registered nurse canada

- Nursing Careers -
The Diversity in
Nursing Jobs in Canada

Nursing careers can be diverse and challenging in Canada.

Jobs in nursing can occur in a variety of settings. Additionally a registered nurse will work with a variety of clients from many diverse cultures, across the lifespan and across all social and economic stratas.

As your career progresses it can be in any of the four domains of nursing practice.


Nurses work in a multitude of settings, and with individuals across the lifespan.

Also a registered nurse can work with a wide diversity of clients such as individuals, families, groups, or even communities.(Go to Community Health .)

Because of the multitude of possibilities, specialization can occur in any number of ways such as working with specific client populations:

  • pediatrics
  • geriatrics
  • adult nursing
  • adolescents
  • forensics

Specialization can also occur within the range of client conditions such as:

  • psychiatry
  • surgical clients
  • cardiovascular clients
  • dementia care clients
  • neurology
  • gastro-enterology

Even professionals who do not practice at the bedside are still part of the nursing profession.

Many nursing careers specialize in administration, education, or research. These are called "domains" or "dimensions" as the registered nurse working in this type of position is still engaged in professional nursing practice as it is legally defined and a nursing license is required in order to do the job.



Domains

There are four domains of nursing practice. Here is a definition of each of the domains and the statistics for the number of nurses working in each domain.

Nursing Careers in the 4 Domains of Professional Nursing Practice % of Canadian Jobs in Nursing

Direct patient care or general duty

A nurse works in this domain when the main responsibility in the job description is using the nursing process to assess, plan, implement and evaluate care that is delivered directly to clients and families.

Various levels of supervision of other nurses or health care providers may be involved.

Direct care or general duty positions can occur in a variety of venues and are not restricted to the bedside. The general duty registered nurse could carry out direct care in a hospital, a residential care facility, or in the patient's private home.

84.9%

Administration

When the main responsibility in the job description is supervision of other health care providers including other nurses as well as strategic planning for a department or organization.

5.2%

Education

When the main responsibility in the job description is assessing learning needs, planning, implementing, and evaluating nurse education programs, the nurse is working in the education domain.

This domain is primarily for teaching students not clients. Health teaching delivered to clients and their families would be part of direct care or general duty care.

4.4%

Research

When the main responsibility in the job description is designing and implementing research to support nursing practice.

1.1%
nursing careers

Nursing careers that take place in these various domains are not necessarily formal classifications of jobs in nursing as these are usually determined as part of a labour union agreement.

Rather these 4 domains of nursing practice are used to describe the various ways that nurses practice in the nursing profession and are not necessarily tied to salary structure.

Nursing Careers Statistics1

(2007) Registered nurses database managed by the Canadian Health Institute for Health Information.

Total number of registered nurses in Canada was reported as 257,961
med/surg 43,258
psychiatry 13,255
pediatrics 6,937
maternal/child 14,192
geriatrics 26,044
critical care 18,604
community health 11,251
ambulatory care 7,254
home care 7,316
occupational health 3,20

by Beverly OMalley

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Jump to the explanation of the meaning of job classifications for registered nurse jobs for the purposes of determining wages or steps on the nurse salary payscale.

What is a Nursing Standard? - Professional standards of practice apply in all nursing careers.

View the description of the advanced nursing practice of the Clinical Nurse Specialist and the Nurse Practitioner in Canada.


  1. 2007 RN profiles Canadian Institute for Health Information http://www.cna-aiic.ca/CNA/documents/pdf/publications/2007_RN_Profiles_e.pdf accessed Nov 2009


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It is not in any way affiliated with, endorsed by, or supported by the government of Canada or any nursing regulatory organization in Canada.

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