An Examination of Self-Employed Nursing Regulation in Three Canadian Provinces

Natalie J. Thiessen, Kathleen Leslie, Jennifer M.L. Stephens

Research output: Contribution to journalJournal Articlepeer-review


The COVID-19 pandemic and its related stresses such as short-staffing, heavy workloads, and burnout are prompting nurses to re-consider institutional employment, bringing a renewed interest in self-employed nursing and its regulation. There is limited research on the regulation of self-employed nursing roles, and published work focuses on nurses’ experiences rather than on regulatory practices themselves. This qualitative case study research aimed to examine the regulation of self-employed nurses by comparing the regulatory policies and processes of nursing regulatory bodies in Ontario, Alberta, and Saskatchewan. The findings demonstrated wide variation in the regulation of self-employed nurses across these jurisdictions. The article includes recommendations to clarify and harmonize the processes used to regulate self-employed nurses.

Original languageEnglish
Pages (from-to)265-277
Number of pages13
JournalPolicy, Politics, and Nursing Practice
Issue number4
Publication statusPublished - Nov. 2023


  • Canada
  • case study
  • employment
  • nurse's role
  • nurses
  • regulation


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