college of nurses of ontario membership statistics ......college of nurses of ontario – membership...

Revised February 25, 2015

Membership Statistics Highlights 2014

College of Nurses of Ontario

B MEMBERSHIP STATISTICS HIGHLIGHTS 2014 College of Nurses of Ontario

Membership Statistics Highlights 2014 Pub. No. 43069

ISSN 2292-2784

Copyright © College of Nurses of Ontario, 2015.

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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

VISION Leading in regulatory excellence

MISSION Regulating nursing in the public interest

College of Nurses of Ontario – Membership Statistics Highlights 2014 i

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 Data Tables ............................................................................................................................. 2 2.2.2 Renewal Gain and Loss .......................................................................................................... 2 2.2.3 “Not Specified” Category ......................................................................................................... 3 2.2.4 Data Suppression .................................................................................................................... 3 2.2.5 Non-Practising Class ............................................................................................................... 3 2.2.6 Multiple employers .................................................................................................................. 3 2.2.7 Overall Working Status and Working Status for Employment Positions ................................. 4 2.2.8 On Leave ................................................................................................................................. 5 2.2.9 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 Renewal Gain of Registered Nurses in the General Class ................................................... 11 4.1.2 Renewal Loss of Registered Nurses in the General Class ................................................... 12

4.2 Registered Nurses in the General Class Employed in Nursing in Ontario .................. 19 4.2.1 Registered Nurses in the General Class Demographics ...................................................... 19 4.2.2 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 Renewal Gain of Registered Practical Nurses in the General Class .................................... 31 6.1.2 Renewal Loss of Registered Practical Nurses in the General Class .................................... 32

6.2 Registered Practical Nurses in the General Class Employed in Nursing in Ontario .... 40 6.2.1 Registered Practical Nurses in the General Class Demographics ........................................ 40 6.2.2 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 NP Demographics ................................................................................................................. 53 8.2.2 NP Nursing Employment ....................................................................................................... 54 8.2.3 Nurse Practitioner Positions in 2014 ..................................................................................... 56

College of Nurses of Ontario – Membership Statistics Highlights 2014 ii

9 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.

College of Nurses of Ontario – Membership Statistics Highlights 2014 1

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).

1 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.

http://www.cno.org/dqt


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

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


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 Non-

Practising 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


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 NP Total # % # % # % # %

Employed in Nursing Only 95,974 88.1 36,004 84.2 2,164 91.6 134,142 87.1

One Nursing Employer 80,923 28,676 1,604 111,203

Two Nursing Employers 13,117 6,456 457 20,030

Three or more Nursing Employers 1,934 872 103 2,909

Employed in Nursing & Non-Nursing 2,573 2.4 1,631 3.8 86 3.6 4,290 2.8

One Nursing Employer 2,191 1,380 67 3,638

Two Nursing Employers 327 230 ** 573

Three or more Nursing Employers 55 21 * 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 6 0.0 3 0.0 0 0.0 9 0.0

Total 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


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.


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 2011 2012 2013 2014

# % # % # # # % # % RN 113,302 76.2 113,332 75.6 114,214 74.6 114,824 73.2 111,287 72.2

General 111,717 75.1 111,532 74.4 112,194 73.3 112,582 71.8 104,298 67.7

Extended (NP) 1,585 1.1 1,800 1.2 2,020 1.3 2,242 1.4 2,362 1.5

Non-Practising 4,627 3.0

RPN 35,427 23.8 36,588 24.4 38,845 25.4 41,996 26.8 42,760 27.8

General 35,427 36,588 38,845 41,996 42,018 27.3

Non-Practising 742 0.5

Total 148,729 100 149,920 100 153,059 100 156,820 100 154,047 100

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 2011 2012 2013 2014

# % # % # % # % # %

Employed in Nursing 128,546 86.4 129,509 86.4 129,442 84.6 133,049 84.8 134,142 87.1

