Growing demand for international nurses in Canada

PTE Author
PTE Author
Group of nurses standing together in a hospital and clapping.

An ongoing nursing shortage means well-trained international nurses are in high demand with many job openings to pick from.

There’s no one cause of the nursing shortage in Canada; a combination of several factors mean the supply of nursing staff isn’t enough to meet demand:

1. Aging population

Canada's population is aging rapidly, with seniors projected to make up to 25% of the population by 2036. This demographic shift is increasing the demand for healthcare services, including nursing care.

2. Retiring workforce

A substantial portion of Canada's nursing workforce is nearing retirement age. According to the Registered Nurses’ Association of Ontario, a third of registered nurses providing direct care were over 50 years old in 2020, meaning a wave of retirements is on the horizon.

3. Burnout

The COVID-19 pandemic affected the mental health of as many as 83% of registered nurses in Ontario, with 34% considering leaving the profession as a result.

4. Limited training capacity

Despite growing demand, Canadian nursing schools have limited capacity to train new nurses. This bottleneck in education contributes to the ongoing shortage.

The Canadian government has made a commitment to address the nursing shortage, allocating $2.8 million CAD to the Canadian Association of Schools of Nursing to develop a National Nurse Residency program.

How many nursing job openings are there in Canada?

Nurses are in high demand across Canada’s ten provinces and three territories, with significant numbers of job openings across the country.

That demand is increasing, with the number of job vacancies for registered nurses and registered psychiatric nurses increasing by almost 10% in the third quarter of 2023.

To help address the shortage, Immigration Refugees and Citizenship Canada (IRCC) has allocated $115 million CAD over the next five years, and $57 million CAD ongoing for expanding Canada's Foreign Credential Recognition Program, helping international nurses get their qualifications recognized by the Canadian government.

Which Canadian provinces and territories have the highest demand for nurses?

The biggest Canadian province is also the hungriest for nurses. In 2023, the Ontario Nurses Association reported a shortage of about 24,000 nurses, and the province has held the dubious honor of having the lowest nurse-to-population ratio for almost a decade.

French-speaking Quebec isn’t far behind in the nursing need department. Canadian think tank MEI projected a shortage of about 10,000 nurses in 2021. French is the official language of the province, so you’ll need to have professional level French or be willing to learn.

With an increasing number of residents over the age of 65, prairie province, Alberta, is facing its own nursing crunch. The provincial government even announced a Health Workforce Strategy with a pillar dedicated to attracting international healthcare workers.

Nova Scotia and New Brunswick are also worth highlighting as they’ve recently introduced an accelerated license process for international nurses.

Where do international nurses come from?

According to the Canadian Institute for Health Information, about 8.9% of registered nurses in Canada in 2021 were internationally educated, highlighting the significant contribution of foreign-trained professionals to Canada's healthcare system.

Nurses relocate to Canada from the Philippines and India, with many coming from the southern state of Kerala, known for its nursing education programs. More recently, there’s a growing trend of Nigerian, Jamaican, and Chinese nurses moving to call Canada home.

From getting ahead in their careers to feeling welcome, here are eight key reasons why international nurses are drawn to Canada.

What’s next?

If you’re eyeing up a move North, you’ll need to submit your nursing credentials, take the NCLEX-RN to qualify for a Canadian nursing license if needed, and show you’ve got the necessary language skills.

Get your move off to a stress-free start with the Pearson Test of English (PTE).

With no additional speaking exam, PTE covers all four skills in one test using computer-based assessments to remove bias. It’s the faster, fairer, simpler way to evidence your English skills and start your next chapter.

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    Pitch and accent 

    When asked if the pitch of the test-taker makes a difference to the score, David had this to say: ‘Pitch is a critical part of intonation. Having natural intonation is important in order to get a good score.’ Having an exaggerated pitch, however, will not help. It needs to be natural. The same can be said for accent, and it’s important to note that your accent will not affect the score.  

    Improving the ‘repeat sentences’ and ‘read aloud sections’ 

    If you’re wondering how you can improve your score in the ‘repeat sentences’ and ‘read aloud sections,’ the best thing you can do is to speak naturally. It’s important to understand how different words are stressed within sentences, so working on any pronunciation exercises that will allow you to identify and practice this will help.  

    The scoring system for both sections  

    We know many of you are curious about how the scoring system for both sections works. Because this is such a hot topic, we’re going to run another webinar in the future that will address this. In the meantime, the PTE Academic score guide provides a comprehensive break-down of the scores for each task, so we encourage you to take a look at the website for more information.  

    Summarizing spoken text 

    We asked David if there’s any structure that test-takers need to follow in order to summarize the spoken text. The key element here is to ensure that the main context points are addressed. It might feel easier to summarize the points in order, but you should be sure to identify the key point early on in your answer.  

    There were lots of questions about the Writing portion of the test which we asked David to explain more about. You can read about his top tips for this section of the test below.  

    Standard spelling 

    Test takers were curious to know which type of standard spelling the PTE Academic follows and if they should use the British or American versions and how that impacts their score. You’ll be glad to know that you can use any standard spelling conventions.  

    Using the IELTS template  

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    Paraphrasing  

    We received a question around whether or not you should paraphrase the ‘summarize written text’ and ‘re-tell the lecture’ sections of the test in order to get a better score. David’s recommendation here is that you should be able to write in the same way that a highly proficient learner of English would write. Paraphrasing is very likely to be a characteristic of that writing, but just repeating key lexis is likely to be indicative of a lower proficiency learner.  

    Keywords in the writing summary 

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    Speaking: Self-Improvement Part 1
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    In Part 1 of PTE Academic, you will require many core English skills to pass. It is very important that you prepare and look at ways you can maximize your score.

    We’ve put together some tips to help based on each question type.

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    • Once prompted, you must speak into the microphone right away and read with a smooth, easy natural speed. Try not to speak too fast or too slow.

    • Use English rhythm with chunking and sentence stress used correctly.

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    • Do not use the Erasable Noteboard Booklet, keep the sentence in your head.

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    • If unsure of a word the speaker used, say what you think you heard.

    • Do not speak too fast or slow.

    • Similar to read aloud, use English rhythm with chunking and sentence stress. You will also lose points in this question type if you hesitate, repeat words or stumble to start.

    • Speak with the sounds of an English speaker and copy the intonation pattern of the speaker, but do not change your accent.

    Describe image

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    • Include all aspects and elements of the image in your answer.

    • Start with a general statement about the image then summarize the most important points.

    • If there are words on the image you want to use but are unsure how to pronounce them, don’t worry, just say them how you think they should be said.

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    In total, there are five speaking sections of Part 1: Speaking and Writing.

    We recommend that you read more about the other question types such as Re-tell Lecture and Short Answer Question types and learn how to pick up points for these.

    Want to learn more about the smart way to prepare for PTE?

    Smart Prep brings all our free and paid preparation into one convenient place, so you can mix and match to fit your unique needs.

    • Smart Prep provides a clear path to test day, guiding you through the official paid and free resources available for your test

    • It can be accessed whether you’ve booked a test or not – just create, or sign in to your myPTE account

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    By PTE Author
    Reading time: 2 minutes

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