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元综合与循证医疗——一种系统评价方法

Meta-synthesis and evidence-based health care--a method for systematic review.

作者信息

Korhonen Anne, Hakulinen-Viitanen Tuovi, Jylhä Virpi, Holopainen Arja

机构信息

Nursing Research Foundation, Helsinki, Finland; Finnish Centre for Evidence-Based Health Care: an Affiliated Centre of the Joanna Briggs Institute, Helsinki, Finland.

出版信息

Scand J Caring Sci. 2013 Dec;27(4):1027-34. doi: 10.1111/scs.12003. Epub 2012 Nov 20.

DOI:10.1111/scs.12003
PMID:23167699
Abstract

BACKGROUND

Even the systematic reviews of qualitative studies are discussed health literature, the significance of their results is not fully recognised in evidence-based practice.

AIM

The aim of this article is to describe the systematic reviews of qualitative studies, metasynthesis and its process and consider the meaning of meta-synthesis in evidence-based practice.

CONCLUSIONS

Meta-synthesis is a method for synthesising knowledge, for example, relating to service users' healthcare-related experiences and the factors that facilitate their involvement in their own care and commitment to a healthy lifestyle. This type of knowledge is needed in evidence-based practice. Meta-synthesis is a concept that includes several methodologies in synthesising qualitative research findings. This article focuses on meta-synthesis with meta-aggregation as a method for combining data from original studies. Following the principles of scientific rigour, systematic reviews synthesise the best available and critically appraised knowledge. The article describes the process and the role of systematic review of qualitative studies and discusses its significance for evidence-based practice when making clinical and administrative decisions, as well as more widely in social and political decision-making.

摘要

背景

即使是定性研究的系统评价在健康文献中有所讨论,但其结果在循证实践中的重要性仍未得到充分认可。

目的

本文旨在描述定性研究的系统评价、元综合及其过程,并探讨元综合在循证实践中的意义。

结论

元综合是一种知识综合方法,例如,涉及服务使用者与医疗保健相关的经历以及促进他们参与自身护理和坚持健康生活方式的因素。循证实践需要这类知识。元综合是一个概念,在定性研究结果的综合中包含多种方法。本文重点关注以元聚合为方法的元综合,即结合原始研究数据。遵循科学严谨性原则,系统评价综合了可得的最佳且经过严格评估的知识。本文描述了定性研究系统评价的过程和作用,并讨论了其在临床和行政决策以及更广泛的社会和政治决策中对循证实践的重要性。

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