literature review topic nursing

Best Nursing Research Topics for Students

What is a nursing research paper.

• What They Include
• Choosing a Topic
• Best Nursing Research Topics
• Research Paper Writing Tips

Writing a research paper is a massive task that involves careful organization, critical analysis, and a lot of time. Some nursing students are natural writers, while others struggle to select a nursing research topic, let alone write about it.

If you're a nursing student who dreads writing research papers, this article may help ease your anxiety. We'll cover everything you need to know about writing nursing school research papers and the top topics for nursing research.  

Continue reading to make your paper-writing jitters a thing of the past.

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A nursing research paper is a work of academic writing composed by a nurse or nursing student. The paper may present information on a specific topic or answer a question.

During LPN/LVN and RN programs, most papers you write focus on learning to use research databases, evaluate appropriate resources, and format your writing with APA style. You'll then synthesize your research information to answer a question or analyze a topic.

BSN , MSN , Ph.D., and DNP programs also write nursing research papers. Students in these programs may also participate in conducting original research studies.

Writing papers during your academic program improves and develops many skills, including the ability to:

• Select nursing topics for research
• Conduct effective research
• Analyze published academic literature
• Format and cite sources
• Synthesize data
• Organize and articulate findings

About Nursing Research Papers

When do nursing students write research papers.

You may need to write a research paper for any of the nursing courses you take. Research papers help develop critical thinking and communication skills. They allow you to learn how to conduct research and critically review publications.

That said, not every class will require in-depth, 10-20-page papers. The more advanced your degree path, the more you can expect to write and conduct research. If you're in an associate or bachelor's program, you'll probably write a few papers each semester or term.

Do Nursing Students Conduct Original Research?

Most of the time, you won't be designing, conducting, and evaluating new research. Instead, your projects will focus on learning the research process and the scientific method. You'll achieve these objectives by evaluating existing nursing literature and sources and defending a thesis.

However, many nursing faculty members do conduct original research. So, you may get opportunities to participate in, and publish, research articles.

Example Research Project Scenario:

In your maternal child nursing class, the professor assigns the class a research paper regarding developmentally appropriate nursing interventions for the pediatric population. While that may sound specific, you have almost endless opportunities to narrow down the focus of your writing. 

You could choose pain intervention measures in toddlers. Conversely, you can research the effects of prolonged hospitalization on adolescents' social-emotional development.

What Does a Nursing Research Paper Include?

Your professor should provide a thorough guideline of the scope of the paper. In general, an undergraduate nursing research paper will consist of:

Introduction : A brief overview of the research question/thesis statement your paper will discuss. You can include why the topic is relevant.

Body : This section presents your research findings and allows you to synthesize the information and data you collected. You'll have a chance to articulate your evaluation and answer your research question. The length of this section depends on your assignment.

Conclusion : A brief review of the information and analysis you presented throughout the body of the paper. This section is a recap of your paper and another chance to reassert your thesis.

The best advice is to follow your instructor's rubric and guidelines. Remember to ask for help whenever needed, and avoid overcomplicating the assignment!

How to Choose a Nursing Research Topic

The sheer volume of prospective nursing research topics can become overwhelming for students. Additionally, you may get the misconception that all the 'good' research ideas are exhausted. However, a personal approach may help you narrow down a research topic and find a unique angle.

Writing your research paper about a topic you value or connect with makes the task easier. Additionally, you should consider the material's breadth. Topics with plenty of existing literature will make developing a research question and thesis smoother.

Finally, feel free to shift gears if necessary, especially if you're still early in the research process. If you start down one path and have trouble finding published information, ask your professor if you can choose another topic.

The Best Research Topics for Nursing Students

You have endless subject choices for nursing research papers. This non-exhaustive list just scratches the surface of some of the best nursing research topics.

1. Clinical Nursing Research Topics

• Analyze the use of telehealth/virtual nursing to reduce inpatient nurse duties.
• Discuss the impact of evidence-based respiratory interventions on patient outcomes in critical care settings.
• Explore the effectiveness of pain management protocols in pediatric patients.

2. Community Health Nursing Research Topics

• Assess the impact of nurse-led diabetes education in Type II Diabetics.
• Analyze the relationship between socioeconomic status and access to healthcare services.

3. Nurse Education Research Topics

• Review the effectiveness of simulation-based learning to improve nursing students' clinical skills.
• Identify methods that best prepare pre-licensure students for clinical practice.
• Investigate factors that influence nurses to pursue advanced degrees.
• Evaluate education methods that enhance cultural competence among nurses.
• Describe the role of mindfulness interventions in reducing stress and burnout among nurses.

4. Mental Health Nursing Research Topics

• Explore patient outcomes related to nurse staffing levels in acute behavioral health settings.
• Assess the effectiveness of mental health education among emergency room nurses .
• Explore de-escalation techniques that result in improved patient outcomes.
• Review the effectiveness of therapeutic communication in improving patient outcomes.

5. Pediatric Nursing Research Topics

• Assess the impact of parental involvement in pediatric asthma treatment adherence.
• Explore challenges related to chronic illness management in pediatric patients.
• Review the role of play therapy and other therapeutic interventions that alleviate anxiety among hospitalized children.

6. The Nursing Profession Research Topics

• Analyze the effects of short staffing on nurse burnout .
• Evaluate factors that facilitate resiliency among nursing professionals.
• Examine predictors of nurse dissatisfaction and burnout.
• Posit how nursing theories influence modern nursing practice.

Tips for Writing a Nursing Research Paper

The best nursing research advice we can provide is to follow your professor's rubric and instructions. However, here are a few study tips for nursing students to make paper writing less painful:

Avoid procrastination: Everyone says it, but few follow this advice. You can significantly lower your stress levels if you avoid procrastinating and start working on your project immediately.

Plan Ahead: Break down the writing process into smaller sections, especially if it seems overwhelming. Give yourself time for each step in the process.

Research: Use your resources and ask for help from the librarian or instructor. The rest should come together quickly once you find high-quality studies to analyze.

Outline: Create an outline to help you organize your thoughts. Then, you can plug in information throughout the research process. 

Clear Language: Use plain language as much as possible to get your point across. Jargon is inevitable when writing academic nursing papers, but keep it to a minimum.

Cite Properly: Accurately cite all sources using the appropriate citation style. Nursing research papers will almost always implement APA style. Check out the resources below for some excellent reference management options.

Revise and Edit: Once you finish your first draft, put it away for one to two hours or, preferably, a whole day. Once you've placed some space between you and your paper, read through and edit for clarity, coherence, and grammatical errors. Reading your essay out loud is an excellent way to check for the 'flow' of the paper.

Helpful Nursing Research Writing Resources:

Purdue OWL (Online writing lab) has a robust APA guide covering everything you need about APA style and rules.

Grammarly helps you edit grammar, spelling, and punctuation. Upgrading to a paid plan will get you plagiarism detection, formatting, and engagement suggestions. This tool is excellent to help you simplify complicated sentences.

Mendeley is a free reference management software. It stores, organizes, and cites references. It has a Microsoft plug-in that inserts and correctly formats APA citations.

Don't let nursing research papers scare you away from starting nursing school or furthering your education. Their purpose is to develop skills you'll need to be an effective nurse: critical thinking, communication, and the ability to review published information critically.

Choose a great topic and follow your teacher's instructions; you'll finish that paper in no time.

Joleen Sams is a certified Family Nurse Practitioner based in the Kansas City metro area. During her 10-year RN career, Joleen worked in NICU, inpatient pediatrics, and regulatory compliance. Since graduating with her MSN-FNP in 2019, she has worked in urgent care and nursing administration. Connect with Joleen on LinkedIn or see more of her writing on her website.

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• v.26(5); 2021 Aug

Conducting integrative reviews: a guide for novice nursing researchers

Shannon dhollande.

Lecturer, School of Nursing, Midwifery & Social Sciences, CQ University Brisbane, Australia

Annabel Taylor

Professor, School of Nursing, Midwifery & Social Sciences, CQ University Brisbane, Australia

Silke Meyer

Associate Professor, School of Social Sciences, Monash University, Australia

Emergency Consultant, Emergency Department, Caboolture Hospital, Australia

Integrative reviews within healthcare promote a holistic understanding of the research topic. Structure and a comprehensive approach within reviews are important to ensure the reliability in their findings.

This paper aims to provide a framework for novice nursing researchers undertaking integrative reviews.

Established methods to form a research question, search literature, extract data, critically appraise extracted data and analyse review findings are discussed and exemplified using the authors’ own review as a comprehensive and reliable approach for the novice nursing researcher undertaking an integrative literature review.

Providing a comprehensive audit trail that details how an integrative literature review has been conducted increases and ensures the results are reproducible. The use of established tools to structure the various components of an integrative review increases robustness and readers’ confidence in the review findings.

Implications for practice

Novice nursing researchers may increase the reliability of their results by employing a framework to guide them through the process of conducting an integrative review.

A literature review is a critical analysis of published research literature based on a specified topic ( Pluye et al., 2016 ). Literature reviews identify literature then examine its strengths and weaknesses to determine gaps in knowledge ( Pluye et al. 2016 ). Literature reviews are an integral aspect of research projects; indeed, many reviews constitute a publication in themselves ( Snyder, 2019 ). There are various types of literature reviews based largely on the type of literature sourced ( Cronin et al. 2008 ). These include systematic literature reviews, traditional, narrative and integrative literature reviews ( Snyder, 2019 ). Aveyard and Bradbury-Jones (2019) found more than 35 commonly used terms to describe literature reviews. Within healthcare, systematic literature reviews initially gained traction and widespread support because of their reproducibility and focus on arriving at evidence-based conclusions that could influence practice and policy development ( Boell and Cecez-Kecmanovic, 2015 ). Yet, it became apparent that healthcare-related treatment options needed to review broader spectrums of research for treatment options to be considered comprehensive, holistic and patient orientated ( Boell and Cecez-Kecmanovic, 2015 ). Stern et al. (2014) suggest that despite the focus in healthcare on quantitative research not all pertinent questions surrounding the provision of care can be answered from this approach. To devise solutions to multidimensional problems, all forms of trustworthy evidence need to be considered ( Stern et al. 2014 ).

Integrative reviews assimilate research data from various research designs to reach conclusions that are comprehensive and reliable ( Soares et al. 2014 ). For example, an integrative review considers both qualitative and quantitative research to reach its conclusions. This approach promotes the development of a comprehensive understanding of the topic from a synthesis of all forms of available evidence ( Russell, 2005 ; Torraco, 2005 ). The strengths of an integrative review include its capacity to analyse research literature, evaluate the quality of the evidence, identify knowledge gaps, amalgamate research from various research designs, generate research questions and develop theoretical frameworks ( Russell, 2005 ). Aveyard and Bradbury-Jones (2019) suggested that integrative reviews exhibit similar characteristics to systematic reviews and may therefore be regarded as rigorous.

Integrative reviews value both qualitative and quantitative research which are built upon differing epistemological paradigms. Both types of research are vital in developing the evidence base that guides healthcare provision ( Leppäkoski and Paavilainen, 2012 ). Therefore, integrative reviews may influence policy development as their conclusions have considered a broad range of appropriate literature ( Whittemore and Knafl, 2005 ). An integrative approach to evidence synthesis allows healthcare professionals to make better use of all available evidence and apply it to the clinical practice environment ( Souza et al. 2010 ). For example, Aveyard and Bradbury-Jones (2019) found in excess of 12 different types of reviews employed to guide healthcare practice. The healthcare profession requires both quantitative and qualitative forms of research to establish the robust evidence base that enables the provision of evidence-based patient-orientated healthcare.

Integrative reviews require a specific set of skills to identify and synthesise literature ( Boell and Cecez-Kecmanovic, 2010 ). There remains a paucity of literature that provides explicit guidance to novice nursing researchers on how to conduct an integrative review and importantly how to ensure the results and conclusions are both comprehensive and reliable. Furthermore, novice nursing researchers may receive little formal training to develop the skills required to generate a comprehensive integrative review ( Boote and Beile, 2005 ). Aveyard and Bradbury-Jones (2019) also emphasised the limited literature providing guidance surrounding integrative reviews. Therefore, novice nursing researchers need to rely on published guidance to assist them. In this regard this paper, using an integrative review conducted by the authors as a case study, aims to provide a framework for novice nursing researchers conducting integrative reviews.

Developing the framework

In conducting integrative reviews, the novice nursing researcher may need to employ a framework to ensure the findings are comprehensive and reliable ( Boell and Cecez-Kecmanovic, 2010 ; Snyder, 2019 ). A framework to guide novice nursing researchers in conducting integrative reviews has been adapted by the authors and will now be described and delineated. This framework used various published literature to guide its creation, namely works by Aveyard and Bradbury-Jones (2019) , Nelson (2014), Stern et al. (2014) , Whittemore and Knafl (2005) , Pluye et al. (2009) , Moher et al., (2009) and Attride-Stirling, (2001) . The suggested framework involves seven steps ( Figure 1 ).

Integrative review framework ( Cooke et al. 2012 ; Riva et al. 2012 ).

Step 1: Write the review question

The review question acts as a foundation for an integrative study ( Riva et al. 2012 ). Yet, a review question may be difficult to articulate for the novice nursing researcher as it needs to consider multiple factors specifically, the population or sample, the interventions or area under investigation, the research design and outcomes and any benefit to the treatment ( Riva et al. 2012 ). A well-written review question aids the researcher to develop their research protocol/design and is of vital importance when writing an integrative review.

To articulate a review question there are numerous tools available to the novice nursing researcher to employ. These tools include variations on the PICOTs template (PICOT, PICO, PIO), and the Spider template. The PICOTs template is an established tool for structuring a research question. Yet, the SPIDER template has gained acceptance despite the need for further research to determine its applicability to multiple research contexts ( Cooke et al., 2012 ). Templates are recommended to aid the novice nursing researcher in effectively delineating and deconstructing the various elements within their review question. Delineation aids the researcher to refine the question and produce more targeted results within a literature search. In the case study, the review question was to: identify, evaluate and synthesise current knowledge and healthcare approaches to women presenting due to intimate partner violence (IPV) within emergency departments (ED). This review objective is delineated in the review question templates shown in Table 1 .

Comparison of elements involved with a PICOTS and SPIDER review question.

( Cooke et al. 2012 ; Riva et al. 2012 ).

Step 2: Determine the search strategy

In determining a search strategy, it is important for the novice nursing researcher to consider the databases employed, the search terms, the Boolean operators, the use of truncation and the use of subject headings. Furthermore, Nelson (2014) suggests that a detailed description of the search strategy should be included within integrative reviews to ensure readers are able to reproduce the results.

The databases employed within a search strategy need to consider the research aim and the scope of information contained within the database. Many databases vary in their coverage of specific journals and associated literature, such as conference proceedings ( Boell and Cecez-Kecmanovic, 2010 ). Therefore, the novice nursing researcher should consult several databases when conducting their searches. For example, search strategies within the healthcare field may utilise databases such as Cumulative Index to Nursing and Allied Healthcare Literature (CINAHL), Cochrane Library, Science Direct, ProQuest, Web of Science, Scopus and PsychInfo ( Cronin et al. 2008 ). These databases among others are largely considered appropriate repositories of reliable data that novice researchers may utilise when researching within healthcare. The date in which the searches are undertaken should be within the search strategy as searches undertaken after this date may generate increased results in line with the publication of further studies.

Utilising an established template to generate a research question allows for the delineation of key elements within the question as seen above. These key elements may assist the novice nursing researcher in determining the search terms they employ. Furthermore, keywords on published papers may provide the novice nursing researcher with alternative search terms, synonyms and introduce the researcher to key terminology employed within their field ( Boell and Cecez-Kecmanovic, 2010 ). For example, within the case study undertaken the search terms included among others: ‘domestic violence’, ‘domestic abuse’, ‘intimate partner violence and/or abuse’. To refine the search to the correct healthcare environment the terms ‘emergency department’ and/or ‘emergency room’ were employed. To link search terms, the researcher should consider their use of Boolean operators ‘And’ ‘Or’ and ‘Not’ and their use of truncation ( Cronin et al. 2008 ). Truncation is the shortening of words which in literature searches may increase the number of search results. Medical subject headings (MeSH) or general subject headings should be employed where appropriate and within this case study the headings included ‘nursing’, ‘domestic violence’ and ‘intimate partner violence’.

Inclusion and exclusion criteria allow the novice nursing researcher to reduce and refine the search parameters and locate the specific data they seek. Appropriate use of inclusion and exclusion criteria permits relevant data to be sourced as wider searches can produce a large amount of disparate data, whereas a search that is too narrow may result in the omission of significant findings ( Boell and Cecez-Kecmanovic, 2010 ). The novice nursing researcher needs to be aware that generating a large volume of search results may not necessarily result in relevant data being identified. Within integrative reviews there is potential for a large volume of data to be sourced and therefore time and resources required to complete the review need to be considered ( Heyvaert et al. 2017 ). The analysis and refining of a large volume of data can become a labour-intensive exercise for the novice nursing researcher ( Boell and Cecez-Kecmanovic, 2010 ).

Stern et al. (2014) suggest various elements that should be considered within inclusion/exclusion criteria:

• the type of studies included;
• the topic under exploration;
• the outcomes;
• publication language;
• the time period; and
• the methods employed.

The use of limiters or exclusion criteria are an effective method to manage the amount of time it takes to undertake searches and limit the volume of research generated. Yet, exclusion criteria may introduce biases in the search results and should therefore be used with caution and to produce specific outcomes by the novice nursing researcher ( Hammerstrøm et al. 2017 ).

Whittemore and Knafl (2005) suggest that randomised controlled trials, prospective and retrospective cohort studies, case control studies, cross sectional studies, systematic reviews and meta-analyses should all be included within the search strategy. Therefore, there are no biases based on the type of publication sourced ( Hammerstrøm et al. 2017 ).

There should be no restriction on the sample size within the studies recognising that qualitative studies generally have smaller sample sizes, and to capture the breadth of research available. There was no restriction on the date of publication within the case study as quality literature was limited. Scoping widely is an important strategy within integrative reviews to produce comprehensive results. A manual citation search of the reference list of all sourced papers was also undertaken by a member of the research team.

Literature may be excluded if those papers were published in a language foreign to the researcher with no accepted translation available. Though limiting papers based on translation availability may introduce some bias, this does ensure the review remains free from translational errors and cultural misinterpretations. In the case study, research conducted in developing countries with a markedly different healthcare service and significant resource limitations were excluded due to their lack of generalisability and clinical relevance; though this may have introduced a degree of location bias ( Nelson, 2014 ).

A peer review of the search strategy by an individual who specialises in research data searches such as a research librarian may be a viable method in which the novice healthcare researcher can ensure the search strategy is appropriate and able to generate the required data. One such tool that a novice nurse may employ is the Peer Review of the Search Strategy (PRESS) checklist. A peer review of the caste study was undertaken by a research librarian. All recommendations were incorporated into the search strategy which included removing a full text limiter, and changes to the Boolean and proximity operators.

After the search strategy has been implemented the researcher removes duplicate results and screened the retrieved publications based on their titles and abstracts. A second screening was then undertaken based on the full text of retrieved publications to remove papers that were irrelevant to the research question. Full text copies should then be obtained for critical appraisal employing validated methods.

Step 3: Critical appraisal of search results

The papers identified within the search strategy should undergo a critical appraisal to determine if they are appropriate and of sufficient quality to be included within the review. This should be conducted or reviewed by a second member of the research team, which occurred within this case study. Any discrepancies were discussed until consensus was achieved. A critical appraisal allows the novice healthcare researcher to appraise the relevance and trustworthiness of a study and, therefore, determine its applicability to their research (CASP, 2013). There are several established tools a novice nurse can employ in which to structure their critical appraisal. These include the Scoring System for Mixed-Methods Research and Mixed Studies Reviews developed by Pluye et al. (2009) and the Critical Appraisal Skills Programme (CASP, 2018) Checklists.

The review undertaken by the authors employed the scoring system for mixed-methods research and mixed-studies reviews developed by Pluye et al. (2009) . This scoring system was specifically designed for reviews employing studies from various research designs and therefore was utilised with ease ( Table 2 ).

The scoring system for mixed-methods research and mixed-studies reviews ( Pluye et al. 2009 ).

Using the CASP checklist aids the novice nursing researcher to examine the methodology of identified papers to establish validity. This critical appraisal tool contains 10 items. These items are yes or no questions that assist the researcher to determine (a) if the results of the paper are valid, (b) what the results are and (c) if it is relevant in the context of their study. For example, the checklist asks the researcher to consider the presence of a clear statement surrounding the aims of the research, and to consider why and how the research is important in regard to their topic (CASP, 2013). This checklist supports the nurse researcher to assess the validity, results and significance of research, and therefore appropriately decide on its inclusion within the review ( Krainovich-Miller et al., 2009 ).

Step 4: Summarise the search results

A summary of the results generated by literature searches is important to exemplify how comprehensive the literature is or conversely to identify if there are gaps in research. This summary should include the number of, and type of papers included within the review post limiters, screening and critical appraisal of search results. For example, within the review detailed throughout this paper the search strategy resulted in the inclusion of 25 qualitative and six quantitative papers ( Bakon et al. 2019 ). Many papers provide a summary of their search results visually in a Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) flow diagram ( Boell and Cecez-Kecmanovic, 2015 ). PRISMA is a method of reporting that enables readers to assess the robustness of the results ( Leclercq et al. 2019 ; Moher et al. 2009 ). PRISMA promotes the transparency of the search process by delineating various items within the search process ( Leclercq et al. 2019 ; Moher et al. 2009 ). Researchers may decide how rigorously they follow this process yet should provide a rationale for any deviations ( Leclercq et al. 2019 ; Moher et al, 2009 ). Figure 2 is an example of the PRISMA flow diagram as it was applied within the case study.

