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  • Volume 19, Issue 1
  • Reviewing the literature
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  • Joanna Smith 1 ,
  • Helen Noble 2
  • 1 School of Healthcare, University of Leeds , Leeds , UK
  • 2 School of Nursing and Midwifery, Queens's University Belfast , Belfast , UK
  • Correspondence to Dr Joanna Smith , School of Healthcare, University of Leeds, Leeds LS2 9JT, UK; j.e.smith1{at}leeds.ac.uk

https://doi.org/10.1136/eb-2015-102252

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Implementing evidence into practice requires nurses to identify, critically appraise and synthesise research. This may require a comprehensive literature review: this article aims to outline the approaches and stages required and provides a working example of a published review.

Are there different approaches to undertaking a literature review?

What stages are required to undertake a literature review.

The rationale for the review should be established; consider why the review is important and relevant to patient care/safety or service delivery. For example, Noble et al 's 4 review sought to understand and make recommendations for practice and research in relation to dialysis refusal and withdrawal in patients with end-stage renal disease, an area of care previously poorly described. If appropriate, highlight relevant policies and theoretical perspectives that might guide the review. Once the key issues related to the topic, including the challenges encountered in clinical practice, have been identified formulate a clear question, and/or develop an aim and specific objectives. The type of review undertaken is influenced by the purpose of the review and resources available. However, the stages or methods used to undertake a review are similar across approaches and include:

Formulating clear inclusion and exclusion criteria, for example, patient groups, ages, conditions/treatments, sources of evidence/research designs;

Justifying data bases and years searched, and whether strategies including hand searching of journals, conference proceedings and research not indexed in data bases (grey literature) will be undertaken;

Developing search terms, the PICU (P: patient, problem or population; I: intervention; C: comparison; O: outcome) framework is a useful guide when developing search terms;

Developing search skills (eg, understanding Boolean Operators, in particular the use of AND/OR) and knowledge of how data bases index topics (eg, MeSH headings). Working with a librarian experienced in undertaking health searches is invaluable when developing a search.

Once studies are selected, the quality of the research/evidence requires evaluation. Using a quality appraisal tool, such as the Critical Appraisal Skills Programme (CASP) tools, 5 results in a structured approach to assessing the rigour of studies being reviewed. 3 Approaches to data synthesis for quantitative studies may include a meta-analysis (statistical analysis of data from multiple studies of similar designs that have addressed the same question), or findings can be reported descriptively. 6 Methods applicable for synthesising qualitative studies include meta-ethnography (themes and concepts from different studies are explored and brought together using approaches similar to qualitative data analysis methods), narrative summary, thematic analysis and content analysis. 7 Table 1 outlines the stages undertaken for a published review that summarised research about parents’ experiences of living with a child with a long-term condition. 8

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An example of rapid evidence assessment review

In summary, the type of literature review depends on the review purpose. For the novice reviewer undertaking a review can be a daunting and complex process; by following the stages outlined and being systematic a robust review is achievable. The importance of literature reviews should not be underestimated—they help summarise and make sense of an increasingly vast body of research promoting best evidence-based practice.

  • ↵ Centre for Reviews and Dissemination . Guidance for undertaking reviews in health care . 3rd edn . York : CRD, York University , 2009 .
  • ↵ Canadian Best Practices Portal. http://cbpp-pcpe.phac-aspc.gc.ca/interventions/selected-systematic-review-sites / ( accessed 7.8.2015 ).
  • Bridges J , et al
  • ↵ Critical Appraisal Skills Programme (CASP). http://www.casp-uk.net / ( accessed 7.8.2015 ).
  • Dixon-Woods M ,
  • Shaw R , et al
  • Agarwal S ,
  • Jones D , et al
  • Cheater F ,

Twitter Follow Joanna Smith at @josmith175

Competing interests None declared.

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Nursing: Literature Review

  • Required Texts
  • Writing Assistance and Organizing & Citing References
  • NCLEX Resources
  • Literature Review
  • MSN Students
  • Physical Examination
  • Drug Information
  • Professional Organizations
  • Mobile Apps
  • Evidence-based Medicine
  • Certifications
  • Recommended Nursing Textbooks
  • DNP Students
  • Conducting Research
  • Scoping Reviews
  • Systematic Reviews
  • Distance Education Students
  • Ordering from your Home Library

Good Place to Start: Citation Databases

Interdisciplinary Citation Databases:

A good place to start your research  is to search a research citation database to view the scope of literature available on your topic.

TIP #1: SEED ARTICLE Begin your research with a "seed article" - an article that strongly supports your research topic.  Then use a citation database to follow the studies published by finding articles which have cited that article, either because they support it or because they disagree with it.

TIP #2: SNOWBALLING Snowballing is the process where researchers will begin with a select number of articles they have identified relevant/strongly supports their topic and then search each articles' references reviewing the studies cited to determine if they are relevant to your research.

BONUS POINTS: This process also helps identify key highly cited authors within a topic to help establish the "experts" in the field.

Begin by constructing a focused research question to help you then convert it into an effective search strategy.

  • Identify keywords or synonyms
  • Type of study/resources
  • Which database(s) to search
  • Asking a Good Question (PICO)
  • PICO - AHRQ
  • PICO - Worksheet
  • What Is a PICOT Question?

Seminal Works: Search Key Indexing/Citation Databases

  • Google Scholar
  • Web of Science

TIP – How to Locate Seminal Works

  • DO NOT: Limit by date range or you might overlook the seminal works
  • DO: Look at highly cited references (Seminal articles are frequently referred to “cited” in the research)
  • DO: Search citation databases like Scopus, Web of Science and Google Scholar

Web Resources

What is a literature review?

A literature review is a comprehensive and up-to-date overview of published information on a subject area. Conducting a literature review demands a careful examination of a body of literature that has been published that helps answer your research question (See PICO). Literature reviewed includes scholarly journals, scholarly books, authoritative databases, primary sources and grey literature.

A literature review attempts to answer the following:

  • What is known about the subject?
  • What is the chronology of knowledge about my subject?
  • Are there any gaps in the literature?
  • Is there a consensus/debate on issues?
  • Create a clear research question/statement
  • Define the scope of the review include limitations (i.e. gender, age, location, nationality...)
  • Search existing literature including classic works on your topic and grey literature
  • Evaluate results and the evidence (Avoid discounting information that contradicts your research)
  • Track and organize references
  • How to conduct an effective literature search.
  • Social Work Literature Review Guidelines (OWL Purdue Online Writing Lab)

What is PICO?

The PICO model can help you formulate a good clinical question. Sometimes it's referred to as PICO-T, containing an optional 5th factor. 

Search Example

sample review of literature in nursing research

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