August 15, 2022

CNO helps international applicants fill gap in meeting education requirement for nursing registration

The College of Nurses of Ontario (CNO) protects the public through by promoting of safe nursing practice. A key part of this work is the registration of nurses, whether educated in Ontario or internationally who have the knowledge, skill and judgment to practice safely in Ontario.

The College of Nurses of Ontario (CNO) protects the public through by promoting of safe nursing practice. A key part of this work is the registration of nurses, whether educated in Ontario or internationally who have the knowledge, skill and judgment to practice safely in Ontario.

As part of our ongoing efforts to register as many nurses as possible, CNO is collaborating with Ontario colleges and universities to make important information about competency-based nursing education programs and courses more readily available to applicants.

“There are approximately 6,000 total active internationally educated nursing applicants who are not already registered with CNO, residing in Ontario, and about 2,000 have not met the education requirement,” says Carol Timmings, acting Executive Director and CEO of CNO. “Getting this information to applicants directly will help reduce a barrier to registration and ensure more nurses can practice safely in Ontario.”

When CNO assesses potential nurses, public safety is of paramount importance. Before registering with CNO, internationally educated applicants must show they have completed nursing education at a level equivalent to Ontario nursing education programs. Applicants with gaps in their nursing knowledge, skill and judgment need to complete additional education. When an applicant has a gap in their education, CNO will direct them to the programs or courses that will help them meet their educational requirements for registration. The programs and courses are also posted on cno.org.

The courses and programs CNO identifies include a description of the entry-level competencies the course teaches, so that applicants can make informed decisions and enroll in courses that meet their individual learning needs.

“By recommending specific programs and courses and making this information public on cno.org, applicants will be able to better identify the courses they need to complete to meet their outstanding learning needs and practice nursing in Ontario without additional delays,” adds Timmings.

To qualify as a gap-filler program, CNO completes a comprehensive review of the school’s program curriculum. This includes identifying whether the program or course provides an opportunity for the applicant to obtain the knowledge, demonstrate application and evaluation of each competency addressed in the course.

St. Francis Xavier University is one of several schools with courses tailored to meet the needs of internationally educated applicants. “As a national leader in the preparation and ongoing professional development of nurses, St. Francis Xavier University (StFX) is thrilled to be able to partner with the CNO, to provide course work for internationally educated nurses (IENs),” says Fred Allen, StFX Program Manager, Distance Nursing Programs, Department of Continuing & Distance Education.

“To date, over 2,000 IENs have participated in our programming, to help qualify them to complete their licensing exams and achieve registration in Ontario. At a critical moment in our healthcare history, StFX prides itself in our partnership with CNO and is committed to our role in expanding nursing capacity for the health care system across Canada.”

CNO is seeing growth in registrations of internationally educated applicants through modernizing our  application processes. As of July 31, 2022, the number of new internationally educated registrants reached 4,728 — surpassing the total number registered in 2021.

CNO continues its focus on education by engaging with partners across health care, government and academia to find a longer-term solution to help internationally educated applicants access the education they need to meet this registration requirement.

Visit CNO’s trending topics on Modernizing Applicant Assessments to keep up to date on these changes.

About CNO

The College of Nurses of Ontario (CNO) is the regulator of the nursing profession in Ontario. It is not a school or a nursing association. CNO acts in the public interest by:

  • assessing qualifications and registering individuals who want to practice nursing in Ontario.
  • setting the practice standards of the profession that nurses in Ontario are expected to meet.
  • promoting nurses' continuing competence through a quality assurance program.
  • holding nurses accountable to those standards by addressing complaints or reports about nursing care.

The College was founded in 1963. By establishing the College, the Ontario government was acknowledging that the nursing profession had the ability to govern itself and put the public's well-being ahead of professional interests.

For the latest information, please see our Nursing Statistics page.

Anyone who wants to use a nursing-related title — Registered Nurse (RN), Registered Practical Nurse (RPN) or Nurse Practitioner (NP) must become a member of CNO.

Frequently Asked Questions

Go to the public Register, Find a Nurse, to conduct a search for the nurse. Contact us if you can't find the person you are looking for.

All public information available about nurses is posted in the public Register, Find a Nurse, which contains profiles of every nurse in Ontario. Publicly available information about nurses include their registration history, business address, and information related to pending disciplinary hearings or past findings.

Unregistered practitioners are people who are seeking employment in nursing or holding themselves out as being able to practice nursing in Ontario, but who are not qualified to do so. They are not registered members of CNO. Only people registered with CNO can use nursing-related titles or perform certain procedures that could cause harm if carried out by a non-registered health professional. CNO takes the issue of unregistered practitioners seriously. See Unregistered Practitioners for more information.

To ensure procedural fairness for both the patient (or client) and the nurse, the Regulated Health Professions Act requires that information gathered during an investigation remain confidential until the matter is referred to the Discipline Committee or Fitness to Practise Committee. CNO will not disclose any information that could identify patients (or clients) or compromise an investigation. See Investigations: A Process Guide for more information.

Information obtained during an investigation will become public if the matter is referred to a disciplinary hearing. If a complaint is not referred to a hearing, no information will be available publicly.

See CNO's hearings schedule, which is updated as hearing dates are confirmed. Hearings at CNO are open to the public and the media. For details on how to attend a hearing, contact the Hearings Administration Team.

A summary of allegations and the disciplinary panel outcomes can be found on the public Register, Find a Nurse. Full decisions and reasons are also available.

Where a disciplinary panel makes a finding of professional misconduct, they have the authority to reprimand a nurse, and suspend or revoke a nurse's registration. Terms, conditions and limitations can also be imposed on a nurse's registration, which restricts their practice for a set period. Nurses can also be required to complete remedial activities, such as reviewing CNO documents and meeting with an expert, before returning to practice.

For detailed information see the Sexual Abuse Prevention section.

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