Example PRISMA flow diagram ( Bakon et al. 2019 ; Moher et al. 2009 ).

Step 5: Data extraction and reduction

Data can be extracted from the critically appraised papers identified through the search strategy employing extraction tables. Within the case study data were clearly delineated, as suggested by Boell and Cecez-Kecmanovic (2010) , into extraction or comparison tables ( Table 3 ). These tables specify the authors, the date of publication, year of publication, site where the research was conducted and the key findings. Setting out the data into tables facilitates the comparison of these variables and aids the researcher to determine the appropriateness of the papers’ inclusion or exclusion within the review ( Whittemore and Knafl, 2005 ).

Example of a data extraction table.

Step 6: Analysis

Thematic analysis is widely used in integrative research ( Attride-Stirling, 2001 ). In this section we will discuss the benefits of employing a structured approach to thematic analysis including the formation of a thematic network. A thematic network is a visual diagram or depiction of the themes displaying their interconnectivity. Thematic analysis with the development of a thematic network is a way of identifying themes at various levels and depicting the observed relationships and organisation of these themes ( Attride-Stirling, 2001 ). There are numerous methods and tools available in which to conduct a thematic analysis that may be of use to the novice healthcare researcher conducting an integrative review. The approach used in a thematic analysis is important though a cursory glance at many literature reviews will reveal that many authors do not delineate the methods they employ. This includes the thematic analysis approach suggested by Thomas and Harden (2008) and the approach to thematic networking suggested by Attride-Stirling (2001) .

Thomas and Harden (2008) espouse a three-step approach to thematic analysis which includes: (a) coding, (b) organisation of codes into descriptive themes, and (c) the amalgamation of descriptive themes into analytical themes. The benefit of this approach lies in its simplicity and the ease with which a novice nurse researcher can apply the required steps. In contrast, the benefit of the approach suggested by Attride-Stirling (2001) lies in its ability to move beyond analysis and generate a visual thematic network which facilitates a critical interpretation and synthesis of the data.

Thematic networks typically depict three levels: basic themes, organising themes and global themes ( Attride-Stirling, 2001 ). The thematic network can then be developed. A thematic network is a visual depiction that appears graphically as a web like design ( Attride-Stirling, 2001 ). Thematic networks emphasise the relationships and interconnectivity of the network. It is an illustrative tool that facilitates interpretation of the data ( Attride-Stirling, 2001 ).

The benefits of employing a thematic analysis and networking within integrative reviews is the flexibility inherent within the approach, which allows the novice nursing researcher to provide a comprehensive accounting of the data ( Nowell et al. 2017 ). Thematic analysis is also an easily grasped form of data analysis that is useful for exploring various perspectives on specific topics and highlighting knowledge gaps ( Nowell et al. 2017 ). Thematic analysis and networking is also useful as a method to summarise large or diversified data sets to produce insightful conclusions ( Attride-Stirling, 2001 ; Nowell et al. 2017 ). The ability to assimilate data from various seemingly disparate perspectives may be challenging for the novice nursing researcher conducting an integrative review yet this integration of data by thematic analysis and networking was is integral.

To ensure the trustworthiness of results, novice nursing researchers need to clearly articulate each stage within the chosen method of data analysis ( Attride-Stirling, 2001 ; Nowell et al. 2017 ). The method employed in data analysis needs to be precise and exhaustively delineated ( Attride-Stirling, 2001 ; Nowell et al. 2017 ). Attride-Stirling (2001) suggests six steps within her methods of thematic analysis and networking. These steps include:

• code material;
• identify themes;
• construct thematic network;
• describe and explore the thematic network;
• summarise thematic network findings; and
• interpret patterns to identify implications.

In employing the approach suggested by Attride-Stirling (2001) within the case study the coding of specific findings within the data permitted the development of various themes ( Table 4 ). Inclusion of both quantitative and qualitative findings within the themes facilitated integration of the data which identified patterns and generated insights into the current care provided to IPV victims within ED.

Coding and theme formation.

Step 7: Conclusions and implications

A conclusion is important to remind the reader why the research topic is important. The researcher can then follow advice by Higginbottom (2015) who suggests that in drawing and writing research conclusions the researcher has an opportunity to explain the significance of the findings. The researcher may also need to explain these conclusions in light of the study limitations and parameters. Higginbottom (2015) emphasises that a conclusion is not a summary or reiteration of the results but a section which details the broader implications of the research and translates this knowledge into a format that is of use to the reader. The implications of the review findings for healthcare practice, for healthcare education and research should be considered.

Employing this structured and comprehensive framework within the case study the authors were able to determine that there remains a marked barrier in the provision of healthcare within the ED to women presenting with IPV-related injury. By employing an integrative approach multiple forms of literature were reviewed, and a considerable gap was identified. Therefore, further research may need to focus on the developing a structured healthcare protocol to aid ED clinicians to meet the needs of this vulnerable patient population.

Integrative reviews can be conducted with success when they follow a structured approach. This paper proposes a framework that novice nursing researchers can employ. Applying our stepped framework within an integrative review will strengthen the robustness of the study and facilitate its translation into policy and practice. This framework was employed by the authors to identify, evaluate and synthesise current knowledge and approaches of health professionals surrounding the care provision of women presenting due to IPV within emergency departments. The recommendations from the case study are currently being translated and implemented into the practice environment.

Key points for policy, practice and/or research

• Integrative literature reviews are required within nursing to consider elements of care provision from a holistic perspective.
• There is currently limited literature providing explicit guidance on how to undertake an integrative literature review.
• Clear delineation of the integrative literature review process demonstrates how the knowledge base was understood, organised and analysed.
• Nurse researchers may utilise this guidance to ensure the reliability of their integrative review.

Shannon Dhollande is a Lecturer, registered nurse and researcher. Her research explores the provision of emergency care to vulnerable populations.

Annabel Taylor is a Professorial Research Fellow at CQ University who with her background in social work explores methods of addressing gendered violence such as domestic violence.

Silke Meyer is an Associate Professor in Criminology and the Deputy Director of the Gender and Family Violence Prevention Centre at Monash University.

Mark Scott is an Emergency Medical Consultant with a track record in advancing emergency healthcare through implementation of evidence-based healthcare.

Declaration of conflicting interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Ethics: Due to the nature of this article this article did not require ethical approval.

Funding: The author(s) received no financial support for the research, authorship, and/or publication of this article.

Shannon Dhollande https://orcid.org/0000-0003-3181-7606

Silke Meyer https://orcid.org/0000-0003-3964-042X

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Nursing: How to Write a Literature Review

• Traditional or Narrative Literature Review

Getting started

1. start with your research question, 2. search the literature, 3. read & evaluate, 4. finalize results, 5. write & revise, brainfuse online tutoring and writing review.

• RESEARCH HELP

The best way to approach your literature review is to break it down into steps.  Remember, research is an iterative process, not a linear one.  You will revisit steps and revise along the way.  Get started with the handout, information, and tips from various university Writing Centers below that provides an excellent overview.  Then move on to the specific steps recommended on this page.

• UNC- Chapel Hill Writing Center Literature Review Handout, from the University of North Carolina at Chapel Hill.
• University of Wisconsin-Madison Writing Center Learn how to write a review of literature, from the University of Wisconsin-Madison.
• University of Toronto-- Writing Advice The Literature Review: A few tips on conducting it, from the University of Toronto.
• Begin with a topic.
• Understand the topic. 
• Familiarize yourself with the terminology.  Note what words are being used and keep track of these for use as database search keywords. 
• See what research has been done on this topic before you commit to the topic.  Review articles can be helpful to understand what research has been done .
• Develop your research question.  (see handout below)
• How comprehensive should it be? 
• Is it for a course assignment or a dissertation? 
• How many years should it cover?
• Developing a good nursing research question Handout. Reviews PICO method and provides search tips.

Your next step is to construct a search strategy and then locate & retrieve articles.

•  There are often 2-4 key concepts in a research question.
• Search for primary sources (original research articles.)
• These are based on the key concepts in your research question.
• Remember to consider synonyms and related terms.
• Which databases to search?
• What limiters should be applied (peer-reviewed, publication date, geographic location, etc.)?

Review articles (secondary sources)

Use to identify literature on your topic, the way you would use a bibliography.  Then locate and retrieve the original studies discussed in the review article. Review articles are considered secondary sources.

• Once you have some relevant articles, review reference lists to see if there are any useful articles.
• Which articles were written later and have cited some of your useful articles?  Are these, in turn, articles that will be useful to you? 
• Keep track of what terms you used and what databases you searched. 
• Use database tools such as save search history in EBSCO to help.
• Keep track of the citations for the articles you will be using in your literature review. 
• Use RefWorks or another method of tracking this information. 
• Database Search Strategy Worksheet Handout. How to construct a search.
• TUTORIAL: How to do a search based on your research question This is a self-paced, interactive tutorial that reviews how to construct and perform a database search in CINAHL.

The next step is to read, review, and understand the articles.

• Start by reviewing abstracts. 
• Make sure you are selecting primary sources (original research articles).
• Note any keywords authors report using when searching for prior studies.
• You will need to evaluate and critique them and write a synthesis related to your research question.
• Consider using a matrix to organize and compare and contrast the articles . 
• Which authors are conducting research in this area?  Search by author.  
• Are there certain authors’ whose work is cited in many of your articles?  Did they write an early, seminal article that is often cited?
• Searching is a cyclical process where you will run searches, review results, modify searches, run again, review again, etc. 
• Critique articles.  Keep or exclude based on whether they are relevant to your research question.
• When you have done a thorough search using several databases plus Google Scholar, using appropriate keywords or subject terms, plus author’s names, and you begin to find the same articles over and over.
• Remember to consider the scope of your project and the length of your paper.  A dissertation will have a more exhaustive literature review than an 8 page paper, for example.
• What are common findings among each group or where do they disagree? 
• Identify common themes. Identify controversial or problematic areas in the research. 
• Use your matrix to organize this.
• Once you have read and re-read your articles and organized your findings, you are ready to begin the process of writing the literature review.

2. Synthesize.  (see handout below)

• Include a synthesis of the articles you have chosen for your literature review.
• A literature review is NOT a list or a summary of what has been written on a particular topic. 
• It analyzes the articles in terms of how they relate to your research question. 
• While reading, look for similarities and differences (compare and contrast) among the articles.  You will create your synthesis from this.
• Synthesis Examples Handout. Sample excerpts that illustrate synthesis.

Regis Online students have access to Brainfuse. Brainfuse is an online tutoring service available through a link in Moodle. Meet with a tutor in a live session or submit your paper for review.

• Brainfuse Tutoring and Writing Assistance for Regis Online Students by Tricia Reinhart Last Updated Oct 26, 2023 335 views this year
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Literature Review Overview

What is a Literature Review? Why Are They Important?

A literature review is important because it presents the "state of the science" or accumulated knowledge on a specific topic. It summarizes, analyzes, and compares the available research, reporting study strengths and weaknesses, results, gaps in the research, conclusions, and authors’ interpretations.

Tips and techniques for conducting a literature review are described more fully in the subsequent boxes:

• Literature review steps
• Strategies for organizing the information for your review
• Literature reviews sections
• In-depth resources to assist in writing a literature review
• Templates to start your review
• Literature review examples

Literature Review Steps

Graphic used with permission: Torres, E. Librarian, Hawai'i Pacific University

1. Choose a topic and define your research question

• Try to choose a topic of interest. You will be working with this subject for several weeks to months.
• Ideas for topics can be found by scanning medical news sources (e.g MedPage Today), journals / magazines, work experiences, interesting patient cases, or family or personal health issues.
• Do a bit of background reading on topic ideas to familiarize yourself with terminology and issues. Note the words and terms that are used.
• Develop a focused research question using PICO(T) or other framework (FINER, SPICE, etc - there are many options) to help guide you.
• Run a few sample database searches to make sure your research question is not too broad or too narrow.
• If possible, discuss your topic with your professor. 

2. Determine the scope of your review

The scope of your review will be determined by your professor during your program. Check your assignment requirements for parameters for the Literature Review.

• How many studies will you need to include?
• How many years should it cover? (usually 5-7 depending on the professor)
• For the nurses, are you required to limit to nursing literature?

3. Develop a search plan

• Determine which databases to search. This will depend on your topic. If you are not sure, check your program specific library website (Physician Asst / Nursing / Health Services Admin) for recommendations.
• Create an initial search string using the main concepts from your research (PICO, etc) question. Include synonyms and related words connected by Boolean operators
• Contact your librarian for assistance, if needed.

4. Conduct searches and find relevant literature

• Keep notes as you search - tracking keywords and search strings used in each database in order to avoid wasting time duplicating a search that has already been tried
• Read abstracts and write down new terms to search as you find them
• Check MeSH or other subject headings listed in relevant articles for additional search terms
• Scan author provided keywords if available
• Check the references of relevant articles looking for other useful articles (ancestry searching)
• Check articles that have cited your relevant article for more useful articles (descendancy searching). Both PubMed and CINAHL offer Cited By links
• Revise the search to broaden or narrow your topic focus as you peruse the available literature
• Conducting a literature search is a repetitive process. Searches can be revised and re-run multiple times during the process.
• Track the citations for your relevant articles in a software citation manager such as RefWorks, Zotero, or Mendeley

5. Review the literature

• Read the full articles. Do not rely solely on the abstracts. Authors frequently cannot include all results within the confines of an abstract. Exclude articles that do not address your research question.
• While reading, note research findings relevant to your project and summarize. Are the findings conflicting? There are matrices available than can help with organization. See the Organizing Information box below.
• Critique / evaluate the quality of the articles, and record your findings in your matrix or summary table. Tools are available to prompt you what to look for. (See Resources for Appraising a Research Study box on the HSA, Nursing , and PA guides )
• You may need to revise your search and re-run it based on your findings.

6. Organize and synthesize

• Compile the findings and analysis from each resource into a single narrative.
• Using an outline can be helpful. Start broad, addressing the overall findings and then narrow, discussing each resource and how it relates to your question and to the other resources.
• Cite as you write to keep sources organized.
• Write in structured paragraphs using topic sentences and transition words to draw connections, comparisons, and contrasts.
• Don't present one study after another, but rather relate one study's findings to another. Speak to how the studies are connected and how they relate to your work.

Organizing Information

Options to assist in organizing sources and information :

1. Synthesis Matrix

• helps provide overview of the literature
• information from individual sources is entered into a grid to enable writers to discern patterns and themes
• article summary, analysis, or results
• thoughts, reflections, or issues
• each reference gets its own row
• mind maps, concept maps, flowcharts
• at top of page record PICO or research question
• record major concepts / themes from literature
• list concepts that branch out from major concepts underneath - keep going downward hierarchically, until most specific ideas are recorded
• enclose concepts in circles and connect the concept with lines - add brief explanation as needed

3. Summary Table

• information is recorded in a grid to help with recall and sorting information when writing
• allows comparing and contrasting individual studies easily
• purpose of study
• methodology (study population, data collection tool)

Efron, S. E., & Ravid, R. (2019). Writing the literature review : A practical guide . Guilford Press.

Literature Review Sections

• Lit reviews can be part of a larger paper / research study or they can be the focus of the paper
• Lit reviews focus on research studies to provide evidence
• New topics may not have much that has been published

* The sections included may depend on the purpose of the literature review (standalone paper or section within a research paper)

Standalone Literature Review (aka Narrative Review):

• presents your topic or PICO question
• includes the why of the literature review and your goals for the review.
• provides background for your the topic and previews the key points
• Narrative Reviews: tmay not have an explanation of methods.
• include where the search was conducted (which databases) what subject terms or keywords were used, and any limits or filters that were applied and why - this will help others re-create the search
• describe how studies were analyzed for inclusion or exclusion
• review the purpose and answer the research question
• thematically - using recurring themes in the literature
• chronologically - present the development of the topic over time
• methodological - compare and contrast findings based on various methodologies used to research the topic (e.g. qualitative vs quantitative, etc.)
• theoretical - organized content based on various theories
• provide an overview of the main points of each source then synthesize the findings into a coherent summary of the whole
• present common themes among the studies
• compare and contrast the various study results
• interpret the results and address the implications of the findings
• do the results support the original hypothesis or conflict with it
• provide your own analysis and interpretation (eg. discuss the significance of findings; evaluate the strengths and weaknesses of the studies, noting any problems)
• discuss common and unusual patterns and offer explanations
•  stay away from opinions, personal biases and unsupported recommendations
• summarize the key findings and relate them back to your PICO/research question
• note gaps in the research and suggest areas for further research
• this section should not contain "new" information that had not been previously discussed in one of the sections above
• provide a list of all the studies and other sources used in proper APA 7

Literature Review as Part of a Research Study Manuscript:

• Compares the study with other research and includes how a study fills a gap in the research.
• Focus on the body of the review which includes the synthesized Findings and Discussion

Literature Reviews vs Systematic Reviews

Systematic Reviews are NOT the same as a Literature Review:

Literature Reviews:

• Literature reviews may or may not follow strict systematic methods to find, select, and analyze articles, but rather they selectively and broadly review the literature on a topic
• Research included in a Literature Review can be "cherry-picked" and therefore, can be very subjective

Systematic Reviews:

• Systemic reviews are designed to provide a comprehensive summary of the evidence for a focused research question
• rigorous and strictly structured, using standardized reporting guidelines (e.g. PRISMA, see link below)
• uses exhaustive, systematic searches of all relevant databases
• best practice dictates search strategies are peer reviewed
• uses predetermined study inclusion and exclusion criteria in order to minimize bias
• aims to capture and synthesize all literature (including unpublished research - grey literature) that meet the predefined criteria on a focused topic resulting in high quality evidence

Literature Review Examples

• Breastfeeding initiation and support: A literature review of what women value and the impact of early discharge (2017). Women and Birth : Journal of the Australian College of Midwives
• Community-based participatory research to promote healthy diet and nutrition and prevent and control obesity among African-Americans: A literature review (2017). Journal of Racial and Ethnic Health Disparities

• Vitamin D deficiency in individuals with a spinal cord injury: A literature review (2017). Spinal Cord

Resources for Writing a Literature Review

These sources have been used in developing this guide.

Resources Used on This Page

Aveyard, H. (2010). Doing a literature review in health and social care : A practical guide . McGraw-Hill Education.

Purdue Online Writing Lab. (n.d.). Writing a literature review . Purdue University. https://owl.purdue.edu/owl/research_and_citation/conducting_research/writing_a_literature_review.html

Torres, E. (2021, October 21). Nursing - graduate studies research guide: Literature review. Hawai'i Pacific University Libraries. Retrieved January 27, 2022, from https://hpu.libguides.com/c.php?g=543891&p=3727230

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• Reference Resources
• Evidence Summaries & Clinical Guidelines
• Drug Information
• Health Data & Statistics
• Patient/Consumer Facing Materials
• Images and Streaming Video
• Grey Literature
• Mobile Apps & "Point of Care" Tools
• Tests & Measures This link opens in a new window
• Citing Sources
• Selecting Databases
• Framing Research Questions
• Crafting a Search
• Narrowing / Filtering a Search
• Expanding a Search
• Cited Reference Searching
• Saving Searches
• Term Glossary
• Critical Appraisal Resources
• What are Literature Reviews?
• Conducting & Reporting Systematic Reviews
• Finding Systematic Reviews
• Tutorials & Tools for Literature Reviews
• Finding Full Text

What are Systematic Reviews? (3 minutes, 24 second YouTube Video)

Systematic Literature Reviews: Steps & Resources

These steps for conducting a systematic literature review are listed below . 

Also see subpages for more information about:

• The different types of literature reviews, including systematic reviews and other evidence synthesis methods
• Tools & Tutorials

Literature Review & Systematic Review Steps

• Develop a Focused Question
• Scope the Literature  (Initial Search)
• Refine & Expand the Search
• Limit the Results
• Download Citations
• Abstract & Analyze
• Create Flow Diagram
• Synthesize & Report Results

1. Develop a Focused   Question 

Consider the PICO Format: Population/Problem, Intervention, Comparison, Outcome

Focus on defining the Population or Problem and Intervention (don't narrow by Comparison or Outcome just yet!)

"What are the effects of the Pilates method for patients with low back pain?"

Tools & Additional Resources:

• PICO Question Help
• Stillwell, Susan B., DNP, RN, CNE; Fineout-Overholt, Ellen, PhD, RN, FNAP, FAAN; Melnyk, Bernadette Mazurek, PhD, RN, CPNP/PMHNP, FNAP, FAAN; Williamson, Kathleen M., PhD, RN Evidence-Based Practice, Step by Step: Asking the Clinical Question, AJN The American Journal of Nursing : March 2010 - Volume 110 - Issue 3 - p 58-61 doi: 10.1097/01.NAJ.0000368959.11129.79

2. Scope the Literature

A "scoping search" investigates the breadth and/or depth of the initial question or may identify a gap in the literature. 

