Uptake of critical knowledge in nursing practice: lessons learned from a knowledge translation study.

This article is based on a knowledge translation (KT) study of the transition of patients from hospital to home. It focuses on the lessons learned about the challenges of translating research-derived critical knowledge in practice settings. The authors situate the article in current discourses about KT; discuss their understanding of the nature of critical knowledge; and present themes from their body of research, which comprises the knowledge that was translated.

Narratives of "dissonance" and "repositioning" through the lens of critical humanism: exploring the influences on immigrants' and refugees' health and well-being.

The focus of this article is on narratives of "starting over," and the embedded processes, conceptualized as "dissonance"--between what people had expected to find in Canada and their actual experiences, and "repositioning"--how they subsequently restructured their lives and redefined their identities. This narrative analysis is one way of illuminating the complex ways in which social support networks influence dissonance and repositioning, and subsequently influence health and well-being.

Public health nursing practice with 'high priority' families: the significance of contextualizing 'risk'.

Public health nurses (PHNs) play a vital role in supporting families at risk; few studies, however, have focused on how PHNs actually work with families to provide support, build trust, and use their clinical judgment to make decisions in complex, at-risk situations. In this study, we report on findings from research that illustrate how PHNs use relational approaches in their work with 'high priority' families. Drawing on data collected from interviews and focus groups with 32 PHNs, we discuss three central features inherent to working relationally with families at risk: (i) contextualizing the complexities of families' lives; (ii) responding to shifting contexts of risk and capacity; and (iii) working relationally with families under surveillance.

Enacting nursing obligations: Public Health Nurses' theorizing in practice.

A recent study illustrated Public Health Nurses' theorizing of obligation within their everyday practice with high priority families. As a practical (and practice) activity this theorizing shaped and enhanced PHN practice in complex nursing situations and served to affect desired outcomes for families. Using a hermeneutic methodology, six features were identified as central to this practical theorizing process: (a) being in the complexity of families' lives, (b) responding to relational cues, (c) putting the primary investment in people and families, (d) working toward potential, (e) working the relational "in-betweens," and (f) reflexive inquiry.