College of Nurses of Ontario. Nursing Registration Exams Report 2017

Transcription

1 College of Nurses of Ontario Nursing Registration Exams Report 2017

2 VISION Leading in regulatory excellence MISSION Regulating nursing in the public interest Nursing Registration Exams Report 2017 Pub 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 M5R 3P1

3 Table of Contents 1 Introduction 1 2 Methods and Notes Who is included in this report? Registration exam requirements Location of nursing education s Registered Nurse Exam Writers RN exam pass s by attempt Ontario-educated RN exam writers: s by attempt RN exam writers educated in other Canadian provinces or territories: s by attempt Internationally-educated RN exam writers: s by attempt First-attempt pass s for French-language RN programs in Ontario s of RN applicants by Ontario university and program Program definition guide Registered Practical Nurse Exam Writers RPN exam pass s by attempt Ontario-educated RPN exam writers: s by attempt RPN exam writers educated in other Canadian provinces or territories: s by attempt Internationally-educated RPN exam writers: s by attempt First-attempt pass s for French-language RPN programs in Ontario First-attempt pass s of RPN applicants by Ontario college, program and site Nurse Practitioner Exam Writers NP exam pass s by attempt Ontario-educated NP exam writers: s by attempt NP exam writers educated in other Canadian provinces or territories: s by attempt Internationally-educated NP exam writers: s by attempt First-attempt pass s for French-language NP programs in Ontario First-attempt pass s of NP applicants by Ontario university and specialty College of Nurses of Ontario Nursing Registration Exams Report 2017 i

4 1 INTRODUCTION 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 nurses must meet 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). The College publishes annual statistics reports to provide data for stakeholders about the nurses it registers. The College continually enhances its reports based on stakeholder feedback. To find out more about the College s statistical resources or to sign up for its statistics announcements, please visit College of Nurses of Ontario Nursing Registration Exams Report

5 2 METHODS AND NOTES 2.1 Who is included in this report? Most applicants who register with the College must successfully complete two examinations: a registration examination and a jurisprudence examination. The registration exam tests the writer s knowledge of nursing skills. The jurisprudence exam tests the writer s knowledge of nursing and health care legislation in Ontario. These exams help the College ensure that new nurses in Ontario are safe to practise. This report includes the results of only the registration examinations and only applicants to the College. Three types of applicants require successful completion of a registration examination when applying to the College: 1. Registered Nurses in the General Class (RNs) 2. Registered Practical Nurses in the General Class (RPNs) 3. Nurse Practitioners (NPs) 2.2 Registration exam requirements Applicants complete the following Council-approved 1 registration exams: RN applicants complete the National Council Licensure Examination for Registered Nurses (NCLEX-RN), 2 which replaced the Canadian Registered Nurse Examination (CRNE) on Jan. 1, o o In 2015, the College (along with all other Canadian nursing regulators except Yukon and Québec) adopted the NCLEX-RN as the registration exam for RN applicants. The NCLEX-RN is a computer-adaptive exam that determines a writer s knowledge of entry-level nursing skills. Previously, applicants wrote the CRNE, which was a paper-based multiple-choice exam. RN applicants used to have three attempts to write the NCLEX- RN and the CRNE. However, since Jan. 9, 2017, when the College implemented a registration regulation change, RN applicants now have an unlimited number of writes for the NCLEX-RN. 1 Visit for more information about the College s Council. 2 Visit for more information about the NCLEX-RN. 3 Visit for more information about the administration of the NCLEX-RN at the College. College of Nurses of Ontario Nursing Registration Exams Report