Eligible studies may be located by searching in:

• Background sources (books, point-of-care tools)
• Article databases
• Trial registries
• Grey literature
• Cited references
• Reference lists

When searching, if possible, translate terms to controlled vocabulary of the database. Use text word searching when necessary.

Use Boolean operators to connect search terms:

• Combine separate concepts with AND  (resulting in a narrower search)
• Connecting synonyms with OR  (resulting in an expanded search)

Search:  pilates AND ("low back pain"  OR  backache )

Video Tutorials - Translating PICO Questions into Search Queries

• Translate Your PICO Into a Search in PubMed (YouTube, Carrie Price, 5:11) 
• Translate Your PICO Into a Search in CINAHL (YouTube, Carrie Price, 4:56)

3. Refine & Expand Your Search

Expand your search strategy with synonymous search terms harvested from:

• database thesauri
• reference lists
• relevant studies

Example: 

(pilates OR exercise movement techniques) AND ("low back pain" OR backache* OR sciatica OR lumbago OR spondylosis)

As you develop a final, reproducible strategy for each database, save your strategies in a:

• a personal database account (e.g., MyNCBI for PubMed)
• Log in with your NYU credentials
• Open and "Make a Copy" to create your own tracker for your literature search strategies

4. Limit Your Results

Use database filters to limit your results based on your defined inclusion/exclusion criteria.  In addition to relying on the databases' categorical filters, you may also need to manually screen results.  

• Limit to Article type, e.g.,:  "randomized controlled trial" OR multicenter study
• Limit by publication years, age groups, language, etc.

NOTE: Many databases allow you to filter to "Full Text Only".  This filter is  not recommended . It excludes articles if their full text is not available in that particular database (CINAHL, PubMed, etc), but if the article is relevant, it is important that you are able to read its title and abstract, regardless of 'full text' status. The full text is likely to be accessible through another source (a different database, or Interlibrary Loan).  

• Filters in PubMed
• CINAHL Advanced Searching Tutorial

5. Download Citations

Selected citations and/or entire sets of search results can be downloaded from the database into a citation management tool. If you are conducting a systematic review that will require reporting according to PRISMA standards, a citation manager can help you keep track of the number of articles that came from each database, as well as the number of duplicate records.

In Zotero, you can create a Collection for the combined results set, and sub-collections for the results from each database you search.  You can then use Zotero's 'Duplicate Items" function to find and merge duplicate records.

• Citation Managers - General Guide

6. Abstract and Analyze

• Migrate citations to data collection/extraction tool
• Screen Title/Abstracts for inclusion/exclusion
• Screen and appraise full text for relevance, methods, 
• Resolve disagreements by consensus

Covidence is a web-based tool that enables you to work with a team to screen titles/abstracts and full text for inclusion in your review, as well as extract data from the included studies.

• Covidence Support
• Critical Appraisal Tools
• Data Extraction Tools

7. Create Flow Diagram

The PRISMA (Preferred Reporting Items for Systematic reviews and Meta-Analyses) flow diagram is a visual representation of the flow of records through different phases of a systematic review.  It depicts the number of records identified, included and excluded.  It is best used in conjunction with the PRISMA checklist .

Example from: Stotz, S. A., McNealy, K., Begay, R. L., DeSanto, K., Manson, S. M., & Moore, K. R. (2021). Multi-level diabetes prevention and treatment interventions for Native people in the USA and Canada: A scoping review. Current Diabetes Reports, 2 (11), 46. https://doi.org/10.1007/s11892-021-01414-3

• PRISMA Flow Diagram Generator (ShinyApp.io, Haddaway et al. )
• PRISMA Diagram Templates  (Word and PDF)
• Make a copy of the file to fill out the template
• Image can be downloaded as PDF, PNG, JPG, or SVG
• Covidence generates a PRISMA diagram that is automatically updated as records move through the review phases

8. Synthesize & Report Results

There are a number of reporting guideline available to guide the synthesis and reporting of results in systematic literature reviews.

It is common to organize findings in a matrix, also known as a Table of Evidence (ToE).

• Reporting Guidelines for Systematic Reviews
• Download a sample template of a health sciences review matrix  (GoogleSheets)

Steps modified from: 

Cook, D. A., & West, C. P. (2012). Conducting systematic reviews in medical education: a stepwise approach.   Medical Education , 46 (10), 943–952.

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Literature Reviews for Education and Nursing Graduate Students

(15 reviews)

Linda Frederiksen, Washington State University Vancouver

Sue F. Phelps, Washington State University Vancouver

Copyright Year: 2017

Publisher: Rebus Community

Language: English

Formats Available

Conditions of use.

Learn more about reviews.

Reviewed by Rebecca Appleton, Professor of Nursing, Marshall University on 5/7/24

It is very through in covering the steps of a well written literature review read more

Comprehensiveness rating: 5 see less

It is very through in covering the steps of a well written literature review

Content Accuracy rating: 5

I have not read the entire book, but what I did read was very good.

Relevance/Longevity rating: 5

It is up to date, but doing a Literature Review is covered in a step-wise manner, includes writing the LR>

Clarity rating: 5

Very clear step-by-step approach

Consistency rating: 5

It is very consistent!

Modularity rating: 5

Chapters are orderly and succinct

Organization/Structure/Flow rating: 5

Strait forward order.

Interface rating: 5

I did not notice Interface issues.

Grammatical Errors rating: 5

No grammatical errors were noticed.

Cultural Relevance rating: 5

I did not notice any problems with cultural Insensitivity

I plan to use this in a Nursing Research class for Graduate Students, and I am trying a new approach to finding the best Research Evidence on a Nursing Topic. Can't wait to see if this help my graduate students understand research literature better.

Reviewed by Barbara Schneider, Professor, University of Texas at Arlington on 4/29/24

This textbook covers the range of topics important for a literature review, including formulating a research question, finding scholarly articles, evaluating sources, and synthesizing source content. The videos are great supplements to the text. read more

This textbook covers the range of topics important for a literature review, including formulating a research question, finding scholarly articles, evaluating sources, and synthesizing source content. The videos are great supplements to the text.

Overall, the content is accurate. Consider labeling Nursing as a health profession/discipline.

Relevance/Longevity rating: 4

Much of the content remains relevant. Updated examples would be helpful to today's graduate students.

The textbook is clearly written.

Consistency rating: 4

In general, the text is consistent. There could be more consistency in the formatting of the references.

The modularity is an asset.

There is a logical flow to the topics.

The links to outside materials are helpful.

No grammatical errors were evident.

The examples seemed inclusive.

Those who are new to writing a literature review would find this book useful.

Reviewed by Yolanda Griffiths, Professor of Occupational Therapy, Drake University on 12/15/21

The authors were thorough and very organized in stepping readers through the process of conducting and writing a literature review. Each area is appropriately indexed and examples are provided in a variety of ways. The synthesis section is... read more

The authors were thorough and very organized in stepping readers through the process of conducting and writing a literature review. Each area is appropriately indexed and examples are provided in a variety of ways. The synthesis section is especially useful as students often do not understand what this means. Perhaps some content on plagiarism would benefit this section as well. The flow of the material easily guides users logically through each topic.

The content is accurate and unbiased. The content is presented in an easy to understand way with videos, and examples.

The relevance of the content is classic and the text should be pertinent for many years. The links included in the text are very useful and should be easy for authors to check periodically. Using a digital media is more relevant to today's students than print textbooks. Each section addresses a reasonable chunk of information.

The book is user friendly, written in an easy to understand manner, and graphics or links add to the understanding of the content. Definitions are clearly written. Such as clarifying the types of literature reviews will be useful for students. Providing a test yourself section at the end of sections allows the reader to check if any content was confusing or not clear.

The text is consistently laid out in a logical manner which helps to unpack content which may be new or unfamiliar to the reader/student.

The amount of content allocated to each chapter is appropriate and will be easy to assign readings. The chapter headings are clear and the embedded videos, charts and test questions enlighten each subunit. The hyperlinking in the table of contents helps to navigate the chapters well.

The organization of the content is logical and easy to understand the process of completing a literature review. The book is laid out much like a road map where students can see the big picture as well as the supporting parts to the process. The references by chapter are very useful.

The graphics were clear, and the non-serif font aids in eye fatigue. One recommendation is to lower the brightness of the bold blue text in the table of contents to reduce eye fatigue. There was no problem to play the videos and the audio was clear. All links worked well.

There were no grammatical errors. There were a few typos such as 1.3.1.8 needs a space between "A specific", 2.3 in the phrase "Articles by the type of periodical in which an article it is published" perhaps remove the word "it", in the table on page 41. under Nursing , the word clinical is spelled "Cclinical", remove the capital C.

No evidence of cultural bias or insensitivity.

I am very excited to use this textbook in my doctoral level occupational therapy class. The inclusion of concise explanations of PICO and SPICE will be very useful. This will be a wonderful resource for graduate students and being mindful of costs for textbooks is compassionate.

Reviewed by Susan Bassett, Instructor, Nursing Graduate Program, Eastern New Mexico University on 11/9/21

Each chapter presented a different aspect of doing a literature review. This was organized and orderly. The index/table of contents was very detailed which allowed the reader to easily use this book as a reference while conducting a literature... read more

Each chapter presented a different aspect of doing a literature review. This was organized and orderly. The index/table of contents was very detailed which allowed the reader to easily use this book as a reference while conducting a literature review.

The content appeared to be entirely accurate. It did a good job of combining information for both education and nursing students. The authors addressed pertinent points of research study development as well as the specific methodology of approaching a research-focused literature review.

The text was up-to-date in methodology, which should not change frequently. The many links to websites were very helpful and yet were basic enough that they should be relevant for years. If they do need updating, the are clearly presented and should be easily updated. The breakdown to very small "chunks" of information per section will help in easily updating specific parts of information.

The book presented a rather complex topic in an extremely straight-forward, easy to read, clear manner. Each small "chunk" of information was identified per section numbering which correlated with movement through the content. The writing was professional and yet not overwhelmed with discipline-specific terminology. Where potentially new terminology was presented, it was immediately followed with definitions and examples.

The book was well-organized and moved along the structure set out early in the book. Content was gradually unfolded, as divided per chapter. There was a bit of repetition (probably about three examples) where the authors attempted to tie information together. Although this stood out to a reader, it seemed more useful in organizing than detrimental in repetition.

The book was subdivided into chapters and then into many small modules of discrete information. It could easily be assigned in part. It could also readily be used as a reference for students to go back and easily find processes or pieces of information they might need later.

I found the continual clear and succinct organization of information to be a defining highlight of this book. When presenting early steps of the research process and then linking these steps with how to conduct a literature review and subsequenty organize and write a literature review, this book is presenting numerous procews steps that must work in tandem. This book did that in a clear and easily readable fashion.

The one feature that did distract me was within the bullet points of 1.3.1. "Types of Reviews". There was a mix of complete and incomplete sentences that worked to convey information succinctly, but distracted me as a reader.

Grammatical Errors rating: 4

I did find several spelling and grammaticl errors (1.3.1.8, , 1.3.1.9, 2.1.1, 2.3, 2.3.1.1, , 2.3.1.4, 2.3 Table A., p. 41, p. 53, p. 54). Although small errors (a few letters or spacing) they should be corrected.

I did not find any mistakes in cultural appropriateness The content did repeatedly talk about bias reduction in the process of writing a literature review

I thought this book was very well-written and contained great information for my students. The links provided were very appropriate and helpful. The Table "Guide to searching for literature at various stages of the scholarly communication process” was particularly helpful. I will immediately begin using portions of the content in this book to support my research class. Additionally, I will recommend the entire book as a reference for the dedicated student (or one intending to go forward to a doctoral level of education in nursing). Thank you for collating all this information and helpful links into one clear, easily readable and understandable document.

Reviewed by Leah Nillas, Associate Professor, Illinois Wesleyan University on 9/6/21

This book addresses the basic steps in the process of writing a literature review research. Chapter 2 (What is a Literature Review?) needs to be retitled. I think Chapter 1 (Introduction) clearly defines and characterizes literature review as a... read more

Comprehensiveness rating: 4 see less

This book addresses the basic steps in the process of writing a literature review research. Chapter 2 (What is a Literature Review?) needs to be retitled. I think Chapter 1 (Introduction) clearly defines and characterizes literature review as a research category. Chapter 2 focuses more on the creation of information, information cycle, and selecting appropriate sources. Chapter 7 (Synthesizing Sources) and Chapter 8 (Writing the Lit Review) can still be improved to incorporate specific strategies in synthesizing research literature and examples of writing styles through analysis of a variety of published examples. Writing a synthesis is a challenging skill for most novice researchers.

Information shared is accurate. I did not notice any content error.

Main content is up-to-date. A few citations maybe dated but they are necessary in illustrating different examples of literature reviews. It will be easy to include additional relevant examples of research work that are published recently.

I like how this text is written. Tone is reader friendly and narrative is accessible to novice researchers.

Clearly consistent throughout the chapters.

Clear and purposeful "chunking" of information per chapter.

Readers can easily follow the organization of topics and content.

No obvious interface issues. Appropriate use of multimedia tools.

No grammatical errors.

Text is culturally sensitive. Additional readings, references, or examples can easily be added to incorporate research conducted by diverse authors or literature reviews which focus on diversity and inclusion issues in education and nursing.

This is a good introductory literature review text even for undergraduate education students. Clear discussion of the nature of the research and the writing process. The use of videos and images is helpful in providing multimodal approach in explaining topics or processes. Writing style and tone make the text accessible to novice researchers.

Reviewed by Rebecca Scheckler, Assistant Professor, Radford University on 7/6/20

Two missing topics were inter-library loan and how to avoid plagiarism in writing up the literature review. This second is such an important topic that it deserves its own chapter. read more

Two missing topics were inter-library loan and how to avoid plagiarism in writing up the literature review. This second is such an important topic that it deserves its own chapter.

It is accurate. I found no inaccuracies.

This book is very relevant. Every advanced undergraduate or graduate students requires such a book

I found the book clear. The videos interspersed within the book added much to the clarity. There are lots of good diagrams that add to the clarity. They are not all original but their sources are all cited. The section on boolean searches, usage of asterisks and quotes in searches is very helpful and appropriate although often left out of discussion of searches.

The book is consistent in terminology and framework.

The chapters were cohesive.

Organization/Structure/Flow rating: 4

I like the links to within the text to the references and other matter. What is needed are back links to the text from the references. I also would have liked links from the exercises to the answers of the exercises.

Interface rating: 4

See navigation links mentioned above. The grey literature link is broken.

I saw no grammatical problems. There are many bulleted lists rather than text which is appropriate to this topic.

There could be more attention to cultural context in the frequent examples.

I wondered why nursing and education were combined. They are similar in nature but not identical. separation them out into two books might be appropriate.

Reviewed by Lisa Shooman, Associate Professor, Worcester State University on 6/29/20

Overall, this book provides a very comprehensive and thorough roadmap for creating a literature review. The videos assist the reader in crystallizing the information presented in the text. There is an effective index and glossary that provide... read more

Overall, this book provides a very comprehensive and thorough roadmap for creating a literature review. The videos assist the reader in crystallizing the information presented in the text. There is an effective index and glossary that provide helpful navigation to the reader.

The content is detailed, clearly explained, error-free, and unbiased. My students would greatly benefit from the lucid information presented in this text to guide them with developing a literature review. I would be eager to adopt this book for my students.

The content is timely and will not be quickly out-of-date. The quiz questions at the end of each chapter are relevant and will aid students with the consolidation of the material. The online format allows for updating, and the version history at the end of the text clearly indicated that the book was updated recently.

The text is clear and not ridden with any excess jargon /technical terminology. Pictures, graphics, and videos further elucidate the text. There are helpful questions that stimulate thought and lists that help to organize information.

The internal consistency in the text is excellent. However, Chapter 1.1 and Chapter 2 have the same title and it would benefit the reader to have different titles that would highlight the differences between these two sections. Chapter 1.1 is an overview and Chapter 2 dives into more depth.

The text is efficiently divided into smaller reading sections that are demarcated by numbers. The subsections in each chapter can be assigned at different points in the course. The text is organized logically and systematically that assists the reader with comprehension and provides a roadmap for creating an effective literature review.

The entire text is presented coherently and concisely. The organization of the text takes the reader through the process of creating an effective literature review. It can be used by multiple health professions, although the length of the text is relatively short it includes a considerable depth of the material. Other disciplines that would benefit from using this test in their courses may include occupational therapy, physical therapy, and speech and language pathology students.

The interface of the text is simple and easy to follow. The cover of the text would benefit from photos, color, and graphic design to appeal to the modern digital reader.

No grammatical or spelling errors are noted.

No cultural biases existed in the text in any way. There are no individuals highlighted in the book, and due to the technical nature of the subject matter, the text is inclusive to a variety of races, ethnicities, and backgrounds. No offensive statements are included in this book.

The authors should consider including other health professionals in the title and provide examples that can relate to other health professionals throughout the text. Other health professionals that can benefit from reading this text include occupational therapy, physical therapy, and speech and language pathology students. Literature reviews are relevant for many health professionals in their master's and doctorate programs and the text could serve a wider audience.

Reviewed by Ellen Rearick, Assistant Professor, Framingham State University on 6/1/20

This text covers all areas and the process of the integrative review appropriately. It is an engaging text for graduate students new to these assignments. read more

This text covers all areas and the process of the integrative review appropriately. It is an engaging text for graduate students new to these assignments.

This text is well done, very accurate

This text is relevant. The updates needed regarding APA format should be relatively easy to implement.

This text is clear and provides users with definitions and examples of the variety of reviews.

Very well written using consistent terminology throughout.

The text's reading sections are easily accessible and users will find them organized. Each chapter and its sections are presented in the sequence of the process of an integrative review.

Very clear and logical order.

The navigation of this text was problem-free.

No grammatical errors noted.

No issues with cultural insensitivity noted.

This was a well-organized text using videos to reinforce content that would benefit any education or nursing graduate student new to the integrative review process.

Reviewed by Ruth Stoltzfus, Professor of Nursing; Dir., Grad Programs in Nursing, Goshen College on 6/1/19

This text provides everything a graduate student needs to write a literature review in a concise manner. If you look at the digital pdf, there are many strategies to help the reader learn the process - videos, diagrams, and also text. read more

This text provides everything a graduate student needs to write a literature review in a concise manner. If you look at the digital pdf, there are many strategies to help the reader learn the process - videos, diagrams, and also text.

I found no evidence of bias and no errors.

This book has long-term relevance. The content will not quickly out-date.

I really liked the way the textbook is structured. The author is concise which makes the textbook easy to read.

I found no inconsistencies in terminology or other aspects related to the content.

I will adopt this text for a research course I use and will likely assign only specific chapters. I plan to recommend the textbook to another faculty who teaches a comprehensive research course with the idea of assigning only specific sections to read..

The textbook begins with an introduction to the subject matter. Subsequent chapters develop specific aspects related to lit reviews. The textbook provides a nice "how to" for each element of a lit review. Chapters are also organized in a smooth, easy to follow format.

I only looked at the digital pdf and print pdf versions. The print pdf indicates that there are videos to watch, but of course since it is a print pdf, there is no linkage. I think this would be obvious to a savvy reader - that a print pdf will be limited in what the reader can access.

I found no grammatical errors in my quick read.

I found no evidence of cultural bias or insensitivity.

This is the first open textbook that I have encountered. I was expecting it to be flat and boring! However, it was neither of those. There were color diagrams, color photos, and even videos embedded in the textbook.

I have adopted this book for the Research Lit Review course that I am teaching soon. I am impressed!

Reviewed by Melissa Wells, Assistant Professor, University of Mary Washington on 5/1/19

This book helps students in education and nursing complete a literature review, which may be the first time these students are tackling such a task. The chapters break down the process into defining the special genre of a literature review;... read more

This book helps students in education and nursing complete a literature review, which may be the first time these students are tackling such a task. The chapters break down the process into defining the special genre of a literature review; providing tips to get started; suggesting where students can find literature to review; explaining how to evaluate sources; detailing the process of documenting sources; giving advice for synthesizing sources; and finally, putting all of these pieces together into a final literature review. Most significantly, the text provides specific examples of ideas presented in the context of both nursing and education, which makes the content directly relatable to the student's course of study. The conclusion recaps the main points of each chapter in bullet form. The text is lacking both an index and a glossary, which would be additions that could strengthen the text.

Content Accuracy rating: 4

The text explains 11 different types of literature reviews that students may encounter or be asked to create. Also, the text is framed to work with multiple methodologies; for example, steps for writing a research question or a hypothesis to frame the literature review are provided. One inconsistency I noted was in diagram 6.2: the APA citation is incorrectly capitalized for the journal title (which should use sentence, not title, capitalization).

The text also includes external links to sources, such as a videos, which provide students with multiple modalities in which to digest the information. An example of a literature review for both education and nursing is provided at the end of the book; instead of embedding these in the text, the hyperlinks refer the reader to the external site. This will be easy to change to a new example in the future, but checks will need to be done to ensure that all such external sources remain actively accessible.

Each chapter opens with learning objectives to help frame the content with which the reader is about to engage. Throughout the text, the language is approachable and reader-friendly. For example, when the text explains more factual components (i.e., what makes a literature review or what the basics of an effective literature review include), this information is presented in bullet points with hyperlinks to the original sources.

