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Licensed practical nurses in British Columbia 1975-1982 : a descriptive report Jansen, Sharon; Chan, Susan Mar 31, 1983

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LICENSED PRACTICAL NURSES IN BRITISH COLUMBIA 1975 - 1982 A Descriptive Report Report R:21 Division of Health Services Research and Development Office of the Coordinator of Health Sciences The John F. McCreary Health Sciences Centre The University of British Columbia Vancouver, British Columbia, V6T 1Z6 March, 1983 Prepared by: .Sharon Jansen Susan Chan, B.Sc. -ii-This report is one of a series describing the distribution of manpower and resources of health care in the Province of British Columbia. These reports are working documents and comments or suggestions are welcomed. The reports are pre-pared for the Health Manpower Working Group of the Ministry of Health and for the Associations and Licensing Bodies which provide the data. -iii-HEAL TH MANPOWER RESEARCH UNIT C/0 OFFICE OF THE COORDINATOR HEALTH SCIENCES CENTRE PHONE: (604) 228-4810 Mr. Chris Lovelace Chairman Health Manpower Working Group Ministry of Health 1515 Blanshard Street Victoria, B.C. V8W 3C8 Dear Mr. Lovelace: 4th FLOOR l.R.C. BUILDING THE UNIVERSITY OF BRITISH COLUMBIA VANCOUVER. B.C.. CANADA V6T IWS March 2, 1983 It is with pleasure that I transmit to you and to the members of the Health Manpower Working Group, the completed report, "Licensed Practical Nurses in British Columbia 1975 - 1982: A Descriptive Report". This report is one of a series examining the supply and distribution of health manpower in this province. It is the first time, however, that the number of years' data available have made it possible to document changes in the stock of Licensed Practical Nurses over time. We look forward with anticipation to receiving comments, suggestions and questions for further study. Sincerely yours, #f/J ± r/' 1'1- j/ .(,'. ( ,,,,~ .JL/.. {d,_ll/ /- Annette J. Stark, Ph.D. Director Division of Health Services Research and Development /sej A Research Unit for the Health Manpower Working Group, Ministry of Health, British Columbia -iv-ACKNOWLEDGEMENTS Special appreciation is extended to the British Columbia Council of Practical Nurses for granting us permission to use its membership database. Assistance in the completion of this report was provided by several members of the Division of Health Services Research and Development, in-cluding Dr. Annette Stark, Director of the Division, Dr. Arminee Kazanjian, Patrick Wong Fung, Cheryl Matthews, and Susan Moloney. -v-TABLE OF CONTENTS List of Tables • List of Figures I. INTRODUCTION .. II. DEMOGRAPHIC PROFILE Location • . . . Sex . . . Marital Status Age . . . . Initial B.C. Licensure III. EDUCATION PROFILE ... Pre-L.P.N. Education L.P.N. Training Year L.P.N. Training Completed Province/Country of L.P.N. Training . B.C. Institution of Training IV. EMPLOYMENT PROFILE Employment Status L.P.N.'s Employed in Nursing Positions. L.P.N.'s Not Employed in Nursing •... V. SUMMARY ........... . Page vi viii l 3 3 3 4 5 5 7 7 7 8 9 11 15 15 16 19 22 Table 1 2 3 -vi-LIST OF TABLES Number and Percentage Distribution of Practical Nurses Licensed in B.C., by Location of Residence, September 1975, 1979 and 1982 ..•.•.•.........•.... Number and Percentage Distribution of Practical Nurses Licensed in B.C., by Sex, September 1975, 1979 and 1982 Number and Percentage Distribution of Practical Nurses Licensed in B.C., by Marital Status, September 1975, 1979 and 1982 ....................... . . . - ~ . 4 Number and Percentage Distribution of Practical Nurses 3 4 4 Licensed in B.C., by Age, September 1975, 1979 and 1982 5 5 Number and Percentage Distribution of Practical Nurses Licensed in B.C., by Year of Initial Licensure with the B.C. Council of Practical Nurses, September 1982 . . . . . . . . 6 6 Number and Percentage Distribution of Practical Nurses Licensed in B.C., by Pre-L.P.N. Education, September 1979 and 1 982 . . . . . . . . . . . . . . . • . . . . . . . . . 