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Translational Scholarship and a Palliative Approach

Enlisting the Knowledge-As-Action Framework

Reimer-Kirkham, Sheryl PhD; Doane, Gweneth Hartrick PhD; Antifeau, Elisabeth MSN; Pesut, Barbara PhD; Porterfield, Pat MSN; Roberts, Della MSN; Stajduhar, Kelli PhD; Wikjord, Nicole MSN

doi: 10.1097/ANS.0000000000000077
Feature Articles

Based on a retheorized epistemology for knowledge translation (KT) that problematizes the “know-do gap” and conceptualizes the knower, knowledge, and action as inseparable, this paper describes the application of the Knowledge-As-Action Framework. When applied as a heuristic device to support an inquiry process, the framework with the metaphor of a kite facilitates a responsiveness to the complexities that characterize KT. Examples from a KT demonstration project on the integration of a palliative approach at 3 clinical sites illustrate the interrelatedness of 6 dimensions—the local context, processes, people, knowledge, fluctuating realities, and values.

School of Nursing, Trinity Western University, British Columbia, Canada (Dr Reimer-Kirkham); School of Nursing, University of Victoria, British Columbia, Canada (Drs Doane and Stajduhar); Interior Health Authority, British Columbia, Canada (Ms Antifeau); School of Nursing, University of British Columbia, Canada (Dr Pesut and Ms Porterfield); and Fraser Health Authority, British Columbia, Canada (Mss Roberts and Wikjord).

Correspondence: Sheryl Reimer-Kirkham, PhD, School of Nursing, Trinity Western University, 7600 Glover Rd, Langley, BC V2Y 1Y1, Canada (

We are grateful for the action teams and clinical leaders who enthusiastically supported this project and extend our thanks to project staff Elizabeth Causton and Marie Cochrane for their many contributions.

This work was supported by the generous funding from the Michael Smith Foundation Nursing Research Initiative (# PJ-NIT-00001[10-1]).

The authors have no conflicts of interests to disclose.

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