Learning Objective #1: Describe the challenges and opportunities of advancing transdisciplinary evidence-based practice related to the processes and humanistic dimensions of practice.

Learning Objective #2: Make informed decisions about knowledge translation strategies appropriate to collaborative knowledge uptake of research findings about practice processes and ways of being with clients.

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Nurses have been leaders in using multiple ways of knowing and acquiring research knowledge to advance practice, and therefore have much to contribute to advancing knowledge translation (KT) in a transdisciplinary environment. Defined as the exchange, synthesis and ethical application of knowledge within a complex system of relationships among researchers and users, KT is viewed not as a series of uni-linear actions, but as an on-going process. This conceptualization of KT expands its content beyond traditional notions of “evidence” to include clinically relevant “how to” knowledge and humanistic understanding attained through qualitative research. This paper presents a transdisciplinary KT project undertaken to promote the application of research findings on how to go about an empowering partnering approach that promotes health through care relationships. Drawing upon theories of transformative learning, organizational change and knowledge transfer, researchers applied participatory action research methods as a process-oriented, on-the job KT strategy, ultimately engaging 192 participants in: identifying opportunities and factors related to applying the research findings; formulating, implementing and assessing strategies for evidence-based practice; and institutionalizing and diffusing this change.  In a two-phase action cycle, health system policy/decision-makers and providers representing diverse disciplines participated in five 2-hour researcher-facilitated sessions and three months of self-directed strategy implementation (Phase 1); and, building on Phase 1 findings, a half-day workshop and an on-going extended 8-month self-directed strategy implementation with self-selected activities to institutionalize and diffuse the practice change (Phase 2). Baseline and end-of-phase measures (readiness for change; empowerment; partnering relations; health-promoting partnering effort) indicate progress toward readiness for change (p=.001) and partnering relations (p = .08). Qualitative findings from both phases afford insights into attitudinal, policy and behavioral barriers and strategies for achieving more effective KT. While further research is needed, findings suggest the potential of the transformative KT strategy and add new knowledge in this field.