Each chapter follows a similar construction, which makes it accessible to the reader. For example, chapters end with a "Practice" and "Check Yourself" section to apply new learning and self-check responses (an answer key is provided in an appendix). Examples in these exercises are either related to nursing or education, continuing with the stated theme of the text.

When I used this text with my own students, I assigned chapters in isolation, since they had already taken a research methods course and were applying that knowledge to create a research proposal in a specific area of study in my course.

The book is organized in such a way that logically walks the reader through the literature review writing process. Clear headings (which are hyperlinked in the table of contents) also allow the reader to jump to specific parts with which they need additional support.

The interface of this document offered a lot of flexibility. Options allowed users to access the text online, or as a download in multiple file types (EPUB, Digital PDF, MOBI, XHTML, Pressbooks XML, Wordpress XML, and Open Document). These formats provide the reader with an opportunity to pick the interface that works best for them.

I did not see any grammatical errors in the text.

Cultural Relevance rating: 4

No culturally insensitive/offensive content was noted. A variety of examples of research topics were included from both nursing and education. Of the images/video thumbnails embedded in the text that involved people, all depicted White people except for 2 images; therefore, more intentional selection of culturally diverse visuals would be helpful in future versions of this text.

I feel this text was helpful to my students as they wrote their own literature reviews. The only weakness in their papers that I noted was their organization of their literature review based on themes/topic, which was addressed in Chapters 7- 8. I now know to focus more on this part of literature review writing with future students. This text is approachable and field-specific, and I will be using it again!

Reviewed by Bernita (Bernie) Missal, Professor, Bethel University on 12/14/18

This book includes all areas that a graduate student needs to begin a literature review. However metasynthesis could have also been included in types of literature review. read more

This book includes all areas that a graduate student needs to begin a literature review. However metasynthesis could have also been included in types of literature review.

This book is accurate although missing qualitative research.

Although content is up to date, some of the article examples need to be updated. (Example: articles published in 1981 and 1992 need to be updated to more recent articles.)

The book is clear and easy to follow. Bullet points were used throughout the book with short paragraphs which helps the student.

Each chapter follows the same format with narrative followed by practice and test questions.

Clear subheadings are used throughout the book.

This book is presented in a logical way and easy for the student to follow.

Images are clear and appropriate for the content.

No specific grammar issues were seen.

It would be helpful for students to include additional examples of cultural studies throughout the book

This book is an excellent resource for graduate students. It has helpful information for the preparation and process for a literature review. Examples of written literature reviews in chapter 8 or in an appendix would be helpful for students.

Reviewed by Nancyruth Leibold, Associate Professor, Southwest Minnesota State University on 6/19/18

The text is overall comprehensive, yet it breaks the information up into manageable parts. See the table of contents for an overview of the topics. The text is very quantitative driven in that the focus is on reviewing quantitative studies. The... read more

The text is overall comprehensive, yet it breaks the information up into manageable parts. See the table of contents for an overview of the topics. The text is very quantitative driven in that the focus is on reviewing quantitative studies. The book included information about PICO statements, but did not include PICO(T) or the time variable, which is not always used in every case. Population was included in the PICO explanation, but a bit more information on the population or aggregate narrowing could improve the PICO section. These items do not hinder use of the book, but these items would need further inclusion by the faculty member using the text as specific to the discipline.

The content in the book is very accurate.

The content in the book is current and should not be obsolete within a short period of time. Any updates would be easy to add.

The text is clear and easy to understand.

The internal organization and terminology of the book is consistent and logical

The text is set up in small reading sessions. The videos and learning activities are well done and break up some of the content, so there is a variety of presentation. The tutorials, figures, practice and self-test areas are also fantastic in that they are quality and sprinkled throughout the text.

The topics in the book are presented in clear and organized fashion. I particularly like the upbeat and personal writing tone of the book. This tone makes it seem like the authors are speaking to me.

The text is free of any significant interface issues. The book is available in many formats. I used the book online and I did have one navigational problem and that is when clicking on a video, it does not open in a new tab and so the book is lost and have to start over going in the start to the book. One easy solution to this is to right click your mouse and then select open in new tab to watch videos. That way, your place in the book is not lost.

No grammar problems present.

The book is not culturally insensitive or offensive in any way.

Overall, this is a well written textbook and I recommend it!

Reviewed by Marjorie Webb, Professor, Metropolitan State University on 6/19/18

From the Introduction to the Conclusion, the text covers the step-by-step process of conducting a literature review. The text includes topics such as, “Where to find the Literature” and “Synthesizing Sources” that will be useful to graduate... read more

From the Introduction to the Conclusion, the text covers the step-by-step process of conducting a literature review. The text includes topics such as, “Where to find the Literature” and “Synthesizing Sources” that will be useful to graduate nursing students.

The content in the text, including texts, links, and diagrams, is accurate and unbiased. Again, it will aid the graduate nursing student in the long process of conducting a literature review.

The text is current and this type of material does not become dated quickly. The authors did use internet links in the text which will need to be monitored periodically to ensure they are still available. Updates to the text will be relatively easy and straightforward. If media styles change, there may be some challenges to updating.

The text is clear and easy to read. Technical terminology is defined and/or explained.

The text is internally consistent.

The text is organized in sections which facilitates assigning readings based on the subject matter for the class time. It would be pretty easy to divide up this text into easily readable units based on headings and subheadings.

This text is structured well. The topics flow in an organized manner and really help the student see the process of a literature review. The authors discuss the both theory and purpose of the review and the day-to-day logistics of actually performing the review. The day-today organization is not always included in other texts.

The interface is well-done with no distractions.

There was no indication of cultural bias.

I think this text is appropriate for graduate nursing students. Some students struggle with the difference between writing about a topic (generally undergraduate writing) and synthesizing literature on a given topic (generally graduate writing). Chapters seven and eight focus on preparing the graduate student to make the jump to graduate-level writing and should really benefit new graduate students.

Reviewed by Susanna Thornhill, Associate Professor , George Fox University on 3/27/18

This book is fairly comprehensive and offers step-by-step instructions for conceptualizing/researching a literature review. The Table of Contents is well-organized to reflect the book's progression, from establishing the basics of why to write a... read more

This book is fairly comprehensive and offers step-by-step instructions for conceptualizing/researching a literature review. The Table of Contents is well-organized to reflect the book's progression, from establishing the basics of why to write a literature review and the various types of literature reviews, to getting started with formulating a research idea/question, finding and evaluating sources, synthesizing sources, and guidelines on writing the literature review, itself. I found this text to be a straightforward guide for my graduate students in education, and while I worried at first that the merging of education and nursing topics would prove distracting to my education students, I don't believe this was the case.

One thing that was not comprehensive in this book was discussion of qualitative research and methodologies as a valid means of conceptualizing research aims. I hoped for a more balanced discussion between methodological branches as it applied to literature reviews; this book overly favored quantitative methodologies and studies in terms of its direction to readers about how to conceptualize/choose a topic and design a research question in relation to it. Variables that cannot be measured are not inherently un-researchable, which is the conclusion put forth in this textbook. This might serve nursing students better than education students in terms of their discipline's requirements, but it still represents an element that could be improved.

Finally, while the background on what a literature review is, how to conceptualize research, and how to search for and synthesize research was all valuable, the chapter on actually writing the literature review was a bit thin, simply offering tips for introduction, body, and conclusion and some questions for self-evaluation. Some of the most difficult work for students writing a literature review is achieving proper focus, organization, hierarchy of themes, balance in treatment of related topics, etc. None of these issues were discussed in the chapter pertaining to the writing of a literature review.

I did not have any concerns about the book's accuracy. Content was accurate, albeit biased to quantitative and positivist views of research. I would have liked to see it include additional prompts to support students in conceptualizing and valuing qualitative research; this is an area where I had to supplement course readings with additional texts.

The only significant error I could discern in the text was a lack of an Answer Key corresponding to the questions posed at the end of each chapter.

Content is up-to-date and seems like it will hold meaning well over the next few years. The only things I anticipate might go out-of-date is technological information on things like citation managers, search guidelines, and database information. This is easily updatable with future versions of the text. In my view, ERIC is not the best database for educational research and I have confirmed this with educational librarians who support my students, yet it is the only one identified in this text as the best subject-specific source of educational research; this could be revised for additional relevance.

I noticed no issues with the book's clarity. The authors write in a clear and straightforward style, making the text easy to read. Overall, they did well writing for students across two disciplines by avoiding nursing or education-specific terms that would have been problematic to readers in the other discipline.

The book is internally consistent and did not have issues with terminology or framework.

No issues with the book's modularity. Chapter headings and sub-headings were appropriately paced and spaced. I assigned this textbook to my graduate students as a whole text that I wanted them to read at the beginning of a course, but it has been easy to refer them back to particular topics as the course has continued.

In future iterations of the book, I suggest hyperlinking the Answer Key to the exercises at the end of each chapter and/or listing the Answer Key in the Table of Contents for easy referral.

I found the book's organization to be straightforward and sensible. The Table of Contents offers a helpful snapshot of the scope of the book and the authors write in a direct and clear style, which contributes to an appropriate flow for the text.

I did not note any navigation problems with any links. All charts/images loaded well in my iBook app. The authors did a nice job of pulling relevant content and links in to support their ideas; it provided an easy way to seek more information if I wanted it, without feeling like the text was loaded down with unnecessary information.

I only found a few small typos in the text, with no grammar issues. The book is obviously written by two very detail-oriented librarians. I appreciated the clarity of the text and lack of errors.

The text was not culturally insensitive; a variety of topics across nursing and education were discussed as examples, which yielded a fairly balanced text regarding cultural considerations.

Reviewed by Alicia Rossiter, Assistant Professor, University of South Florida on 3/27/18

I believe the book gives a comprehensive overview on how to complete a literature view at the graduate level. It begins with an overview of the purpose of a literature review and moves through the steps to completing the review process. read more

I believe the book gives a comprehensive overview on how to complete a literature view at the graduate level. It begins with an overview of the purpose of a literature review and moves through the steps to completing the review process.

I believe the book was accurate and unbiased. It was easy to read but comprehensive.

Content within the text is relevant and supports the literature view process. It did discuss the various databases for searches which may need updating to include new sites, search engines but otherwise relevant and useful information.

The text is easy to read, provides appropriate examples, includes a section on putting the process into practice as well as a "test yourself" section to ensure the content is understood.

The text is consistent throughout in regards to terminology, framework, and set up.

The text is easy to read and content is leveled for the reader but not over simplified. Content is chunked into sections making it easy for the reader to digest the content. The chapters are well laid out and flow from chapter to chapter. Each chapter contains learning objectives, content sections, practice section, and test yourself section. Well organized and great visuals.

Topics are presented in a logical, clear fashion that flow from chapter to chapter and build as the reader moves through the process.

The text is free of interface issues. I could not get the videos to play but other visuals were appropriate and useful to support content.

The text contains no grammatical errors.

The text is not culturally offensive. There was no evidence of bias or cultural insensitivity.

I think this would be a great resource for graduate student learning to navigate the literature review process. It is easy to read, straightforward, and guides the individual through the process from start to finish. I will recommend this text to my graduate students in evidence-based practice and research courses as a recommended reference.

Table of Contents

• Chapter 1: Introduction
• Chapter 2: What is a Literature Review?
• Chapter 3: How to Get Started
• Chapter 4: Where to Find the Literature
• Chapter 5: Evaluating Sources
• Chapter 6: Documenting Sources
• Chapter 7: Synthesizing Sources
• Chapter 8: Writing the Literature Review

Ancillary Material

About the book.

Literature Reviews for Education and Nursing Graduate Students is an open textbook designed for students in graduate-level nursing and education programs. Its intent is to recognize the significant role the literature review plays in the research process and to prepare students for the work that goes into writing one. Developed for new graduate students and novice researchers just entering into the work of a chosen discipline, each of the eight chapters covers a component of the literature review process. Students will learn how to form a research question, search existing literature, synthesize results and write the review. The book contains examples, checklists, supplementary materials, and additional resources. Literature Reviews for Education and Nursing Graduate Students is written by two librarians with expertise guiding students through research and writing assignments, and is openly licensed.

About the Contributors

Linda Frederiksen is the Head of Access Services at Washington State University Vancouver.  She has a Master of Library Science degree from Emporia State University in Kansas. Linda is active in local, regional and national organizations, projects and initiatives advancing open educational resources and equitable access to information.

Sue F. Phelps is the Health Sciences and Outreach Services Librarian at Washington State University Vancouver. Her research interests include information literacy, accessibility of learning materials for students who use adaptive technology, diversity and equity in higher education, and evidence based practice in the health sciences

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Reviews of Literature in Nursing Research: Methodological Considerations and Defining Characteristics

Affiliation.

• 1 School of Nursing, Queen's University, Kingston, Ontario, Canada (Ms Silva and Drs Woo, Galica, Wilson, and Luctkar-Flude); School of Nursing, Federal University of Santa Catarina, Santa Catarina, Brazil (Dr Padilha and Ms Petry); and Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada (Dr Silva E Silva).
• PMID: 35213877
• DOI: 10.1097/ANS.0000000000000418

Despite the availability of guidelines about the different types of review literature, the identification of the best approach is not always clear for nursing researchers. Therefore, in this article, we provide a comprehensive guide to be used by health care and nursing scholars while choosing among 4 popular types of reviews (narrative, integrative, scoping, and systematic review), including a descriptive discussion, critical analysis, and decision map tree. Although some review methodologies are more rigorous, it would be inaccurate to say that one is preferable over the others. Instead, each methodology is adequate for a certain type of investigation, nursing methodology research, and research paradigm.

Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.

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The authors have no conflict of interest to declare.

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Bashir Y, Conlon KC. Step by step guide to do a systematic review and meta-analysis for medical professionals. Ir J Med Sci. 2018; 187:(2)447-452 https://doi.org/10.1007/s11845-017-1663-3

Bettany-Saltikov J. How to do a systematic literature review in nursing: a step-by-step guide.Maidenhead: Open University Press; 2012

Bowers D, House A, Owens D. Getting started in health research.Oxford: Wiley-Blackwell; 2011

Hierarchies of evidence. 2016. http://cjblunt.com/hierarchies-evidence (accessed 23 July 2019)

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Developing a framework for critiquing health research. 2005. https://tinyurl.com/y3nulqms (accessed 22 July 2019)

Cognetti G, Grossi L, Lucon A, Solimini R. Information retrieval for the Cochrane systematic reviews: the case of breast cancer surgery. Ann Ist Super Sanita. 2015; 51:(1)34-39 https://doi.org/10.4415/ANN_15_01_07

Dixon-Woods M, Cavers D, Agarwal S Conducting a critical interpretive synthesis of the literature on access to healthcare by vulnerable groups. BMC Med Res Methodol. 2006; 6:(1) https://doi.org/10.1186/1471-2288-6-35

Guyatt GH, Sackett DL, Sinclair JC Users' guides to the medical literature IX. A method for grading health care recommendations. JAMA. 1995; 274:(22)1800-1804 https://doi.org/10.1001/jama.1995.03530220066035

Hanley T, Cutts LA. What is a systematic review? Counselling Psychology Review. 2013; 28:(4)3-6

Cochrane handbook for systematic reviews of interventions. Version 5.1.0. 2011. https://handbook-5-1.cochrane.org (accessed 23 July 2019)

Jahan N, Naveed S, Zeshan M, Tahir MA. How to conduct a systematic review: a narrative literature review. Cureus. 2016; 8:(11) https://doi.org/10.7759/cureus.864

Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics. 1997; 33:(1)159-174

Methley AM, Campbell S, Chew-Graham C, McNally R, Cheraghi-Sohi S. PICO, PICOS and SPIDER: a comparison study of specificity and sensitivity in three search tools for qualitative systematic reviews. BMC Health Serv Res. 2014; 14:(1) https://doi.org/10.1186/s12913-014-0579-0

Moher D, Liberati A, Tetzlaff J, Altman DG Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med. 2009; 6:(7) https://doi.org/10.1371/journal.pmed.1000097

Mueller J, Jay C, Harper S, Davies A, Vega J, Todd C. Web use for symptom appraisal of physical health conditions: a systematic review. J Med Internet Res. 2017; 19:(6) https://doi.org/10.2196/jmir.6755

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Siddaway AP, Wood AM, Hedges LV. How to do a systematic review: a best practice guide for conducting and reporting narrative reviews, meta-analyses, and meta-syntheses. Annu Rev Psychol. 2019; 70:747-770 https://doi.org/0.1146/annurev-psych-010418-102803

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Carrying out systematic literature reviews: an introduction

Alan Davies

Lecturer in Health Data Science, School of Health Sciences, University of Manchester, Manchester

View articles · Email Alan

Systematic reviews provide a synthesis of evidence for a specific topic of interest, summarising the results of multiple studies to aid in clinical decisions and resource allocation. They remain among the best forms of evidence, and reduce the bias inherent in other methods. A solid understanding of the systematic review process can be of benefit to nurses that carry out such reviews, and for those who make decisions based on them. An overview of the main steps involved in carrying out a systematic review is presented, including some of the common tools and frameworks utilised in this area. This should provide a good starting point for those that are considering embarking on such work, and to aid readers of such reviews in their understanding of the main review components, in order to appraise the quality of a review that may be used to inform subsequent clinical decision making.

Since their inception in the late 1970s, systematic reviews have gained influence in the health professions ( Hanley and Cutts, 2013 ). Systematic reviews and meta-analyses are considered to be the most credible and authoritative sources of evidence available ( Cognetti et al, 2015 ) and are regarded as the pinnacle of evidence in the various ‘hierarchies of evidence’. Reviews published in the Cochrane Library ( https://www.cochranelibrary.com) are widely considered to be the ‘gold’ standard. Since Guyatt et al (1995) presented a users' guide to medical literature for the Evidence-Based Medicine Working Group, various hierarchies of evidence have been proposed. Figure 1 illustrates an example.

Systematic reviews can be qualitative or quantitative. One of the criticisms levelled at hierarchies such as these is that qualitative research is often positioned towards or even is at the bottom of the pyramid, thus implying that it is of little evidential value. This may be because of traditional issues concerning the quality of some qualitative work, although it is now widely recognised that both quantitative and qualitative research methodologies have a valuable part to play in answering research questions, which is reflected by the National Institute for Health and Care Excellence (NICE) information concerning methods for developing public health guidance. The NICE (2012) guidance highlights how both qualitative and quantitative study designs can be used to answer different research questions. In a revised version of the hierarchy-of-evidence pyramid, the systematic review is considered as the lens through which the evidence is viewed, rather than being at the top of the pyramid ( Murad et al, 2016 ).

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100+ Current Nursing literature review topics + Examples to Write About

• Carla Johnson
• August 18, 2023
• Nursing Care Plan , Nursing Topics and Ideas , Writing Guides for MSN students

Nursing literature review is an important part of the nursing profession. It allows nurses to learn from the best studies and research on a particular topic. In this article, we will provide you with 100 good nursing literature review topics that you can use to help you write your nursing literature review.

Current Nursing literature review topics to Write About – topics for literature review in nursing

Nursing literature review is an essential component of any nursing program. Nurses need to have a comprehensive understanding of the latest nursing research in order to provide optimal care for their patients .

