What effect does a meta-synthesis or meta-analysis have on research translation?
DNP 820 Topic 5 Discussion Question One
What effect does a meta-synthesis or meta-analysis have on research translation? Describe a clinical practice in place that is supported by this level of evidence.
Evidence-based healthcare is the integration of best research evidence with clinical expertise and patient values. Green denotes, “Using evidence from reliable research, to inform healthcare decisions, has the potential to ensure best practice and reduce variations in healthcare delivery.” However, incorporating research into practice is time consuming, and so we need methods of facilitating easy
DNP 820 Topic 5 Discussion Question One
DNP 820 Topic 5 Discussion Question One
access to evidence for busy clinicians.[1] Ganeshkumar et al. mentioned that nearly half of the private practitioners in India were consulting more than 4 h per day in a locality,[2] which explains the difficulty of them in spending time in searching evidence during consultation. Ideally, clinical decision making ought to be based on the latest evidence available.
However, to keep abreast with the continuously increasing number of publications in health research, a primary healthcare professional would need to read an insurmountable number of articles every day, covered in more than 13 million references and over 4800 biomedical and health journals in Medline alone. With the view to address this challenge, the systematic review method was developed. Systematic reviews aim to inform and facilitate this process through research synthesis of multiple studies, enabling increased and efficient access to evidence.[1,3,4]
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Systematic reviews and meta-analyses have become increasingly important in healthcare settings. Clinicians read them to keep up-to-date with their field and they are often used as a starting point for developing clinical practice guidelines. Granting agencies may require a systematic review to ensure there is justification for further research and some healthcare journals are moving in this direction.[5]
This article is intended to provide an easy guide to understand the concept of systematic reviews and meta-analysis, which has been prepared with the aim of capacity building for general practitioners and other primary healthcare professionals in research methodology and day-to-day clinical practice.
The purpose of this article is to introduce readers to:
The two approaches of evaluating all the available evidence on an issue i.e., systematic reviews and meta-analysis,
Discuss the steps in doing a systematic review,
Introduce the terms used in systematic reviews and meta-analysis,
Interpret results of a meta-analysis, and
The advantages and disadvantages of systematic review and meta-analysis.
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