6 RPN applicants complete the Canadian Practical Nurse Registration Examination (CPNRE). o o In May 2016, the CPNRE changed from a paper-based test to a computer-based test. The CPNRE s content remained the same. The change allowed the CPNRE to be offered more often and at more sites across Canada. RPN applicants have three attempts to write their registration exam. NP applicants complete a registration exam for the NP specialty they are applying to: Adult, Paediatrics or Primary Health Care. o o NP applicants have three attempts to write their registration exam. In 2017, Ontario applicants had the following NP registration exams available to them: 4 NP-Adult: The American Academy of Nurse Practitioners Certification Board s Adult-Gerontology Primary Care Nurse Practitioner Certification Examination NP-Paediatrics: The Pediatric Nursing Certification Board s Pediatric Nurse Practitioner Primary Care Certification Examination or the Ordre des infirmières et infirmiers du Québec s Certification Examination for Nurse Practitioners Specializing in Neonatology NP-Primary Health Care: The Canadian Nurses Association s Canadian Nurse Practitioner Examination 2.3 Location of nursing education Location of nursing education is the province or country of an applicant s education. This report groups locations into the following: Ontario; other Canadian provinces or territories; and international. Ontario: This group is for writers who applied to the College after completing an approved Ontario nursing program. o An Ontario nursing program is one that is offered at an Ontario university or college, and is approved by the College s Council 5 for registering as a nurse in Ontario. 4 Council has approved other exams that fulfil the NP registration exam requirement, but applicants would have written them in other provinces or countries. 5 Council may also authorize a third party to provide approval of nursing programs for registration purposes (e.g., the Canadian Association of Schools of Nursing approves Ontario RN nursing programs). College of Nurses of Ontario Nursing Registration Exams Report

7 o In Ontario, nursing programs approved for RN registration grant university baccalaureate degrees in nursing. Nursing programs approved for RPN registration grant diplomas in practical nursing from a college of applied arts and technology (CAAT). Nursing programs approved for NP registration grant postbaccalaureate certificates, master s degrees or post-master s diplomas. Other Canadian provinces or territories: This group is for writers who applied to the College after completing a nursing program in another Canadian province or territory. International: This group is for writers who applied to the College after completing a nursing program outside of Canada. 2.4 s This report provides pass statistics, sepad by attempt number. An attempt pass is the percentage of writers who passed the exam on that given attempt of the exam. College of Nurses of Ontario Nursing Registration Exams Report

8 3 REGISTERED NURSE EXAM WRITERS In 2017, 5,969 Registered Nurse (RN) applicants to the College wrote the National Council Licensure Examination for Registered Nurses (NCLEX-RN) at least once. 3.1 RN exam pass s by attempt Table 3.1: Overall RN exam pass s by attempt Attempt First 4, % 4, % 4, % 4, % 5, % Second 1, % 1, % 1, % % 1, % Third % % % % % Fourth % Fifth % Sixth % Seventh 2 0.0% Ontario-educated RN exam writers: s by attempt Table 3.2: Ontario-educated RN exam writers: s by attempt Attempt First 3, % 4, % 3, % 4, % 4, % Second % % % % % Third % % % % % Fourth % Fifth % Sixth % Seventh 2 0.0% College of Nurses of Ontario Nursing Registration Exams Report

9 3.1.2 RN exam writers educated in other Canadian provinces or territories: s by attempt Table 3.3: RN exam writers educated in other Canadian provinces or territories: s by attempt Attempt First 9 100% 7 100% % % % Second % % % % Third 1 100% % % % Fourth % Fifth 1 0.0% Internationally-educated RN exam writers: s by attempt Table 3.4: Internationally-educated RN exam writers: s by attempt Attempt First % % % % % Second % % % % % Third % % % % % Fourth % Fifth % Sixth 1 0.0% College of Nurses of Ontario Nursing Registration Exams Report

10 3.1.4 First-attempt pass s for French-language RN programs in Ontario Two Ontario universities offer RN programs in French: Laurentian University and University of Ottawa. Exam writers can choose to write their registration exam in either English or French and can change their choice on subsequent attempts. In 2015, the College revised the names and definitions of RN nursing programs in Ontario. Due to these revisions, it became possible to track the performance of graduates of French or bilingual programs sepaly from graduates of English programs at the same university. However, comparison to pre-2015 data is not possible. Table 3.5 shows first-attempt pass s for applicants from Frenchlanguage RN programs in Ontario and the languages in which the applicants wrote their exams. College of Nurses of Ontario Nursing Registration Exams Report

