Document Type : Review Article
Authors
Department of Medical Education, School of Medical Education and Learning Technologies, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Abstract
Background: Synthesis studies are used for the retrieval, review, synthesis, analysis, and integration of the findings of original studies. The purpose of this review was to shed more light on how meta-ethnography works as a method of inductive and interpretative knowledge synthesis, and on its application and implementation in medical sciences.
Methods: This was a narrative review study and the statistical population included all scholarly publications on the synthesis of qualitative studies and meta-ethnography published from 1998 to 2022. The search in international and domestic databases led to the extraction of 118 books and articles. After reviewing the titles, abstracts, and full texts of these publications, we included 2 books and 8 articles in the review.
Results: Meta-ethnography is used for synthesizing the knowledge obtained from qualitative studies to re-conceptualize their findings. There are seven phases in the process of meta-ethnography: Getting started; Deciding on what is of initial interest; Reading the studies; Determining how the studies are related; Translating the studies to each other; Synthesizing the translations; and expressing the synthesis. The number of studies required to perform meta-ethnography has been recently suggested to be 40. Strategies for updating meta-ethnography include repeating the previous strategy and reformulating the strategy according to a new objective, a revised review question, or new inclusion criteria.
Conclusion: Noblit and Hare introduced meta-ethnography in 1988 as a qualitative research method for the synthesis of educational ethnographies. Today, it is widely used in healthcare research.
Keywords
- Engle RL, Mohr DC, Holmes SK, Seibert MN, Afable M, Leyson J, et al. Evidence-based practice and patient-centered care: doing both well. Health Care Manage Rev. 2021;46(3):174- 84. doi: 10.1097/hmr.0000000000000254.
- Wallace SS, Barak G, Truong G, Parker MW. Hierarchy of evidence within the medical literature. Hosp Pediatr. 2022;12(8):745-50. doi: 10.1542/hpeds.2022-006690.
- Nadi Ravandi S. Investigation and introducing a variety of synthetic/mixed and review studies in medical research. J Sabzevar Univ Med Sci. 2017;24(4):257-63. [Persian].
- Thorne S. Qualitative meta-synthesis. Nurse Author Ed. 2022;32(1):15-8. doi: 10.1111/nae2.12036.
- Mohammed MA, Moles RJ, Chen TF. Meta-synthesis of qualitative research: the challenges and opportunities. Int J Clin Pharm. 2016;38(3):695-704. doi: 10.1007/s11096-016- 0289-2.
- Pearson A, Rittenmeyer L, Robertson-Malt S. Synthesizing Qualitative Evidence. Lippincott Wiliams & Wilkins; 2011.
- Coupe N, Peters S, Rhodes S, Cotterill S. The effect of commitment-making on weight loss and behaviour change in adults with obesity/overweight; a systematic review. BMC Public Health. 2019;19(1):816. doi: 10.1186/s12889-019- 7185-3.
- Sheikhbahaeddinzadeh E, Ashktorab T. Qualitative research methodology in nursing: constructivism and structuralism. J Qual Rese Health Sci. 2022;11(1):27-34. doi: 10.22062/ jqr.2022.91886.
- Lachal J, Revah-Levy A, Orri M, Moro MR. Metasynthesis: an original method to synthesize qualitative literature in psychiatry. Front Psychiatry. 2017;8:269. doi: 10.3389/ fpsyt.2017.00269.
- Sage Publications. George W. Noblit University of North Carolina, Chapel Hill, USA. Available from: https:// us.sagepub.com/en-us/nam/author/george-w-noblit. Accessed June 6, 2023.
- Sage Publications. R. Dwight Hare Northeast Louisiana University. Available from: http://us.sagepub.com/en-us/nam/ author/r-dwight-hare.
- Noblit GW, Hare RD. Meta-ethnography: synthesizing qualitative studies. Counterpoints. 1999;44:93-123.
- Sattar R, Lawton R, Panagioti M, Johnson J. Meta-ethnography in healthcare research: a guide to using a meta-ethnographic approach for literature synthesis. BMC Health Serv Res. 2021;21(1):50. doi: 10.1186/s12913-020-06049-w.
- Atkins S, Lewin S, Smith H, Engel M, Fretheim A, Volmink J. Conducting a meta-ethnography of qualitative literature: lessons learnt. BMC Med Res Methodol. 2008;8:21. doi: 10.1186/1471-2288-8-21.
- Soundy A, Heneghan NR. Meta-ethnography. Int Rev Sport Exerc Psychol. 2022;15(1):266-86. doi: 10.1080/1750984x.2021.1966822.
- Cahill M, Robinson K, Pettigrew J, Galvin R, Stanley M. Qualitative synthesis: a guide to conducting a meta-ethnography. Br J Occup Ther. 2018;81(3):129-37. doi: 10.1177/0308022617745016.
- France EF, Ring N, Thomas R, Noyes J, Maxwell M, Jepson R. A methodological systematic review of what’s wrong with meta-ethnography reporting. BMC Med Res Methodol. 2014;14:119. doi: 10.1186/1471-2288-14-119.
- Toye F, Seers K, Allcock N, Briggs M, Carr E, Barker K. Meta-ethnography 25 years on: challenges and insights for synthesising a large number of qualitative studies. BMC Med Res Methodol. 2014;14:80. doi: 10.1186/1471-2288-14-80.
- France EF, Wells M, Lang H, Williams B. Why, when and how to update a meta-ethnography qualitative synthesis. Syst Rev. 2016;5:44. doi: 10.1186/s13643-016-0218-4.
- Luong V, Bearman M, MacLeod A. A beginner’s guide to meta-ethnography. J Grad Med Educ. 2023;15(1):46-7. doi: 10.4300/jgme-d-22-00958.1.
- Yazdimoghaddam H, Mohamadzadeh Tabrizi Z, Zardosht R. Ethical care: nurses’ experience of moral judgment in intensive care units. J Qual Res Health Sci. 2023;12(1):17-24. doi: 10.34172/jqr.2023.03.
- Toye F, Seers K, Allcock N, Briggs M, Carr E, Andrews J, et al. ‘Trying to pin down jelly’ - exploring intuitive processes in quality assessment for meta-ethnography. BMC Med Res Methodol. 2013;13:46. doi: 10.1186/1471-2288-13-46.
- Varai S, Dehghan Nayeri N, Hosseiny SF, Ahmadi Chenari H. Critique and evaluation of published articles quality of health sciences qualitative researches journal based on CASP scale. J Qual Res Health Sci. 2020;8(4):9-15. doi: 10.22062/ jqr.2020.90986.
- Yazdani S, Akbari-Farmad S. Providing the meta- model of development of competency using the meta-ethnography approach: part 1: reviewing the available models of competency development. J Med Educ. 2016;15(2):65-74. doi: 10.22037/jme.v15i2.11959.
- Urrieta L, Noblit GW. Cultural Constructions of Identity: Meta-Ethnography and Theory. New York: Oxford University Press; 2018. doi: 10.1093/oso/9780190676087.001.0001.
- Yazdani S, Akbari-Farmad S. Providing the meta-model of development of competency using the meta-ethnography approach: part 2. Synthesis of the available competency development models. J Med Educ. 2016;15(3):157-70. doi: 10.22037/jme.v15i3.11960.
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