Employed in both Nursing and Non-nursing

2,752 1.9 2,720 1.8 3,314 2.2 3,965 2.5 4,290 2.8

Employed in Non-nursing 7,399 5.0 4,990 3.3 7,867 5.1 4,793 3.1 2,992 1.9

On Leave 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

Total 148,729 100 149,920 100 153,059 100 156,820 100 154,047 100


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

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

Total 125,844 100 126,400 100 127,603 100 131,728 100 135,280 100

114,130 115,406

117,097

120,265

123,091

125,844 126,400

127,603

131,728

135,280

105,000

110,000

115,000

120,000

125,000

130,000

135,000

140,000

2005 2006 2007 2008 2009 2010 2011 2012 2013 2014

Me

mb

ers

Em

plo

ye

d in

Nu

rsin

g in

On

tari

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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

2010 2011 2012 2013 2014

Change

2013-

2014

# % # % # % # % # % %

Employed in

Nursing 97,208 87.0 96,901 86.9 95,576 85.2 96,723 85.9 94,665 90.8 -2.1

In Ontario 91,461 91,113 90,269 91,455 92,615 1.3

In and Outside

Ontario 700 521 607 596 694 16.4

Outside Ontario 5,047 5,023 4,694 4,665 1,349 -71.1

Not Specified 0 244 6 7 7

Employed in

Nursing

& Non-Nursing

1,820 1.6 1,762 1.6 2,091 1.9 2,471 2.2 2,552 2.4 3.3

In Ontario 1,734 1,671 1,997 2,311 2,452 6.1

In and Outside

Ontario 21 10 6 24 26 8.3

Outside Ontario 65 81 88 136 74 -45.6


Employed in

Non-Nursing 5,099 4.6 3,399 3.0 5,527 4.9 2,971 2.6 829 0.8 -72.1

Seeking Nursing

Employment 254 430 636 629 452 -28.1

Not Employed 7,113 6.4 7,245 6.5 6,234 5.5 6,746 6.0 3,738 3.6 -44.6

Seeking Nursing

Employment 1,627 2,047 2,054 2,640 2,187 -17.2

On Leave 0 0.0 2,225 2.0 2,766 2.5 3,671 3.3 2,508 2.4 -31.7

Not Specified 477 0.4 0 0.0 0 0.0 0 0.0 6 0.0

Total 111,717 100 111,532 100 112,194 100 112,582 100 104,298 100 -7.4

5 The revocation date for the 2014 renewal period was March 20, 2014. 6 Refer to Section 4.1 for information on gains and losses of RNs in the General Class.


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

Total 2,639 100

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

Working Preference

Overall Working Status

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

Casual 469 0.7 614 2.4 5,115 72.4

Total 64,745 100 25,405 100 7,067 100


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

7 See section 2.2.2 for more information about renewal gain and loss. 8 For more information about the Declaration of Practice requirement, visit http://www.cno.org/maintain-your-membership2/declaration-of-practice3/ 9 Refer to Section 9.1 for renewal gains and loss trends of RNs in the General Class

6,962

3,934

3,163

4,005 4,029 4,098 4,1274,757

5,395

3,989

3,758 3,843 3,324 3,055 2,838

3,395

4,312 4,095

5,007

12,273

0

2,000

4,000

6,000

8,000

10,000

12,000

14,000

2005 2006 2007 2008 2009 2010 2011 2012 2013 2014

RN

Genera

l C

lass G

ain

s a

nd L

osses

Gain

Loss


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

1,266 1,248802 738 641 562 ** 574 550

176

5,696

2,686

2,361

3,267 3,388 3,536 3,5224,183

4,838

3,766

*

7

47

0

1,000

2,000

3,000

4,000

5,000

6,000

7,000

8,000

2005 2006 2007 2008 2009 2010 2011 2012 2013 2014

RN

G

enera

l C

lass G

ain

s

Change in Class

New Members

Reinstatements


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

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.