Here are current nursing literature review topics that you can explore:

• The Role of Nursing Research in Clinical Practice
• Enhancing Patient Outcomes through Nursing Research
• Applications of evidence-based Practice in Nursing
• The Relationship between Nursing Theory and Practice
• Issues in Implementation and Translation of Research Evidence into Clinical Practice
• Cultural Competence in Nursing: Perspectives from the Global South
• Nursing Perspective on Genetics and Genetics in Nursing
• Advances in Geriatric Nursing: From Theory to Practice
• Transforming Pediatric Nursing Care through EvidenceBased Practice
• Health Technology Assessment: A Critical Appraisal from a Nursing Perspective
• Promoting Collaborative Care through Effective Communication Practices within the Health System
• Nurses, Technology, and Innovation: Implications for Quality Improvement and Patient Safety
• Nursing Ethics: A Multidisciplinary Perspective
• Nursing in an Era of Health Care Reform
• The Role of Nursing Research in Evaluating Nursing Practice
• Nursing Research and Quality Improvement: Strategies for conducting systematic reviews
• Collaborative Care in Nursing: Theory, Research, and Practice
• The Impact of Nursing on Patient Safety
• The Role of Nursing Ethics in Patient Safety
• Nursing Informatics: A Critical Appraisal
• What Nurses Should Know About the National Minimum Data Set (NMDS)
• Assessing Electronic Health Records: Challenges and Opportunities
• Nursing in the Era of the Affordable Care Act
• The Influence of Nursing on Patient Outcomes
• The Effects of Culture on Nursing Practice
• Nursing in a Time of Economic Turmoil
• Challenges Facing Nursing Education in the Context of Healthcare Reform
• The Use of Technology by Nurses in the Delivery of Nursing Care
• Creating an Effective Learning Environment for Nursing Students

Here’s How to write a Strong Literature Review for Nursing | Guide, Outlines & Examples

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20 Mental health nursing literature review topics

• Introduction to mental health nursing literature review: This literature review will introduce the reader to the field of mental health nursing and provide an overview of 20 different mental health nursing literature review topics.
• Psychiatric assessment: This literature review will focus on the psychiatric assessment process, including topics such as history taking and diagnostic procedures.
• Assessing for suicide risk: This literature review will discuss methods for assessing for suicide risk in patients, including coding criteria and risk assessment tools.
• Cultural competency in mental health nursing: This literature review will explore ways to be culturally competent when providing care to patients with mental illness, such as understanding cultural norms and beliefs.
• Therapeutic interventions for depression: This literature review will focus on therapeutic interventions for treating depression, such as pharmacological and psychological treatments.
• Psychotherapy for anxiety disorders: This literature review will discuss psychotherapy options for treating anxiety disorders, including cognitive-behavioral therapy and group therapies.
• Psychosocial rehabilitation interventions for addiction: This literature review will focus on psychosocial rehabilitation interventions designed to help patients recovering from addiction. Topics covered include relapse prevention and counseling techniques.
• Care of childrenand adolescents with mental health issues: This literature review will discuss the care of children and adolescents with mental health issues, including pediatric mental health disorders and psychosocial interventions for children and adolescents.
• Care of older adults with mental illness: This literature review will focus on the care of older adults with mental illness, including interventions for dementia-related psychosis and falls prevention.
• Complementary and alternative medicine in mental health nursing: This literature review will explore complementary and alternative medicine (CAM) therapies used to treat mental illness, such as acupuncture and meditation.
• Ethics in mental health nursing: This literature review will discuss ethical considerations in providing care to patients with mental illness, such as cross-cultural competency and ensuring patient safety.
• Mental health literacy: This literature review will focus on how to improve mental health literacy among nurses, including teaching strategies and clinical applications.
• Research methods in mental health nursing: This literature review will discuss research methods used in the study of mental health Nursing, including qualitative methods and quantitative methods.
• The role of nursing research in advancing mental health nursing: This literature review will discuss the role of nursing research in advancing the field of mentalhealth nursing, including the importance of randomized controlled trials.
• The role of advocacy in mental health nursing: This literature review will discuss the role of advocacy in mental health nursing, including advocacy for better access to mental health care and insurance coverage for mental health services.
• Patient safety in mental health nursing: This literature review will discuss patient safety issues in mental health nursing , including safe practices for handling psychiatric medications and preventing falls in elderly patients with dementia.
• The role of social work in mental health nursing: This literature review will discuss the role of social work in mental health nursing, including providing support to patients and their families.
• Geriatric psychiatry: This literature review will focus on the impact of aging on the brain and psychiatric disorders, including geriatric bipolar disorder and dementia-related psychosis.
• Rehabilitation interventions for people with mental illness: This literature review will focus on rehabilitation interventions designed to help people with mental illness recover from their illnesses. Topics covered include cognitive-behavioral therapy and peer support groups.
• Future research in mental health nursing: This literature review will discuss future research directions in mental health nursing, including innovative treatments and new approaches to understanding psychiatric disorders.

Here’s the process of Evaluating sources for a nursing literature review | Guide

List of 7 Nursing Literature Review Examples

• Here’s a  sample Capstone project
• Make use of this  Nursing Literature Review Sample | Benchmark – Part B: Literature Review
• More resources for your study  Capstone Literature Review
• Here’s the best  Capstone Project Literature Review – Solved Example
• Working with a PICOT question, here’s a  Literature Review For The PICOT Question – Solved Essay
• Make use of this  Grand Canyon Literature Review PICOT Statement Paper
• Taking MSN, here’s a sample nursing literature review example that you should read  Literature Review: The Use Of Clinical Systems To Improve Outcomes And Efficiencies

40 Ideas for nursing literature review topics

Nursing literature review is an important practice that nurses use to learn about new concepts and research studies. It can also be used to evaluate the quality of nursing care.

Here are forty ideas for nursing literature review topics:

• Nursing care of patients with dementia
• Effect of bed rest on nurses’ health
• Use of complementary and alternative medicine in nursing care
• Impact of technology on nurses’ work
• Role of nurses in disaster preparedness
• Effectiveness of patient safety programs
• Assessment and management of chronic diseases in the elderly
• Developing culturally competent nursing care plans
• Care of hospitalized pediatric patients
• Nursing interventions for preventing falls in the elderly
• Effectiveness of home health services for persons with disabilities
• Strategies to improve communication between nurses and patients with dementia
• Health promotion in hospitals: an evidence-based approach
• Nursing care for critically ill patients
• Promoting safe sleep for children
• A qualitative exploration into transitional learning experiences in nursing
• The intersection of race, ethnicity, and gender with nursing
• Ethics education for nurses
• Nurses’ experience working with migrant patients
• The impact of social media on nurses’ work
• Nurses’ perceptions of work stress and burnout
• Nursing management of chronic pain in adults
• Implementation and evaluation of nurse-led interventions for promoting oral health in older adults
• The role of nurses in the transition to palliative care
• Assessment and management of postoperative pain in adults
• Effects of sleep deprivation on nurses’ performance
• Nurse-led interventions for preventing falls in the elderly: a systematic review
• Nursing care in intensive care units: an overview
• Psychiatric nursing: an introduction
• Impact of burnout on nurses’ quality of life
• Nursing research: a critical perspective
• The influence of culture on maternal nursing
• Assessment and management of chronic diseases in children
• Caregiving trajectories among migrant mothers in Canada
• Development and evaluation of an evidence-based electronic health record for pediatric patients with chronic conditions (CHILD-EHR)
• Research methods for studying nursing practices: a qualitative exploration
• Cultural competency among hospital workers: implications for patient safety
• Nursing interventions for managing postoperative pain
• The role of nurses in disaster preparedness
• A qualitative exploration of the experience of work-life balance in nurses

Pediatric nursing literature review topics

There are many nursing literature review topics that could be covered when studying pediatric nursing. A few possible topics include:

• Acute care of the pediatric patient
• Assessment and diagnosis of pediatric patients
• Vital signs in pediatric patients
• Nutrition in the pediatric patient
• Pharmacology in the pediatric patient
• Palliative care of the pediatric patient
• Sleep patterns in the pediatric patient
• Infectious diseases of the pediatric population
• Child abuse and neglect in the pediatric population
• Medications and their effects in pediatrics

Nursing dissertation topics literature review

Nursing dissertation topics can be incredibly diverse, and there are many different ways to approach them. Below is a list of thirty possible topics that could be used as a starting point for your literature review. This is by no means an exhaustive list – you may want to explore additional topics that you feel would be relevant to your project.

• Care of the Elderly
• Care of Patients with Chronic Conditions
• Care of Pregnant Women
• Developmental Nursing
• Geriatric Nursing
• Healthcare Ethics
• Healthcare Leadership and Management
• Industrial/Organizational Nursing
• Neonatal/Pediatric Nursing
• Patient Safety and Welfare
• Primary Health care nursing
• Public Health nursing
• Women’s health nursing
• Youth health nursing
• Nursing Research Methods
• Nursing Care of Children with Special Health Needs
• Nursing Care of Patients with Developmental Disabilities
• Nursing Care of the Elderly with Memory Loss
• Nursing Research on Pediatric Populations
• Nursing Research on Chronic Illness
• Nursing Care of the Obese Patient
• Nursing Research on Palliative Care
• Nurse Anesthetists
• Nurse Midwives
• Nurse Practitioners
• Nurses in Critical Care Settings
• Nurses in Psychiatric Settings
• Nurses in Geriatric Settings
• Advanced Practice Registered Nurses
• Collaborative Practice

Other Nursing Dissertation Topic Areas include

• The impact of technology on nursing
• Global health nursing
• Nursing care in the aged population
• Geriatric psychiatry
• Nursing research methods Nursing care of developmental disabilities
• Nursing research with multicultural populations
• Palliative care in nursing
• Nursing leadership
• Nursing care of hospitalized patients
• Nursing research on pediatric populations
• Nursing care of patients with chronic conditions
• Nursing care for pediatric cancer patients
• Nursing research on chronic illness
• Nursing care of the obese patient
• Nursing research on geriatric populations
• Nursing care of the medically ill patient
• Nursing care of the chronically ill patient
• Nursing care of the postoperative patient
• Nursing care of the pediatric patient in critical condition
• Nursing research on perinatal and neonatal patients
• Nursing care of the pediatric patient with cerebral palsy
• Nursing research on palliative care

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How to write DNP capstone project Methodology Chapter

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This should help you write the  Discussion and Conclusion of a DNP Capstone Project [Outline]

List of Literature review topics for nursing students

Nursing students need to be familiar with a wide variety of literature review topics in order to become well-rounded professionals . Here are fifty of the most common nursing literature review topics.

• Nursing care of people with disabilities
• Advanced practice nurse practitioner roles and responsibilities
• Infectious diseases in nurses and patients
• Collaborative care: working together as a team in healthcare settings
• Leadership concepts in nursing: decision making, planning, organizing, goal setting, communication, delegation, and problem solving
• Nursing research: methods and applications in population-based studies
• Violence against nurses:prevention, intervention and response
• Nursing care of patients with chronic diseases
• Health assessment in the clinical setting
• Care of the elderly patient: principles and practice
• Nursing care of persons with diabetes mellitus
• Nursing care of the HIV-infected patient
• Cardiovascular nursing
• Advanced practice nurse roles in pediatric health nursing
• Nursing care of the post-operative patient
• Geriatric mental health nursing: a framework for practice
• Critical care transport nursing
• Community pharmacists in healthcare
• Pediatric advanced practice nurse roles and responsibilities
• Environmental health nursing
• Nurse case managers: integrating evidence-based interventions into clinical practice
• Mental health assessment tools for nurses
• Acute renal failure: diagnosis and management
• Nurses & social work collaboration in long-term care settings
• Care of the homeless patient
• Nursing care of the elderly at home
• Palliative care for pediatric patients
• Nursing care of older adults in assisted living facilities
• Nurses & pharmacists: drug therapy interactions
• Nursing care of cancer patients
• Patient assessment
• Care of the critically ill patient
• Nursing interventions for acute care
• Palliative care
• Nursing assistantship and leadership development
• Pharmacology for nursing students
• Human growth and development
• Community health nursing
• Research methods in nursing
• Nursing leadership and management
• Mental health nursing
• Nutrition for nurses
• Psychiatric rehabilitation nursing
• Nurse-midwife collaboration in obstetrics and gynecology
• Pediatric infection control and prevention
• Geriatric health teaching: a systematic approach
• Palliative care for children and adolescents
• Critical incident stress debriefing

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What is a Literature Review?

Key questions for a literature review, examples of literature reviews, useful links, evidence matrix for literature reviews.

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The Scholarly Conversation

A literature review provides an overview of previous research on a topic that critically evaluates, classifies, and compares what has already been published on a particular topic. It allows the author to synthesize and place into context the research and scholarly literature relevant to the topic. It helps map the different approaches to a given question and reveals patterns. It forms the foundation for the author’s subsequent research and justifies the significance of the new investigation.

A literature review can be a short introductory section of a research article or a report or policy paper that focuses on recent research. Or, in the case of dissertations, theses, and review articles, it can be an extensive review of all relevant research.

• The format is usually a bibliographic essay; sources are briefly cited within the body of the essay, with full bibliographic citations at the end.
• The introduction should define the topic and set the context for the literature review. It will include the author's perspective or point of view on the topic, how they have defined the scope of the topic (including what's not included), and how the review will be organized. It can point out overall trends, conflicts in methodology or conclusions, and gaps in the research.
• In the body of the review, the author should organize the research into major topics and subtopics. These groupings may be by subject, (e.g., globalization of clothing manufacturing), type of research (e.g., case studies), methodology (e.g., qualitative), genre, chronology, or other common characteristics. Within these groups, the author can then discuss the merits of each article and analyze and compare the importance of each article to similar ones.
• The conclusion will summarize the main findings, make clear how this review of the literature supports (or not) the research to follow, and may point the direction for further research.
• The list of references will include full citations for all of the items mentioned in the literature review.

A literature review should try to answer questions such as

• Who are the key researchers on this topic?
• What has been the focus of the research efforts so far and what is the current status?
• How have certain studies built on prior studies? Where are the connections? Are there new interpretations of the research?
• Have there been any controversies or debate about the research? Is there consensus? Are there any contradictions?
• Which areas have been identified as needing further research? Have any pathways been suggested?
• How will your topic uniquely contribute to this body of knowledge?
• Which methodologies have researchers used and which appear to be the most productive?
• What sources of information or data were identified that might be useful to you?
• How does your particular topic fit into the larger context of what has already been done?
• How has the research that has already been done help frame your current investigation ?

Example of a literature review at the beginning of an article: Forbes, C. C., Blanchard, C. M., Mummery, W. K., & Courneya, K. S. (2015, March). Prevalence and correlates of strength exercise among breast, prostate, and colorectal cancer survivors . Oncology Nursing Forum, 42(2), 118+. Retrieved from http://go.galegroup.com.sonoma.idm.oclc.org/ps/i.do?p=HRCA&sw=w&u=sonomacsu&v=2.1&it=r&id=GALE%7CA422059606&asid=27e45873fddc413ac1bebbc129f7649c Example of a comprehensive review of the literature: Wilson, J. L. (2016). An exploration of bullying behaviours in nursing: a review of the literature.   British Journal Of Nursing ,  25 (6), 303-306. For additional examples, see:

Galvan, J., Galvan, M., & ProQuest. (2017). Writing literature reviews: A guide for students of the social and behavioral sciences (Seventh ed.). [Electronic book]

Pan, M., & Lopez, M. (2008). Preparing literature reviews: Qualitative and quantitative approaches (3rd ed.). Glendale, CA: Pyrczak Pub. [ Q180.55.E9 P36 2008]

• Write a Literature Review (UCSC)
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• Literature Reviews: overview (UNC)
• Review of Literature (UW-Madison)

The  Evidence Matrix  can help you  organize your research  before writing your lit review.  Use it to  identify patterns  and commonalities in the articles you have found--similar methodologies ?  common  theoretical frameworks ? It helps you make sure that all your major concepts covered. It also helps you see how your research fits into the context  of the overall topic.

• Evidence Matrix Special thanks to Dr. Cindy Stearns, SSU Sociology Dept, for permission to use this Matrix as an example.
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Nursing Resources : Conducting a Literature Review

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What is a Literature Review?

A literature review is an essay that surveys, summarizes, links together, and assesses research in a given field. It surveys the literature by reviewing a large body of work on a subject; it summarizes by noting the main conclusions and findings of the research; it links together works in the literature by showing how the information fits into the overall academic discussion and how the information relates to one another; it assesses the literature by noting areas of weakness, expansion, and contention. This is the essentials of literature review construction by discussing the major sectional elements, their purpose, how they are constructed, and how they all fit together.

All literature reviews have major sections:

• Introduction: that indicates the general state of the literature on a given topic;
• Methodology: an overview of how, where, and what subject terms used to conducted your search so it may be reproducable
• Findings: a summary of the major findings in that field;
• Discussion: a general progression from wider studies to smaller, more specifically-focused studies;
• Conclusion: for each major section that again notes the overall state of the research, albeit with a focus on the major synthesized conclusions, problems in the research, and even possible avenues of further research.

In Literature Reviews, it is Not Appropriate to:

• State your own opinions on the subject (unless you have evidence to support such claims).  
• State what you think nurses should do (unless you have evidence to support such claims).
• Provide long descriptive accounts of your subject with no reference to research studies.
• Provide numerous definitions, signs/symptoms, treatment and complications of a particular illness without focusing on research studies to provide evidence and the primary purpose of the literature review.
• Discuss research studies in isolation from each other.

Remember, a literature review is not a book report. A literature review is focus, succinct, organized, and is free of personal beliefs or unsubstantiated tidbits.

• Types of Literature Reviews A detailed explanation of the different types of reviews and required citation retrieval numbers

Outline of a Literture Review

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What is a Literature Review?

The Scholarly Conversation

A literature review provides an overview of previous research on a topic  that critically evaluates, classifies, and compares what has already been published on a particular topic. It allows the author to synthesize and place into context the research and scholarly literature relevant to the topic. It helps  map the different approaches to a given question and reveals  patterns.  It  forms the foundation for the author’s subsequent research and justifies the significance of the new investigation.

A literature review can be a short introductory section of a research article or a report or policy paper that focuses on recent research. Or, in the case of dissertations, theses, and review articles, it can be an extensive review of all relevant research.

• The  format  is usually a bibliographic essay; sources are briefly cited within the body of the essay, with full bibliographic citations at the end.
• The  introduction  should define the topic and set the context for the literature review. It will include the author's perspective or point of view on the topic, how they have defined the scope of the topic (including what's not included), and how the review will be organized. It can point out overall trends, conflicts in methodology or conclusions, and gaps in the research.
• In the  body of the review , the author should organize the research into major topics and subtopics. These groupings may be by subject, (e.g., globalization of clothing manufacturing), type of research (e.g., case studies), methodology (e.g., qualitative), genre, chronology, or other common characteristics. Within these groups, the author can then discuss the merits of each article and analyze and compare the importance of each article to similar ones.
• The  conclusion  will summarize the main findings, make clear how this review of the literature supports (or not) the research to follow, and may point the direction for further research.
• The  list of references  will include full citations for all of the items mentioned in the literature review.

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Top Tips for doing your literature review!

07 September, 2010 By NT Contributor

Many undergraduates and qualified nurses who have returned to study do a literature review as the final part of their degree. Helen Aveyard’s advice will ease the process and make it more enjoyable

Many undergraduate students and qualified nurses who have returned to study embark on a literature review as the final dissertation component of their degree. If this applies to you then there are various things that you can do and people you can see to make this process easier, more rewarding and even enjoyable!

The following tips will guide you through the literature review process:

Choose a topic that interests you. This might sound obvious but it does make all the difference in keeping your interest and motivation.From this topic, identify a specific question that you can answer from the literature. The key is to find a question that is not too broad.

Discuss this topic with everyone who will listen to you! This way you will mull over and refine your question until you feel you have a useful question that you can answer.

Work out what literature you need to answer your question . Not everything relating to your question will be relevant and some information will be more relevant than others… be selective.

Most questions need to be answered using primary research . In general terms, if your question involves measuring or evaluating care or an intervention then you will probably need to use quantitative research. If your question is more explorative, then qualitative research is likely to be most relevant. However this is not absolute. Remember that identifying which literature you need is one of the most important aspects of doing your literature review and it is useful to discuss in detail your approach with your supervisor. Think carefully about the type of literature that is likely to be most useful to you. Once you know what you are looking for, you can start to think about how to search for it!

Go and see your subject librarian . Most academic libraries offer drop in sessions for dissertation students. These will enable you to work out how to search for literature on your topic.

Identify key words and search terms . Think laterally about this and don’t forget to use words that are less common or have become outdated. This is because relevant articles might have been indexed using these words and you will miss them if you do not include them in your list of key words.

Now consider which databases you will search through . Go to your academic library website and read through the descriptions of each database and what each holds and select those databases that seem most relevant to your topic.

You are now ready to start searching . Remember to familiarise yourself with the basic functions of the database you are using, remembering that each database is slightly different from another. Take advantage of the Boolean operators (AND/OR/NOT) which allow you to narrow or broaden a search. It is always a good idea to supplement electronic searching with additional searching strategies, for example hand searching relevant journals or reference lists. This is because some key articles might be missed through electronic searching due to the way the paper is indexed.

Look at the abstracts of the articles you come across . It is usually possible to identify from the abstract whether the paper is useful for your review.

Start getting hold of the articles that seem relevant . Sometimes you will need an inter-library loan to do this. At this stage you need to be ruthless. If the article is not relevant to your review, then do not include it. However anything that might be relevant must be looked at.

Collect together all the articles that address your research question . At undergraduate level, if you have around 10 articles, then this is ideal. Significantly more will mean that you are not able to refer to the articles in sufficient detail and too few will not give you enough data to write your review.

Be pragmatic! If needs be, refine your review question to fit the articles that you have. If you have too many articles, try limiting the focus of your question somehow. Can you restrict the focus to the UK only? or a particular nursing speciality?

The next step is to consider the quality of the articles you have . You might have a paper that is directly relevant to your research question but if the quality of the paper is poor it may not help you as much as you think. It is generally a good idea to use a critical appraisal tool that is specific to the research design of your given paper. This might mean that you need to use a few different critical appraisal tools if your literature review question requires you to access a wide range of literature. Discuss this with your supervisor. Using the critical appraisal tool, consider the strengths and limitations of the literature you have identified and consider how much impact each paper has in addressing your research question.

Bring all the papers together and provide an answer for your research question . It is often useful to make a chart of key themes that arise in the papers, the authors of the papers, when they were written and their strengths and weaknesses. You can then see at a glance which other papers identify similar (or different) themes.

As you do this, you will begin to see patterns emerging in the literature and will be able to form an answer to your question. Remember that your answer may well be incomplete. It is quite permissible to say ‘there is some evidence that…’ rather than to provide a definitive answer. What is not permissible is to make out that you have a clear answer when in fact the literature does not support this. In this case, honesty really is the best policy.

Above all remember to answer the question!

Finally remember to put your literature review on your CV and be prepared to discuss at interview. It is a strong selling point when you apply for your first job or a new job.

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Literature review, literature review steps.

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Templates for Starting Your Literature Review

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A literature review is an essay or part of an essay that summarizes and analyzes research in a particular discipline. It assess the literature by reviewing a large body of studies on a given subject matter. It summarizes by pointing out the main findings, linking together the numerous studies and explaining how they fit into the overall academic discussion on that subject. It critically analyzes the literature by pointing out the areas of weakness, expansion, and contention. 