11 Table 3.5: Graduates of Ontario French-language RN programs: Firstattempt pass s by program and language of exam Ontario RN university, program, collaborative partner, and language of instruction Exam written in: French 1 0.0% % Laurentian University Full (French) English % % % Total % % % University of Ottawa Full with La Cité collégiale (French) University of Ottawa Specified for RPN with La Cité collégiale (French) University of Ottawa Compressed (English and French)* University of Ottawa Compressed (French)* French % % % English % % % Total % % % French 7 0.0% % % English % 1 0.0% % Total % % % French % 1 0.0% 1 0.0% English % % 0 - Total % % 1 0.0% French % English 1 100% % Total 1 100% % French % % % Grand total English % % % Total % % % * In 2016, the College split the University of Ottawa Compressed (English and French) program into two programs: University of Ottawa Compressed (English) University of Ottawa Compressed (French) Now the College will only use the original combined program for applicants who graduated when the original combined program was still in effect. College of Nurses of Ontario Nursing Registration Exams Report

12 3.2 s of RN applicants by Ontario university and program In Ontario, 15 universities offer RN nursing programs. Some universities offer more than one nursing program and some offer nursing programs in collaboration with a college. Table 3.6 shows Ontario RN applicants first-attempt pass s by university, program and collaborative partner for Program definition guide In 2015, the College revised Ontario RN nursing program names and definitions. The following RN program types are available in Ontario: Full: Direct entry A program for students who meet standard admission criteria. They complete a structured nursing curriculum in its entirety and attain an academic credential (a university degree or CAAT diploma). Compressed: Second-level entry A program for students who meet admission criteria based on pre-determined university credits. They complete a shorter curriculum than the direct-entry full program and attain an academic credential (a university degree or CAAT diploma). Specified: Pre-health related A program for students who meet admission criteria based on pre-determined health-related credentials. They complete a specific nursing curriculum and attain an academic credential (a university degree, CAAT diploma or NP specialty certificate). College of Nurses of Ontario Nursing Registration Exams Report

13 Table 3.6: First-attempt pass s of RN applicants by Ontario university, program and collaborative partner Ontario university Program Collaborative partner Brock University % % % Brock University Full % % % Brock University Full % % % Brock University Full with Loyalist College % % % Lakehead University % % % Lakehead University Full for regional-community Lakehead University Full for regional-community with Confederation College Lakehead University Full % % % Lakehead University Full % % % Lakehead University Full with Confederation College % % % Lakehead University Full with Confederation College % % % Laurentian University % % % Laurentian University Full (French) % % % Laurentian University Full (French) % % % Laurentian University Full % % % Laurentian University Full % % % Laurentian University Full with Cambrian College % % % Laurentian University Full with Northern College % % % Laurentian University Full with Sault College % % % Laurentian University Full with St. Lawrence College % % % McMaster University % % % McMaster University Full % % % McMaster University Full % % % McMaster University Full with Conestoga College % % % McMaster University Full with Mohawk College % % % McMaster University Specified for RPN % % % College of Nurses of Ontario Nursing Registration Exams Report

14 Ontario university Program Collaborative partner McMaster University Specified for RPN % 0 - McMaster University Specified for RPN with Conestoga College % % % McMaster University Specified for RPN with Mohawk College % % % McMaster University Compressed % % % McMaster University Compressed % % % Nipissing University % % % Nipissing University Full % % % Nipissing University Full with Canadore College % % % Nipissing University Specified for RPN blended learning % % % Nipissing University Specified for RPN blended learning % % % Nipissing University Specified for RPN on-campus learning % % Nipissing University Specified for RPN on-campus learning % % Nipissing University Compressed 1 0.0% % % Nipissing University Compressed 1 0.0% % % Queen's University % % % Queen's University Full % % % Queen's University Full % % % Queen's University Compressed % % % Queen's University Compressed % % % Ryerson University % % % Ryerson University Full % % % Ryerson University Full % % % Ryerson University Full with Centennial College % % % Ryerson University Full with George Brown College % % % Ryerson University Specified for internationally-educated nurses, RNs and RPNs % % % Ryerson University Specified for internationally-educated nurses, RNs and RPNs % % % Trent University % % % College of Nurses of Ontario Nursing Registration Exams Report