7 7 Number and Percentage Distribution of Practical Nurses Licensed in B.C., by Partial/Full Licensure, September 1975, 1979 and 1982 . . . . . . . . . . . . . . . . . . . . . 8 8 Number and Percentage Distribution of Practical Nurses Licensed to Practice in B.C. as Full Licensees, by Year Training Completed, September 1975, 1979 and 1982 9 9 Number and Percentage Distribution of Practical Nurses Licensed to Practice in B.C. as Full Licensees, by Province/ Country of L.P.N. Training, September 1982 ........... 10 10 Number and Percentage Distribution of Practical Nurses Licensed to Practice in B.C. as Full Licensees, by B.C. Institution of Training, September 1982 ....... . 11 Number and Percentage Distribution of B.C. Resident Practical Nurses Licensed in B.C., by Employment Status, September 1979 11 and 1982 • . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 12 Number and Percentage Distribution of B.C. Resident Practical Nurses Licensed in B.C., by Full-Time/Part-Time/Casual Status, September 1979 and 1982 •.•.....•........•.• 16 13 Number and Percentage Distribution of B.C. Resident Practical Nurses Licensed in B.C., by Type of Employing Agency, September 1979 and 1982 . . . . . . . . • . . . . . . . . . . . . . . . • 17 • -v11-Table 14 Number and Percentage Distribution of s.c. Resident Practical Nurses Li~ensed in B.C., by Field of Practice, September 1979 and l 982 . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 15 Number and Percentage Distribution of s.c. Resident Practical 16 Nurses Licensed in B.C., by Job Title, September 1982 . . . . 19 Number and Percentage Distribution of s.c. Resident Practical Nurses Licensed in B.C. and Not Employed in Nursing, by Whether Seeking or Not Seeking Employment in Nursing, September 1979 and 1982 . . . . • . . . • . . . . . . . . . . . . . . . . 20 17 Number and Percentage Distribution of s.c. Resident Practical Nurses Licensed in B.C. and Not Employed in Nursing, by Year Last Employed in Nursing, September 1982 ............ 21 -viii-LIST OF FIGURES Figure Page l Status of all Practical Nurses Licensed with the B.C. Council of Practical Nurses, as at September 30, 1975; Employment Status as of June 1975 . . . . • . . . • . . . . . . . . . . . . 12 2 Status of all Practical Nurses Licensed with the B.C. Council of Practical Nurses, as at September 30, 1979 ....... . 13 3 Status of all Practical Nurses Licensed with the B.C. Council of Practical Nurses, as at September 30, 1982 ....... . 14 -1-Definition "As defined in the Practical Nurses' Act, the Licensed Practical Nurse functions UNDER THE SUPERVISION of a registered nurse. In many settings th~ licensed practical nurse also works under the supervision of a registered psychiatric nurse. Employers follow the Guide issued by the British Columbia Council of Practical Nurses stating what the LPN has been taught and is prepared to perform. The Licensed Practical Nurse is primarily engaged in direct care of clients/patients in a wide variety of health care settings subject to the policies of the employing agency. Health care agencies can be acute, extended, intermediate or personal care; home care, public health, and/or community health and mental health care".1 I. INTRODUCTION In 1975 the Health Manpower Research Unit of the University of British Columbia computerized a file of all practical nurses licensed with the B.C. Council of Practical Nurses. Since that time this file has been maintained and updated on a regular basis. Currently, notification of new licensees or of change in location is received from the Council on a monthly basis. Employment information is collected yearly by means of a renewal fee form distributed to all nurses licensed with the Council. The present study examines statistics from three points in time: September 1975, September 1979, and September 1982. Demographic, educational and employment information is examined. On most of the tables, those persons in the "no answer" category have been removed from the 