2,567 1,543

1,641 2,422 2,300 2,405 2,529

3,144 3,519 2,911

4,128 2,138

1,355 1,405 1,581 1,523

1,463 1,478 1,736

1,009

266 253 167 178 147 168 135 135 140 69

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2005 2006 2007 2008 2009 2010 2011 2012 2013 2014

RN

Genera

l C

lass G

ain

s

55+

30-54

18-29


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

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

2011 2012 2013 2014

# % # % # % # %

Revoked/ Not Renewed 2,194 50.9 1,626 39.7 1,038 20.7 6,008 49.0

Resigned 1,898 44.0 2,254 55.0 2,103 42.0 3,183 25.9

Changing Profession 84 1.9 93 2.3 84 1.7 106 0.9

Leave 61 1.4 77 1.9 53 1.1 75 0.6

Leaving Canada 35 0.8 87 2.1 51 1.0 119 1.0

Leaving Ontario 137 3.2 205 5.0 165 3.3 228 1.9

Retiring 863 20.0 1,186 29.0 1,255 25.1 1,866 15.2

Other 143 3.3 265 6.5 168 3.4 262 2.1

Not Specified 575 13.3 341 8.3 327 6.5 527 4.3

Change in Class 220 5.1 215 5.3 1,866 37.3 3,082 25.1

Extended 220 5.1 215 5.25 237 4.7 224 1.8

Non-Practising 0 0.0 0 0.0 1,629 32.5 2,858 23.3

Total 4,312 100 4,095 100 5,007 100 12,273 100

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

3,3382,422

1,602 1,406 1,177 1,4532,194

1,6261,038

6,008360

1,366

1,621 1,5071,397

1,564

1,8982,254

2,103

3,183

47 47101 142 264

378220 215

1,866

3,082

0

2,000

4,000

6,000

8,000

10,000

12,000

14,000

2005 2006 2007 2008 2009 2010 2011 2012 2013 2014

RN

Genera

l C

lass L

osses

Change in Class

Resigned

Revoked/Not Renewed


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 2013 2014

# % # % # %

Employed in Nursing or both Nursing & Non-Nursing

2,245 54.8 2,397 47.9 5,783 47.1

In Ontario or Inside and Outside Ontario 1,797 43.9 1,914 38.2 2,304 18.8

Outside Ontario 441 10.8 482 9.6 3,477 28.3

Location Not Stated 7 0.2 1 0.0 2 0.0

Employed in Non-Nursing 270 6.6 630 12.6 1,614 13.2

Seeking Nursing Employment 20 0.5 43 0.9 163 1.3

Not Employed 1,321 32.3 1,331 26.6 3,723 30.3


On Leave 258 6.3 649 13.0 1,153 9.4

Not Specified 1 0.0 0 0.0 0 0.0

Total 4,095 100 5,007 100 12,273 100

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.