Literature Review Sections:

• Introduction: indicates the general state of the literature on a given subject.
• Methodology: states  where (databases), how (what subject terms used on searches), and what (parameters of studies that were included); so others may recreate the searches and explain the reasoning behind the selection of those studies.
• Findings: summary of the major findings in that subject.
• Discussion: a general progression from broader studies to more focused studies.
• Conclusion: for each major section that again notes the overall state of the research, albeit with a focus on the major synthesized conclusions, problems in the research, and even possible avenues for further research.
• References: a list of all the studies using proper citation style. 

Literature Review Tips:

• Beware of stating your own opinions or personal recommendations (unless you have evidence to support such claims).
• Provide proper references to research studies.
• Focus on research studies to provide evidence and the primary purpose of the literature review.
• Connect research studies with the overall conversation on the subject.
• Have a search strategy planner and log to keep you focused.

Literature reviews are not a book reports or commentaries; make sure to stay focused, organized, and free of personal biases or unsubstantiated recommendations.

Literature Review Examples:

• Lemetti, T., Stolt, M., Rickard, N., & Suhonen, R. (2015). Collaboration between hospital and primary care nurses: a literature review. International Nursing Review , 62 (2), 248-266. doi:10.1111/inr.12147  

1. Choose a topic and define your research question.

Your literature review should be guided by a focus research question.   Consider PICO and FINER criteria for developing a research question.

• Make sure your research question is not too broad or too narrow. Do a couple of pre-searches to see what information is out there and determine if it is a manageable topic.
• Identify the main concepts of your research question and write down terms that are related to them. Keep a list of  terms that you can use when searching.
• If possible, discuss your topic with your professor. 

2. Decide on the scope of your review.

Check with your assignment requirements and your professor for parameters of the Literature Review.

• How many studies are you considering?
• How comprehensive will your literature review be?
• How many years should it cover? 

3. Select appropriate databases to search.

Make a list of the databases you will search. 

• Don't forget to look at books, dissertations or other specialized databases .
• Contact your librarian to make sure you are not missing any vital databases for that topic.

4. Conduct searches and find relevant literature.

As you are searching in databases is important to keep track and notes as you uncover information.

• Read the abstracts of research studies carefully instead of just downloading articles that have good titles.
• Write down the searches you conduct in each database so that you may duplicate or avoid unsuccessful searches again.
• Look at the bibliographies and references of research studies you find to locate others .
• Look for subject terms or MeSH terms that are associated with the  research studies you find and use those terms in more searches.
• Use a citation manager such as Zotero or Endnote Basic to keep track of your research citations.

5. Review the literature. 

As you are reading the full articles ask the following questions when assessing studies:

• What is the research question of the study?
• Who are the author(s)? What are their credentials and how are they viewed in their field?
• Has this study been cited?; if so, how has it been analyzed?
• Was the research funded by a source that could influence the findings?
• What were the research methodologies? Analyze its literature review, the samples and variables used, the results, and the conclusions.  Does the research seem to be complete?  What further questions does it raise?
• Are there any conflicting studies; if so why?

Throughout the process keep careful notes of your searches and findings so it is easier to put it together when it comes to the writing part.

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Conducting a Literature Review

• Literature Review
• Developing a Topic
• Planning Your Literature Review
• Developing a Search Strategy
• Managing Citations
• Critical Appraisal Tools
• Writing a Literature Review

Developing a Research Question

One of the hardest parts of a literature review is to develop a good research question.  You don't want a research question that is so broad it encompasses too many research areas, and can't be reasonably answered. 

Defining your topic may require an initial review of literature on your topic to get a sense of the scope about your topic.   Select a topic of interest, and do a preliminary search to see what kinds of research is being done and what is trending in that topic area.  This will give you a better sense of the topic, and help you focus your research question

In specifying your topic or research question, you should think about setting appropriate limitations on the research you are seeking. Limiting, for example, by time, personnel, gender, age, location, nationality etc. results in a more focused and meaningful topic. 

You may start with a general question:  

Why did the chicken cross the road? 

This question is so general that you could be gathering relevant research for days. 

A more precise research question might be:  

What are some of the environmental factors that occurred in New Jersey between January and June 2021 that would cause a chicken to cross Route 3?  

This research question is specific about a number of variables like time, geography, etc.  

Some Questions to Ask

Some questions to think about as you develop your literature review:

• What is known about the subject?
• Are there any gaps in the knowledge of the subject?
• Have areas of further study been identified by other researchers that you may want to consider?
• Who are the significant research personalities in this area?
• Is there consensus about the topic?
• What aspects have generated significant debate on the topic?
• What methods or problems were identified by others studying in the field and how might they impact your research?
• What is the most productive methodology for your research based on the literature you have reviewed?
• What is the current status of research in this area?
• What sources of information or data were identified that might be useful to you?
• How detailed? Will it be a review of ALL relevant material or will the scope be limited to more recent material, e.g., the last five years.
• Are you focusing on methodological approaches; on theoretical issues; on qualitative or quantitative research?
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Nursing Literature Review Topics And Examples

Nursing is one of the careers that call for significant and up-to-date research. This profession primarily necessitates qualitative, up-to-date research that discusses in depth the aspects influencing the behavior of a particular disease. Research is the only method by which experts can find a cure for an ailment. Researchers and students, therefore, must find the appropriate nursing literature review topics.

A nursing literature review can focus on the behavioral or physical part of the condition. It is crucial to have a competent mentor in nursing literature reviews to select the correct topic for your research.

Here you’ll find some nursing literature review topics to help you narrow down your search.

Top Tips for doing your literature review

Choose a fascinating topic.

Choosing fascinating topics for a literature review in nursing might sound quite obvious but it helps make a massive difference in keeping you motivated and interested in writing your literature review. In the nursing area you are interested in, select a specific question that you will seek to answer.

Choose a topic other people will be interested to learn about. This way, you will research and refrain from other irrelevant questions and form an appealing and intriguing question you can provide answers to.

Be selective

Do not just pick any piece of literature out there related to your nursing literature review topic. Not every data available, although related to your case, is relevant. Only select more information pertinent to your selected literature review on nursing topics.

9/10 nursing literature review questions can be answered by conducting simple research. If the question is about evaluating a treatment approach, then the viable option should be quantitive research. Qualitative research could be more appropriate in cases where the question is quite explorative.

You always remember that understanding the type of literature you need to use is crucial in writing your literature review. It will be wise to discuss the details with your instructor. Carefully examine the type of literature that will be most useful to your literature review. Once you understand what you should look for exactly, you will be good to go.

Make the library your friend

Schedule frequent library sessions and learn more about the subject, particularly your chosen topics for literature review in nursing. Most institutions have sections for students’ thesis and dissertations, which should be easier to find.

Identify the publications you will research. You can visit the academic library website and skim through the different sections and discover the most relevant ones to the topics you are interested in.

At this point, you are almost ready to get started. You should now know where to source the relevant databases both online and in the library. The rule of thumb is to use offline and online research publications to write your nursing literature review paper. Sometimes, some key details might be missing in the online databases and vice versa.

Go through the abstracts of relevant articles that have been published before

Only review the relevant articles since this will save you time and energy in the long run. When going through the abstracts, note the articles you deem relevant. Remember to be conscientious about the kind of articles you take note of. Ditch any papers that are not relevant, no matter how well-written they might seem. The same goes for relevant articles. You must review them.

Have a list of the article you deem relevant to your nursing literature review topic. If you are an undergraduate, ten articles should be good to get you started. A higher number of articles will mean that you won’t get into many details of the articles, and fewer articles translate to inadequate research.

If you have no other choice, then you will need to improvise. You can refine the nursing paper topics to match the articles you have collected. When you have a long list of articles, you can always reduce the scope of your nursing literature review question. For example, you can limit your focus to only one country or even one state.

The next step is to assess the quality of the content of the articles you have. Sometimes a paper can be relevant to your nursing literature review topic or question, but it might be of poor quality. That is why you should employ a critical appraisal method that is unique to the research design of your paper. This could mean that you will have to use other essential appraisal methods if your literature review question requires you to access a wide variety of literature.

You can talk to your instructor. Using the critical appraisal method, you can see the limitations and strengths of the data you have collected and the level of influence each article has had on your final literature review paper.

Review all the articles together and list down the answers to your question

A pro tip is to create a chart of the main topics you come across as you read through the articles, the authors, and the strengths and weaknesses. You will then see what issues are recurrent in most of the articles.

By doing this, you will notice the clear picture and pattern in the literature, and you will be able to formulate an answer to your question quickly. That does not mean that the answer will always be perfect. You might need to make further adjustments.

Whatever final answer you come up with, make sure it is supported by the evidence collected. you should not have a solution that none of the facts you collected in the literature is answering

Community Nursing literature review Topics

Writing about community services is quite a tricky task. You might need help from an expert to help you nail your nursing literature review. Here are community nursing literature review topics.

• Patient Documentation Discussion
• Digital Healthcare Surveys Rehabilitation of Sexual Abuse Victims
• Innovative Methods
• Innovative Care Planning
• Immigration Aid
• Rural Population Healthcare Demands
• Scotland’s Culture
• Volunteer Nursing Work
• Stress Treatment

Top Nursing Literature Review Topics

• Impact of health promotion initiatives on public health Collaborative roles of nurses, policymakers, social workers, and primary care physicians
• How gardening therapy reduces anxiety in the elderly
• facets of healthcare development, strategy, and research strategies
• Teenage binge drinking and alcoholism are a growing problem.
• National Health Services’ efficiency and effectiveness in providing services to the elderly
• Family therapy’s effect on adolescents.
• Guidelines to improve healthcare quality
• Ethics and leadership demonstrated
• Evidence-based disease management
• Effective methods for working with a variety of patients with mental health difficulties
• Mental health issues related to substandard housing
• Management difficulties in the care of elderly patients
• Public health strategies in Great Britain
• Improving pregnancy and care outcomes
• Understanding food labels to prevent obesity and poor health
• Positive results of laughter therapy
• World Health Organization approaches and policies concerning child development
• Community nursing’s role in enhancing senior health
• Community nurse health promotion practice
• AIDS: Social repercussions
• Knowledge management employing evidence
• Spouses of people living with Alzheimer’s may experience psychological difficulties.
• epidemiological trends concerning cardiovascular hazards
• Can a patient and nurse bond aid in a patient’s recovery?
• Principal dangers in clinical management
• Hearing the hallucinations of schizophrenia patients
• Evidence-based practice as both a pragmatic and theoretical strategy
• repercussions of community service and elderly patient care
• Implications of music therapy on individuals with depression
• How to properly manage drunk patients
• Developing a welcoming atmosphere in the waiting room
• Influence of nursing on parents who refuse to vaccinate their children
• Improved nurse-patient connections. How essential are they?
• Patients who refuse care must be treated.
• The significance of mental health nursing to patient outcomes
• What can a nurse do to administer initial care?
• Aiding the elderly patients in their everyday activities and providing nursing care
• The influence of nursing practice on future nurses
• Nursing precautions against infectious diseases
• Nursing schools and the practical application of academic knowledge
• The nursing aspect of child care. Assisting youngsters to have no fear of physicians.
• The uniform colors of nurses and their utility in the hospital
• What nurses must know to improve their knowledge
• Assisting the person in need: The significance of triage nurses
• Why are male nurses necessary, and why are there more of them than ever before?
• How to approach patients with medical procedure phobias
• Application of practical expertise in nursing interventions
• The advancements in patient care and nursing approaches
• How can nurses make patients feel secure?
• How may a patient’s relationship with a nurse aid in their recovery?
• Recognize the signs of abuse promptly.
• Nursing role in the prevention of pressure ulcers in bedridden individuals
• Treatment of patients with mental disorders
• Nursing ethics and how to respect the preferences of the patient
• Recognizing potentially dangerous patients and what to do if you encounter one Doctor–nurse relationship enhancement strategies
• Reducing nurses’ working hours and the possible benefits of doing so
• Are nurses treated differently than other hospital employees?
• Nursing duties in various patient wards

Health Organizations’ nursing literature review topics

Here are a few good nursing literature review topics about health organizations

• Rural Conflicts in New Healthcare Developments
• Television Healthcare Advertising
• Inequality in Healthcare Delivery in the United Kingdom Training Remote-care Help
• Racism in Emergency Department
• Electronic Administration
• School Screening Methodologies
• Work Opportunity Availability
• Rehabilitation of Children in School Facilities

Elderly Personsnursing literature review Topics

• What characteristics enable a nurse to recognize an old patient who has been abused in the past?
• Are you in agreement that community-based social innovations have facilitated healthy aging?
• Is it permissible to conduct clinical studies on elderly patients?
• Home is the most pleasing environment for aging. How much do you concur?
• What is the required minimum level of education for nurses, and how may it be enhanced?
• Does mealtime help aid the elderly in monitoring their protein and vitamin intake?
• Should the families of geriatric patients be held accountable for progressing the patients’ treatment?
• What significant challenges do elderly patients face?
• Explain the aging trend and the concept of global health.
• How should the healthcare system be modified to guarantee that the elderly receive quality care?
• What are the most effective medical methods for managing stress and information surcharge?

Healthcare Management Nursing Literature Review Topics

• Challenges that may be encountered during the contracting process in health care.
• What legal concerns may non-native patients encounter?
• What are the primary tenets of marijuana management?
• How do you establish a private medical practice?
• Regarding medical decisions and apology legislation.
• Exists discrimination based on gender in the nursing profession?
• The advantages and disadvantages of Medicare.
• Principal provisions of the nursing uniform code.
• What is the cause of the shortage of males in the healthcare industry?
• Home healthcare services.

Geriatric Nursing Literature review Topics

• Malnutrition’s impact on the organ system.
• What effect does aging have on the immune system?
• How should sepsis be treated in critically unwell elderly patients?
• How can a lengthy hospital stay contribute to complications among critically ill patients?
• What are the causes and risks of depression in later life?
• How effective is a healthy diet at lowering the risk of osteoporosis?
• What role do registered nurses play in advance care planning?
• Several methods for preventing delirium in older individuals.
• The diagnosis and risk factors for urinary tract infections in older adults.
• Discuss essential care techniques for older individuals with hip fractures of fragility.
• What molecular mechanisms and preventative strategies exist against Alzheimer’s disease in adults?
• Can nutrition pose a dementia risk?
• How can elderly individuals maintain dental hygiene?
• Age-related effects on the cardiovascular system.
• Elderly dehydration: causes, symptoms, prevention, and therapy.
• The changes in the elderly’s nerve system and cognitive senses.
• Essential care strategies for older adults with alcohol use problems.
• What medical emergencies are faced by elderly cancer patients?
• Available treatments for heart failure in the elderly.

Pediatric Nursing literature review topics

• Leukemia Cells And Children’s Immune Systems
• How has the pandemic affected the mental health of children?
• Strategies To Reduce The Risk Of Blindness In Children Receiving Oxygen Therapy Using Pragmatic Language Patterns For Children With Autism
• Acute Leukemia in Children and Reducing Painful Treatment and Diagnosis
• Student And Youngsters Depression And Psychological Health Vulnerability
• Congenital Heart Disease In Children And Their Psychological Problems
• Enhancing Language Acquisition For Children With Developmental Disabilities
• Optimizing Childhood Cancer Treatment
• Childhood Obesity: An Issue of Public Health
• Ethical issues preventing nurses from providing care to younger patients

Quantitative Nursing literature review Topics

• Describe and assess nursing critical care.
• Methods for treating pressure ulcers in hip fracture patients.
• Present a critical evaluation of assisted suicide and the associated ethics.
• What roles do nurses have in teaching and encouraging self-care?
• Compare and contrast nursing facilities and home care.
• What are the most common causes of heart attacks?
• What are the hurdles involved in managing chronic diseases?
• Describe the benefits of a healthy diet.
• The most effective cardiovascular disease treatments.
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• Strategies for addressing childhood malnutrition
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• The optimal treatments for autistic people.
• How can children’s meningitis be prevented?
• Examine the development of newborn care.
• The pathogenesis and management of opportunistic fungal infections.
• Dietary Health and Childhood Obesity
• Adolescent Practices in Medicine.
• Discuss childhood Neuroblastoma and Metabolic Syndrome.
• Pediatric asthma and monitoring approach.
• Explain why youngsters are resistant to antibiotics.
• Antibiotic resistance in preschoolers.
• The impact of social media on children’s eating habits.

Nursing Careers literature review Topics

• Clinical guidelines and nursing principles
• Stress management training for night shift workers.
• Critical care nursing administration
• Training to make prudent medical decisions
• The clinical nurse functions
• Guidelines for primary gynecological education
• Diversity within the healthcare industry
• Between occupation and service to others
• The best method to force seniors to consume.
• The digital age and nursing’s future
• Exercise to guarantee no drug errors
• Nursing professionals
• Remote concerns about intensive care unit
• Superior nursing procedures
• What are the best leadership skills for nurses?
• Morality and homelessness treatment
• The nurse’s role in managing anxiety
• Works of nursing theorists

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• Open access
• Published: 03 July 2024

The impact of evidence-based nursing leadership in healthcare settings: a mixed methods systematic review

• Maritta Välimäki 1 , 2 ,
• Shuang Hu 3 ,
• Tella Lantta 1 ,
• Kirsi Hipp 1 , 4 ,
• Jaakko Varpula 1 ,
• Jiarui Chen 3 ,
• Gaoming Liu 5 ,
• Yao Tang 3 ,
• Wenjun Chen 3 &
• Xianhong Li 3  

BMC Nursing volume  23 , Article number:  452 ( 2024 ) Cite this article

135 Accesses

Metrics details

The central component in impactful healthcare decisions is evidence. Understanding how nurse leaders use evidence in their own managerial decision making is still limited. This mixed methods systematic review aimed to examine how evidence is used to solve leadership problems and to describe the measured and perceived effects of evidence-based leadership on nurse leaders and their performance, organizational, and clinical outcomes.

We included articles using any type of research design. We referred nurses, nurse managers or other nursing staff working in a healthcare context when they attempt to influence the behavior of individuals or a group in an organization using an evidence-based approach. Seven databases were searched until 11 November 2021. JBI Critical Appraisal Checklist for Quasi-experimental studies, JBI Critical Appraisal Checklist for Case Series, Mixed Methods Appraisal Tool were used to evaluate the Risk of bias in quasi-experimental studies, case series, mixed methods studies, respectively. The JBI approach to mixed methods systematic reviews was followed, and a parallel-results convergent approach to synthesis and integration was adopted.

Thirty-one publications were eligible for the analysis: case series ( n  = 27), mixed methods studies ( n  = 3) and quasi-experimental studies ( n  = 1). All studies were included regardless of methodological quality. Leadership problems were related to the implementation of knowledge into practice, the quality of nursing care and the resource availability. Organizational data was used in 27 studies to understand leadership problems, scientific evidence from literature was sought in 26 studies, and stakeholders’ views were explored in 24 studies. Perceived and measured effects of evidence-based leadership focused on nurses’ performance, organizational outcomes, and clinical outcomes. Economic data were not available.

Conclusions

This is the first systematic review to examine how evidence is used to solve leadership problems and to describe its measured and perceived effects from different sites. Although a variety of perceptions and effects were identified on nurses’ performance as well as on organizational and clinical outcomes, available knowledge concerning evidence-based leadership is currently insufficient. Therefore, more high-quality research and clinical trial designs are still needed.

Trail registration

The study was registered (PROSPERO CRD42021259624).

Peer Review reports

Global health demands have set new roles for nurse leaders [ 1 ].Nurse leaders are referred to as nurses, nurse managers, or other nursing staff working in a healthcare context who attempt to influence the behavior of individuals or a group based on goals that are congruent with organizational goals [ 2 ]. They are seen as professionals “armed with data and evidence, and a commitment to mentorship and education”, and as a group in which “leaders innovate, transform, and achieve quality outcomes for patients, health care professionals, organizations, and communities” [ 3 ]. Effective leadership occurs when team members critically follow leaders and are motivated by a leader’s decisions based on the organization’s requests and targets [ 4 ]. On the other hand, problems caused by poor leadership may also occur, regarding staff relations, stress, sickness, or retention [ 5 ]. Therefore, leadership requires an understanding of different problems to be solved using synthesizing evidence from research, clinical expertise, and stakeholders’ preferences [ 6 , 7 ]. If based on evidence, leadership decisions, also referred as leadership decision making [ 8 ], could ensure adequate staffing [ 7 , 9 ] and to produce sufficient and cost-effective care [ 10 ]. However, nurse leaders still rely on their decision making on their personal [ 11 ] and professional experience [ 10 ] over research evidence, which can lead to deficiencies in the quality and safety of care delivery [ 12 , 13 , 14 ]. As all nurses should demonstrate leadership in their profession, their leadership competencies should be strengthened [ 15 ].

