, such as schools and retirement homes. Physician’s Office A group or solo practice that provides episodic or continuing, comprehensive primary care (e.g., doctor's office, walk-in clinic, urgent care centre). Public Health Unit/Department An official health agency established by a group of urban and/or rural municipalities to develop and provide comprehensive community health care programs. Remote Nursing Station A remote and/or rural stand-alone centre that has nurses as the on-site managers and practitioners. Other Community Other community sector employers not listed above. Long Term Care Long-Term Care Facility A facility for people who are unable to live independently or in their own homes, and who require 24-hour nursing service to be available to meet their personal care needs (e.g., nursing home, home for the aged). Retirement Home A residential complex primarily occupied by persons who are 65 years of age or older, for the purpose of receiving care services, whether or not receiving the services is the primary purpose of occupancy (e.g., care home, rest home, lodge, manor, assisted living). Other Long-Term Care Facility A long-term care facility not listed in the above definitions such as group home, respite care centre, homes for special care. Other College/University Post-secondary educational organization offering nursing programs. Correctional Facility A stand-alone organization/facility that has as its primary focus the treatment and rehabilitation of persons detained or on probation due to a criminal act.


74

Government/Association/Regulatory Body/Union The federal, provincial and municipal government and their agencies, boards and commissions; the various associations involved in supporting professions and organizations; and the bodies charged with regulating health professions recognized under the Regulated Health Professions Act (e.g., Armed Forces, tribal council, LHINs). Health-Related Business/Industry A business or industry whose focus of activities is not in the direct delivery of health care services, but rather the health of workers, health-related product development or the selling of health-related products (e.g., medical device companies, pharmaceutical companies). Industry (Not Health-Related) A commercial or industrial enterprise involved in the production, manufacturing, processing or sales of goods and/or services. School Elementary and secondary schools, public or private. Spa A facility that focuses on providing services related to health, fitness, beauty and relaxation. Telephone Health Advisory Services A program that provides free, confidential 24/7 access to health information via telephone (e.g., TeleHealth Ontario). Other Employers not listed in other definitions.

11.2 Position in Nursing Advanced Practice Nurse – CNS A Registered Nurse in the General Class who has gained additional knowledge and skills through graduate education and experience. A Clinical Nurse Specialist (CNS) has expertise in a specialized area of nursing. A CNS provides direct care, participates in research, provides leadership, educates and consults with health care teams. A CNS may work with individuals, families, communities, employees or organizations, and may focus on illness care and wellness care. Advanced Practice Nurse – Other A Registered Nurse in the General Class with additional education at the graduate level who has the competencies and uses authorizing mechanisms (e.g., directives) to diagnose, order and interpret diagnostic tests, prescribe pharmaceuticals and perform procedures. Case Manager A nurse in health and/or social services who provides assessment, service planning and implementation, co-ordination, monitoring, reassessment, advocacy, evaluation of outcomes and discharge planning of services. Service is provided for individuals and caregivers who require health and/or social services (e.g., service coordinator, placement coordinator, discharge planner). Clinical Educator A nurse whose role is teaching a broad range of topics to clients/residents and/or other health care professionals (e.g., nurse instructor, clinical practice leader). Consultant A nurse who provides professional advice or services to organizations. Educator/Faculty A nurse whose role is teaching nursing and nursing-related topics to students of health care disciplines. Infection Control Nurse A nurse who ensures the implementation and maintenance of evidence-based practices through education, surveillance and the coordination of results in a variety of practice settings.


75

Informatics Analyst A nurse who facilitates the integration of data, information and knowledge to support clinical care, health services, administration, research and teaching (e.g., data/information analyst, utilization analyst). Middle Manager A nurse who supervises staff, and is responsible and accountable for the management of a designated service area(s) within an organization (e.g., manager, assistant manager, supervisor, program manager, program leader). Nurse Practitioner (NP) A Registered Nurse in the Extended Class with additional education and experience who has the competencies and legal authority to diagnose, order and interpret diagnostic tests, prescribe pharmaceuticals and perform procedures within their legislated scope of practice. Occupational Health Nurse A nurse who provides integrated occupational health and safety services to employers and employees. An occupational health nurse works closely with managers, supervisors and individual employees to maintain, promote and restore employee health, safety and well-being. Office Nurse A nurse providing nursing services to support the care delivered by a physician or group of physicians. Outpost Nurse A nurse who practises nursing at a nursing station in a remote community. Policy Analyst A nurse who gathers information, analyzes data and provides policy advice to influence an organization's decisions and strategies. Public Health Nurse A nurse involved in disease prevention programs, health promotion and education programs for all age groups. Researcher A nurse who studies the concerns of nursing and the application of knowledge to nursing practice. Sales/Marketing Representative A nurse whose major role is in the sales or marketing of health-related products and services. Senior Manager A nurse who is responsible for administrating, planning and evaluating an organization, department or program (e.g., chief executive officer, president, executive director, administrator, vicepresident, chief nursing officer/executive, director of nursing, program director). Staff Nurse A nurse who provides direct care to clients in a hospital, long-term care and other type of facility. Visiting Nurse A nurse providing a range of nursing services primarily in the home but also in other settings such as retirement homes (e.g., home visiting nurse, community visiting nurse). Volunteer A nurse who donates professional nursing services to an organization and is accountable to that organization's standards of conduct and practice. Other A nurse holding a position in nursing not listed above (e.g., foot care nurse, parish nurse).