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

2012 2013 2014

# % # % # %

Revoked/ Not Renewed 691 38.5 827 43.2 939 40.8

Resigned 920 51.2 886 46.3 1,177 51.1

Change In Class 186 10.4 201 10.5 188 8.2

Extended 186 10.4 201 10.5 180 7.8

Non-Practising 0 0.0 0 0.0 8 0.3

Total 1,797 100 1,914 100 2,304 100

(b) Employed in Nursing Outside of Ontario

2012 2013 2014

# % # % # %

Revoked/ Not Renewed 160 36.3 299 62.0 1,902 54.7

Resigned 272 61.7 171 35.5 389 11.2

Change In Class 9 2.0 12 2.5 1,186 34.1

Extended 9 2.0 12 2.5 13 0.4

Non-Practising 0 0.0 0 0.0 1173 33.7

Total 441 100 482 100 3,477 100

(c) Employed in Non-nursing

2012 2013 2014

# % # % # %

Revoked/ Not Renewed ** ** 712 76.2 822 50.9

Resigned 148 54.8 217 23.2 229 14.2

Change In Class * * 5 0.5 563 34.9

Extended * * 5 0.5 * *

Non-Practising 0 0.0 0 0.0 ** **

Total 270 100 934 100 1,614 100

(d) Not Employed

2012 2013 2014

# % # % # %

Revoked/ Not Renewed 527 39.9 1,287 68.4 1,682 45.2

Resigned 783 59.3 583 31.0 1,158 31.1

Change In Class 11 0.8 12 0.6 883 23.7

Extended 11 0.8 12 0.6 6 0.2

Non-Practising 0 0.0 0 0.0 877 23.6

Total 1,321 100 1,882 100 3,723 100

(e) On Leave

2012 2013 2014

# % # % # %


Resigned 127 49.2 245 26.7 230 19.9

Change In Class 8 3.1 7 0.8 262 22.7

Extended 8 3.1 7 0.8 23 2.0

Non-Practising 0 0.0 0 0.0 239 20.7

Total 258 100 919 100 1,153 100


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

292 344 256 209 180 204 220 297 331 548

1,717 1,629 1,365

1,132 1,096 1,303

1,184 1,063 1,268

5,186

1,736 1,861 1,703 1,714 1,562 1,887

2,907 2,735 3,408

6,539

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2005 2006 2007 2008 2009 2010 2011 2012 2013 2014

RN

Genera

l C

lass L

osses

55+

30-54

18-29


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.


Figure 4.6 Categorization of RN General Class Losses by age group

(a) Losses aged 18-29

(b) Losses aged 30-54

(c) Losses aged 55+

109158

299

11785

114

61

71 8874

0%

20%

40%

60%

80%

100%

2012 2013 2014

505

789 2,958

420

334

529

1,559

138 145

0%

20%

40%

60%

80%

100%

2012 2013 2014

Change In Class - Extended

Change In Class - Non-Practising

Resigned

Revoked/Not Renewed

1,012 1,720

2,751

1,717 1,684

2,540

1,238

0%

20%

40%

60%

80%

100%

2012 2013 2014


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.

Figure 4.7 Number of RNs in the General Class Employed in Nursing in Ontario for 2005-2014

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

89,047 89,652

90,233

91,965

93,171 93,916

93,315 92,879

94,386

95,787

84,000

86,000

88,000

90,000

92,000

94,000

96,000

98,000

2005 2006 2007 2008 2009 2010 2011 2012 2013 2014

RN

s in

the G

enera

l C

lass E

mplo

yed in

Nurs

ing

in O

nta

rio

1,354

6,292

9,132

10,852

13,791 13,222

15,377

11,382

5,849

1,790

3,935

9,598

9,1149,309

11,64313,128

13,419

12,486

8,767

4,388

0

2,000

4,000

6,000

8,000

10,000

12,000

14,000

16,000

18,000

18-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65+

2005

2014


For 2014, 66.5 per cent of RNs in the General Class employed in nursing in Ontario reported overall full-

time 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

Casual 7,846 8.4 7,421 8.0 7,118 7.7 7,038 7.5 6,919 7.2

Total 93,916 100 93,315 100 92,879 100 94,386 100 95,787 100

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.


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

(b) Part-time employment

(c) Casual employment

64.8

71.0

57.5

50

55

60

65

70

75

80

2005 2006 2007 2008 2009 2010 2011 2012 2013 2014

Fu

ll-tim

e E

mplo

ym

ent R

ate

30.7

24.8

27.1

10

15

20

25

30

35

40

2005 2006 2007 2008 2009 2010 2011 2012 2013 2014

Part

-tim

e E

mplo

ym

ent R

ate

18-29

30-54

55+

4.5

4.2

15.4

0

5

10

15

20

25

30

2005 2006 2007 2008 2009 2010 2011 2012 2013 2014

Casual E

mplo

ym

ent R

ate


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

Three or more Nursing Employers 1,226 1.3 1,566 1.7 1,660 1.8 1,817 1.9

Total RNs Employed in Nursing in Ontario 93,315 100 92,879 100 94,386 100.0 95,787 100.0

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 2012 2013 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

Not Specified 0 0.0 1 0.0 0 0.0 0 0.0

Total 107,625 100 108,618 100 110,306 100 112,411 100

12 See section 2.2.6 for discussion of multiple employers. 13 See section 2.2.7 for more information on working status for employment positions.


