Promoting the Evidence-Based Decision-Making through Research among Nurse Executives

Thursday, 15 July 2010: 3:45 PM

Melanie Lavoie-Tremblay, RN, PhD
School of Nursing, McGill University, Montreal, QC, Canada
Malcolm Anderson, PhD
Faculty of Health Sciences, Queen's University, Kingston, ON, Canada

Learning Objective 1: The learner will be able to identify key components of this program to enhance use of evidence-based research by nursing executives.

Learning Objective 2: The learner will be able to identify elements of this program (process and context) in order to facilitate the efficient transfer of strategic knowledge.

Purpose: One of the event objectives of the 21st International Nursing Research Congress is to Promote the exchange of knowledge and the translation of evidence into practice through research, education and practice. The purpose of your presentation is to describe the program Executive Training for Research Application program (EXTRA/ FORCES) developed by the Canadian Health Services Research Foundation (CHSRF) and partners to improve the overall quality and effectiveness of the healthcare system through better decisions supported by evidence from research. In addition, findings regarding the program effects on the nurse executives Fellows will be presented.  


The nurse executives in the first four years of the program (n=34) from 2004 to 2008 completed a survey during their two-year fellowship period. Survey was administered to the fellows at each residency session they attend (n=4 during two years fellowship) T1, T2, T3, T4. The questions are based on the Kirkpatrick’s model (1998) for evaluating training effectiveness. Descriptive statistics were calculated for all questions using the SPSS 16 statistical package. Paired-sample t-tests were performed in order to detect mean differences between T1 and T4. 

Results: The program has five main components: Six weeks of residency sessions; An Intervention Project; Educational activities between residency sessions; Interactions with mentors; and Network-building and support. Statistically significant improvements were observed with regards to nurse executives’ use of evidence based research in their decision-making.

Conclusion: There is a need for more partnership and funding to create program such as EXTRA in different jurisdictions and countries to enhance research evidence based decision-making among top leaders in the health care system. In Canada this global initiative is a success and this presentation will be an opportunity to discuss strategic elements to transfer in different context.