3.1 Total Registrants

The table below presents number of nurses who were registered with CNO annually since 2018. There is a consistent upward trend, with the number of registrants increasing every year. The differences year over year reflect the net difference in registrants. In this section, each nurse is counted only once irrespective of the number of registrations they hold.

Registrants are separated into two groups: The General and Extended Classes and the Non-Practising Class. Because nurses cannot hold registration in both, we can separate them up into mutually exclusive groups.

The total number of registrants is less than the total number of registrations. In 2022, we had 778 dual registrants in the General and Extended Classes and 28 in the Non-Practising Class.

• 3.1.1 Graphs
• 3.1.2 Counts
• 3.1.3 Annual Percentage Change

3.2 Gains and Losses

Gains: A gain to the total registrant pool is a nurse who renewed one or more registrations in the current renewal period but did not renew any registration in the year prior. They represent the number of new nurses available to the system.

Losses: A loss to the total registrant pool is a nurse who did not renew any registration in the current renewal period but did renew one or more registrations in the year prior. They represent the number of nurses who have left the system.

Net: The net difference is calculated by subtracting the number of registrant losses from the number of registrant gains at the end of renewal period. This represents the overall change in the number of nurses available to the system year-over-year.

The total number of registrants gained and lost fluctuates year to year, however gains have consistently outnumbered losses for the past five years.

• 3.2.1 Graphs
• 3.2.2 Net Graphs
• 3.2.3 Counts

4.1 Total Registrations

Below is the total number of CNO registrations annually since 2018. This number is higher than the total number of registrants in both the General and Extended Classes and the Non-Practising Class because some registrants hold more than one registration. For example, in 2022 there were 778 registrants who held dual registration as an RN and RPN. There were no NPs who held dual registration. The upward trend in registrations mirrors that of registrants.

• 4.1.1 Graphs
• 4.1.2 Counts
• 4.1.3 Annual Percentage Change

4.2 Gains and Losses

Gains: A registration gain is a registrant who renewed in specific category and class in the current renewal period, but not did not renew in the same category and class in the year prior.

There are three types of registration gains: changes in class, new registrations, and reinstatements.

• Change in class are registrants who renewed in a different class than in the previous year. For example, an RN who previously renewed in the General Class but renewed in the Extended Class in the current renewal period represents a gain to the RN Extended Class (NPs).

• New registrations are newly registered nurses who have never renewed with CNO before the current renewal period in a specific category.

• Reinstatements are previously registered nurses who have reapplied to enter the class in which they were previously registered. For example, a former registrant in the RN General Class, who had previously resigned/not renewed from CNO and subsequently reapplied to the same class.

Losses: A registration loss is a registrant who did not renew in a specific category and class in the current renewal period, did but renew in the same category and class in the year prior.

There are three types of registration losses: changes in class, not renewed, and resignations.

• Change in class are members renewing in a different class. For example, an RN who renewed in the Extended Class in the current renewal, but who previously renewed in the General Class, represents a loss for the RNs in the General Class.

• Not renewed are registrants who did not renew their registration in a specific category. They may maintain another CNO registration in the other category.

• Resignations are registrants who resigned a specific registration at any time before or during the renewal period. They may maintain another CNO registration.

Net: The net difference is calculated by subtracting the number of registration losses to a specific category and class from the number of registration gains to the same category and class at the end of renewal period. This represents the overall change in the number of nurses holding registration in a given category and class year-over-year. The cumulative net totals of each registration category and class cannot be summed to understand changes to registrant totals.

This section shows the number of registration gains and losses in the General, Extended and Non-Practising Classes over the past five years. The Net table shows net gains across all registrations from 2018 to 2022.

Net gains to the RN General Class have been steadily rising over time while net gains in the RPN General Class peaked in 2019 with 2,883 and rebounded back up to 1,762 in 2022.

• 4.2.1 Gains
• 4.2.2 Losses
• 4.2.3 Net

4.3 General and Extended Classes Gains and Losses

The remainder of the report only includes registrants who renewed in the General and Extended Classes. For simplicity of reporting, RN refers to Registered Nurses in the General Class, RPN to Registered Practical Nurses in the General Class and NP to Registered Nurses in the Extended Class (Nurse Practitioners). This represents a subset of the previous section.