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

2011 2012 2013 2014

# % # % # % # %

Central 9,118 8.5 9,020 8.3 9,307 8.4 9,637 8.6

Central East 9,101 8.5 9,288 8.6 9,325 8.5 9,392 8.4

Central West 3,407 3.2 3,450 3.2 3,614 3.3 3,702 3.3

Champlain 11,753 10.9 11,768 10.8 11,894 10.8 11,961 10.6

Erie St. Clair 4,959 4.6 4,999 4.6 5,053 4.6 5,148 4.6

Hamilton Niagara Haldimand Brant 11,683 10.9 11,701 10.8 11,832 10.7 12,105 10.8

Mississauga Halton 6,951 6.5 7,250 6.7 7,474 6.8 7,677 6.8

North East 5,899 5.5 5,980 5.5 6,005 5.4 6,104 5.4

North Simcoe Muskoka 3,624 3.4 3,613 3.3 3,743 3.4 3,776 3.4

North West 2,866 2.7 2,885 2.7 2,897 2.6 2,900 2.6

South East 4,922 4.6 5,037 4.6 5,128 4.6 5,181 4.6

South West 9,797 9.1 9,801 9.0 9,735 8.8 9,808 8.7

Toronto Central 18,633 17.3 18,864 17.4 19,128 17.3 19,717 17.5

Waterloo Wellington 4,781 4.4 4,862 4.5 4,949 4.5 5,117 4.6

Not Specified 131 0.1 100 0.1 222 0.2 186 0.2

Total 107,625 100 108,618 100 110,306 100.0 112,411 100


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

2011 2012 2013 2014

# %† # %† # %† # % †

Alberta 243 10.8 260 11.9 277 12.0 233 13.0

British Columbia 364 16.2 328 15.0 361 15.6 306 17.0

Manitoba 231 10.3 218 9.9 222 9.6 184 10.2

New Brunswick 54 2.4 58 2.6 65 2.8 37 2.1

Newfoundland and Labrador 22 1.0 21 1.0 23 1.0 15 0.8

Nova Scotia 34 1.5 37 1.7 38 1.6 30 1.7

Northwest Territories 73 3.2 81 3.7 75 3.3 71 4.0

Nunavut 58 2.6 71 3.2 62 2.7 48 2.7

Prince Edward Island 9 0.4 10 0.5 19 0.8 16 0.9

Quebec 1,098 48.8 1,043 47.6 1,064 46.1 750 41.8

Saskatchewan 47 2.1 47 2.1 82 3.6 82 4.6

Yukon 16 0.7 18 0.8 19 0.8 24 1.3

# % # % # % # %

Canada Total 2,249 36.0 2,192 37.0 2,307 38.6 1,796 46.7

United States 3,411 54.6 3,177 53.6 3,086 51.6 1,710 44.5

Other Outside Canada & United States 578 9.2 548 9.2 569 9.5 303 7.9

Not Specified (Outside Ontario) 12 0.2 14 0.2 17 0.3 35 0.9

Total 6,250 100 5,931 100 5,979 100 3,844 100

†Percentage of Canada Total.

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


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 2014

Province # % # %

Alberta 381 12.7 248 13.1

British Columbia 522 17.4 327 17.3

Manitoba 308 10.2 229 12.1

New Brunswick 87 2.9 49 2.6

Newfoundland and Labrador 58 1.9 34 1.8

Nova Scotia 105 3.5 83 4.4

Northwest Territories 110 3.7 72 3.8

Nunavut 165 5.5 140 7.4

Prince Edward Island 29 1.0 14 0.7

Quebec 1,090 36.2 553 29.3

Saskatchewan 117 3.9 101 5.3

Yukon 35 1.2 38 2.0

Canada Total 3,007 100 1,888 100

Table 4.13 Top ten concurrent registration locations within the United States for RNs in the General Class for 2013-2014

