Health, Knowledge, and Networked Communication  

This paper presents the experiences of a networked community of nurses 
who have expertise in heart care, and whose aim is to produce knowledge 
useful for medical practitioners, people with a heart condition and their 
families. The nurses built knowledge in collaboration, shared their 
practices from a distance, and produced an instrument for the benefit of 
the population. A constructivist theoretical approach was applied through 
a multimethodology integrating ethnographic and discourse analysis techniques. 
Results suggest that the nurses engaged in a higher order level of conceptual 
change.