Conclusions of a Systematic Review with Narrative Synthesis
Conclusions of a Systematic Review with Narrative Synthesis
APPENDIX C
Appraisal Guide:
Conclusions of a Systematic Review with Narrative Synthesis
Citation: Conclusions of a Systematic Review with Narrative Synthesis
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Synopsis
What organization or persons produced the systematic review (SR)?
How many persons were involved in conducting the review?
What topic or question did the SR address?
How were potential research reports identified?
What determined if a study was included in the analysis?
How many studies were included in the review?
What research designs were used in the studies?
What were the consistent and important across-studies conclusions?
Credibility
Was the topic clearly defined? Yes No Not clear
Was the search for studies and other
evidence comprehensive and unbiased? Yes No Not clear
Was the screening of citations for
inclusion based on explicit criteria? Yes No Not clear
*Were the included studies assessed
for quality? Yes No Not clear
Were the design characteristics and
findings of the included studies displayed
or discussed in sufficient detail? Yes No Not clear
*Was there a true integration (i.e., synthesis) of the findings—not
merely reporting of findings from
each study individually? Yes No Not clear
*Did the reviewers explore why differences
in findings might have occurred? Yes No Not clear
Did the reviewers distinguish between
conclusions based on consistent findings
from several good studies and those
based on inferior evidence (number or quality)? Yes No Not clear
Which conclusions were supported by
consistent findings from two or more
good or high-quality studies? List
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Are the conclusions
credible? Yes All Yes Some No
Clinical Significance
*Across studies, is the size of the
treatment or the strength of the
association found or the
meaningfulness of qualitative findings
strong enough to make a difference
in patient outcomes or experiences of care? Yes No Not clear
Are the conclusions relevant to the
care the nurse gives? Yes No Not clear
Are the conclusions
clinically significant? Yes All Yes Some No
Applicability
Does the SR address a problem,
situation, or decision we are addressing in our setting? Yes No Not clear
Are the patients in the studies or a
subgroup of patients in the studies
similar to those we see? Yes No Not clear
What changes, additions, training, or
purchases would be needed to implement
and sustain a clinical protocol based
on these conclusions? Specify and list
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Is what we will have to do to implement
the new protocol realistically achievable
by us (resources, capability, commitment)? Yes No Not clear
How will we know if our patients are
benefiting from our new protocol? Specify
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Are these conclusions
applicable to our setting? Yes All Yes Some No
Should we proceed to design
a protocol incorporating
these conclusions? Yes All Yes Some No
* = Important criteria
Comments
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