15 Ontario university Program Collaborative partner Trent University Full % % % Trent University Full with Fleming College % % % Trent University Specified for RPN % % % Trent University Specified for RPN with George Brown College % % % Trent University Compressed % % % Trent University Compressed % % % University of New Brunswick % % % University of New Brunswick Full with Humber College % % % University of New Brunswick Full with Humber College % % % University of New Brunswick Full for RPN with Humber College % % % University of New Brunswick Full for RPN with Humber College % % % University of New Brunswick Compressed with Humber College % % % University of New Brunswick Compressed with Humber College % % % University of Ontario Institute of Technology % % % UOIT Full % % % UOIT Full with Durham College % % % UOIT Specified for RPN % % % UOIT Specified for RPN with Durham College % % % UOIT Specified for RPN with Georgian College % % % University of Ottawa % % % University of Ottawa Full % % % University of Ottawa Full % % % University of Ottawa Full with Algonquin College (English)* % % 2 100% University of Ottawa Full with Algonquin College (English) - Pembroke campus* 2 100% % University of Ottawa Full with Algonquin College (English) - Woodroffe campus* % % University of Ottawa Full with La Cité collégiale (French) % % % University of Ottawa Specified for internationally-educated nurses College of Nurses of Ontario Nursing Registration Exams Report

16 Ontario university Program Collaborative partner University of Ottawa Specified for internationally-educated nurses with Algonquin College University of Ottawa Specified for RPN % % % University of Ottawa Specified for RPN with Algonquin College (English) Woodroffe campus % % % University of Ottawa Specified for RPN with La Cité collégiale (French) % % % University of Ottawa Compressed % % % University of Ottawa Compressed (English and French)** % % 1 0.0% University of Ottawa Compressed (English)** % University of Ottawa Compressed (French)** 1 100% % University of Toronto % % % University of Toronto Compressed % % % University of Toronto Compressed % % % University of Windsor % % % University of Windsor Full % % % University of Windsor Full % % % University of Windsor Full with Lambton College % % % University of Windsor Full with St. Clair College % % % Western University % % % Western University Full % % % Western University Full % % % Western University Full with Fanshawe College % % % Western University Compressed % % % Western University Compressed % % % York University % % % York University Full % % % York University Full*** % York University Full with Georgian College % % % York University Full with Seneca College % % % College of Nurses of Ontario Nursing Registration Exams Report

17 Ontario university Program Collaborative partner York University Specified for internationally-educated nurses % % % York University Specified for internationally-educated nurses % % % York University Compressed % % % York University Compressed % % % Grand total 3, % 4, % 4, % * In 2016, the College split the University of Ottawa Full with Algonquin College (English) program into two programs: University of Ottawa Full with Algonquin College (English) - Pembroke campus University of Ottawa Full with Algonquin College (English) - Woodroffe campus Now the College will only use the original combined program for applicants who graduated when the original combined program was still in effect. ** In 2016, the College split the University of Ottawa Compressed (English and French) program into two programs: University of Ottawa Compressed (English) University of Ottawa Compressed (French) Now the College will only use the original combined program for applicants who graduated when the original combined program was still in effect. *** The College is using the York University Full program for this applicant because the applicant graduated when this program was still in effect. College of Nurses of Ontario Nursing Registration Exams Report

