11/9/2023 0 Comments Meta narrative systematic reviewSearches of qualitative research to collect a body of related literature are more difficult than quantitative research. However, a look at the suggested processes in relation to qualitative research synthesis reveals that they stick to the big frame of “Ask - Acquire - Appraise - Apply - Assess,” 5A of the evidence cycle, although they show a certain diversity. shows the difference between quantitative and qualitative research processes in a diagram. Process of synthesis of qualitative research As can be seen in Appendix 1, the high number of related terms implies that the establishment of the relevant research methodology is a difficult task. In particular, we can see the term “mixed methods research” has often been applied recently in the attempt to include both quantitative and qualitative research. At a glance, we can see many terms are suggested with the emphasis placed on the meaning of the term “synthesis” of qualitative research results in contrast to the application of the meta-analytic statistical method of quantitative research results. Appendix 1 is the overview of the healthcare research applying this nomenclature. I arranged various terms related to qualitative research, grouping them according to the emphasis intended. MAIN BODY Terms related to the synthesis of qualitative research Among the theories about qualitative research presented so far, works of Draper, Barnett-Page & Thomas, Dixon-Woods et al. This work is expected to show the framework of the discussions related to qualitative research and lay a cornerstone for the vitalization of systematic reviews on qualitative research in South Korea. For this reason, I would like to systemize the attempts to synthesize qualitative research results undertaken so far. Meanwhile, because the synthesis of qualitative research results is inevitably different from a quantitative systematic reviews, there have been many attempts to overcome this gap. In particular, the claim that both quantitative and qualitative research should be utilized for proper understanding of overall healthcare problems is gaining influence. However, recently, in line with the trend toward improving medical treatment quality through patient-centered and evidence-based diagnostic and therapeutic services, efforts for complementary utilization of qualitative research results are experiencing a revival. Consequently, efforts to use the synthesis of qualitative research results as the grounds for decision-making were already underway in 1990s when EBM emerged. In short, qualitative research can be a useful guide for understanding complicated situations in the real world and can serve as groundwork for new hypotheses. Not only the definition of qualitative research, but also the characteristic comparisons between qualitative and quantitative research are well documented in the papers by Murphy et al. However, the results of qualitative research which cannot obtain quantitative outcomes, such as relative risk, odds ratio, and number needed to treat (NNT), tend to be ignored or excluded in the application of the systematic reviews process. It is a term used to designate the approach to examining the effects of a treatment or an intervention adopting a statistical method called meta-analysis. Amidst this trend, quantitative systematic reviews is a new research approach. INTRODUCTION In providing healthcare services, the evidence-based medicine (EBM) paradigm -the idea that healthcare-related decisions should be made on the basis of the best evidence-is expanding to healthcare-related policy-making in nursing and health science as well as medicine. Keywords: Review literature as topic Qualitative research Qualitative evaluation Meta-analysis as topic Evidence-based practice.In order to activate the narrative reviews and mixed methods reviews in Korean healthcare academies, I arranged the related nomenclatures and suggested some issues to conduct them. Several methods and theories for synthesizing evidences of QR have been developed. To improve quality of healthcare services, results of QR should be considered in healthcare decision-making processes. Although qualitative researches (QR) are invaluable in understanding complex healthcare situations, the quantitative systematic reviews could not treat them.
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