1 Guide to the Definition of the Roles and Functions of the Licensed PracticalNurse, the RegiStered Nurse and the Registered Psychiatric Nurse. Joint Statement of The Licensed Practical Nurses' Association of British Columbia~ The Registered Nurses' Association of British Columbia and The Registered Psychiatric Nurses' Association of British Columbia, February 1977, p. 7. See also Canadian Classification and Dictionary of Occupations 1980, Major Group 31, No. 3134-110, p. 54, Ottawa: Employment and Imm1gration Canada. -2-denominator when calculating the percentages. This procedure has the effect of distributing the missing individuals proportionately among the remainder, enabling one to ~eaningfully quote the percentage of individuals with a given characteristic. There is no reason to suppose that the missing individuals are not distributed in the same proportion as those who provided answers. -3-II. DEMOGRAPHIC PROFILE Location The number o~ practical nurses licensed to practice in the province numbered 6089 in September 1975, 6892 in September 1979, and 7427 in September 1982. It can be noted that the average annual increase between 1975 and 1979 was 200.8 nurses, but dropped in the period 1979 to 1982 to 178.3. The percentage of those residing in B.C. (approximately 95 per cent) versus those residing outside the province (approximately 5 per cent) has remained fairly constant. Of those living in B.C., the percentage in non-metropolitan areas has risen very slightly, from 52.7% in 1975 to 54.1% in 1982. Table 1 shows these figures. Table l: Number and Percentage1 Distribution of Practical Nurses Licensed in B.C., by Location of Residence, September 1975, 1979 and 1982 1975 1979 1982 LOCATION OF RESIDENCE N % N % N B.C. Subtotal 5739 94.3 6511 94.5 7024 Non-Metropolitan 3022 52.7 3489 53.6 3801 Metropolitan 2717 47.3 3022 46.4 3223 Non-B.C. Subtotal 350 5.7 381 5.5 403 Total 6089 100.0 6892 100.0 7427 Percentages on this and following tables may not add to 100.0 due to rounding. Sex As can be seen in Table 2, females dominate the population of Licensed Practical Nurses in the province. It can be noted, however, that the 54. l 45.9 % 94.6 5.4 100.0 -4-percentage of males has been increasing (p<.05)2, from 1.6% of the total in 1975 to 3.2% in 1982. Table 2: Number and Percentage Distribution of Practical Nurses Licensed in B.C., by Sex, September 1975, 1979 and 1982 1975 1979 1982 SEX .H. ! .H. ! ! ! Male 70 1.6 190 2.8 237 3.2 Female 4185 98.4 6702 97.2 7190 96.8 Total 42551 100.0 6892 100.0 7427 100.0 This total does not include 1834 unknown in 1975. Mar, iJ!.tl Status Table 3 shows the distribution by marital status. The percentage of those married has stayed over 60 per cent, comprising 65.3% of the total population in 1975, 62.4% in 1979 and 63.1% in 1982. 2 Table 3: Number and Percentage Distribution of Practical Nurses Licensed in B.C., by Marital Status, Septelllber 1975, 1979 and 1982 1975 1979 1982 MARITAL STATUS ! ! !! ! .H. Single 849 20.3 1686 24.7 1649 Married 2730 65.3 4256 62.4 4620 Other (Widowed, Divorced, Separated) 599 14.3 874 12.8 1056 ! 22.5 63. l 14.4 Totall 4178 100.0 6816 100.0 7325 100.0 1 These totals do not include 1911 unknown in 1975, 76 unknown in 1979, and 102 unknown in 1982. The Chi Square test for independence is used throughout at the usually accepted p<.05 level of significance. (That is, the probability of this happening by chance is 1 out of 20.) -5-The data in Table 4 indicate that the age distribution of licensed practical nurses has changed over the seven-year period studied. The percentage distribution in the <25 year and the 25-29 year age groups has decreased, while the percentage in the 30-34 year, 35-39 year, and 40-44 year age groups has increased (p~.05) substantially. The single largest age group was that between 25-29 years in 1975 and 1979, but shifted to that between 30-34 years in 1982. In 1975, 1979 and 1982 at least two-thirds of those licensed have been under 40 years of age. Table 4: Number and Percentage Distribution of Practical Nurses Licensed in 8.c .