A methodological systematic review of meta-ethnography conduct to articulate the complex analytical phases

被引：157

作者：

France, Emma F. ^{[1
]}

Uny, Isabelle ^{[1
]}

Ring, Nicola ^{[2
]}

Turley, Ruth L. ^{[3
]}

Maxwell, Margaret ^{[1
]}

Duncan, Edward A. S. ^{[1
]}

Jepson, Ruth G. ^{[4
]}

Roberts, Rachel J. ^{[1
]}

Noyes, Jane ^{[5
]}

机构：

[1] Univ Stirling, NMAHP Res Unit, Unit 13 Scion House,Stirling Univ Innovat Pk, Stirling FK9 4NF, Scotland

[2] Edinburgh Napier Univ, Sch Hlth & Social Care, Sighthill Campus, Edinburgh EH11 4BN, Midlothian, Scotland

[3] Cardiff Univ, DECIPHEr, Sch Social Sci, Glamorgan Bldg, Cardiff CF10 3WT, S Glam, Wales

[4] Edinburgh 5School, Scottish Collaborat Publ Hlth Res & Policy, 20 West Richmond St, Edinburgh EH8 9DX, Midlothian, Scotland

[5] Bangor Univ, Sch Hlth Sci, Bangor LL57 2EF, Gwynedd, Wales

来源：

BMC MEDICAL RESEARCH METHODOLOGY | 2019年 / 19卷 / 1期

基金：

英国经济与社会研究理事会; 英国惠康基金; 英国医学研究理事会;

关键词：

Meta-ethnography; Systematic review; Qualitative evidence synthesis; Meta-synthesis; Qualitative research; Research design; Methodology; QUALITATIVE RESEARCH; METASYNTHESIS; HEALTH; REFLECTIONS; EXPERIENCE; CARE;

D O I：

10.1186/s12874-019-0670-7

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

BackgroundDecision making in health and social care requires robust syntheses of both quantitative and qualitative evidence. Meta-ethnography is a seven-phase methodology for synthesising qualitative studies. Developed in 1988 by sociologists in education Noblit and Hare, meta-ethnography has evolved since its inception; it is now widely used in healthcare research and is gaining popularity in education research. The aim of this article is to provide up-to-date, in-depth guidance on conducting the complex analytic synthesis phases 4 to 6 of meta-ethnography through analysis of the latest methodological evidence.MethodsWe report findings from a methodological systematic review conducted from 2015 to 2016. Fourteen databases and five other online resources were searched. Expansive searches were also conducted resulting in inclusion of 57 publications on meta-ethnography conduct and reporting from a range of academic disciplines published from 1988 to 2016.ResultsCurrent guidance on applying meta-ethnography originates from a small group of researchers using the methodology in a health context. We identified that researchers have operationalised the analysis and synthesis methods of meta-ethnography - determining how studies are related (phase 4), translating studies into one another (phase 5), synthesising translations (phase 6) and line of argument synthesis - to suit their own syntheses resulting in variation in methods and their application. Empirical research is required to compare the impact of different methods of translation and synthesis. Some methods are potentially better at preserving links with the context and meaning of primary studies, a key principle of meta-ethnography. A meta-ethnography can and should include reciprocal and refutational translation and line of argument synthesis, rather than only one of these, to maximise the impact of its outputs.ConclusionThe current work is the first to articulate and differentiate the methodological variations and their application for different purposes and represents a significant advance in the understanding of the methodological application of meta-ethnography.

引用

页数：18

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