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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The experiences of trained breastfeeding support providers that influence how breastfeeding support is practised: A protocol for a qualitative evidence synthesis.
TL;DR: A qualitative systematic review of trained breastfeeding supporters' experiences of supporting women to breastfeed, as part of a generic healthcare role or focused breastfeeding support role, was conducted by as mentioned in this paper.
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Investigating the importance of girls’ mathematical identity within United States STEM programmes: a systematic review
TL;DR: The authors conducted a systematic review to generate a comprehensive understanding of cisgendered girls' mathematical identity within the United States to better understand: (a) how mathematical identity is associated with girls' participation, engagement, and achievement in mathematics; (b) the factors related to girls’ mathematical identity; and (c) strategies for developing strong mathematical identities within girls.
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Experiences that influence how trained providers support women with breastfeeding: A systematic review of qualitative evidence
TL;DR: Experiences, as named above, are modifiable factors contributing to the development of a philosophy of breastfeeding support based on what the provider believes works and is valuable in practice and further research is required into the range of factors which underpin context-specific breastfeeding support practice.
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Factors influencing the implementation of early discharge hospital at home and admission avoidance hospital at home: a qualitative evidence synthesis
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Adults’ with hearing loss perceived listening ability in daily communication: protocol for a systematic review and qualitative meta-synthesis
TL;DR: The aim of this study is to explore how adults with hearing loss describe their own experiences of the processes, behaviours and components of listening in real-world communication through secondary analysis of published qualitative data.
References
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Gordon H. Guyatt,Andrew D Oxman,Gunn Elisabeth Vist,Regina Kunz,Yngve Falck-Ytter,Pablo Alonso-Coello,Holger J. Schünemann +6 more
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Methods for the synthesis of qualitative research: a critical review
Elaine Barnett-Page,James Thomas +1 more
TL;DR: Methods for qualitative synthesis vary across a range of dimensions and broadly fall into 'realist' or 'idealist' epistemologies, which partly accounts for these differences.
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What's Wrong With Ethnography?: Methodological Explorations
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