College of Nurses of Ontario. Membership Statistics Highlights 2014

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1 College of Nurses of Ontario Membership Statistics Highlights 2014 Revised February 25, 2015

2 VISION Leading in regulatory excellence MISSION Regulating nursing in the public interest Membership Statistics Highlights 2014 Pub. No ISSN Copyright College of Nurses of Ontario, 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 The 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 College of Nurses of Ontario 101 Davenport Rd. Toronto ON M2R 3P1 B MEMBERSHIP STATISTICS HIGHLIGHTS 2014 College of Nurses of Ontario

3 Table of Contents 1 Introduction About this document About the College of Nurses of Ontario Methods and Notes Data Collection Other Methodological Notes Data Tables Renewal Gain and Loss Not Specified Category Data Suppression Non-Practising Class Multiple employers Overall Working Status and Working Status for Employment Positions On Leave Data Quality Audits Overall Membership Employment in Nursing in Ontario Registered Nurses in the General Class Renewal Gain and Loss of Registered Nurses in the General Class Renewal Gain of Registered Nurses in the General Class Renewal Loss of Registered Nurses in the General Class Registered Nurses in the General Class Employed in Nursing in Ontario Registered Nurses in the General Class Demographics Registered Nurses in the General Class Nursing Employment Registered Nurses in the General Class Employed in Nursing Outside of Ontario Registered Nurses in the General Class - Registration in Other Jurisdictions Registered Nurses in the Non-Practising Class Registered Practical Nurses in the General Class Renewal Gain and Loss of Registered Practical Nurses in the General Class Renewal Gain of Registered Practical Nurses in the General Class Renewal Loss of Registered Practical Nurses in the General Class Registered Practical Nurses in the General Class Employed in Nursing in Ontario Registered Practical Nurses in the General Class Demographics Registered Practical Nurses in the General Class Nursing Employment Registered Practical Nurses in the General Class Employed in Nursing Outside of Ontario Registered Practical Nurses in the General Class - Registration in Other Jurisdictions Registered Practical Nurses in the Non-Practising Class Registered Nurses in the Extended Class (NPs) Renewal Gain and Loss of Nurse Practitioners Nurse Practitioners Employed in Nursing in Ontario NP Demographics NP Nursing Employment Nurse Practitioner Positions in College of Nurses of Ontario Membership Statistics Highlights 2014 i

4 9 Renewal Gain and Loss Tables RNs in the General Class Renewal Gain and Loss Tables RPNs in the General Class Renewal Gain and Loss Tables Employment Positions in Ontario Tables Registered Nurses in the General Class Tables Registered Practical Nurses in the General Class Tables Registered Nurses in the Extended Class (NP) Tables Practice and Employment Definitions Nursing Employer Position in Nursing Primary Area of Practice Revisions Table 5.1 on page 27 was revised on October 16, Sections 4.2.2, 6.2.2, and were revised on February 25, College of Nurses of Ontario Membership Statistics Highlights 2014 ii

5 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 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 See section for more information on the data available in the data query tool. College of Nurses of Ontario Membership Statistics Highlights

6 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 date 4, 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 Other Methodological Notes 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 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 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 3 For 2014 renewal, the suspension date was February 15, For 2014 renewal, the revocation date was March 20, 2014 College of Nurses of Ontario Membership Statistics Highlights

7 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 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 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 Non-Practising Class The Non-Practising Class was established on January 1, 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 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 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 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 College of Nurses of Ontario Membership Statistics Highlights

8 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 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, , , , One Nursing Employer 80,923 28,676 1, ,203 Two Nursing Employers 13,117 6, ,030 Three or more Nursing Employers 1, ,909 Employed in Nursing & Non-Nursing 2, , , One Nursing Employer 2,191 1, ,638 Two Nursing Employers ** 573 Three or more Nursing Employers * 79 Employed in Non-Nursing Only 1, , , On Leave 2, , , Not Employed 5, , , Not Specified Total 108, , , , 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 College of Nurses of Ontario Membership Statistics Highlights

9 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 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 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. College of Nurses of Ontario Membership Statistics Highlights

10 3 OVERALL MEMBERSHIP 2014 A total of 154,047 nurses renewed their membership in the General, Extended or Non-Practising Class for This represents a 1.8 per cent decrease from 2013 but a 3.6 per cent increase from Table 3.1 shows a breakdown of General, Extended and Non-Practising Class members who renewed their memberships from 2010 to Table 3.1 Overall membership, divided by category and class for # % # % # # # % # % RN 113, , , , , General 111, , , , , Extended (NP) 1, , , , , Non-Practising 4, RPN 35, , , , , General 35,427 36,588 38,845 41,996 42, Non-Practising Total 148, , , , , 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 # % # % # % # % # % Employed in Nursing 128, , , , , Employed in both Nursing and Non-nursing 2, , , , , Employed in Non-nursing 7, , , , , On Leave , , , , Not Employed 9, , , , , Not Specified Total 148, , , , , College of Nurses of Ontario Membership Statistics Highlights

