Worked examples of alternative methods for the synthesis of qualitative and quantitative research in systematic reviews

Lucas, Patricia J; Baird, Janis; Arai, Lisa; Law, Catherine; Roberts, Helen

doi:10.1186/1471-2288-7-4

Cited by 375 publications

(307 citation statements)

References 24 publications

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“…Two reviewers (EV and JS) compared the themes from each study until consensus was reached. Original study quotes were used to illustrate the themes (Lucas et al, 2007). Quantitative data were analyzed descriptively (raw numbers, means, and percentages).…”

Section: Data Analysis and Synthesismentioning

confidence: 99%

Implementation of fall prevention in residential care facilities: A systematic review of barriers and facilitators

Vlaeyen

Stas

Leysens

et al. 2017

International Journal of Nursing Studies

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Objectives: To identify the barriers and facilitators for fall prevention implementation in residential care facilities. Design: Systematic review. Review registration number on PROSPERO: CRD42013004655. Data sources: Two independent reviewers systematically searched five databases (i.e. MEDLINE, EMBASE, CINAHL, PsycINFO, and Web of Science) and the reference lists of relevant articles. Review methods: This systematic review was conducted in line with the Center for Reviews and Dissemination Handbook and reported according to the PRISMA guideline. Only original research focusing on determinants of fall prevention implementation in residential care facilities was included. We used the Mixed Method Appraisal Tool for quality appraisal. Thematic analysis was performed for qualitative data; quantitative data were analyzed descriptively. To synthesize the results, we used the framework of Grol and colleagues that describes six healthcare levels wherein implementation barriers and facilitators can be identified. Results: We found eight relevant studies, identifying 44 determinants that influence implementation. Of these, 17 were facilitators and 27 were barriers. Results indicated that the social and organizational levels have the greatest number of influencing factors (9 and 14, respectively), whereas resident and economical/political levels have the least (3 and 4, respectively). The most cited facilitators were good communication and facility equipment availability, while staff feeling overwhelmed, helpless, frustrated and concerned about their ability to control fall management, staffing issues, limited knowledge and skills (i.e., general clinical skill deficiencies, poor fall management skills or lack of computer skills); and poor communication were the most cited barriers. Conclusion: Successful implementation of fall prevention depends on many factors across different healthcare levels. The focus of implementation interventions, however, should be on modifiable barriers and facilitators such as communication, knowledge, and skills. Effective fall prevention must consist of multifactorial interventions that target each resident's fall risk profile, and should be tailored to overcome context-specific barriers and put into action the identified facilitators.© 2017 Elsevier Ltd. All rights reserved.What is already known about the topic? Multifactorial interventions, tailored to each resident's fall risk profile, can reduce the number of falls and recurrent fallers under highly controlled circumstances, but seems to be ineffective under "real-world" conditions, presumably due to poor implementation.Successful implementation of complex, multifactorial interventions in clinical practice involves a tailored, multifaceted approach based on a good understanding of barriers and facilitators for implementation. No reviews exist that comprehensively summarize the evidence on fall prevention implementation barriers and facilitators in residential care settings. What this paper addsSeventeen facilitators and 27 barriers that ...

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Section: Data Analysis and Synthesismentioning

confidence: 99%

Implementation of fall prevention in residential care facilities: A systematic review of barriers and facilitators

Vlaeyen

Stas

Leysens

et al. 2017

International Journal of Nursing Studies

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“…The strength of thematic analysis lies in its potential to draw conclusions based on common elements across otherwise heterogeneous studies. 19 Conclusions from thematic analysis fulfil an important research aim of qualitative research in generating hypotheses, an area to which traditional systematic reviews are poorly suited. 20 …”

Section: Designmentioning

confidence: 99%

Spirituality in general practice: a qualitative evidence synthesis

Vermandere¹,

Lepeleire²,

Smeets³

et al. 2011

Br J Gen Pract

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“…This method is more appropriate than thematic analysis when synthesising different types of evidence (qualitative, quantitative, viewpoint, and for purposes such as this, where a rich description of a literature, rather than development of theory, is the objective (Lucas et al, 2007). We used the Institutes for Health Research UK Economic & Social Research Council ESRC Narrative Synthesis Guidance Document (Popay et al, 2006) to guide our methodology.…”

Section: Paper Selection and Classificationmentioning

confidence: 99%

Defining professionalism in medical education: A systematic review

et al. 2013

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Introduction: We undertook a systematic review and narrative synthesis of the literature to identify how professionalism is defined in the medical education literature. Methods: Eligible studies included any articles published between 1999 and 2009 inclusive presenting viewpoints, opinions, or empirical research on defining medical professionalism. Results: We identified 195 papers on the topic of definition of professionalism in medicine. Of these, we rated 26 as high quality and included these in the narrative synthesis. Conclusion: As yet there is no overarching conceptual context of medical professionalism that is universally agreed upon. The continually shifting nature of the organizational and social milieu in which medicine operates creates a dynamic situation where no definition has yet taken hold as definitive.

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Worked examples of alternative methods for the synthesis of qualitative and quantitative research in systematic reviews

Cited by 375 publications

References 24 publications

Implementation of fall prevention in residential care facilities: A systematic review of barriers and facilitators

Implementation of fall prevention in residential care facilities: A systematic review of barriers and facilitators

Spirituality in general practice: a qualitative evidence synthesis

Defining professionalism in medical education: A systematic review

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