The evaluation of evidence-informed changes to an internationally educated nurse registration process J.A. Kwan 1 MS, M. Wang 2 MS, G.G. Cummings 3 RN, PhD, G. Lemermeyer 4 RN, MN, P. Nordstrom 5 RN, PhD, L. Blumer 6 BJ, N. Horne 7 RN & C. Giblin 8 RN, MS 1 LFE Project Manager, 2 Project Analyst, 3 Dean & Professor, Faculty of Nursing, University of Alberta, Edmonton, AB, Canada, 4 RN Policy Associate, 5 Director, School of Nursing and Midwifery, Mount Royal University, Calgary, Alberta, Canada 6 Manager, Planning and Performance, 7 RN Consultant, Registration Services, 8 Registrar/Director, Quality Assurance, College and Association of Registered Nurses of Alberta, KWAN J. A., WANG M., CUMMINGS G. G., LEMERMEYER G., NORDSTROM P., BLUMER L., HORNE N. & GIBLIN C. (2019) The evaluation of evidence-informed changes to an internationally educated nurse registration process. International Nursing Review 00,1–11 Aim: To evaluate effectiveness of specific policy and practice changes to the process of registration for internationally educated nurses. Background: Little research exists to inform registration policy for internationally educated health professionals. Introduction: Internationally educated nurse employment can help address nursing shortages. Regulators assess competencies for equivalency to Canadian-educated nurses, but differences in health systems, education and practice create challenges. Methods: The study setting was a Canadian province. We used a mixed methods approach, with a pre– post-quasi-experimental design and a qualitative evaluation. Previous analysis of relationships between applicant variables, registration outcomes and timelines informed changes to our registration process. Implementation of these changes composes the intervention. Comparisons between pre- and post- implementation exemplar subgroups and timeline analyses were conducted using descriptive statistics, univariate analysis and non-parametric tests. Data were collected from complete application files before (n = 426) and after (n = 287) implementation of the intervention. Interviews, focus groups and consultations were completed with various stakeholders. Findings: The time between steps in the process was significantly reduced following implementation. Stakeholders reported an increase in perceived efficiency, transparency and use of evidence. Correspondence address: Jennifer Kwan, College and Association of Registered Nurses of Alberta, 11620 – 168 Street, Edmonton, AB T5M 4A6, Canada; Tel: +1 (780) 278- 5926; Fax: +1 (780) 758-5926; E-mail: jennifer@kwanconsulting.ca. Funding The Learning from Experience: Improving the Process of Internationally Educated Nurses’ (IENs) Applications for Registration (LFE) Project was funded by Alberta Health through Health Canada’s Internationally Educated Health Professionals Initiative. The views expressed herein do not necessarily repre- sent the views of Health Canada or Alberta Health. Conflict of interest No conflict of interest has been declared by the author(s). 1 © 2019 International Council of Nurses Original Article