18 4 REGISTERED PRACTICAL NURSE EXAM WRITERS In 2017, 5,827 Registered Practical Nurse (RPN) applicants to the College wrote the Canadian Practical Nurse Registration Examination (CPNRE) at least once. 4.1 RPN exam pass s by attempt Table 4.1: Overall RPN exam pass s by attempt Attempt First 5, % 5, % 5, % 4, % 5, % Second % 1, % 1, % % % Third % % % % % Ontario-educated RPN exam writers: s by attempt Table 4.2: Ontario-educated RPN exam writers: s by attempt Attempt First 3, % 3, % 3, % 3, % 3, % Second % % % % % Third % % % % % RPN exam writers educated in other Canadian provinces or territories: s by attempt Table 4.3: RPN exam writers educated in other Canadian provinces or territories: s by attempt Attempt First % 3 100% 1 100% 5 100% % Second 2 0.0% 1 100% Third 1 0.0% % % College of Nurses of Ontario Nursing Registration Exams Report

19 4.1.3 Internationally-educated RPN exam writers: s by attempt Table 4.4: Internationally-educated RPN exam writers: s by attempt Attempt First 2, % 2, % 1, % % 1, % Second % % % % % Third % % % % % College of Nurses of Ontario Nursing Registration Exams Report

20 4.1.4 First-attempt pass s for French-language RPN programs in Ontario Two Ontario colleges offer RPN programs in French: La Cité collégiale and Collège Boréal. Exam writers can choose to write their registration exam in either English or French and can change their choice on subsequent attempts. Table 4.5 shows first-attempt pass s for applicants from Frenchlanguage RPN programs in Ontario and the languages in which the applicants wrote their exams. Table 4.5: Graduates of Ontario French-language RPN programs: Firstattempt pass s by program and language of exam Ontario RPN program Collège Boréal Exam written in: French % % % % % English % % % % 4 100% Total % % % % % French % % % 7 100% % La Cité collégiale English % % Total % % % 9 100% % French % % % % % Grand total English % % % % % Total % % % % % College of Nurses of Ontario Nursing Registration Exams Report

21 4.2 First-attempt pass s of RPN applicants by Ontario college, program and site In Ontario, 24 colleges offer RPN nursing programs. Some colleges offer more than one nursing program and some offer nursing programs at different sites of the same college. Table 4.6 shows Ontario RPN applicants first-attempt pass s by college, program and site. Table 4.6: First-attempt pass s of RPN applicants by Ontario college, program and site Ontario college program Site/campus Algonquin College % % % Algonquin College - Woodroffe campus % % % Algonquin College - Pembroke campus % % % Cambrian College % % % Canadore College % % % Centennial College % % % Centennial College Internationally-educated nurses % % % Collège Boréal (French) % % % Collège Boréal - campus de Hearst Collège Boréal - campus de Kapuskasing Collège Boréal - campus de Nipissing % % % Collège Boréal - campus de Sudbury % 5 100% % Collège Boréal - campus de Timmins % % 4 100% Collège Boréal - campus de Toronto % % % Conestoga College % % % Confederation College % % % Durham College % % % Fanshawe College % % % Fanshawe College - London campus % % % Fanshawe College - Woodstock campus % % % Fleming College % % % George Brown College % % % College of Nurses of Ontario Nursing Registration Exams Report

22 Ontario college program Site/campus Georgian College % % % Georgian College - Barrie campus % % % Georgian College - Bracebridge campus % 0 - Georgian College - Midland/Penetanguishene campus Georgian College - Orangeville campus % % % Georgian College - Owen Sound campus % % % Humber College % % % La Cité collégiale (French) % 9 100% % Lambton College % % % Loyalist College % % % Mohawk College % % % Mohawk College % % % Mohawk College - Aboriginal communities Niagara College % % % Northern College % % % Northern College - Kirkland Lake campus % % Northern College - Moosonee campus Northern College - Timmins campus % % % Sault College % % % Seneca College % % % Seneca College % % % Seneca College - Continuing education % % % Sheridan College % % % St. Clair College % % % St. Clair College - Chatham campus % % % St. Clair College - Windsor campus % % % St. Clair College - Anishinabek Educational Institute St. Lawrence College % % % College of Nurses of Ontario Nursing Registration Exams Report