2013 2014

State # % State # %

Michigan 2,262 30.7 Michigan 1,405 33.6

Florida 775 10.5 New York 516 12.4

California 751 10.2 Minnesota 504 12.1

New York 725 9.8 Florida 376 9.0

Minnesota 567 7.7 California 354 8.5

Texas 445 6.0 Texas 191 4.6

North Carolina 223 3.0 North Carolina 68 1.6

Arizona 133 1.8 Vermont 64 1.5

Pennsylvania 110 1.5 Pennsylvania 55 1.3

Connecticut 106 1.4 Illinois 50 1.2

Other States 1,279 17.3 Other States 595 14.2

United States Total 7,376 100 United States Total 4,178 100


Table 4.14 Top ten international concurrent registration locations for RNs in the General Class for 2013-2014

2013 2014

Country # % Country # %

Philippines 753 18.2 India 675 20.5

United Kingdom 669 16.2 Philippines 614 18.7

India 462 11.2 United Kingdom 325 9.9

Hong Kong 294 7.1 Israel 183 5.6

Australia 250 6.0 Australia 167 5.1

Israel 199 4.8 Hong Kong 165 5.0

Iran 140 3.4 Iran 132 4.0

Jamaica 100 2.4 Jamaica 72 2.2

Saudi Arabia 91 2.2 South Korea 62 1.9

Germany 63 1.5 Saudi Arabia 56 1.7

Other Countries 1,115 27.0 Other Countries 835 25.4

International Total 4,136 100 International Total 3,286 100


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

Employed in Non-Nursing 795 17.2

Seeking Nursing Employment 25 0.5

Not Employed 2,176 47.0

Seeking Nursing Employment 80 1.7

On Leave 326 7.0

Total 4,627 100

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

2014

# %†

Alberta 59 12.6

British Columbia 79 16.9

Manitoba 24 5.1

New Brunswick 5 1.1

Newfoundland and Labrador * *

Nova Scotia 19 4.1

Northwest Territories 5 1.1

Nunavut 5 1.1

Prince Edward Island * *

Quebec 252 53.8

Saskatchewan 11 2.4

Yukon * *

# %

Canada Total 468 32.3

United States 870 60.1

Other Outside Canada & United States 109 7.5

Total 1,447 100 †Percentage of Canada Total.


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

2010 2011 2012 2013 2014

Change

2013-

2014

# % # % # % # % # % %

Employed in

Nursing 29,827 84.2 30,925 84.5 31,995 82.4 34,285 81.6 35,933 85.5 4.8

In Ontario 29,469 30,486 31,671 33,855 35,625 5.2

In and Outside

Ontario 89 31 30 41 49 19.5

Outside Ontario 269 283 292 388 257 -33.8


Employed in

Nursing

& Non-Nursing

899 2.5 910 2.5 1,161 3.0 1,410 3.4 1,627 3.9 15.4

In Ontario 881 902 1,149 1,389 1,609 15.8

In and Outside

Ontario * 0 0 * * 0.0

Outside Ontario ** 8 12 ** ** -15.0


Employed in

Non-Nursing 2,287 6.5 1,585 4.3 2,317 6.0 1,816 4.3 1,080 2.6 -40.5

Seeking Nursing

Employment 247 450 666 929 882 -5.1

Not Employed 2,173 6.1 2,231 6.1 2,467 6.4 3,062 7.3 2,242 5.3 -26.8

Seeking Nursing

Employment 811 1,002 1,449 2,150 1,880 -12.6

On Leave 0 0.0 937 2.6 905 2.3 1,423 3.4 1,133 2.7 -20.4

Not Specified 241 0.7 0 0.0 0 0.0 0 0.0 3 0.0 0.0

Total 35,427 100 36,588 100 38,845 100 41,996 100 42,018 100 0.1

15 The revocation date for the 2014 renewal period was March 20, 2014. 16 Refer to Section 6.1 for information on gains and losses of RPNs in the General Class.