• 4.3.1 Graphs
• 4.3.2 Net Graphs
• 4.3.3 Counts

4.4 Categorization of Gains and Losses

This section provides a breakdown of renewal gains and losses into categories. For losses, the data is further broken down into detailed categories. Expirations, revocations and cancellations fall under the not renewed category.

For RNs and RPNs, New registrations make up the vast majority of gains and Resigned is the primary source of losses. For NPs, the gains are dominated by Change in class while the losses are more balanced.

• 4.4.1 Gains
• 4.4.2 Losses
• 4.4.3 Detailed Losses

4.5 Employment Status

The remainder of the report examines the employment patterns and demographics of the gain and loss cohorts.

This data does not present overall changes to different employment statistics for the general registrant pool. For example, a nurse who registers with CNO for the first time in 2022 as an RPN in the General Class (that is a gain) who enters employment in nursing only in Ontario is counted in the first row of the table. However, an RPN General Class nurse who was registered, but not employed in 2021, who finds work in nursing in Ontario in 2022 in the same category and class is not included in the table below, as they are not categorized as a registration gain. Refer to the Registration Statistics Report 2022 to understand overall changes to various measures.

The following section provides information about the employment status of nurses who classified as a gain or a loss.

Overall, the vast majority of gains were employed in nursing only, in Ontario, over the last 5 years. Similarly, the majority of losses have come from nurses employed in nursing only, in Ontario.

• 4.5.1 Gains
• 4.5.2 Losses

4.6 Employed in Nursing in Ontario

The following section shows how many of the registration gains were employed in nursing in Ontario at the time they became a gain, and how many of the registration losses were employed in nursing in Ontario in the year prior to becoming a loss.

For the remainder of the report, ‘in Ontario’ includes nurses employed in nursing only in Ontario or in and outside Ontario.

• 4.6.1 Graphs
• 4.6.2 Counts

4.7 Overall Working Status

The following section shows the overall working status of registration gains and losses employed in nursing in Ontario.

Overall working status (full-time, part-time or casual) is the highest working status among all of a registrant’s nursing positions for a given registration. The three examples below illustrate how overall working status is calculated:

• Example 1: If a registrant has both a casual nursing position and a full-time nursing position, the registrant’s overall working status is full-time.
• Example 2: If a registrant has three casual nursing positions, the registrant’s overall working status is casual.
• Example 3: If a registrant has one part-time nursing position and one full-time non-nursing position, the registrant’s overall working status is part-time.

Over the past two years, there was a noticeable shift in the proportion of gains towards full-time employment for RNs and RPNs.

• 4.7.1 Gains
• 4.7.2 Losses

4.8 Number of Nursing Positions

The following section shows the number of nursing employment positions of registration gains and losses employed in nursing in Ontario.

Gains are predominantly working in one employment position for both RNs and RPNs. The percentage of RPN gains employed in one nursing position reached a peak of 90% in 2021. Similarly, losses are predominantly from nurses working in a single employment position for all nurses types.

• 4.8.1 Gains
• 4.8.2 Losses

4.9 Age Distribution

The following section shows the age distribution of registration gains and losses employed in nursing in Ontario.

In 2022, we saw a jump in RN gains who were between 35-44. The proportion of RN losses aged 25-34 rose markedly from 2021 to 2022, while losses to RNs aged 65+ decreased.

• 4.9.1 Gains
• 4.9.2 Losses

4.10 Education Region

The following section shows the breakdown by education region of registration gains and losses employed in nursing in Ontario.

Since 2019, the proportion of RN and RPN gains who are internationally educated has risen. RPN losses are increasingly less Ontario educated, while RN losses have stayed relatively stable.

• 4.10.1 Gains
• 4.10.2 Losses

5.1 Geographical Region

The following section shows the geographical regions of registration gains and losses employed in nursing in Ontario, at the employment position level based on former Local Health Integration Network (LHIN) regions. In 2021 the term LHIN was changed to Home and Community Care Support Services (HCCSS).

RPN gains are increasingly employed in the Toronto Central region since 2019.

• 5.1.1 Gains
• 5.1.2 Losses