• by Age. Septeliiier 1975, 1979 and 1982 AGE 1975 1979 1982 IN YEARS !! ! !! ! !! ! < 25 752 17.8 999 14.9 650 9.0 25 - 29 1024 24.3 1542 23.0 1504 20.8 30 - 34 665 15.8 1358 20.3 1578 21.9 35 - 39 369 8.7 858 12.8 1219 16.9 40 - 44 325 7.7 536 8.0 731 10.1 45 - 49 302 7.2 442 6.6 468 6.5 50 - 54 310 7.3 397 5.9 437 6 .1 55 - 59 227 5.4 342 5.1 345 4.8 60 - 64 186 4.4 170 2.5 212 2.9 65 + 60 1.4 58 0.9 73 1.0 Tota1 1 4220 100.0 6702 100.0 7217 100.0 These totals do not include 1869 unknown in 1975, 190 unknown in 1979, and 210 unknown in 1982. Initial B.C. Licensure Licensure with the B.C. Council of Practical Nurses has been available for practical nurses since 1965. When a nurse first becomes licensed with -6-the Council, (s)he is assigned a unique number and becomes a licensed practical nurse. Each year thereafter in which the nurse wishes to continue practising as an L.P.N., this license must be renewed. As at September 30, 1982 12,022 nurses had become licensed with the Council since 1965. Of that total, 7427 (61.8%) were currently licensed to practice. Table 5 shows the year of initial B.C. licensure for 7184 of these individuals. Table 5: Nunmer and Percentage Distribution of Practical Nurses Licensed in B.C., by Year of ln1t1a1 L1censure with the B.C. Council of Practical Nurses, Septeiidier 1982 YEAR OF INITIAL LICENSURE !! ! IN B.C. 19651 133 1.9 1966 434 6.0 1967 519 7.2 1968 302 4.2 1969 334 4.6 1970 298 4.1 1971 353 4.9 1972 396 5.5 1973 444 6.2 1974 534 7.4 1975 468 6.5 1976 397 5.5 1977 408 5.7 1978 431 6.0 1979 397 5.5 1980 519 7.2 1981 466 6.5 19822 351 4.9 Total 71843 100.0 I 1965 was the first year licensure was available with the B.C. Council of Practical Nurses. 2 This figure represents only a partial year -- January l to September 30, 1982. 3 This total does not include 243 unknown. • -7-III. ~DU~ATION PROFILE Pre-L.P.N. Education As is shown in Table 6, the majority of L.P.N.'s have high school graduation or higher education before commencing their training in nursing. This proportion has increased from 64.2% of those licensed to practice in B.C. in 1979, to 69.2% in 1982 (p<.05). Table 6: Number and Percentage Distribution of Practical Nurses Licensed 1n 8.c., by Pre-L.P.N. Education~. Septeiilbir 1979 and 1982 PRE-L.P.N. 1979 1982 EDUCATION !! ! !! ! < Grade 10 210 3.2 175 2.4 Grade 10 1099 16.5 1000 13.7 Grade 11 1069 16.1 1068 14.6 ? Grade 12 4263 64.2 5049 69.2 Tota1 2 6641 100.0 7292 100.0 1 This information is not available for 1975. 2 These totals do not include 251 unknown in 1979 and 135 unknown in 1982. hP. N. D:.aining Currently, in order to become licensed as a practical nurse in B.C., one must meet all the requirements of the B.C. Council of Practical Nurses.3 This includes proof of successful completion of an approved B.C. course for practical nurses or nursing orderlies, or equivalent training and experience. When all such requirements are fulfilled, the individual 3 See Skills Reguir~Q_ of the Beginning Licensed _Practical Nurse, British Columbia Council of Practical Nurses, 1981. -8-receives full licensure. Some of those who applied for licensure before the ~nd of 1966 were granted partial licenses on the basis of experience only. Partial licenses ~ave been granted to individuals in one or more of the following areas: medical, surgical, pediatric, maternity, newborn, or chronic/convalescent nursing. The breakdown of licensees by partial/full licensure is shown in Table 7. The percentage of those holding partial licenses has dropped over the years, from 12.5% in 1975 to a low of only 3.7% in 1982. Table 7: TYPE OF 1975 1979 1982 LI CENSURE ! ! ! ! ! ! Partial 764 12.5 349 5.1 276 3.7 Full 5325 87.5 6543 94.9 7151 96.3 Total 6089 100.0 6892 100.0 7427 100.0 Year L.P.N. Training Completed If one considers the ten-year period of completion of training prior to each of 1975, 1979 and 1982, it becomes apparent that the percentage of recent graduates has been decreasing (p<.05) in relation to the total number of nurses licensed each year. That is, in 1975, 68.2% of those fully licensed had graduated during the 1966-1975 period; in 1979, 58.7% had graduated from 1970-1979; and in 1982, 48.4% had graduated from 1973-1982. Table 8 gives the breakdown of these figures. It is interesting that the aging of the stock (see Table 4) is apparently related to people staying in the workforce as L.P.N.'s, rather than to new graduates being older. -9-Table a: Number and Percentage Distribution of Practical Nurses Licensed to Practice 1n B.C. as Full licensees, by Year Training Completed, September 1975, 1979 and 1982 YEAR TRAINING 1975 1979 19a2 COMPLETED !! ! !! ! !! ! Before 1965 1276 26.4 1209 19.7 1169 17.2 1965 259 5.4 24a 4.0 239 3.5 1966 262 5.4 245 4.0 234 3.4 1967 249 5.2 234 3.a 226 3.3 l96a 295 6. l 274 4.5 272 4.0 1969 373 7.7 32a 5.3 32a 4.a 1970 350 7.2 300 4.9 2a1 4. l 1971 412 a.5 397 6.5 359 5.3 1972 404 a.4 403 6.6 39a 5.9 1973 450 9.3 39a 6.5 3a7 5.7 1974 424 a.a 42a 7.0 409 6.0 1975 80* l. 7* 356 5.a 330 4.9 1976 - - 3al 6.2 353 5.2 1977 - - 402 6.5 3a7 5.7 l97a - - 397 6.5 3a2 5.6 1979 - - 149* 2.4* 372 5.5 1980 - - - - 327 4.a l9al - - - - 24a 3.7 19a2 - - - - 90* l. 3* Totall 4a34 100.0 6149 100.0 6791 100.0 * This figure represents only a partial year. l These totals do not include 491 unknown in 1975, 394 unknown in 1979 and 360 unknown in 19a2. ~rovince/Country of L.P.N. Training Looking at the 1982 data, it is evident that the majority of practical nurses fully licensed in B.C. received their training in Canada (93.7%). Of -10-Table 9: Number and Percentage Ofstrfbutfon of Practical Nurses Licensed to Practice fn .B.C. as Pull Licensees b Province Countr of L.P.N. Trafnfn Se tember PROVINCE/COUNTRY OF !! l of Subtotals l of Tota 1 L.P.N. TRAINING Canada British Columbia 4657 70.9 66.4 Alberta 589 9.0 8.4 Ontario 532 8.1 7.6 Manitoba 310 4.7 4.4 Saskatchewan .216 3.3 3. l Nova Scotia 93 1.4 1.3 Province of Quebec 62 0.9 0.9 New Brunswick 38 0.6 0.5 Yukon Territories 30 0.5 0.4 Newfoundland 27 0.4 0.4 Prince Edward Is land 8 0 .1 0.1 Northwest Territories 6 o. l 0.1 Province Unknown _4 ...9.:1 ...Q.J_ Subtotal 6572 100.0 93.7 Outside Canada United Kingdom 173 39.2 2.5 U.S.A. 64 14.5 0.9 Ph fl i ppf nes 60 13.6 0.9 Hong Kong 31 7.0 0.4 Gennany 24 5.4 0.3 Other ~ 20.2 il Subtotal 441 100.0 6.3 Total1 7013 100 .0 1 This total does not include 138 unknown. -11-those Canadian trained, most named B.C. as their province of training (70.9% of Canadian total). Alberta and Ontario were the next most corrmon (comprising 9.0% and 8.1% of the Canadian total, respectively). Those educated outside of Canada represent only 6.3% of the total nurses licensed. The United Kingdom is the country most frequently cited as the place of training outside of Canada, but when viewed in relation to the total nursing population, it represents only 2.5%. These figures are shown in Table 9, on the preceding page. B.C. Instit~!i~ of Training Taking a closer look at those trained in B.C., it can be seen that a full 96.8% completed programs in one of seven colleges in the province. Vancouver Community College alone accounts for 33.4% of those B.C. trained. Table 10 details the distribution. Table 10: Number and Percentage Distribution of Practical Nurses Licensed to Practice in B.C. as Full Licensees, by B.C. Instftut1on of Training, Septelii>er 1982 B.C. INSTITUTION OF TRAINING ! ! Vancouver Co11111unity College 1549 33.4 Malaspina College 894 19.3 Camosun College 599 12.9 Okanagan College 496 10.7 Selkirk College 486 10.5 College of New Caledonia 378 8.2 Douglas College 86 1.9 Other 150 3.2 Total 1 ~~ 100.0 This total does not include 19 unknown. FIGURE 1: STATUS OF ALL PRACTICAL NURSES LICENSED WITH THE B.C. EMPLOYED IN NURSING 2756 COUNCIL OF PRACTICAL NURSES. AS AT SEPTEMBER 30. 