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

Casual 346 12.5

Total 2,762 100

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

Working Preference

Overall Working Status

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 145 0.7 135 1.0 1,254 37.3

Total 20,984 100 13,217 100 3,359 100


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

17 Please see section 2.2.2 for more information about gain and loss. 18 For more information about the Declaration of Practice requirement, visit http://www.cno.org/maintain-your-membership2/declaration-of-practice3/ 19 Refer to Section 9.2 for renewal gains and loss trends of RPNs in the General Class

1,715

2,122 2,303 2,259

2,619

3,094 2,991

4,056

5,101

3,585

2,207

1,561

1,191 1,209 1,123 1,300

1,830 1,799 1,950

3,563

0

1,000

2,000

3,000

4,000

5,000

6,000

2005 2006 2007 2008 2009 2010 2011 2012 2013 2014

RP

Ns in

the G

enera

l C

lass G

ain

s a

nd L

osses Gain

Loss


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

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

465 607 268 229 194 201 244 262 244 **

1,2501,515 2,035 2,030

2,4252,893 2,747

3,794

4,857

3,505

*

0

1,000

2,000

3,000

4,000

5,000

6,000

2005 2006 2007 2008 2009 2010 2011 2012 2013 2014

RP

Ns in

the G

enera

l C

lass G

ain

s

Change in Class

New Members

Reinstatements


Figure 6.3 Age distribution of RPN General Class gains for 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 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 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.

648 924 1,040 1,042

1,254 1,504 1,462 1,988 2,474 1,955

974 1,108 1,186

1,153 1,283 1,529 1,476 1,996 2,529

1,571

93 90 77 63 82 61 53 72 98 59

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2005 2006 2007 2008 2009 2010 2011 2012 2013 2014

RP

N G

enera

l C

lass G

ain

s

55+

30-54

18-29


Figure 6.4 Categorization of RPN General Class Losses for 2005-2014

Table 6.4 Categorization of RPN General Class Losses for 2011-2014, including resignation reasons and a breakdown of Change in Class

2011 2012 2013 2014

# % # % # % # %

Revoked/Not Renewed 1,073 58.6 681 37.9 489 25.1 1,651 46.3

Resigned 757 41.4 1,118 62.1 1,119 57.4 1,450 40.7

Changing Profession 52 2.8 85 4.7 70 3.6 99 2.8

Leave ** ** 38 2.1 ** ** 31 0.9

Leaving Canada * * 7 0.4 * * 12 0.3

Leaving Ontario 35 1.9 41 2.3 49 2.5 81 2.3

Retiring 240 13.1 404 22.5 369 18.9 561 15.7

Other 167 9.1 372 20.7 443 22.7 485 13.6

Not Specified 236 12.9 171 9.5 158 8.1 181 5.1 Change in Class Non-Practising

0 0.0 0 0.0 342 17.5 462 13.0

Total 1,830 100 1,799 100 1,950 100 3,563 100

2,015

1,025

622 636 558 645

1,073

681489

1,651

192

536

569 573 565655

757

1,1181,119

1,450

342

462

0

500

1,000

1,500

2,000

2,500

3,000

3,500

4,000

2005 2006 2007 2008 2009 2010 2011 2012 2013 2014

RP

N G

enera

l C

lass L

osses

Change in Class

Resigned

Revoked/Not Renewed


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 2013 2014

# % # % # %

Employed in Nursing or Both Nursing & Non-Nursing

1,076 59.8 1,097 56.3 1,436 40.3

In Ontario or Inside and Outside Ontario 1,029 57.2 1,047 53.7 1,215 34.1

Outside Ontario 41 2.3 50 2.6 220 6.2

Location Not Stated 6 0.3 0.0 0.0 1 0.0

Employed in Non-Nursing 174 9.7 263 13.5 744 20.9


Not Employed 428 23.8 359 18.4 980 27.5


On Leave 121 6.7 231 11.8 403 11.3

Not Specified 0 0.0 0 0.0 0 0.0

Total 1,799 100 1,950 100 3,563 100

Figure 6.5 shows RPN losses from 2005 to 2014, divided into three age groups based on renewal data from



