1. Taking a Closer Look at Internationally Educated Nurses in Canada
Presented by:
Babita Gupta, Program Lead
October 19th, 2016

2. Outline About Canadian Institute for Health Information
Nursing Workforce data at CIHI
Significance of analyzing IEN trends
Share findings from the IEN analysis
Trends to watch

3. About CIHI Independent not-for-profit corporation 27 data holdings
Expertise in:
Data collection and analysis
Information standards
Education and outreach
About CIHI

5. Nursing Workforce Data at CIHI
Regulated Nursing
Contents
Record-level supply and distribution information on RNs (including NPs), LPNs and RPNs
Demographic, education, employment and geographic
Aggregate data on nursing programs, including seats and graduates
Data Source
Provincial and territorial nursing regulatory bodies
Canadian Association of Schools of Nursing, individual schools, Ministries of Advanced Education
Data back to
RN data: 1980 (NP data as of 2003 where legislation exists)
LPN and RPN data: 2002
Nursing Education data: RN – 1997, NP – 2002 RPN – 1989 LPN – 2007

6. Internationally educated nurses in Canada

7. Setting the stage
Challenges in responding to the growing demand for health professionals
WHO Global Code of Practice for the Recruitment of Health Personnel
OECD and WHO work on causes and consequences of the international mobility
Factors that may impact future of Health workforce movement
From Brain drain to Brain Gain

8. Facts - Migration to Canada
250,000+ people migrate to Canada each year
1 out of 5 people in Canada’s population is foreign born
Canada has highest proportion of migrants among G8 countries
>two thirds (69%) of net labor force growth in Canada attributable to migrants

9. Cumulative growth in the supply of regulated nurses, Canada, 2006 to 2015
113,367
5,766
Source: Health Workforce Database, CIHI, 2016

10. Proportion of IENs varies by nurse type, 2015
RNs LPNs RPNs
Overall Supply
296,731
113,367
5,766
IEN Supply
26,459
5,712
387
% IEN
9.0%
5.1%
7.2%
Source: Health Workforce Database, CIHI, 2016

11. Growth of RN/NP Supply, 2006-2015
Avg. Annual Growth
IEN
2.2%
CEN
0.9%
Source: Health Workforce Database, CIHI, 2016

12. Growth of LPN Supply, 2006-2015 Avg. Annual Growth 2006-15 IEN 16.9%
CEN
7.7%
Source: Health Workforce Database, CIHI, 2016

13. Growth of RPN Supply, 2006-2015 Avg. Annual Growth 2006-15 IEN 1.1%
CEN
0.6%
Source: Health Workforce Database, CIHI, 2016

14. Variability by jurisdictions and nursing profession
IENs – RN Canada = 9.0%
IENs – LPN Canada = 5.1%
IENs – RPN Canada = 7.2%
9.7%
7.4% † †
1.4% -
15.2%
5.5%
9.5%
7.9%
9.5%
1.2%
4.5%
1.3%
6.1%
10.6%
8.5%
10.1%
11.3%
<1.0%
9.6%
1.3%
1.0%
9.3%
3.5%
3.1%
Notes
† Digit suppressed in accordance with CIHI’s privacy policy; digit is from 0 to 9.
Source
Health Workforce Database, 2016.
1.8%
<1.0%

15. The Philippines and the UK remain the top country of graduation
IE RNs 31% from Philippines
IE LPNs 45% from Philippines
IE RPNs 68% from the UK
Source: Health Workforce Database, CIHI, 2016

16. Top Countries of graduation for all IENs, 2015
#3 UK
10.5%
#5 France
4.0%
#4 USA
6.7% #1
Philippines 34.1%
#2 India
11.5%
Source: Health Workforce Database, CIHI, 2016

17. Inflow and Outflow Rates, IE RN/NP, 2006-2015
Source: Health Workforce Database, CIHI, 2016

18. Inflow and Outflow Rates, LPN, 2006-2015
Source: Health Workforce Database, CIHI, 2016

19. Demographics and Employment Characteristics

20. Fewer IENs obtain Canadian license in early career but stay longer in the workforce
Source: Health Workforce Database, CIHI, 2016.

21. IEN employment status seeking/not seeking employment, 2015
Source: Health Workforce Database, CIHI, 2016.

22. More IE RNs working in Nursing homes/LTC than CE RNs
Source: Health Workforce Database, CIHI, 2016.

23. More IE LPNs working in Nursing homes/LTC than CE LPNs
Source: Health Workforce Database, CIHI, 2016.

24. Regulated Nurses: Full-Time Employment, by Place of Work, 2015
Source: Health Workforce Database, CIHI, 2016.

25. Regulated Nurses: Proportion working in Urban areas
Source: Health Workforce Database, CIHI, 2016.

26. Proportion of IENs employed in urban settings, 2015
IENs – RN
IENs – LPN
IENs – RPN
84.6%
39.2%
100.0% †
61.9% -
96.8%
79.2%
94.7%
88.8%
84.5%
83.4%
98.1%
87.5%
95.1%
95.4%
89.2%
80.7%
97.7%
100.0%
85.6%
90.9%
55.6%
98.0%
74.3%
81.1%
Notes
† Digit suppressed in accordance with CIHI’s privacy policy; digit is from 0 to 9.
Source
Health Workforce Database, 2016.
55.0%
66.7%

27. Trends to Watch
Increasing flow of IENs in Canada to meet population needs
Attrition of IENs
Canadian-born internationally educated nurses
Bilateral trade agreements on training and recruitment
Alternative career pathways for IENs not meeting Canadian entry-to-practice requirements