1975: EMPLOYMENT STATUS AS OF JUNE 1975. NOT LICENSED TO PRACTICE IN B,C, 1794 ALL NURSES EVER LICENSED WITH THE COUNCIL 7883 LICENSED TO PRACTICE IN B,C, EMPLOYED IN OTHER THAN NURSING 30 SEEKING EMPLOYMENT IN NURSING 308 6089 NOT EMPLOYED 1364 NOT SEEKING EMPLOYMENT IN NURSING 982 • (B.C. residents = 5739) (non-B.C. residents = 350) NO INFO 74 NO INFO 1939 I _. N I REGULAR FULL-TIME 2455 • FIGURE 2: STATUS OF ALL PRACTICAL NURSES LICENSED WITH THE B.C. EMPLOYED IN NURSING REGULAR PART-TIME 420 4270 COUNCIL OF PRACTICAL NURSES, AS AT SEPTEMBER 30, 1979. NOT LICENSED TO PRACTICE IN B,C, 3553 CASUAL 1114 NO INFO 281 ALL NURSES EVER LICENSED WITH THE COUNCIL 10.445 LICENSED TO PRACTICE .IN e.c. NON - B,C, RESIDENTS 381 EMPLOYED IN OTHER THAN NURSING SEEKING EMPLOYMENT IN NURSING 125 382 6892 s.c. RESIDENTS 6511 NOT SEEKING EMPLOYMENT IN NURSIHG 257 NOT EMPLOYED 1166 SEEKING EMPLOYMENT IN NURSING 478 NO INFO 693 NOT SEEKING EMPLOYMENT IN NURSING 688 I .... w I REGULAR FULL-TIME 2688 • FIGURE 3: STATUS OF ALL PRACTICAL NURSES LICEHSED WITH THE B.C. EMPLOYED IN NURSING REGULAR PART-TIME 1210 4754 COUHCIL OF PRACTICAL NURSES. AS AT SEPTEl1BER 30. 1982. NOT LICENSED TO PRACTICE IN B,C, 4595 CASUAL 816 NO INFO 40 ALL NURSES EVER LICENSED WITH THE COUNCIL 12. 022 LICENS~D TO PRACTICE IN B.C, NON - a.c. RESIDENTS 403 EMPLOYED IN OTHER THAN NURSING SEEKING EMPLOYMENT IN NURSING 151 509 7427 a.c. RESIDENTS 7024 NOT SEEKING EMPLOYMENT IN NURSING 358 NOT EMPLOYED 1305 SEEKING EMPLOYMENT IN NURSING 450 NO INFO 456 NOT SEEKING EMPLOYMENT IN NURSING 855 I ~ ~ I • .. 1 !:i-IV. EMPLOYMENT PROFILE This section of the report is based on analysis of 1979 and 1982 data. As well, a publication prepared by the Division of Health Services Research and Development entitled, Licensed ~~actical Nurses in ~~itisl! ~~lumbia, 1975, was consulted for 1975 figures when appropriate. The 1975 employment data is not directly comparable for purposes of the present study, because the questionnaire used in that year was substantially different from that developed for subsequent surveys and because the information was collected in June rather than in September (by which time most of the summer graduates from practical nursing programs would have been licensed). The employment profiles for all three years are shown in flow chart form in Figures 1 to 3, on the preceding pages. Employment Status In both 1979 and 1982, over 72 per cent of those nurses licensed and residing in B.C. were employed in nursing. There is an indication that this percentage has increased from earlier years. In the previously mentioned 1975 survey, only about 66 per cent of respondents (both within and without the province) stated that they were employed in nursing. The proportion not employed has remained at approximately 20 per cent from 1979 Table 11: Number and Percentage Distribution of a.c. Resident ·Practical Nurses Licensed in B.C., by Employment Statusl, September 1979 and l982 1979 1982 EMPLOYMENT STATUS N ! !! ! Employed in Nursing 4270 73.4 4754 72.4 Employed in Other than Nursing 382 6.6 509 7.7 Not Employed 1166 20.0 1305 19.9 Total 2 5818 100.0 6568 100.0 1 This information is not available for 1975. 2 These totals do not include 693 unknown in 1979 and 456 unknown in 1982. -16-to 1982, by comparison. The 1975 unemployment figure was nearer 33 per cent. Table 11 details the 1979 and 1982 figures. L.P.N.'s Employed in Nursing Positions Of those employed in nursing, the greater percentage work on a regular full-time basis. In Table 12 it is interesting to note that this proportion has dropped (p<.05) from 61.5% in 1979 to 57.0% in 1982. The number of those employed on a casual basis has also decreased, with the consequent growth occurring in the percentage of nurses employed on a regular part-time basis. Table 12: EMPLOYED 1979 1982 IN NURSING: ! ! ! ! Regular Full-Time 2455 61.5 2688 57.0 Regular Part-Time 420 10.5 1210 25.7 Casual 1114 27.9 816 17.3 Total 2 3989 100.0 4714 100.0 1 This infonnation is not available for 1975. 