Establish and fund the development of a national licensure framework to facilitate interjurisdictional mobility of nurses, reducing administrative burden and improving health system effectiveness and efficiency.
Amid ongoing U.S.-Canada trade tensions, strengthening Canada’s internal economy by eliminating costly regulatory barriers restricting labour mobility is more critical than ever. A streamlined, national approach to nursing licensure will enhance workforce flexibility, enabling nurses to provide care where they are needed most. This will also enhance timely and equitable access to care, particularly in rural, remote, northern, and Indigenous communities.
Support ethical international recruitment practices and streamline credential recognition processes for internationally educated nurses (IENs).
Canada must ensure recruitment practices do not destabilize global health systems while ethically integrating qualified IENs into the workforce. Timely and simplified credential assessment and recognition will help address nursing shortages and contribute to the capacity of the nursing workforce. Once IENs are licensed or registered by Canadian jurisdictions and ready to enter the workforce, jurisdictions should be held accountable for IEN workforce retention based on nursing workforce data standards and performance targets.
Embed the Chief Nursing Officer (CNO) role within Health Canada’s organizational structure, regardless of the government in power. The CNO should be placed at an Assistant Deputy Minister-level with the authority and budget allocation to support comprehensive national nursing policy and initiatives.
The CNO role has not been consistently maintained within Health Canada and has been added and deleted several times. The CNO’s mandate is essential for successive federal governments to bend the cost curve and implement pan-Canadian nursing workforce reforms, including improved workforce planning, integrated data systems, increased labour mobility, and reduced interjurisdictional regulatory burden. The CNO also co-chairs the federal/provincial/territorial principal nursing advisors task force, which unifies national nursing leadership to drive towards a more integrated health workforce strategy across Canada.
Ensure federal health funding supports evidence-based nurse retention strategies that improve working conditions and address factors contributing to nurse turnover.
Dedicated and predictable investments, alongside accountability measures, will help strengthen workforce stability and sustain a high-quality, publicly funded health system. The promising and proven strategies in Health Canada’s Nursing Retention Toolkit, which was co-developed by the Chief Nursing Officer of Canada in collaboration with nursing organizations and nurse experts, provide a solid blueprint.
Protect universal access to health care by ensuring the sustainability of Canada’s publicly funded system
Federal health-care funding priorities should focus on creating permanent, publicly funded nursing positions to promote lasting workforce stability and reduce reliance on temporary and private agency staffing. These investments will limit the growth of privately delivered health services that undermine equitable access and nursing retention. Sustainable and predictable funding, alongside long-term commitments, will strengthen Canada’s publicly funded health system and improve patient experience and outcomes.
Continue strengthening Canada’s health workforce integrated data systems through sustained investments in Health Workforce Canada and using forecasting and scenario planning to respond to population health needs.
Building on existing efforts, establishing a unique identifier for all types of regulated nurses will improve workforce planning and health workforce modeling, predictions, and scenario planning. A robust, data-driven approach will optimize the use of existing health-care professionals and reduce the risks of unethical international recruitment.
Strengthen rural, northern, remote, and Indigenous health services by expanding digital health solutions and ensuring equitable access to virtual care while continuing to support nursing services, which are critical to these communities.
Given the higher reliance on nursing services in rural, northern, remote, and Indigenous communities, sustained investment in nurses’ roles in designing, leading, and evaluating digital health-care transformation will help improve access to culturally safe care and address longstanding health disparities.
Enhance equitable access to essential health services, including prescription medications, dental care, vision care, and mental health support.
Improved access to these health services contributes directly to effective primary care, better patient outcomes, and a more efficient, sustainable health system.