11 Members Employed in Nursing in Ontario 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 Figure 3.1 Employment in Nursing in Ontario reported by overall membership in , , , , , , , , , , , , , , , , , , 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 Table 3.3 Overall working status reported by overall membership in # % # % # % # % # % Full-time 80, , , , , Part-time 34, , , , , Casual 10, , , , , Total 125, , , , , College of Nurses of Ontario Membership Statistics Highlights

12 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 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 Table 4.1 Employment category and status reported by RN General Class members for Employed in Nursing Change # % # % # % # % # % % 97, , , , , In Ontario 91,461 91,113 90,269 91,455 92, In and Outside Ontario Outside Ontario 5,047 5,023 4,694 4,665 1, Not Specified Employed in Nursing & Non-Nursing 1, , , , , In Ontario 1,734 1,671 1,997 2,311 2, In and Outside Ontario Outside Ontario Not Specified Employed in Non-Nursing Seeking Nursing Employment 5, , , , Not Employed 7, , , , , Seeking Nursing Employment 1,627 2,047 2,054 2,640 2, On Leave , , , , Not Specified Total 111, , , , , The revocation date for the 2014 renewal period was March 20, Refer to Section 4.1 for information on gains and losses of RNs in the General Class. College of Nurses of Ontario Membership Statistics Highlights

13 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 # % Full-time 1, Part-time Casual Total 2, 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, , Part-time 2, , , Casual , Total 64, , , College of Nurses of Ontario Membership Statistics Highlights

14 RN General Class Gains and Losses 4.1 Renewal Gain and Loss of Registered Nurses in the General Class 7 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 ,000 12,000 Gain Loss 12,273 10,000 8,000 6,962 6,000 4,000 2,000 3,934 3,758 3,843 3,163 3,324 4,757 4,005 4,029 4,098 4,127 4,312 4,095 3,395 3,055 2,838 5,395 5,007 3, See section for more information about renewal gain and loss. 8 For more information about the Declaration of Practice requirement, visit 9 Refer to Section 9.1 for renewal gains and loss trends of RNs in the General Class College of Nurses of Ontario Membership Statistics Highlights

15 RN General Class Gains 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 ,000 7,000 6, ,000 4,000 5,696 * 47 Change in Class New Members 3,000 2,000 2,686 2,361 3,267 3,388 3,536 3,522 4,183 4,838 3,766 Reinstatements 1, ,266 1, ** College of Nurses of Ontario Membership Statistics Highlights

16 RN General Class Gains 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 For 2014, 73 per cent of gains were in the age group, 25.3 per cent of gains were in the 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 % % 80% 70% 60% 4,128 2,138 1,355 1,405 1,581 1,523 1,463 1,478 1,736 1, % % 30% 20% 2,567 1,543 1,641 2,422 2,300 2,405 2,529 3,144 3,519 2, % 0% 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 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 date 10. 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 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, College of Nurses of Ontario Membership Statistics Highlights

17 RN General Class Losses The number of RN General Class losses due to resignations has grown gradually since 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 ,000 12,000 3,082 10,000 8,000 6,000 4,000 2, ,183 1, ,366 1,898 2,254 6,008 1,621 1,507 1,564 3,338 1,397 2,103 2,422 2,194 1,602 1,406 1,177 1,453 1,626 1, Change in Class Resigned Revoked/Not Renewed Table 4.4 Categorization of RN General Class Losses for , including resignation reasons and a break-down of Change in Class # % # % # % # % Revoked/ Not Renewed 2, , , , Resigned 1, , , , Changing Profession Leave Leaving Canada Leaving Ontario Retiring , , , Other Not Specified Change in Class , , Extended Non-Practising , , Total 4, , , , 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 College of Nurses of Ontario Membership Statistics Highlights

18 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 Employed in Nursing or both Nursing & Non-Nursing # % # % # % 2, , , In Ontario or Inside and Outside Ontario 1, , , Outside Ontario , Location Not Stated Employed in Non-Nursing , Seeking Nursing Employment Not Employed 1, , , Seeking Nursing Employment On Leave , Not Specified Total 4, , , 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 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. College of Nurses of Ontario Membership Statistics Highlights

19 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 1, , , (b) Employed in Nursing Outside of Ontario # % # % # % Revoked/ Not Renewed , Resigned Change In Class , Extended Non-Practising Total , (c) Employed in Non-nursing # % # % # % Revoked/ Not Renewed ** ** Resigned Change In Class * * Extended * * * * Non-Practising ** ** Total , (d) Not Employed # % # % # % Revoked/ Not Renewed , , Resigned , Change In Class Extended Non-Practising Total 1, , , (e) On Leave # % # % # % Revoked/ Not Renewed Resigned Change In Class Extended Non-Practising Total , College of Nurses of Ontario Membership Statistics Highlights

