For this assessment I have to undertake an integrative literature review, which also considers important issues of practice change. It’s a research project of 6,000 words on a topic of my choice. I have chosen to do my research on obesity. I have to identify a review question that is relevant to child nursing. I was thinking along the lines of ‘How effective is education in reducing obesity in adolescence?’, however, this question can be subject to change as I have yet to start my research. My review should include:
Abstract – (100-150 words) Title, aim, background, method, results and conclusion
Introduction, including a methods section – (750-1000 words) Rational for and importance of the study (supportive literature and personal context), overview of subject area and a summary of the main research in the area using key references
Method – (250-500 words) Clear search strategy and databases used, inclusion and exclusion criteria, how I identified my themes and document how literature was critiqued (using the relevant CASP tool)
Results – (2000 words) Incorporate the main themes/results identified from the literature, provide table in the appendix to demonstrate how I extracted information and critiqued literature and identify similarities and inconsistencies in the data
Recommendations for change – (150-200 words) Evaluate findings in the results section, identify focus of practice change and discuss rationale for chosen area of practice change
Considering change in clinical practice – (1500-2000 words) Use the PARIHS framework to: critically consider the influence of the evidence on practice change, critically consider the influence of the clinical context on practice change and critically consider the influence of facilitation on practice change
Recommendations and Conclusions – (250-500 words) Set my results in context by acknowledging limitations of my review, make realistic recommendations based on my findings and briefly reflect on my experiences as a developing researcher in conducting the review
Steps in the Review Process: overview
There are three types of information that will have to be search for, read, analysed and discussed.
1. Information that provides background reading and gives a rationale for the clinical importance of the study. The literature for this element of the study can be wide-ranging and not necessarily research-based.
2. Information that provides answers to your review question. The review will require you to identify 10-12 focused articles which are research (evidence) -based (primary or secondary evidence only) that provide answers to your review question. Your answers will be presented and formalised in themes.
3. Information that provides insight into issues of changing practice. The literature use for this element of the study can be wide-ranging and not necessarily research-based.
Expected to use primary and secondary sources only. This is important as a key module learning outcome is to assess ability to understand the value and relevance of primary and secondary evidence to clinical practice. Both Qualitative and Quantitative methods are primary research methods which collect original information. For the review you can also identify and include secondary sources of research-based evidence – if the secondary source provides answers for the review question. Therefore, could include other reviews (Systematic Reviews, Integrative Reviews, Narrative Reviews).
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