Evidence-informed decision-making, referred to as evidence appraisal and application, and evaluation of decisions [ 16 ], has been recognized as one of the core competencies for leaders [ 17 , 18 ]. The role of evidence in nurse leaders’ managerial decision making has been promoted by public authorities [ 19 , 20 , 21 ]. Evidence-based management, another concept related to evidence-based leadership, has been used as the potential to improve healthcare services [ 22 ]. It can guide nursing leaders, in developing working conditions, staff retention, implementation practices, strategic planning, patient care, and success of leadership [ 13 ]. Collins and Holton [ 23 ] in their systematic review and meta-analysis examined 83 studies regarding leadership development interventions. They found that leadership training can result in significant improvement in participants’ skills, especially in knowledge level, although the training effects varied across studies. Cummings et al. [ 24 ] reviewed 100 papers (93 studies) and concluded that participation in leadership interventions had a positive impact on the development of a variety of leadership styles. Clavijo-Chamorro et al. [ 25 ] in their review of 11 studies focused on leadership-related factors that facilitate evidence implementation: teamwork, organizational structures, and transformational leadership. The role of nurse managers was to facilitate evidence-based practices by transforming contexts to motivate the staff and move toward a shared vision of change.

As far as we are aware, however, only a few systematic reviews have focused on evidence-based leadership or related concepts in the healthcare context aiming to analyse how nurse leaders themselves uses evidence in the decision-making process. Young [ 26 ] targeted definitions and acceptance of evidence-based management (EBMgt) in healthcare while Hasanpoor et al. [ 22 ] identified facilitators and barriers, sources of evidence used, and the role of evidence in the process of decision making. Both these reviews concluded that EBMgt was of great importance but used limitedly in healthcare settings due to a lack of time, a lack of research management activities, and policy constraints. A review by Williams [ 27 ] showed that the usage of evidence to support management in decision making is marginal due to a shortage of relevant evidence. Fraser [ 28 ] in their review further indicated that the potential evidence-based knowledge is not used in decision making by leaders as effectively as it could be. Non-use of evidence occurs and leaders base their decisions mainly on single studies, real-world evidence, and experts’ opinions [ 29 ]. Systematic reviews and meta-analyses rarely provide evidence of management-related interventions [ 30 ]. Tate et al. [ 31 ] concluded based on their systematic review and meta-analysis that the ability of nurse leaders to use and critically appraise research evidence may influence the way policy is enacted and how resources and staff are used to meet certain objectives set by policy. This can further influence staff and workforce outcomes. It is therefore important that nurse leaders have the capacity and motivation to use the strongest evidence available to effect change and guide their decision making [ 27 ].

Despite of a growing body of evidence, we found only one review focusing on the impact of evidence-based knowledge. Geert et al. [ 32 ] reviewed literature from 2007 to 2016 to understand the elements of design, delivery, and evaluation of leadership development interventions that are the most reliably linked to outcomes at the level of the individual and the organization, and that are of most benefit to patients. The authors concluded that it is possible to improve individual-level outcomes among leaders, such as knowledge, motivation, skills, and behavior change using evidence-based approaches. Some of the most effective interventions included, for example, interactive workshops, coaching, action learning, and mentoring. However, these authors found limited research evidence describing how nurse leaders themselves use evidence to support their managerial decisions in nursing and what the outcomes are.

To fill the knowledge gap and compliment to existing knowledgebase, in this mixed methods review we aimed to (1) examine what leadership problems nurse leaders solve using an evidence-based approach and (2) how they use evidence to solve these problems. We also explored (3) the measured and (4) perceived effects of the evidence-based leadership approach in healthcare settings. Both qualitative and quantitative components of the effects of evidence-based leadership were examined to provide greater insights into the available literature [ 33 ]. Together with the evidence-based leadership approach, and its impact on nursing [ 34 , 35 ], this knowledge gained in this review can be used to inform clinical policy or organizational decisions [ 33 ]. The study is registered (PROSPERO CRD42021259624). The methods used in this review were specified in advance and documented in a priori in a published protocol [ 36 ]. Key terms of the review and the search terms are defined in Table  1 (population, intervention, comparison, outcomes, context, other).

In this review, we used a mixed methods approach [ 37 ]. A mixed methods systematic review was selected as this approach has the potential to produce direct relevance to policy makers and practitioners [ 38 ]. Johnson and Onwuegbuzie [ 39 ] have defined mixed methods research as “the class of research in which the researcher mixes or combines quantitative and qualitative research techniques, methods, approaches, concepts or language into a single study.” Therefore, we combined quantitative and narrative analysis to appraise and synthesize empirical evidence, and we held them as equally important in informing clinical policy or organizational decisions [ 34 ]. In this review, a comprehensive synthesis of quantitative and qualitative data was performed first and then discussed in discussion part (parallel-results convergent design) [ 40 ]. We hoped that different type of analysis approaches could complement each other and deeper picture of the topic in line with our research questions could be gained [ 34 ].

Inclusion and exclusion criteria

Inclusion and exclusion criteria of the study are described in Table  1 .

Search strategy

A three-step search strategy was utilized. First, an initial limited search with #MEDLINE was undertaken, followed by analysis of the words used in the title, abstract, and the article’s key index terms. Second, the search strategy, including identified keywords and index terms, was adapted for each included data base and a second search was undertaken on 11 November 2021. The full search strategy for each database is described in Additional file 1 . Third, the reference list of all studies included in the review were screened for additional studies. No year limits or language restrictions were used.

Information sources

The database search included the following: CINAHL (EBSCO), Cochrane Library (academic database for medicine and health science and nursing), Embase (Elsevier), PsycINFO (EBSCO), PubMed (MEDLINE), Scopus (Elsevier) and Web of Science (academic database across all scientific and technical disciplines, ranging from medicine and social sciences to arts and humanities). These databases were selected as they represent typical databases in health care context. Subject headings from each of the databases were included in the search strategies. Boolean operators ‘AND’ and ‘OR’ were used to combine the search terms. An information specialist from the University of Turku Library was consulted in the formation of the search strategies.

Study selection

All identified citations were collated and uploaded into Covidence software (Covidence systematic review software, Veritas Health Innovation, Melbourne, Australia www.covidence.org ), and duplicates were removed by the software. Titles and abstracts were screened and assessed against the inclusion criteria independently by two reviewers out of four, and any discrepancies were resolved by the third reviewer (MV, KH, TL, WC). Studies meeting the inclusion criteria were retrieved in full and archived in Covidence. Access to one full-text article was lacking: the authors for one study were contacted about the missing full text, but no full text was received. All remaining hits of the included studies were retrieved and assessed independently against the inclusion criteria by two independent reviewers of four (MV, KH, TL, WC). Studies that did not meet the inclusion criteria were excluded, and the reasons for exclusion were recorded in Covidence. Any disagreements that arose between the reviewers were resolved through discussions with XL.

Assessment of methodological quality

Eligible studies were critically appraised by two independent reviewers (YT, SH). Standardized critical appraisal instruments based on the study design were used. First, quasi-experimental studies were assessed using the JBI Critical Appraisal Checklist for Quasi-experimental studies [ 44 ]. Second, case series were assessed using the JBI Critical Appraisal Checklist for Case Series [ 45 ]. Third, mixed methods studies were appraised using the Mixed Methods Appraisal Tool [ 46 ].

To increase inter-reviewer reliability, the review agreement was calculated (SH) [ 47 ]. A kappa greater than 0.8 was considered to represent a high level of agreement (0–0.1). In our data, the agreement was 0.75. Discrepancies raised between two reviewers were resolved through discussion and modifications and confirmed by XL. As an outcome, studies that met the inclusion criteria were proceeded to critical appraisal and assessed as suitable for inclusion in the review. The scores for each item and overall critical appraisal scores were presented.

Data extraction

For data extraction, specific tables were created. First, study characteristics (author(s), year, country, design, number of participants, setting) were extracted by two authors independently (JC, MV) and reviewed by TL. Second, descriptions of the interventions were extracted by two reviewers (JV, JC) using the structure of the TIDIeR (Template for Intervention Description and Replication) checklist (brief name, the goal of the intervention, material and procedure, models of delivery and location, dose, modification, adherence and fidelity) [ 48 ]. The extractions were confirmed (MV).

Third, due to a lack of effectiveness data and a wide heterogeneity between study designs and presentation of outcomes, no attempt was made to pool the quantitative data statistically; the findings of the quantitative data were presented in narrative form only [ 44 ]. The separate data extraction tables for each research question were designed specifically for this study. For both qualitative (and a qualitative component of mixed-method studies) and quantitative studies, the data were extracted and tabulated into text format according to preplanned research questions [ 36 ]. To test the quality of the tables and the data extraction process, three authors independently extracted the data from the first five studies (in alphabetical order). After that, the authors came together to share and determine whether their approaches of the data extraction were consistent with each other’s output and whether the content of each table was in line with research question. No reason was found to modify the data extraction tables or planned process. After a consensus of the data extraction process was reached, the data were extracted in pairs by independent reviewers (WC, TY, SH, GL). Any disagreements that arose between the reviewers were resolved through discussion and with a third reviewer (MV).

Data analysis

We were not able to conduct a meta-analysis due to a lack of effectiveness data based on clinical trials. Instead, we used inductive thematic analysis with constant comparison to answer the research question [ 46 , 49 ] using tabulated primary data from qualitative and quantitative studies as reported by the original authors in narrative form only [ 47 ]. In addition, the qualitizing process was used to transform quantitative data to qualitative data; this helped us to convert the whole data into themes and categories. After that we used the thematic analysis for the narrative data as follows. First, the text was carefully read, line by line, to reveal topics answering each specific review question (MV). Second, the data coding was conducted, and the themes in the data were formed by data categorization. The process of deriving the themes was inductive based on constant comparison [ 49 ]. The results of thematic analysis and data categorization was first described in narrative format and then the total number of studies was calculated where the specific category was identified (%).

Stakeholder involvement

The method of reporting stakeholders’ involvement follows the key components by [ 50 ]: (1) people involved, (2) geographical location, (3) how people were recruited, (4) format of involvement, (5) amount of involvement, (6) ethical approval, (7) financial compensation, and (8) methods for reporting involvement.

In our review, stakeholder involvement targeted nurses and nurse leader in China. Nurse Directors of two hospitals recommended potential participants who received a personal invitation letter from researchers to participate in a discussion meeting. Stakeholders’ participation was based on their own free will. Due to COVID-19, one online meeting (1 h) was organized (25 May 2022). Eleven participants joined the meeting. Ethical approval was not applied and no financial compensation was offered. At the end of the meeting, experiences of stakeholders’ involvement were explored.

The meeting started with an introductory presentation with power points. The rationale, methods, and preliminary review results were shared with the participants [ 51 ].The meeting continued with general questions for the participants: (1) Are you aware of the concepts of evidence-based practice or evidence-based leadership?; (2) How important is it to use evidence to support decisions among nurse leaders?; (3) How is the evidence-based approach used in hospital settings?; and (4) What type of evidence is currently used to support nurse leaders’ decision making (e.g. scientific literature, organizational data, stakeholder views)?

Two people took notes on the course and content of the conversation. The notes were later transcripted in verbatim, and the key points of the discussions were summarised. Although answers offered by the stakeholders were very short, the information was useful to validate the preliminary content of the results, add the rigorousness of the review, and obtain additional perspectives. A recommendation of the stakeholders was combined in the Discussion part of this review increasing the applicability of the review in the real world [ 50 ]. At the end of the discussion, the value of stakeholders’ involvement was asked. Participants shared that the experience of participating was unique and the topic of discussion was challenging. Two authors of the review group further represented stakeholders by working together with the research team throughout the review study.

Search results

From seven different electronic databases, 6053 citations were identified as being potentially relevant to the review. Then, 3133 duplicates were removed by an automation tool (Covidence: www.covidence.org ), and one was removed manually. The titles and abstracts of 3040 of citations were reviewed, and a total of 110 full texts were included (one extra citation was found on the reference list but later excluded). Based on the eligibility criteria, 31 studies (32 hits) were critically appraised and deemed suitable for inclusion in the review. The search results and selection process are presented in the PRISMA [ 52 ] flow diagram Fig.  1 . The full list of references for included studies can be find in Additional file 2 . To avoid confusion between articles of the reference list and studies included in the analysis, the studies included in the review are referred inside the article using the reference number of each study (e.g. ref 1, ref 2).

Search results and study selection and inclusion process [ 52 ]

Characteristics of included studies

The studies had multiple purposes, aiming to develop practice, implement a new approach, improve quality, or to develop a model. The 31 studies (across 32 hits) were case series studies ( n  = 27), mixed methods studies ( n  = 3) and a quasi-experimental study ( n  = 1). All studies were published between the years 2004 and 2021. The highest number of papers was published in year 2020.

Table  2 describes the characteristics of included studies and Additional file 3 offers a narrative description of the studies.

Methodological quality assessment

Quasi-experimental studies.

We had one quasi-experimental study (ref 31). All questions in the critical appraisal tool were applicable. The total score of the study was 8 (out of a possible 9). Only one response of the tool was ‘no’ because no control group was used in the study (see Additional file 4 for the critical appraisal of included studies).

Case series studies . A case series study is typically defined as a collection of subjects with common characteristics. The studies do not include a comparison group and are often based on prevalent cases and on a sample of convenience [ 53 ]. Munn et al. [ 45 ] further claim that case series are best described as observational studies, lacking experimental and randomized characteristics, being descriptive studies, without a control or comparator group. Out of 27 case series studies included in our review, the critical appraisal scores varied from 1 to 9. Five references were conference abstracts with empirical study results, which were scored from 1 to 3. Full reports of these studies were searched in electronic databases but not found. Critical appraisal scores for the remaining 22 studies ranged from 1 to 9 out of a possible score of 10. One question (Q3) was not applicable to 13 studies: “Were valid methods used for identification of the condition for all participants included in the case series?” Only two studies had clearly reported the demographic of the participants in the study (Q6). Twenty studies met Criteria 8 (“Were the outcomes or follow-up results of cases clearly reported?”) and 18 studies met Criteria 7 (“Q7: Was there clear reporting of clinical information of the participants?”) (see Additional file 4 for the critical appraisal of included studies).

Mixed-methods studies

Mixed-methods studies involve a combination of qualitative and quantitative methods. This is a common design and includes convergent design, sequential explanatory design, and sequential exploratory design [ 46 ]. There were three mixed-methods studies. The critical appraisal scores for the three studies ranged from 60 to 100% out of a possible 100%. Two studies met all the criteria, while one study fulfilled 60% of the scored criteria due to a lack of information to understand the relevance of the sampling strategy well enough to address the research question (Q4.1) or to determine whether the risk of nonresponse bias was low (Q4.4) (see Additional file 4 for the critical appraisal of included studies).

Intervention or program components

The intervention of program components were categorized and described using the TiDier checklist: name and goal, theory or background, material, procedure, provider, models of delivery, location, dose, modification, and adherence and fidelity [ 48 ]. A description of intervention in each study is described in Additional file 5 and a narrative description in Additional file 6 .

Leadership problems

In line with the inclusion criteria, data for the leadership problems were categorized in all 31 included studies (see Additional file 7 for leadership problems). Three types of leadership problems were identified: implementation of knowledge into practice, the quality of clinical care, and resources in nursing care. A narrative summary of the results is reported below.

Implementing knowledge into practice

Eleven studies (35%) aimed to solve leadership problems related to implementation of knowledge into practice. Studies showed how to support nurses in evidence-based implementation (EBP) (ref 3, ref 5), how to engage nurses in using evidence in practice (ref 4), how to convey the importance of EBP (ref 22) or how to change practice (ref 4). Other problems were how to facilitate nurses to use guideline recommendations (ref 7) and how nurses can make evidence-informed decisions (ref 8). General concerns also included the linkage between theory and practice (ref 1) as well as how to implement the EBP model in practice (ref 6). In addition, studies were motivated by the need for revisions or updates of protocols to improve clinical practice (ref 10) as well as the need to standardize nursing activities (ref 11, ref 14).

The quality of the care

Thirteen (42%) focused on solving problems related to the quality of clinical care. In these studies, a high number of catheter infections led a lack of achievement of organizational goals (ref 2, ref 9). A need to reduce patient symptoms in stem cell transplant patients undergoing high-dose chemotherapy (ref 24) was also one of the problems to be solved. In addition, the projects focused on how to prevent pressure ulcers (ref 26, ref 29), how to enhance the quality of cancer treatment (ref 25) and how to reduce the need for invasive constipation treatment (ref 30). Concerns about patient safety (ref 15), high fall rates (ref 16, ref 19), dissatisfaction of patients (ref 16, ref 18) and nurses (ref 16, ref 30) were also problems that had initiated the projects. Studies addressed concerns about how to promote good contingency care in residential aged care homes (ref 20) and about how to increase recognition of human trafficking problems in healthcare (ref 21).

Resources in nursing care

Nurse leaders identified problems in their resources, especially in staffing problems. These problems were identified in seven studies (23%), which involved concerns about how to prevent nurses from leaving the job (ref 31), how to ensure appropriate recruitment, staffing and retaining of nurses (ref 13) and how to decrease nurses’ burden and time spent on nursing activities (ref 12). Leadership turnover was also reported as a source of dissatisfaction (ref 17); studies addressed a lack of structured transition and training programs, which led to turnover (ref 23), as well as how to improve intershift handoff among nurses (ref 28). Optimal design for new hospitals was also examined (ref 27).

Main features of evidence-based leadership

Out of 31 studies, 17 (55%) included all four domains of an evidence-based leadership approach, and four studies (13%) included evidence of critical appraisal of the results (see Additional file 8 for the main features of evidence-based Leadership) (ref 11, ref 14, ref 23, ref 27).

Organizational evidence

Twenty-seven studies (87%) reported how organizational evidence was collected and used to solve leadership problems (ref 2). Retrospective chart reviews (ref 5), a review of the extent of specific incidents (ref 19), and chart auditing (ref 7, ref 25) were conducted. A gap between guideline recommendations and actual care was identified using organizational data (ref 7) while the percentage of nurses’ working time spent on patient care was analyzed using an electronic charting system (ref 12). Internal data (ref 22), institutional data, and programming metrics were also analyzed to understand the development of the nurse workforce (ref 13).

Surveys (ref 3, ref 25), interviews (ref 3, ref 25) and group reviews (ref 18) were used to better understand the leadership problem to be solved. Employee opinion surveys on leadership (ref 17), a nurse satisfaction survey (ref 30) and a variety of reporting templates were used for the data collection (ref 28) reported. Sometimes, leadership problems were identified by evidence facilitators or a PI’s team who worked with staff members (ref 15, ref 17). Problems in clinical practice were also identified by the Nursing Professional Council (ref 14), managers (ref 26) or nurses themselves (ref 24). Current practices were reviewed (ref 29) and a gap analysis was conducted (ref 4, ref 16, ref 23) together with SWOT analysis (ref 16). In addition, hospital mission and vision statements, research culture established and the proportion of nursing alumni with formal EBP training were analyzed (ref 5). On the other hand, it was stated that no systematic hospital-specific sources of data regarding job satisfaction or organizational commitment were used (ref 31). In addition, statements of organizational analysis were used on a general level only (ref 1).

Scientific evidence identified

Twenty-six studies (84%) reported the use of scientific evidence in their evidence-based leadership processes. A literature search was conducted (ref 21) and questions, PICO, and keywords were identified (ref 4) in collaboration with a librarian. Electronic databases, including PubMed (ref 14, ref 31), Cochrane, and EMBASE (ref 31) were searched. Galiano (ref 6) used Wiley Online Library, Elsevier, CINAHL, Health Source: Nursing/Academic Edition, PubMed, and the Cochrane Library while Hoke (ref 11) conducted an electronic search using CINAHL and PubMed to retrieve articles.

Identified journals were reviewed manually (ref 31). The findings were summarized using ‘elevator speech’ (ref 4). In a study by Gifford et al. (ref 9) evidence facilitators worked with participants to access, appraise, and adapt the research evidence to the organizational context. Ostaszkiewicz (ref 20) conducted a scoping review of literature and identified and reviewed frameworks and policy documents about the topic and the quality standards. Further, a team of nursing administrators, directors, staff nurses, and a patient representative reviewed the literature and made recommendations for practice changes.

Clinical practice guidelines were also used to offer scientific evidence (ref 7, ref 19). Evidence was further retrieved from a combination of nursing policies, guidelines, journal articles, and textbooks (ref 12) as well as from published guidelines and literature (ref 13). Internal evidence, professional practice knowledge, relevant theories and models were synthesized (ref 24) while other study (ref 25) reviewed individual studies, synthesized with systematic reviews or clinical practice guidelines. The team reviewed the research evidence (ref 3, ref 15) or conducted a literature review (ref 22, ref 28, ref 29), a literature search (ref 27), a systematic review (ref 23), a review of the literature (ref 30) or ‘the scholarly literature was reviewed’ (ref 18). In addition, ‘an extensive literature review of evidence-based best practices was carried out’ (ref 10). However, detailed description how the review was conducted was lacking.

Views of stakeholders

A total of 24 studies (77%) reported methods for how the views of stakeholders, i.e., professionals or experts, were considered. Support to run this study was received from nursing leadership and multidisciplinary teams (ref 29). Experts and stakeholders joined the study team in some cases (ref 25, ref 30), and in other studies, their opinions were sought to facilitate project success (ref 3). Sometimes a steering committee was formed by a Chief Nursing Officer and Clinical Practice Specialists (ref 2). More specifically, stakeholders’ views were considered using interviews, workshops and follow-up teleconferences (ref 7). The literature review was discussed with colleagues (ref 11), and feedback and support from physicians as well as the consensus of staff were sought (ref 16).

