How Effective is Education in Reducing Obesity in Adolescence?
practice change. It’s a research project of 6,000 words on a topic of my choice. I have chosen to do my research on obesity. I have to identify a review question that is relevant to child nursing. I was thinking along the lines of ‘How effective is education in reducing obesity in adolescence?’, however, this question can be subject to change as I have yet to start my research. My review should include:
Abstract – (100-150 words) Title, aim, background, method, results and conclusion
Introduction, including a methods section – (750-1000 words) Rational for and importance of the study (supportive literature and personal context), overview of subject area and a summary of the main research in the area using key references
Method – (250-500 words) Clear search strategy and databases used, inclusion and exclusion criteria, how I identified my themes and document how literature was critiqued (using the relevant CASP tool)
Results – (2000 words) Incorporate the main themes/results identified from the literature, provide table in the appendix to demonstrate how I extracted information and critiqued literature and identify similarities and inconsistencies in the data
Recommendations for change – (150-200 words) Evaluate findings in the results section, identify focus of practice change and discuss rationale for chosen area of practice change
Considering change in clinical practice – (1500-2000 words) Use the PARIHS framework to: critically consider the influence of the evidence on practice change, critically consider the influence of the clinical context on practice change and critically consider the influence of facilitation on practice change
Recommendations and Conclusions – (250-500 words) Set my results in context by acknowledging limitations of my review, make realistic recommendations based on my findings and briefly reflect on my experiences as a developing researcher in conducting the review
Steps in the Review Process: overview
There are three types of information that will have to be search for, read, analysed and discussed.
1. Information that provides background reading and gives a rationale for the clinical importance of the study. The literature for this element of the study can be wide-ranging and not necessarily research-based.
2. Information that provides answers to your review question. The review will require you to identify 10-12 focused articles which are research (evidence) -based (primary or secondary evidence only) that provide answers to your review question. Your answers will be presented and formalised in themes.
3. Information that provides insight into issues of changing practice. The literature use for this element of the study can be wide-ranging and not necessarily research-based.
Expected to use primary and secondary sources only. This is important as a key module learning outcome is to assess ability to understand the value and relevance of primary and secondary evidence to clinical practice. Both Qualitative and Quantitative methods are primary research methods which collect original information. For the review you can also identify and include secondary sources of research-based evidence – if the secondary source provides answers for the review question. Therefore, could include other reviews (Systematic Reviews, Integrative Reviews, Narrative Reviews).
The overall purpose of the introduction is to set the scene for the review, and establish the importance of the review question. In this section need to:
Explain why the question is important to you and your branch of nursing.
Establish background information: What is the importance of your review question? Why is this question important for clinical practice and to the profession? In what clinical context is the review question important?
Document how you arrived at your review question. This might be through reading different literature or talking to clinical and academic experts.
Who influenced the development of your research question?
Justify why a review of the literature is important rather than another research method.
At this stage the aim is to collate a wide-range of literature which establishes the review question. Some of this literature will be research-based (primary and secondary), some will be policy documents (national/local guidelines) or opinion based literature. Some of this background literature may also eventually form one or more of the research-based articles for the results of the review.
Write the Review Methods
All good literature reviews follow a method. For example, high quality Systematic Reviews follow established methodological guidelines, such as the Preferred Reporting of Systematic Reviews and Meta-Analysis (PRISMA) to enhance rigour in the reporting of this type of review (Moher et al, 2008).
Similarly, Integrative reviews have a recognised design which should be adhered to, to uphold rigour (Aveyard, 2010). In the review will be expected to uphold the reporting of the integrative review in four key areas:
1. Search Strategy: how and where you accessed and searched literature
2. Study selection: on what basis did you select studies?
3. Critical Appraisal: how you plan to appraise the literature
4. Synthesis of Findings: how you plan to make sense of the research-based literature as integrated results for your review question
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