20 RN General Class Losses 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 age group. However, in 2014, the proportion of losses in the age group increased dramatically. Over the past ten years, the proportion of losses in the age group did not change significantly. Figure 4.5 Age distribution of RN General Class losses for % 90% 80% 70% 60% 1,736 1,861 1,703 1,714 1,562 1,887 2,907 2,735 3,408 6, % 40% % 20% 1,717 1,629 1,365 1,132 1,096 1,303 1,184 1,063 1,268 5,186 10% 0% College of Nurses of Ontario Membership Statistics Highlights

21 Figure 4.6 shows a breakdown of loss reasons by age group. In 2014, the proportion of losses in the age group increased dramatically. For 2014, 4.5 per cent of losses were aged 18-29, 42.3 per cent of losses were aged and 53.3 per cent of losses were aged 55+. Panel (a) shows the loss breakdown for the 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 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. College of Nurses of Ontario Membership Statistics Highlights

22 Figure 4.6 Categorization of RN General Class Losses by age group (a) Losses aged % 80% % % 20% % (b) Losses aged % % 60% , Change In Class - Extended Change In Class - Non-Practising 40% 20% ,958 Resigned Revoked/Not Renewed 0% (c) Losses aged % 1,238 80% 60% 1,717 1,684 2,540 40% 20% 1,012 1,720 2,751 0% College of Nurses of Ontario Membership Statistics Highlights

23 RNs in the General Class Employed in Nursing in Ontario 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 ,000 96,000 94,000 92,000 90,000 89,047 89,652 90,233 91,965 93,171 93,916 93,315 92,879 94,386 95,787 88,000 86,000 84, 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 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 ,000 16, ,377 14,000 12,000 10, ,598 9,132 13,791 13,222 13,128 11,643 10,852 9,309 9,114 13,419 12,486 11,382 8,767 8,000 6,000 4,000 2,000 3,935 1,354 6,292 5,849 1,790 4, College of Nurses of Ontario Membership Statistics Highlights

24 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 status 11 held by RNs in the General Class Employed in Nursing in Ontario for # % # % # % # % # % Full-time 61, , , , , Part-time 24, , , , , Casual 7, , , , , Total 93, , , , , 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 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 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 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 is much more volatile. Their rate increased quickly from 58.1 per cent in 2005 to 77 per cent in After this large increase, their full-time employment rate gradually decreased to 64.8 per cent in Panel (b) shows that RNs aged and 55+ follow a similar path; however, RNs aged 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 age group since The part-time employment rate for RNs aged 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 and have similar casual employment rates. RNs aged and 55+ follow a similar trend over time, and RNs aged have a more varied casual employment rate over time. 11 See section for more information on overall working status. College of Nurses of Ontario Membership Statistics Highlights

25 Casual Employment Rate Part-time Employment Rate Full-time Employment Rate 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 College of Nurses of Ontario Membership Statistics Highlights

26 4.2.2 Registered Nurses in the General Class Nursing Employment 12 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 The remainder of section 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 # % # % # % # % One Nursing Employer 80, , , , Two Nursing Employers 11, , , , Three or more Nursing Employers 1, , , , Total RNs Employed in Nursing in Ontario 93, , , , Total Nursing Employment Positions in Ontario 107, , , ,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 positions 13 reported by RNs in the General Class Employed in Nursing in Ontario for # % # % # % # % Full-time 63, , , , Part-time 26, , , , Casual 17, , , , Not Specified Total 107, , , , See section for discussion of multiple employers. 13 See section for more information on working status for employment positions. College of Nurses of Ontario Membership Statistics Highlights

27 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 # % # % # % # % Central 9, , , , Central East 9, , , , Central West 3, , , , Champlain 11, , , , Erie St. Clair 4, , , , Hamilton Niagara Haldimand Brant 11, , , , Mississauga Halton 6, , , , North East 5, , , , North Simcoe Muskoka 3, , , , North West 2, , , , South East 4, , , , South West 9, , , , Toronto Central 18, , , , Waterloo Wellington 4, , , , Not Specified Total 107, , , , College of Nurses of Ontario Membership Statistics Highlights

28 4.3 Registered Nurses in the General Class Employed in Nursing Outside of Ontario 14 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 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 # % # % # % # % Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Prince Edward Island Quebec 1, , , Saskatchewan Yukon # % # % # % # % Canada Total 2, , , , United States 3, , , , Other Outside Canada & United States Not Specified (Outside Ontario) Total 6, , , , Percentage of Canada Total. 14 Employed in Nursing outside Ontario includes members who reported at least one nursing employment position outside Ontario. College of Nurses of Ontario Membership Statistics Highlights

29 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 Province # % # % Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Prince Edward Island Quebec 1, Saskatchewan Yukon Canada Total 3, , Table 4.13 Top ten concurrent registration locations within the United States for RNs in the General Class for State # % State # % Michigan 2, Michigan 1, Florida New York California Minnesota New York Florida Minnesota California Texas Texas North Carolina North Carolina Arizona Vermont Pennsylvania Pennsylvania Connecticut Illinois Other States 1, Other States United States Total 7, United States Total 4, College of Nurses of Ontario Membership Statistics Highlights

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