2 These totals do not include 281 unknown in 1979 and 40 unknown in 1982. Table 13 shows the distribution of employed nurses by type of employing agency. By far the greatest proportion of nurses are employed in acute care and extended care hospitals (84.3% in 1979 and 85.3% in 1982). The apparent drop in numbers employed in extended care hospitals between 1979 and 1982 can be accounted for by a change in coding P'.Ocedures adopted in 1982, which placed each hospital under its appropriate B.C. Hospital Programs' designation (if incorrectly categorized by the L.P.N. on his/her renewal form). • • -17-Table 13: Number and Percentage Distribution of s.c. Resident Practical Nurses Licensed in B.C., by Type of Employing Agencyl, September 1979 and 1982 1979 1982 TYPE OF EMPLOYING AGENCY !! ! !! ! Acute Care Hospital 2622 68. l 3825 80.9 Activation/Rehab. Hospital 110 2.9 153 3.2 Extended Care Hospital 625 16.2 206 4.4 Psychiatric Hospital 60 1.6 34 0.7 Intermediate Care Facility 114 3.0 51 1. 1 Personal Care Facility 50 1. 3 191 4.0 Conmunity Health Agency (including Home Care) 61 1.6 85 1.8 Physician's Office/Family Practice Unit 69 1.8 121 2.6 Educational Institution 14 0.4 7 0.1 Business/Industry 8 0.2 31 0.7 Other 116 3.0 25 0.5 Total 2 3849 100.0 4729 100.0 1 This infonnation is not available for 1975. 2 These totals do not include 421 not answered in 1979 and 25 not answered in 1982. The field of practice for those employed in nursing is detailed in Table 14. The percentage distribution throughout all areas has remained fairly constant from 1979 to 1982, with medical/surgical general being the most common area of employment (39.4% of the nursing population), geriatric nursing the second (at least 21 per cent of the total each year), and generalized practice the third (11.6% in 1979; 15.6% in 1982). Teaching, administration and research (with 0.8% in 1979 and 0.6% in 1982) and psychiatric nursing (with 1.3%) retained the lowest percentages of employed nurses over the three-year period. -18-Table 14: Number and Percentage Distribution of s.c. Resident Practical Nurses Licensed in B.C., by Field of Practice1 , September 1979 and 1982 1979 1982 FIELD OF PRACTICE !i ! !i Medical/Surgical General 1467 39.4 1734 Medical/Surgical Specialties2 239 6.4 274 Maternal/Newborn 226 6.1 248 Psychiatric 47 1. 3 59 Pediatric 251 6.7 237 Geriatric 782 21.0 932 Generalized Practice3 433 11.6 685 Teaching, Administration and Research 31 0.8 28 Other 245 6.6 205 Total'+ 3721 100.0 4402 l This information is not available for 1975. 2 e.g. Intensive Care Unit, Operating Room, Emergency, Dialysis. 3 e.g. float pool, occupational health, small general hospital. ! 39.4 6.2 5.6 1.3 5.4 21.2 15.6 0.6 4.7 100.0 '+ These totals do not include 549 unknown in 1979 and 352 unknown in 1982. Table 15 shows the job title assigned to those employed in nursing in 1982. L.P.N. (including orderlies and health care workers) is by far the most commonly used classification (88.0%). Geriatric aides (2.3%) and Unit Clerks (2.0%) make up another portion of the population, with an additional 7.8% being combined into the "other" category. -19-Table 15: Number and Percentage Distribution of s.c. Resident Practical Nurses Licensed in B.C., by Job Titlei, September 1982 1982 JOB TITLE N ! L.P.N. 3907 88.0 Geriatric Ai de 102 2.3 Unit Clerk 88 2.0 Other 345 7.8 Tota12 4442 100.0 1 This infonnation is not available for 1975 and 1979. 2 This total does not include 312 unknown. L.P.N. 's Not ~~loyed in Nursing As illustrated in Table 16, one-third or more of those L.P.N.'s not employed in nursing are seeking jobs in nursing. The greatest portion of these are unemployed. Of those unemployed, it is of interest that the percentage seeking employment in nursing has dropped from 41.0% (478 of 1166) in 1979 to 34.5% (450 of 1305) ;n 1982. Table 17 shows the year last employed in nursing for those individuals employed in other than nursing or unemployed in September of 1982. Over 64 per cent of these people indicated that they were last employed in nursing as recently as 1978. ' Table 16: Number and Percentage Distribution of s.c. Resident Practical Nurses Licensed in B.C. and