11.3 Primary Area of Practice Acute Care Services provided primarily to clients who have an acute medical condition or injury that is generally of short-duration.


76

Administration This area is responsible for administrating, planning and evaluating an organization, department or program. Cancer Care Services provided primarily to clients with a variety of cancer and cancer-related illnesses. Cardiac Care Programs and services concerned with the prevention and management of acute and chronic cardiovascular disease. Case Management A collaborative service consisting of interrelated processes to support clients in their efforts to achieve optimal health and independence in a complex health, social and fiscal environment (e.g., assessment, discharge planning, placement coordination). Chronic Disease Prevention/Management Services are provided primarily to address chronic diseases early in the disease cycle to prevent disease progression and reduce potential health complications. Diseases can include diabetes, hypertension, congestive heart failure, asthma, chronic lung disease, renal failure, liver disease and rheumatoid and osteoarthritis. Complex Continuing Care Services for clients whose health is unstable and requires 24-hour nursing care for a chronic or fluctuating serious illness (e.g., reactivation, mental health/cognitive support, chronic care). Critical Care Care of acutely ill clients, typically delivered in intensive care units and cardiac care units. Diabetes Care Programs and services concerned with the prevention and management of diabetes and diabetes-related health issues. Education Programs and services aimed at developing the knowledge and skills of clients, other health care professionals and/or students on a broad range of health topics. Emergency Services for individuals with serious, often life-threatening health problems or situations that require immediate action. Foot Care Services provided to prevent and manage diseases or injury of the foot. Geriatrics The care of the elderly and the treatment of diseases associated with aging. Informatics The use of information science for discipline-specific applications in the management and processing of data, information and knowledge to generate or support designs, decisions and discoveries (e.g., information management, utilization management). Infection Prevention/Control Services are provided to primarily prevent and control health-care associated infections and other epidemiologically significant organisms. This includes providing services to reduce the risk, spread and incidence of infections in populations. This includes pandemic planning. Maternal/Newborn Programs and services geared to meeting the health needs of expectant/new parents and newborns. Medicine Programs and services concerned with non-surgical techniques to prevent, cure or alleviate disease or injury. Mental Health/Psychiatric/Addiction Programs and services that meet the needs of individuals with mental health/psychiatric illness and/or addictions.


77

Nephrology Programs and services concerned with kidney function and kidney disease processes. Occupational Health The development and provision of wellness programs; the implementation of safe workplace strategies; the liaising with employees and insurance companies on illnesses, injuries and back-towork strategies. Palliative Care Programs and services concerned with the study and management of clients with an active, progressive, far-advanced disease for whom the prognosis is limited and the focus of care is quality of life. Perioperative Care Services related to the operating room for clients needing surgical care. The services cover the preoperative, intra-operative and immediate post-operative periods. Policy The gathering of information, analysis of data and provision of policy advice to support an organization’s decisions and strategies. Primary Care Programs and services provided from the first contact with a client, including assessment, and preventative, sustaining or curative nursing care. Public Health Programs and services concerned with disease prevention, health promotion and education for all age groups (e.g., community health). Rehabilitation The provision of time-limited, goal-oriented therapeutic services for all ages geared toward the optimization of health. Sales Focus of activities is in the sales and/or service of health-related apparatuses or equipment. Surgery Programs and services concerned with surgical techniques to cure or alleviate disease or injury. Telehealth Services Programs and services concerned with the provision of free, confidential 24/7 access to health information via telephone. Other An area of practice not represented by any of the above terms.


78

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