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Changes to nursing licensing requirements in Ontario rattle internationally educated nurses

Changes to nursing licensing requirements in Ontario rattle internationally educated nurses

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New registration requirements introduced by the College of Nurses of Ontario (CNO) are causing confusion and concern among internationally educated nurses (IENs) seeking to practise in Ontario, Canada.

 

Under updated rules that have taken effect recently, applicants must now demonstrate recent paid nursing experience or nursing education within the past three years in order to qualify for licensure, rather than relying on volunteer roles or older experience that was previously acceptable in some circumstances.

 

Advocates for internationally trained nurses argue that the new Evidence of Practice criterion poses significant barriers for many candidates who were educated outside Canada, because their previous work may not meet the updated definition of qualifying experience, potentially delaying their entry into the Ontario nursing workforce.

 

The changes come amid ongoing nurse shortages across Ontario and the rest of Canada, where healthcare providers have increasingly looked to internationally trained professionals to help fill staffing gaps.

 

CNO’s broader reforms, which began rolling out in April 2025, include revisions to education requirements and a new Transition to Practice pathway designed to align applicants’ skills with standards specific to the Canadian healthcare system. However, the emphasis on recent, verifiable experience has left many IEN applicants struggling to navigate the updated process.

 

Some internationally educated nurses may now be required to complete additional bridging programs, approved competency assessments, or paid work placements to satisfy the new criteria, adding time and cost to the licensing journey.