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Parry Land 2013 BMC MedRes Methodology Systematic review CA evidence.pdf (220.4 kB)

Systematically reviewing and synthesizing evidence from conversation analytic and related discursive research to inform healthcare communication practice and policy: an illustrated guide

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journal contribution
posted on 2018-04-23, 13:05 authored by Ruth ParryRuth Parry, Victoria Land
Background: Healthcare delivery is largely accomplished in and through conversations between people, and healthcare quality and effectiveness depend enormously upon the communication practices employed within these conversations. An important body of evidence about these practices has been generated by conversation analysis and related discourse analytic approaches, but there has been very little systematic reviewing of this evidence. Methods. We developed an approach to reviewing evidence from conversation analytic and related discursive research through the following procedures:.• reviewing existing systematic review methods and our own prior experience of applying these.• clarifying distinctive features of conversation analytic and related discursive work which must be taken into account when reviewing.• holding discussions within a review advisory team that included members with expertise in healthcare research, conversation analytic research, and systematic reviewing.• attempting and then refining procedures through conducting an actual review which examined evidence about how people talk about difficult future issues including illness progression and dying. Results: We produced a step-by-step guide which we describe here in terms of eight stages, and which we illustrate from our 'Review of Future Talk'. The guide incorporates both established procedures for systematic reviewing, and new techniques designed for working with conversation analytic evidence. Conclusions: The guide is designed to inform systematic reviews of conversation analytic and related discursive evidence on specific domains and topics. Whilst we designed it for reviews that aim at informing healthcare practice and policy, it is flexible and could be used for reviews with other aims, for instance those aiming to underpin research programmes and projects. We advocate systematically reviewing conversation analytic and related discursive findings using this approach in order to translate them into a form that is credible and useful to healthcare practitioners, educators and policy-makers.

Funding

This project was supported by the University of Nottingham’s Sue Ryder Care Centre for the Study of Supportive, Palliative, and End of Life Care and by a grant from the University’s School of Nursing, Midwifery and Physiotherapy.

History

School

  • Social Sciences

Department

  • Communication, Media, Social and Policy Studies

Published in

BMC Medical Research Methodology

Volume

13

Issue

1

Citation

PARRY, R. and LAND, V., 2013. Systematically reviewing and synthesizing evidence from conversation analytic and related discursive research to inform healthcare communication practice and policy: an illustrated guide. BMC Medical Research Methodology, 13 (1), 69.

Publisher

BioMed Central © The Authors

Version

  • VoR (Version of Record)

Publisher statement

This work is made available according to the conditions of the Creative Commons Attribution 3.0 Unported (CC BY 3.0) licence. Full details of this licence are available at: http://creativecommons.org/licenses/by/3.0/

Publication date

2013

Notes

This is an Open Access Article. It is published by BioMed Central under the Creative Commons Attribution 2.0 Generic Licence (CC BY). Full details of this licence are available at: https://creativecommons.org/licenses/by/2.0/

ISSN

1471-2288

Language

  • en