Narrative review And systematic review 1 In the name of GOD [email protected] Fatemeh Ahmadi Critical care nursing master's student School of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran
2 Fatemeh Ahmadi, Critical care nursing master's student School of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran
3 NARRATIVE VS. SYSTEMATIC Systematic Review Narrative Review Feature High Evidence Low Evidence Evidence Systematic steps according to a detailed protocol Expert opinion “no protocol and no systematic steps” Method Low bias High bias Bias Yes No Reproducibility Narrow scope Wide scope Scope Fatemeh Ahmadi, Critical care nursing master's student School of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran
4 Fatemeh Ahmadi, Critical care nursing master's student School of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran
5 Fatemeh Ahmadi, Critical care nursing master's student School of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran
Systematic Review 6 Increase power & precision Minimize the impact of bias/errors Can help to end confusion Identifying gaps in evidence Highlighting the limitations of previous studies Fatemeh Ahmadi, Critical care nursing master's student School of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran
Some Examples! 7 Fatemeh Ahmadi, Critical care nursing master's student School of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran
8 Fatemeh Ahmadi, Critical care nursing master's student School of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran
9 Fatemeh Ahmadi, Critical care nursing master's student School of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran
10 Fatemeh Ahmadi, Critical care nursing master's student School of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran
11 Fatemeh Ahmadi, Critical care nursing master's student School of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran
12 Fatemeh Ahmadi, Critical care nursing master's student School of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran
13 Fatemeh Ahmadi, Critical care nursing master's student School of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran
14 Systematic Review Protocol: PROSPERO Fatemeh Ahmadi, Critical care nursing master's student School of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran
15 Fatemeh Ahmadi, Critical care nursing master's student School of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran
Prisma checklist & flow chart To help authors improve the reporting of systematic reviews and meta-analysis Consists of a 27-item checklist and a four-phase flow diagram 16 Fatemeh Ahmadi, Critical care nursing master's student School of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran
17 Prisma 2020 Check list Fatemeh Ahmadi, Critical care nursing master's student School of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran
18 Fatemeh Ahmadi, Critical care nursing master's student School of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran
19 Prisma flow Chart Fatemeh Ahmadi, Critical care nursing master's student School of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran
Main steps of conducting a systematic review 20 1 2 3 4 5 6 Develop questions Conduct literature search Identify relevant article Quality apprisal Data extraction Evidencd synthesis Fatemeh Ahmadi, Critical care nursing master's student School of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran
1. Develop the Question! 21 Fatemeh Ahmadi, Critical care nursing master's student School of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran
Make your own question, plz ! O C I P Outcome Comparison Intervention Or Exposure Population Patient Problem What happens? What is the outcome? What do we compare the intervention with? What do we do to them? What are they exposed to? Who are the patients? What is the problem? 22 Fatemeh Ahmadi, Critical care nursing master's student School of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran
2. Conduct the Search Database Search Strategy Retrieving studies 23 Fatemeh Ahmadi, Critical care nursing master's student School of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran
For each key word: Emtree / MeSH preferred term Terms as free text search with its synonyms (Titles and Abstracts) #1 OR #2 Then combine the key words! 24 Search strategy! Fatemeh Ahmadi, Critical care nursing master's student School of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran
“BCG Vaccine” [ MeSH Terms] OR “BCG Vaccine” [Title/Abstract] “Diabete mellitus type1” [ MeSH Terms] OR “Diabete mellitus type1” [Title/Abstract] (“BCG Vaccine” [ MeSH Terms] OR “BCG Vaccine” [Title/Abstract]) AND (“Diabete mellitus type1” [ MeSH Terms] OR “Diabete mellitus type1” [Title/Abstract]) 25 Example! Fatemeh Ahmadi, Critical care nursing master's student School of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran
3. Identify relevant article Inclusion & Exclusion Criteria Screening Process: Title screening Abstract Screening Full-text screening 26 Fatemeh Ahmadi, Critical care nursing master's student School of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran
4. Quality appraisal JBI (Joanna Briggs Institute) NOS (Newcastle-Ottawa Scale) tool Chochrane tool 27 Fatemeh Ahmadi, Critical care nursing master's student School of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran
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29 Fatemeh Ahmadi, Critical care nursing master's student School of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran
5. Data extraction Characteristic of the included studies Characteristic of the studied population Details on outcomes … Each steps should be performed by at least 2 independent readers and discrepancies should be resolved by consensus or third reviewer! 30 Fatemeh Ahmadi, Critical care nursing master's student School of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran
6. Evidence synthesis (meta-analysis) “The statistical analysis of a large collection of analysis result from individual studies for the purpose of integrating the findings.” (Glass, 1976) Optional!!!!! 31 Fatemeh Ahmadi, Critical care nursing master's student School of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran
summary Fatemeh Ahmadi, Critical care nursing master's student School of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran 32 Literature Review Systematic Review Meta-analysis