title: For work and for school: internal migration of Canada's rural nurses.
abstract: Using data from the Registered Nurses Database and a recently conducted national survey, this study examined the internal migration patterns of Canadian-educated rural RNs. Inter-provincial migration rates, ranging from 11% to 27% depending on the database used, mask much wider variations in sub-provincial movement rates, which are particularly relevant when considering the provision of nursing services in rural and remote communities. Rural RNs are more likely to migrate if they are female, older, working in nursing stations, and living in remote communities. A majority of RNs whose migration is associated with going to school after their initial nursing education do not return to the jurisdiction where they were first registered. Targeted migration studies are needed to fully understand both the detailed patterns and the predictors of such movements in order to better assess recruitment and retention policies and to enhance our overall health human resources planning models.
authors.affiliation: Center for Rural and Northern Health Research, Laurentian University, Sudbury, Ontario, Canada. rpitblado@laurentian.ca
authors.forename: J Roger
authors.initials: JR
authors.lastname: Pitblado
authors.forename: Jennifer M
authors.initials: JM
authors.lastname: Medves
authors.forename: Norma J
authors.initials: NJ
authors.lastname: Stewart
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D002170:Canada; D002322:Career Mobility; D004506:Education, Nursing / Q000706:statistics & numerical data*; D004522:Educational Status; D004651:Employment / Q000706:statistics & numerical data*; D005260:Female; D006285:Health Planning / Q000458:organization & administration; D006801:Humans; D016015:Logistic Models; D008297:Male; D008507:Medically Underserved Area; D008875:Middle Aged; D009042:Motivation; D020380:Needs Assessment / Q000458:organization & administration; D015401:Nursing Administration Research; D009740:Nursing Staff / Q000193:education / Q000523:psychology / Q000600:supply & distribution*; D010560:Personnel Selection / Q000458:organization & administration; D010563:Personnel Turnover / Q000706:statistics & numerical data; D010934:Planning Techniques; D011157:Population Dynamics / Q000706:statistics & numerical data*; D012111:Residence Characteristics / Q000706:statistics & numerical data; D019035:Rural Health Services; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D000078329:Workforce