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(Re)theorizing Integrated Knowledge Translation

A Heuristic for Knowledge-As-Action

Doane, Gweneth Hartrick PhD; Reimer-Kirkham, Sheryl PhD; Antifeau, Elisabeth MSN; Stajduhar, Kelli PhD

doi: 10.1097/ANS.0000000000000076
Feature Articles

Approaches to knowledge translation (KT) have undergone substantial transformation in an effort to find more effective strategies to ensure the best available knowledge informs nursing practice. However, the fundamental epistemology underpinning KT itself has gone largely unquestioned. Of particular concern is the inadequacy of current representational models to depict the complex, social process of KT. To address the limitations of representational models we propose an inquiry heuristic that conceptualizes KT as a knowledge-as-action process. Developed through a series of KT research projects, the heuristic is intended to guide the KT process and support effective navigation in the complexities of contemporary health care milieus.

School of Nursing, University of Victoria, Victoria, British Columbia, Canada (Dr Doane); School of Nursing, Trinity Western University, Langley, British Columbia, Canada (Dr Reimer-Kirkham); Interior Health Authority, Kelowna, British Columbia, Canada (Ms Antifeau); and School of Nursing, University of Victoria, Victoria, British Columbia, Canada (Dr Stajduhar).

Correspondence: Gweneth Hartrick Doane, PhD, School of Nursing, University of Victoria, PO Box 1700 STN CSC, Victoria, BC V8W 2Y2, Canada (

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.

We wish to acknowledge the contribution of other research team members who participated in the Knowledge Translation demonstration project that informed the discussion in this paper: Marie Campbell, Elizabeth Causton, Barb Pesut, Pat Porterfield, and Della Roberts.

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