A summary of the project findings and suggestions for the studies were discussed at 90-minute weekly meetings by 11 charge nurses. Nurse executive directors were consulted over a 10-week period (ref 31). An implementation team (nurse, dietician, physiotherapist, occupational therapist) was formed to support the implementation of evidence-based prevention measures (ref 26). Stakeholders volunteered to join in the pilot implementation (ref 28) or a stakeholder team met to determine the best strategy for change management, shortcomings in evidence-based criteria were discussed, and strategies to address those areas were planned (ref 5). Nursing leaders, staff members (ref 22), ‘process owners (ref 18) and program team members (ref 18, ref 19, ref 24) met regularly to discuss the problems. Critical input was sought from clinical educators, physicians, nutritionists, pharmacists, and nurse managers (ref 24). The unit director and senior nursing staff reviewed the contents of the product, and the final version of clinical pathways were reviewed and approved by the Quality Control Commission of the Nursing Department (ref 12). In addition, two co-design workshops with 18 residential aged care stakeholders were organized to explore their perspectives about factors to include in a model prototype (ref 20). Further, an agreement of stakeholders in implementing continuous quality services within an open relationship was conducted (ref 1).

Critical appraisal

In five studies (16%), a critical appraisal targeting the literature search was carried out. The appraisals were conducted by interns and teams who critiqued the evidence (ref 4). In Hoke’s study, four areas that had emerged in the literature were critically reviewed (ref 11). Other methods were to ‘critically appraise the search results’ (ref 14). Journal club team meetings (ref 23) were organized to grade the level and quality of evidence and the team ‘critically appraised relevant evidence’ (ref 27). On the other hand, the studies lacked details of how the appraisals were done in each study.

The perceived effects of evidence-based leadership

Perceived effects of evidence-based leadership on nurses’ performance.

Eleven studies (35%) described perceived effects of evidence-based leadership on nurses’ performance (see Additional file 9 for perceived effects of evidence-based leadership), which were categorized in four groups: awareness and knowledge, competence, ability to understand patients’ needs, and engagement. First, regarding ‘awareness and knowledge’, different projects provided nurses with new learning opportunities (ref 3). Staff’s knowledge (ref 20, ref 28), skills, and education levels improved (ref 20), as did nurses’ knowledge comprehension (ref 21). Second, interventions and approaches focusing on management and leadership positively influenced participants’ competence level to improve the quality of services. Their confidence level (ref 1) and motivation to change practice increased, self-esteem improved, and they were more positive and enthusiastic in their work (ref 22). Third, some nurses were relieved that they had learned to better handle patients’ needs (ref 25). For example, a systematic work approach increased nurses’ awareness of the patients who were at risk of developing health problems (ref 26). And last, nurse leaders were more engaged with staff, encouraging them to adopt the new practices and recognizing their efforts to change (ref 8).

Perceived effects on organizational outcomes

Nine studies (29%) described the perceived effects of evidence-based leadership on organizational outcomes (see Additional file 9 for perceived effects of evidence-based leadership). These were categorized into three groups: use of resources, staff commitment, and team effort. First, more appropriate use of resources was reported (ref 15, ref 20), and working time was more efficiently used (ref 16). In generally, a structured approach made implementing change more manageable (ref 1). On the other hand, in the beginning of the change process, the feedback from nurses was unfavorable, and they experienced discomfort in the new work style (ref 29). New approaches were also perceived as time consuming (ref 3). Second, nurse leaders believed that fewer nursing staff than expected left the organization over the course of the study (ref 31). Third, the project helped staff in their efforts to make changes, and it validated the importance of working as a team (ref 7). Collaboration and support between the nurses increased (ref 26). On the other hand, new work style caused challenges in teamwork (ref 3).

Perceived effects on clinical outcomes

Five studies (16%) reported the perceived effects of evidence-based leadership on clinical outcomes (see Additional file 9 for perceived effects of evidence-based leadership), which were categorized in two groups: general patient outcomes and specific clinical outcomes. First, in general, the project assisted in connecting the guideline recommendations and patient outcomes (ref 7). The project was good for the patients in general, and especially to improve patient safety (ref 16). On the other hand, some nurses thought that the new working style did not work at all for patients (ref 28). Second, the new approach used assisted in optimizing patients’ clinical problems and person-centered care (ref 20). Bowel management, for example, received very good feedback (ref 30).

The measured effects of evidence-based leadership

The measured effects on nurses’ performance.

Data were obtained from 20 studies (65%) (see Additional file 10 for measured effects of evidence-based leadership) and categorized nurse performance outcomes for three groups: awareness and knowledge, engagement, and satisfaction. First, six studies (19%) measured the awareness and knowledge levels of participants. Internship for staff nurses was beneficial to help participants to understand the process for using evidence-based practice and to grow professionally, to stimulate for innovative thinking, to give knowledge needed to use evidence-based practice to answer clinical questions, and to make possible to complete an evidence-based practice project (ref 3). Regarding implementation program of evidence-based practice, those with formal EBP training showed an improvement in knowledge, attitude, confidence, awareness and application after intervention (ref 3, ref 11, ref 20, ref 23, ref 25). On the contrary, in other study, attitude towards EBP remained stable ( p  = 0.543). and those who applied EBP decreased although no significant differences over the years ( p  = 0.879) (ref 6).

Second, 10 studies (35%) described nurses’ engagement to new practices (ref 5, ref 6, ref 7, ref 10, ref 16, ref 17, ref 18, ref 21, ref 25, ref 27). 9 studies (29%) studies reported that there was an improvement of compliance level of participants (ref 6, ref 7, ref 10, ref 16, ref 17, ref 18, ref 21, ref 25, ref 27). On the contrary, in DeLeskey’s (ref 5) study, although improvement was found in post-operative nausea and vomiting’s (PONV) risk factors documented’ (2.5–63%), and ’risk factors communicated among anaesthesia and surgical staff’ (0–62%), the improvement did not achieve the goal. The reason was a limited improvement was analysed. It was noted that only those patients who had been seen by the pre-admission testing nurse had risk assessments completed. Appropriate treatment/prophylaxis increased from 69 to 77%, and from 30 to 49%; routine assessment for PONV/rescue treatment 97% and 100% was both at 100% following the project. The results were discussed with staff but further reasons for a lack of engagement in nursing care was not reported.

And third, six studies (19%) reported nurses’ satisfaction with project outcomes. The study results showed that using evidence in managerial decisions improved nurses’ satisfaction and attitudes toward their organization ( P  < 0.05) (ref 31). Nurses’ overall job satisfaction improved as well (ref 17). Nurses’ satisfaction with usability of the electronic charting system significantly improved after introduction of the intervention (ref 12). In handoff project in seven hospitals, improvement was reported in all satisfaction indicators used in the study although improvement level varied in different units (ref 28). In addition, positive changes were reported in nurses’ ability to autonomously perform their job (“How satisfied are you with the tools and resources available for you treat and prevent patient constipation?” (54%, n  = 17 vs. 92%, n  = 35, p  < 0.001) (ref 30).

The measured effects on organizational outcomes

Thirteen studies (42%) described the effects of a project on organizational outcomes (see Additional file 10 for measured effects of evidence-based leadership), which were categorized in two groups: staff compliance, and changes in practices. First, studies reported improved organizational outcomes due to staff better compliance in care (ref 4, ref 13, ref 17, ref 23, ref 27, ref 31). Second, changes in organization practices were also described (ref 11) like changes in patient documentation (ref 12, ref 21). Van Orne (ref 30) found a statistically significant reduction in the average rate of invasive medication administration between pre-intervention and post-intervention ( p  = 0.01). Salvador (ref 24) also reported an improvement in a proactive approach to mucositis prevention with an evidence-based oral care guide. On the contrary, concerns were also raised such as not enough time for new bedside report (ref 16) or a lack of improvement of assessment of diabetic ulcer (ref 8).

The measured effects on clinical outcomes

A variety of improvements in clinical outcomes were reported (see Additional file 10 for measured effects of evidence-based leadership): improvement in patient clinical status and satisfaction level. First, a variety of improvement in patient clinical status was reported. improvement in Incidence of CAUTI decreased 27.8% between 2015 and 2019 (ref 2) while a patient-centered quality improvement project reduced CAUTI rates to 0 (ref 10). A significant decrease in transmission rate of MRSA transmission was also reported (ref 27) and in other study incidences of CLABSIs dropped following of CHG bathing (ref 14). Further, it was possible to decrease patient nausea from 18 to 5% and vomiting to 0% (ref 5) while the percentage of patients who left the hospital without being seen was below 2% after the project (ref 17). In addition, a significant reduction in the prevalence of pressure ulcers was found (ref 26, ref 29) and a significant reduction of mucositis severity/distress was achieved (ref 24). Patient falls rate decreased (ref 15, ref 16, ref 19, ref 27).

Second, patient satisfaction level after project implementation improved (ref 28). The scale assessing healthcare providers by consumers showed improvement, but the changes were not statistically significant. Improvement in an emergency department leadership model and in methods of communication with patients improved patient satisfaction scores by 600% (ref 17). In addition, new evidence-based unit improved patient experiences about the unit although not all items improved significantly (ref 18).

Stakeholder involvement in the mixed-method review

To ensure stakeholders’ involvement in the review, the real-world relevance of our research [ 53 ], achieve a higher level of meaning in our review results, and gain new perspectives on our preliminary findings [ 50 ], a meeting with 11 stakeholders was organized. First, we asked if participants were aware of the concepts of evidence-based practice or evidence-based leadership. Responses revealed that participants were familiar with the concept of evidence-based practice, but the topic of evidence-based leadership was totally new. Examples of nurses and nurse leaders’ responses are as follows: “I have heard a concept of evidence-based practice but never a concept of evidence-based leadership.” Another participant described: “I have heard it [evidence-based leadership] but I do not understand what it means.”

Second, as stakeholder involvement is beneficial to the relevance and impact of health research [ 54 ], we asked how important evidence is to them in supporting decisions in health care services. One participant described as follows: “Using evidence in decisions is crucial to the wards and also to the entire hospital.” Third, we asked how the evidence-based approach is used in hospital settings. Participants expressed that literature is commonly used to solve clinical problems in patient care but not to solve leadership problems. “In [patient] medication and care, clinical guidelines are regularly used. However, I am aware only a few cases where evidence has been sought to solve leadership problems.”

And last, we asked what type of evidence is currently used to support nurse leaders’ decision making (e.g. scientific literature, organizational data, stakeholder views)? The participants were aware that different types of information were collected in their organization on a daily basis (e.g. patient satisfaction surveys). However, the information was seldom used to support decision making because nurse leaders did not know how to access this information. Even so, the participants agreed that the use of evidence from different sources was important in approaching any leadership or managerial problems in the organization. Participants also suggested that all nurse leaders should receive systematic training related to the topic; this could support the daily use of the evidence-based approach.

To our knowledge, this article represents the first mixed-methods systematic review to examine leadership problems, how evidence is used to solve these problems and what the perceived and measured effects of evidence-based leadership are on nurse leaders and their performance, organizational, and clinical outcomes. This review has two key findings. First, the available research data suggests that evidence-based leadership has potential in the healthcare context, not only to improve knowledge and skills among nurses, but also to improve organizational outcomes and the quality of patient care. Second, remarkably little published research was found to explore the effects of evidence-based leadership with an efficient trial design. We validated the preliminary results with nurse stakeholders, and confirmed that nursing staff, especially nurse leaders, were not familiar with the concept of evidence-based leadership, nor were they used to implementing evidence into their leadership decisions. Our data was based on many databases, and we screened a large number of studies. We also checked existing registers and databases and found no registered or ongoing similar reviews being conducted. Therefore, our results may not change in the near future.

We found that after identifying the leadership problems, 26 (84%) studies out of 31 used organizational data, 25 (81%) studies used scientific evidence from the literature, and 21 (68%) studies considered the views of stakeholders in attempting to understand specific leadership problems more deeply. However, only four studies critically appraised any of these findings. Considering previous critical statements of nurse leaders’ use of evidence in their decision making [ 14 , 30 , 31 , 34 , 55 ], our results are still quite promising.

Our results support a previous systematic review by Geert et al. [ 32 ], which concluded that it is possible to improve leaders’ individual-level outcomes, such as knowledge, motivation, skills, and behavior change using evidence-based approaches. Collins and Holton [ 23 ] particularly found that leadership training resulted in significant knowledge and skill improvements, although the effects varied widely across studies. In our study, evidence-based leadership was seen to enable changes in clinical practice, especially in patient care. On the other hand, we understand that not all efforts to changes were successful [ 56 , 57 , 58 ]. An evidence-based approach causes negative attitudes and feelings. Negative emotions in participants have also been reported due to changes, such as discomfort with a new working style [ 59 ]. Another study reported inconvenience in using a new intervention and its potential risks for patient confidentiality. Sometimes making changes is more time consuming than continuing with current practice [ 60 ]. These findings may partially explain why new interventions or program do not always fully achieve their goals. On the other hand, Dubose et al. [ 61 ] state that, if prepared with knowledge of resistance, nurse leaders could minimize the potential negative consequences and capitalize on a powerful impact of change adaptation.

We found that only six studies used a specific model or theory to understand the mechanism of change that could guide leadership practices. Participants’ reactions to new approaches may be an important factor in predicting how a new intervention will be implemented into clinical practice. Therefore, stronger effort should be put to better understanding the use of evidence, how participants’ reactions and emotions or practice changes could be predicted or supported using appropriate models or theories, and how using these models are linked with leadership outcomes. In this task, nurse leaders have an important role. At the same time, more responsibilities in developing health services have been put on the shoulders of nurse leaders who may already be suffering under pressure and increased burden at work. Working in a leadership position may also lead to role conflict. A study by Lalleman et al. [ 62 ] found that nurses were used to helping other people, often in ad hoc situations. The helping attitude of nurses combined with structured managerial role may cause dilemmas, which may lead to stress. Many nurse leaders opt to leave their positions less than 5 years [ 63 ].To better fulfill the requirements of health services in the future, the role of nurse leaders in evidence-based leadership needs to be developed further to avoid ethical and practical dilemmas in their leadership practices.

It is worth noting that the perceived and measured effects did not offer strong support to each other but rather opened a new venue to understand the evidence-based leadership. Specifically, the perceived effects did not support to measured effects (competence, ability to understand patients’ needs, use of resources, team effort, and specific clinical outcomes) while the measured effects could not support to perceived effects (nurse’s performance satisfaction, changes in practices, and clinical outcomes satisfaction). These findings may indicate that different outcomes appear if the effects of evidence-based leadership are looked at using different methodological approach. Future study is encouraged using well-designed study method including mixed-method study to examine the consistency between perceived and measured effects of evidence-based leadership in health care.

There is a potential in nursing to support change by demonstrating conceptual and operational commitment to research-based practices [ 64 ]. Nurse leaders are well positioned to influence and lead professional governance, quality improvement, service transformation, change and shared governance [ 65 ]. In this task, evidence-based leadership could be a key in solving deficiencies in the quality, safety of care [ 14 ] and inefficiencies in healthcare delivery [ 12 , 13 ]. As WHO has revealed, there are about 28 million nurses worldwide, and the demand of nurses will put nurse resources into the specific spotlight [ 1 ]. Indeed, evidence could be used to find solutions for how to solve economic deficits or other problems using leadership skills. This is important as, when nurses are able to show leadership and control in their own work, they are less likely to leave their jobs [ 66 ]. On the other hand, based on our discussions with stakeholders, nurse leaders are not used to using evidence in their own work. Further, evidence-based leadership is not possible if nurse leaders do not have access to a relevant, robust body of evidence, adequate funding, resources, and organizational support, and evidence-informed decision making may only offer short-term solutions [ 55 ]. We still believe that implementing evidence-based strategies into the work of nurse leaders may create opportunities to protect this critical workforce from burnout or leaving the field [ 67 ]. However, the role of the evidence-based approach for nurse leaders in solving these problems is still a key question.

Limitations

This study aimed to use a broad search strategy to ensure a comprehensive review but, nevertheless, limitations exist: we may have missed studies not included in the major international databases. To keep search results manageable, we did not use specific databases to systematically search grey literature although it is a rich source of evidence used in systematic reviews and meta-analysis [ 68 ]. We still included published conference abstract/proceedings, which appeared in our scientific databases. It has been stated that conference abstracts and proceedings with empirical study results make up a great part of studies cited in systematic reviews [ 69 ]. At the same time, a limited space reserved for published conference publications can lead to methodological issues reducing the validity of the review results [ 68 ]. We also found that the great number of studies were carried out in western countries, restricting the generalizability of the results outside of English language countries. The study interventions and outcomes were too different across studies to be meaningfully pooled using statistical methods. Thus, our narrative synthesis could hypothetically be biased. To increase transparency of the data and all decisions made, the data, its categorization and conclusions are based on original studies and presented in separate tables and can be found in Additional files. Regarding a methodological approach [ 34 ], we used a mixed methods systematic review, with the core intention of combining quantitative and qualitative data from primary studies. The aim was to create a breadth and depth of understanding that could confirm to or dispute evidence and ultimately answer the review question posed [ 34 , 70 ]. Although the method is gaining traction due to its usefulness and practicality, guidance in combining quantitative and qualitative data in mixed methods systematic reviews is still limited at the theoretical stage [ 40 ]. As an outcome, it could be argued that other methodologies, for example, an integrative review, could have been used in our review to combine diverse methodologies [ 71 ]. We still believe that the results of this mixed method review may have an added value when compared with previous systematic reviews concerning leadership and an evidence-based approach.

Our mixed methods review fills the gap regarding how nurse leaders themselves use evidence to guide their leadership role and what the measured and perceived impact of evidence-based leadership is in nursing. Although the scarcity of controlled studies on this topic is concerning, the available research data suggest that evidence-based leadership intervention can improve nurse performance, organizational outcomes, and patient outcomes. Leadership problems are also well recognized in healthcare settings. More knowledge and a deeper understanding of the role of nurse leaders, and how they can use evidence in their own managerial leadership decisions, is still needed. Despite the limited number of studies, we assume that this narrative synthesis can provide a good foundation for how to develop evidence-based leadership in the future.

Implications

Based on our review results, several implications can be recommended. First, the future of nursing success depends on knowledgeable, capable, and strong leaders. Therefore, nurse leaders worldwide need to be educated about the best ways to manage challenging situations in healthcare contexts using an evidence-based approach in their decisions. This recommendation was also proposed by nurses and nurse leaders during our discussion meeting with stakeholders.

Second, curriculums in educational organizations and on-the-job training for nurse leaders should be updated to support general understanding how to use evidence in leadership decisions. And third, patients and family members should be more involved in the evidence-based approach. It is therefore important that nurse leaders learn how patients’ and family members’ views as stakeholders are better considered as part of the evidence-based leadership approach.

Future studies should be prioritized as follows: establishment of clear parameters for what constitutes and measures evidence-based leadership; use of theories or models in research to inform mechanisms how to effectively change the practice; conducting robust effectiveness studies using trial designs to evaluate the impact of evidence-based leadership; studying the role of patient and family members in improving the quality of clinical care; and investigating the financial impact of the use of evidence-based leadership approach within respective healthcare systems.

Data availability

The authors obtained all data for this review from published manuscripts.

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Acknowledgements

We want to thank the funding bodies, the Finnish National Agency of Education, Asia Programme, the Department of Nursing Science at the University of Turku, and Xiangya School of Nursing at the Central South University. We also would like to thank the nurses and nurse leaders for their valuable opinions on the topic.

The work was supported by the Finnish National Agency of Education, Asia Programme (grant number 26/270/2020) and the University of Turku (internal fund 26003424). The funders had no role in the study design and will not have any role during its execution, analysis, interpretation of the data, decision to publish, or preparation of the manuscript.

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Department of Nursing Science, University of Turku, Turku, FI-20014, Finland

Maritta Välimäki, Tella Lantta, Kirsi Hipp & Jaakko Varpula

School of Public Health, University of Helsinki, Helsinki, FI-00014, Finland

Maritta Välimäki

Xiangya Nursing, School of Central South University, Changsha, 410013, China

Shuang Hu, Jiarui Chen, Yao Tang, Wenjun Chen & Xianhong Li

School of Health and Social Services, Häme University of Applied Sciences, Hämeenlinna, Finland

Hunan Cancer Hospital, Changsha, 410008, China

Gaoming Liu

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Contributions

Study design: MV, XL. Literature search and study selection: MV, KH, TL, WC, XL. Quality assessment: YT, SH, XL. Data extraction: JC, MV, JV, WC, YT, SH, GL. Analysis and interpretation: MV, SH. Manuscript writing: MV. Critical revisions for important intellectual content: MV, XL. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Xianhong Li .

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The authors declare no competing interests.

Differences between the original protocol

We modified criteria for the included studies: we included published conference abstracts/proceedings, which form a relatively broad knowledge base in scientific knowledge. We originally planned to conduct a survey with open-ended questions followed by a face-to-face meeting to discuss the preliminary results of the review. However, to avoid extra burden in nurses due to COVID-19, we decided to limit the validation process to the online discussion only.

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Välimäki, M., Hu, S., Lantta, T. et al. The impact of evidence-based nursing leadership in healthcare settings: a mixed methods systematic review. BMC Nurs 23 , 452 (2024). https://doi.org/10.1186/s12912-024-02096-4

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Received : 28 April 2023

Accepted : 13 June 2024

Published : 03 July 2024

DOI : https://doi.org/10.1186/s12912-024-02096-4

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