A critical reflection on the application of systematic review methods to a chosen research topic
Background
My research diary is a bulky squared collection of pinned coarse beige papers. Despite not being as portable as a laptop, I always bring it with me as it contains the story of how I defined my doctoral research. The content is collected in chronological order and reflects the evolution of the subject. It starts with a list of statistics about the number of African migrants in different countries around the world. I remember obtaining this information in the old-fashioned evergreen way of googling it. It was back in 2012 and I was seating in the British Library, with a pencil, a black laptop only working if connected to the electricity
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I have organised the essay in different sections following the seven steps necessary to perform a systematic review. Each step describes what has been done but also gives space for reflections.
INTRODUCTION
When first hearing about the systematic review, my initial reaction was the same question that gives the title to the essay by Philip Davies (2017): “Systematic Reviews: How are they different from what we already do?” Despite explaining in details the motivations why the systematic review should be preferred to other types of reviews, I found some of the arguments opposing other methods rather weak. For instance, when stating why the systematic review should be preferred to meta-ethnography, Davies says:
From the more positivistic perspective of meta-analysis, meta-ethnography, is seen as being limited by its inability to provide statistical accumulation of findings, its inability to allow prediction or to specify any degree of confidence about qualitative findings, and by its inability to allow for the statistical control of bias. (Davies, P. 2017,
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A systematic review is a thorough research, conducted both online and offline. And among the material retrieved and selected, a further selection is done when judging the quality of the literature. Indeed, it appears as a better-structured system compared to the unofficial I have used thus far. Finally, the necessary assessment of the quality of the research assures the material found is sound and eventually contributes to a deeper reflection on the topic. This will be more visible in the following paragraphs when focusing on the quality assessment of my findings.
The structure of this essay follows the seven steps suggested to complete a systematic review (Atkins et al 2008). Although the first step of a systematic review is defining a research question, this will not be discussed as my research question was already mentioned in the background paragraph. The paper will partially follow the remaining steps of a systematic review which are as follow:
• Developing a protocol & getting
The details of the study included literature review, purpose, method, data analysis, results, discussion, limitations, nursing implications, recommendations for future research and conclusion. The results were clearly presented. Study limitations were identified. The conclusion was based on study results. This review was of good quality.
Deb Kanya Initial Post Polit & Beck, (2012) describe Evidence-Based Practice (EBP) as an integration of clinical expertise, patient values, and the best research evidence. One of the more challenging aspects of EBP is the actual research on a particular topic. The fact is there is a multitude of journals and reviews etc. on any given subject; for this reason it is imperative that one knows how to conduct a proper search for pertinent information. Due to the complexity of literature searches and the amount of information available it is prudent to follow a guide while doing research.
However A critique of all the methodologies is that they only look for what they intend and ignore other possibilities. The findings therefore support their respective perspective and must be considered only
Evidence based practice (EBP) is the incorporation of clinical expertise, patient values furthermore adding the greatest research evidence towards the decision-making method for the outstanding care of the patient. Traditionally, the patient care was made by the skills and beliefs of those involved in delivering treatment, now it has made a shift from traditional ways to EBP. On a daily basis the healthcare professionals seek answers to numerous clinical questions, an evidence-based approach helps them to access the best evidence to answer these questions and translate that into a clinical practice to improve patient care and
They also share commonalities in having the best research and clinical skills using scientific-based research to convey assessments and interventions. In order for clients to receive the best treatment we must use empirical science and evaluate treatment data to evaluate and make sure clients are receiving the best treatment possible for their individual needs. Furthermore, scientific approaches can ensure us that the interventions utilize should be the most effective. It is important that scientific practice provides us with the ability to acquire skills to evaluate and formulate hypothesis. The scientific-practitioner model ties into the BCBA guidelines as well.
Search limits were set for articles available in English, no other qualifications were excluded. Six publications were found to be easily accessible for the purpose of this concept analysis. All studies found were qualitative, descriptive studies. CONCEPT SELECTION
The model outlines specific steps to a practice question, evaluating, and developing recommendations and implementing practice change. It also has a rating scale to determining the value of evidence for research and non-research data. Unlike ACE, it includes both clinician and patient expertise. The critical appraisal component guides the teaching process of evidence review to students. While it is adaptable to clinical settings, is has little emphasis in the organization cultural
Keeping an open mind and being transparent when doing a literature search is key in producing a comprehensive and meaningful literature review. Discussion 5: 1) Read “How to search evidence” PowerPoint, and 2) discuss at least 5 things what you learned about searching evidence. Five points learned from the Power Point include: 1. Using professional databases such as PubMEd, CINAHL, Cochrane, EBSCO, etc. is essential in finding reliable, current and valid data. 2.
It’s important to use evidence based practices in nursing because it creates solutions to the patient’s needs, it improves the overall care of the patients, reduces harm and helps support nurse’s actions and clinical judgments. Sackett (2000) says that evidence based practice is looking at the best evidence along with using your clinic expertise in helping you to make a decision about the patient’s individuals care. Outline the process undertaken when searching for credible and relevant evidence to support Part 2 of the workbook. (Justify and support answers with credible and relevant evidence whilst adhering to UWS referencing guidance). The first element of finding credible and relevant evidence would be to research journals and articles, as
Many times researchers doing reviews end up with a chronological catalog of all of the relevant sources reviewed instead of an evaluation that integrates previous research together explaining how it integrates into the proposed research program (Wang et al., 2015). Poor literature review fails to capture all sides of an argument and tends to be bias, avoiding to critically mention areas of agreement and disagreement (Shipman, 2014). Such a review is merely a collection of quotes and paraphrasing from other sources (Willig, 2013). Sadly enough most researchers undertaking psychological research are not skilled in doing a quality
According to University College London (UCL) (2011), critical evaluation helps to filter necessary information, identify studies that are applicable clinically and also for continuous professional development (CPD). However, evaluation of an article, is assessed using pre-designed instrument that encourages a more thorough and systematic method; it is designed for different study design and ask specific questions as pertain validity of the study such as: if the study has given an answer to the research question and has met its set aims and objectives, the methodology, analysis and interpretation of findings (Harder, 2014; Burls, 2009; Whiffin and Hasselder, 2013). It could be said that a good critical assessment plays a vital in evidence-based practice. Therefore, a critical appraisal skills programme (CASP, 2009) checklist will be used to evaluate the selected paper for this
Resources were not provided directly because of inaccessibility of study area. However, reliability and validity of materials are not exactly since raw data was taken several years
The literature review gives justified information for the need of conducting the research. Apart from the introduction, there is no other information concerning the research title that could offer detailed information (Chaliha et a., 2001). Despite giving the justified information in the introduction section the paper should have had the literature review section, thus it did not follow the due steps and format of a research paper. The methodology part follows after the introduction and it discloses the methods used, the design, the people included in the study and how the data was sampled and examined. However, the reasons for choosing the design in the research were not
2.0 Review related to study “The review of related studies and researches is a necessary part of any research. The related studies on the chosen topic carried out by research workers at various levels are called review of related literature” (Perumal, 2010). It is a significant phase in research process and basic part of any research work. It is works as a guide which contains recent knowledge as well as applicable findings along with theoretical and methodological contribution to a particular topic. Literature review use as secondary source of the data.
Secondly, a methodology that describes the collection of data included together with highlights of limitations and thirdly key findings analysed and interpreted followed by some useful recommendations. Finally some future directions for research have been