Applying GRADE-CERQual to qualitative evidence synthesis findings: introduction to the series
Simon Lewin,Simon Lewin,Andrew Booth,Claire Glenton,Heather Menzies Munthe-Kaas,Arash Rashidian,Arash Rashidian,Megan Wainwright,Meghan A. Bohren,Özge Tunçalp,Christopher J. Colvin,Ruth Garside,Benedicte Carlsen,Etienne V. Langlois,Jane Noyes +14 more
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The rationale and conceptual basis for CERQual, the aims of the approach, how the approach was developed, and its main components are described, including the purpose and structure of this series and the growing role for qualitative evidence in decision-making are discussed.Abstract:
The GRADE-CERQual (‘Confidence in the Evidence from Reviews of Qualitative research’) approach provides guidance for assessing how much confidence to place in findings from systematic reviews of qualitative research (or qualitative evidence syntheses). The approach has been developed to support the use of findings from qualitative evidence syntheses in decision-making, including guideline development and policy formulation. Confidence in the evidence from qualitative evidence syntheses is an assessment of the extent to which a review finding is a reasonable representation of the phenomenon of interest. CERQual provides a systematic and transparent framework for assessing confidence in individual review findings, based on consideration of four components: (1) methodological limitations, (2) coherence, (3) adequacy of data, and (4) relevance. A fifth component, dissemination (or publication) bias, may also be important and is being explored. As with the GRADE (Grading of Recommendations Assessment, Development, and Evaluation) approach for effectiveness evidence, CERQual suggests summarising evidence in succinct, transparent, and informative Summary of Qualitative Findings tables. These tables are designed to communicate the review findings and the CERQual assessment of confidence in each finding. This article is the first of a seven-part series providing guidance on how to apply the CERQual approach. In this paper, we describe the rationale and conceptual basis for CERQual, the aims of the approach, how the approach was developed, and its main components. We also outline the purpose and structure of this series and discuss the growing role for qualitative evidence in decision-making. Papers 3, 4, 5, 6, and 7 in this series discuss each CERQual component, including the rationale for including the component in the approach, how the component is conceptualised, and how it should be assessed. Paper 2 discusses how to make an overall assessment of confidence in a review finding and how to create a Summary of Qualitative Findings table. The series is intended primarily for those undertaking qualitative evidence syntheses or using their findings in decision-making processes but is also relevant to guideline development agencies, primary qualitative researchers, and implementation scientists and practitioners.read more
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Nature-Based Rehabilitation for Patients with Long-Standing Stress-Related Mental Disorders: A Qualitative Evidence Synthesis of Patients' Experiences.
TL;DR: In this paper, the authors identify, appraise, and synthesize studies reporting experiences and perceived benefits of participation in multidisciplinary, group-based nature-based rehabilitation (NBR) of adult patients with long-standing stress-related mental disorders.
Journal ArticleDOI
PROTOCOL: Barriers and facilitators to stakeholder engagement in health guideline development: A qualitative evidence synthesis
Olivia Magwood,Alison Riddle,Jennifer Petkovic,Lyubov Lytvyn,Joanne Khabsa,Pearl Atwere,Elie A. Akl,Pauline Campbell,Vivian Welch,Maureen Smith,Reem A. Mustafa,Heather Limburg,Leonila F. Dans,Nicole Skoetz,Sean Grant,Thomas W Concannon,Peter Tugwell +16 more
TL;DR: In this paper , the authors identify and synthesise the existing evidence on barriers and facilitators to stakeholder engagement in health guideline development, as well as the impact of stakeholders' engagement in guideline development.
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The characteristics of effective technology-enabled dementia education for health and social care practitioners: protocol for a mixed studies systematic review
TL;DR: The evidence generated from a systematic review of the current evidence is intended to inform the design and implementation of technology-enabled dementia education programmes and to advance the current academic literature at a time of unprecedented demographic and technological transition.
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Early warning systems in maternity care: protocol for a qualitative evidence synthesis of maternity care providers’ views and experiences
TL;DR: The findings of this qualitative evidence synthesis may provide valuable information on the barriers, challenges, and facilitators for EWS use based on the experiences of those directly involved in EWS application in maternity care provision.
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Moving towards universal health coverage: Strengthening the evidence ecosystem for the South African health system.
Catherine Mathews,Ameena Ebrahim Goga,Marian Loveday,Wanga Zembe,Emmanuelle Daviaud,N Siegfried,Simon Lewin +6 more
TL;DR: An evidence ecosystem lens is applied to the SA health system, and its current functioning is discussed in support of the achievement of a high-quality health system that is able to achieve universal health coverage.
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