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

254 120 85 87 145 167 194

267 303 431

1,324

802 581 533

485 519 650

642 687 1,601

629

639 525 589

492 614 986

890 960 1,531

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2005 2006 2007 2008 2009 2010 2011 2012 2013 2014

RP

N G

enera

l C

lass Losses

55+

30-54

18-29


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.


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

2012 2013 2014

# % # % # %


Resigned 622 60.4 697 66.6 791 65.1

Change In Class – Non-Practising

0 0.0 0 0.0 6 0.5

Total 1,029 100 1,047 100 1,215 100

(b) Employed in Nursing Outside of Ontario

2012 2013 2014

# % # % # %


Resigned 22 53.7 21 42.0 41 18.6


0 0.0 0 0.0 47 21.4

Total 41 100 50 100 220 100

(c) Employed in Non-nursing

2012 2013 2014

# % # % # %


Resigned 112 64.4 111 42.2 160 21.5


0 0.0 0 0.0 215 28.9

Total 174 100 263 100 744 100

(d) Not Employed

2012 2013 2014

# % # % # %


Resigned 293 68.5 183 51.0 354 36.1


0 0.0 0 0.0 146 14.9

Total 428 100 359 100 980 100

(e) On Leave

2012 2013 2014

# % # % # %


Resigned 66 54.5 107 46.3 104 25.8


0 0.0 0 0.0 48 11.9

Total 121 100 231 100 403 100


Figure 6.6 shows RPN losses from 2005 to 2014, divided into three age groups based on renewal data from



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

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


Panel (c) shows the loss breakdown for the 55+ age group. For the 2014 renewal, 50.4 per cent of these


254 120 85 87 145 167 194

267 303 431

1,324

802 581 533

485 519 650

642 687 1,601

629

639 525 589

492 614 986

890 960 1,531

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2005 2006 2007 2008 2009 2010 2011 2012 2013 2014

RP

N G

enera

l C

lass Losses

55+

30-54

18-29


Figure 6.7 Categorization of RPN General Class Losses by age group

(a) Losses aged 18-29

(b) Losses aged 30-54

(c) Losses aged 55+

95 105 183

172 198 231

0%

20%

40%

60%

80%

100%

2012 2013 2014

301 339 888

341 348 447

266

0%

20%

40%

60%

80%

100%

2012 2013 2014

Change In Class - Non-Practising

Resigned

Revoked/Not Renewed

285 387 580

605 573

772

179

0%

20%

40%

60%

80%

100%

2012 2013 2014


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

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

24,481

25,115 26,135

27,432

28,800

30,442 31,419

32,850

35,286

37,284

23,000

25,000

27,000

29,000

31,000

33,000

35,000

37,000

39,000

2005 2006 2007 2008 2009 2010 2011 2012 2013 2014

RP

Ns in

the G

enera

l C

lass E

mplo

yed in

N

urs

ing in

Onta

rio

635

1,494

2,292

2,766

3,648

4,143

4,466

3,344

1,382

309

2,548

5,311

4,5704,323

4,7484,488

4,278

3,797

2,298

923

0

1,000

2,000

3,000

4,000

5,000

6,000

2005 2006 2007 2008 2009 2010 2011 2012 2013 2014

RP

Ns in

the G

enera

l C

lass

2005 2014


For 2014, 55.9 per cent of RPNs in the General Class employed in nursing in Ontario reported overall full-

time 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 2011 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

Casual 2,658 8.7 2,661 8.5 2,741 8.3 3,044 8.6 3,312 8.9

Total 30,442 100 31,419 100 32,850 100 35,286 100 37,284 100

22 See section 2.2.7 for more information on Overall Working Status.


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,

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