23 Ontario college program Site/campus St. Lawrence College - Brockville campus % % % St. Lawrence College - Cornwall campus % % 2 100% St. Lawrence College - Kingston campus % % % Total writes from applicants who graduated from Ontario RPN programs 3, % 3, % 3, % Total writes from applicants who graduated from Ontario RN programs % % % Grand total 3, % 3, % 3, % 6 This row refers to RPN applicants who completed an Ontario RN baccalaureate program but who applied for RPN registration. Applicants do this for a variety of reasons, for example, if they have been unsuccessful registering as an RN or if they want to be registered in both nursing categories. College of Nurses of Ontario Nursing Registration Exams Report

24 5 NURSE PRACTITIONER EXAM WRITERS 7 In 2017, 283 Nurse Practitioner (NP) applicants to the College wrote one of the NP exams at least once. 5.1 NP exam pass s by attempt Table 5.1: Overall NP exam pass s by attempt Attempt First % % % % % Second % % % % % Third 1 0.0% % 1 100% 1 100% Ontario-educated NP exam writers: s by attempt Table 5.2: Ontario-educated NP exam writers: s by attempt Attempt First % % % % % Second % % % % % Third % 1 100% 1 100% NP exam writers educated in other Canadian provinces or territories: s by attempt Table 5.3: NP exam writers educated in other Canadian provinces or territories: s by attempt Attempt Rate Rate First % % % % % Second % 1 100% % 2 100% Third 1 0.0% Rate Rate Rate 7 In this report, the term Nurse Practitioner or NP refers to applicants seeking registration as a Registered Nurse in the Extended Class. College of Nurses of Ontario Nursing Registration Exams Report

25 5.1.3 Internationally-educated NP exam writers: s by attempt Table 5.4: Internationally-educated NP exam writers: s by attempt Attempt First 6 100% 1 0.0% % % Second 2 100% 1 0.0% 1 100% 1 0.0% 0 - Third % First-attempt pass s for French-language NP programs in Ontario Two Ontario universities offer NP programs in French: Laurentian University and University of Ottawa. Exam writers can choose to write their registration exam in either English or French and can change their choice on subsequent attempts. Table 5.5 shows first-attempt pass s for applicants from Frenchlanguage NP programs in Ontario and the languages in which the applicants wrote their exams. Table 5.5: Graduates of Ontario French-language NP programs: Firstattempt pass s by program and language of exam Ontario NP program Laurentian University University of Ottawa Exam written in: French 4 100% 1 100% 3 100% 1 100% 0 - English % % % % 8 100% Total % % % % 8 100% French 2 100% % % % English % % % % % Total % % % % % French 6 100% % 3 100% 4 100% % Grand total English % % % % % Total % % % % % College of Nurses of Ontario Nursing Registration Exams Report

26 5.2 First-attempt pass s of NP applicants by Ontario university and specialty In Ontario, 10 universities offer NP nursing programs. There are three NP specialties: Primary Health Care, Adult and Paediatric, and some universities offer programs for more than one specialty. Table 5.6 shows Ontario NP applicants first-attempt pass s by university and specialty. Table 5.6: First-attempt pass s of NP applicants by Ontario university and specialty Specialty Ontario university Primary Health Care programs % % % Lakehead University % % % Laurentian University % % 8 100% McMaster University % % % McMaster University - Post-Master's 1 0.0% Queen s University % % 9 100% Queen s University - Post-Master's 1 100% Ryerson University % % % Ryerson University - Post-Master's 1 100% University of Ottawa % % % University of Ottawa - Post-Master's 1 100% University of Toronto % % % Western University % % % Western University - Post-Master's 2 100% University of Windsor % % % University of Windsor - Post-Master's 2 100% York University % % % Adult programs % % % University of Toronto % % % University of Toronto - Post-Master's 4 100% 2 100% Paediatrics programs % % % McMaster University 3 100% 1 100% 0 - University of Toronto % % % University of Toronto - Post-Master's 1 100% Grand total % % % College of Nurses of Ontario Nursing Registration Exams Report

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