Not Employed in Nursing, by Whether Seeking or Not Seeking Employment in Nursing1 , September 1979 and 1982 STATUS OF THOSE NOT EMPLOYED IN 1979 1982 NURSING N . % N ! Seeking Employment in Nursing: Employed in Other than Nursing 125 8.1 151 8.3 Not Employed 478 30.9 450 24.8 Seeking - Subtotal 603 39.0 601 33. l Not Seeking Employment in Nursing: Employed in Other than Nursing 257 16.6 358 19.7 Not Employed 688 44.4 855 47 .1 Not Seeking - Subtotal 945 61.0 1213 66.9 Total 1548 100.0 1814 100.0 1 This infonnation is not available for 1975. I N 0 I • ~ Table 17: Number and Percentage Distribution of s.c. Resident Practical Nurses Licensed in B.C. and Not Employed in Nursing, by Year Last Employed in Nursing, September 1982 • Employed in Other than Nursing Not Employed Total YEAR LAST EMPLOYED IN NURSING !! ! N ! ! Before 1970 30 6.3 53 4.4 83 1970 5 1. l 21 1.7 26 1971 8 1. 7 28 2.3 36 1972 12 2.5 43 3.6 55 1973 25 5.3 33 2.7 58 1974 14 3.0 42 3.5 56 1975 15 3.2 60 5.0 75 1976 34 7.2 63 5.2 97 . 1977 25 5.3 72 6.0 97 1978 57 12.1 108 9.0 165 1979 71 15.0 152 12.7 223 1980 97 20.5 200 16.7 297 1981 77 16.3 304 25.3 381 1982 3 0.6 22 1.8 25 Tota1 1 473 100.0 1201 100.0 1674 1 These totals do not include 140 unknown. ! 5.0 1.6 2.2 3.3 3.5 3.3 4.5 5.8 5.8 9.9 13.3 17.7 22.8 1.5 100.0 ~ I N ..... I • • ,-22 -· V. SUMMARY The number of practical nurses licensed to practice in the province numbered 6089 in September 1975, 6892 in September 1979, and 7427 {61.8% of the 12,022 nurses ever licensed with the B.C. Council of Practical Nurses) in September 1982.--The majority {approximately 95 per cent) reside in B.C • Although females dominate the population of L.P.N.'s in the province, the percentage of males has been increasing {from 1.6% of the total in 1975 to 3.2% in 1982). Over 60 per cent of L.P.N.'s are married. At least two-thirds of L.P.N.'s are under 40 years of age. The single largest age group of L.P.N.'s was that between 25-29 years in 1975 and 1979, but shifted to that between 30-34 years in 1982. The majority of L.P.N.'s have high school graduation or higher education before commencing their training in nursing. This proportion has increased from 64.2% in 1979 to 69.2% in 1982. The percentage of those recently graduated {i.e. within the last 10 years) from L.P.N. programs has been decreasing in relation to the total number of nurses licensed each year {from 68.2% in 1975 to 48.4% in 1982). The large majority {93.7% in 1982) of L.P.N.'s received their training in Canada. Of those Canadian trained, most named B.C. as their province of training (70.9% of Canadian total in 1982). Most B.C. trained L.P.N.'s graduated from one of seven colleges in the province (96.8% in 1982). Vancouver Community College alone accounted for 33.4% of those B.C. trained. In both 1979 and 1982, over 72 per cent of those nurses licensed and residing in B.C. were employed in nursing. Of those employed in nursing, the greater percentage work on a regular full-time basis. This number and the number employed on a casual basis have, however, decreased; the consequent growth is occurring in the percentage employed on a regular part-time basis. By far the greatest proportion of nurses are employed in acute care and extended care hospitals {84.3% in 1979 and 85.3% in 1982) • Medical/surgical general is the most common field of practice, geriatric nursing the second, and generalized practice the third. L.P.N. (including orderlies and health .care workers) is the most commonly used job title {88.0% in 1982). Geriatric aides {2.3%) and Unit Clerks (2.0%) make up another portion of the population, with an additional 7.8% being combined into the 11other 11 category. l • • -23-One-third or more of those L.P.N.'s not employed in nursing are seeking jobs in nursing. · The greatest portion of these are unemployed. Of those employed in other than nursing or unemployed in 1982, over 64 per cent were last employed in nursing as recently as 1978 • 

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