Skip to main content
Top
Published in: BMC Medical Research Methodology 1/2009

Open Access 01-12-2009 | Debate

Methods for the synthesis of qualitative research: a critical review

Authors: Elaine Barnett-Page, James Thomas

Published in: BMC Medical Research Methodology | Issue 1/2009

Login to get access

Abstract

Background

In recent years, a growing number of methods for synthesising qualitative research have emerged, particularly in relation to health-related research. There is a need for both researchers and commissioners to be able to distinguish between these methods and to select which method is the most appropriate to their situation.

Discussion

A number of methodological and conceptual links between these methods were identified and explored, while contrasting epistemological positions explained differences in approaches to issues such as quality assessment and extent of iteration. Methods broadly fall into 'realist' or 'idealist' epistemologies, which partly accounts for these differences.

Summary

Methods for qualitative synthesis vary across a range of dimensions. Commissioners of qualitative syntheses might wish to consider the kind of product they want and select their method – or type of method – accordingly.
Appendix
Available only for authorised users
Literature
1.
go back to reference Dixon-Woods M, Agarwhal S, Jones D, Young B, Sutton A: Synthesising qualitative and quantitative evidence: a review of possible methods. J Health Serv Res Pol. 2005, 10 (1): 45-53b. 10.1258/1355819052801804.CrossRef Dixon-Woods M, Agarwhal S, Jones D, Young B, Sutton A: Synthesising qualitative and quantitative evidence: a review of possible methods. J Health Serv Res Pol. 2005, 10 (1): 45-53b. 10.1258/1355819052801804.CrossRef
2.
go back to reference Barbour RS, Barbour M: Evaluating and synthesizing qualitative research: the need to develop a distinctive approach. J Eval Clin Pract. 2003, 9 (2): 179-186. 10.1046/j.1365-2753.2003.00371.x.CrossRefPubMed Barbour RS, Barbour M: Evaluating and synthesizing qualitative research: the need to develop a distinctive approach. J Eval Clin Pract. 2003, 9 (2): 179-186. 10.1046/j.1365-2753.2003.00371.x.CrossRefPubMed
3.
go back to reference Mays N, Pope C, Popay J: Systematically reviewing qualitative and quantitative evidence to inform management and policy-making in the health field. J Health Serv Res Pol. 2005, 10 (Suppl 1): 6-20. 10.1258/1355819054308576.CrossRef Mays N, Pope C, Popay J: Systematically reviewing qualitative and quantitative evidence to inform management and policy-making in the health field. J Health Serv Res Pol. 2005, 10 (Suppl 1): 6-20. 10.1258/1355819054308576.CrossRef
4.
go back to reference Dixon-Woods M, Bonas S, Booth A, Jones DR, Miller T, Shaw RL, Smith J, Sutton A, Young B: How can systematic reviews incorporate qualitative research? A critical perspective. Qual Res. 2006, 6: 27-44. 10.1177/1468794106058867.CrossRef Dixon-Woods M, Bonas S, Booth A, Jones DR, Miller T, Shaw RL, Smith J, Sutton A, Young B: How can systematic reviews incorporate qualitative research? A critical perspective. Qual Res. 2006, 6: 27-44. 10.1177/1468794106058867.CrossRef
5.
go back to reference Pope C, Mays N, Popay J: Synthesizing Qualitative and Quantitative Health Evidence: a Guide to Methods. 2007, Maidenhead: Open University Press Pope C, Mays N, Popay J: Synthesizing Qualitative and Quantitative Health Evidence: a Guide to Methods. 2007, Maidenhead: Open University Press
6.
go back to reference Thorne S, Jenson L, Kearney MH, Noblit G, Sandelowski M: Qualitative metasynthesis: reflections on methodological orientation and ideological agenda. Qual Health Res. 2004, 14: 1342-1365. 10.1177/1049732304269888.CrossRefPubMed Thorne S, Jenson L, Kearney MH, Noblit G, Sandelowski M: Qualitative metasynthesis: reflections on methodological orientation and ideological agenda. Qual Health Res. 2004, 14: 1342-1365. 10.1177/1049732304269888.CrossRefPubMed
7.
go back to reference Centre for Reviews and Dissemination: Systematic Reviews. CRD's Guidance for Undertaking Reviews in Health Care. 2008, York: CRD Centre for Reviews and Dissemination: Systematic Reviews. CRD's Guidance for Undertaking Reviews in Health Care. 2008, York: CRD
8.
go back to reference Noblit GW, Hare RD: Meta-Ethnography: Synthesizing Qualitative Studies. 1988, London: SageCrossRef Noblit GW, Hare RD: Meta-Ethnography: Synthesizing Qualitative Studies. 1988, London: SageCrossRef
9.
go back to reference Strike K, Posner G: Types of synthesis and their criteria. Knowledge Structure and Use. Edited by: Ward S, Reed L. 1983, Philadelphia: Temple University Press Strike K, Posner G: Types of synthesis and their criteria. Knowledge Structure and Use. Edited by: Ward S, Reed L. 1983, Philadelphia: Temple University Press
10.
go back to reference Turner S: Sociological Explanation as Translation. 1980, New York: Cambridge University Press Turner S: Sociological Explanation as Translation. 1980, New York: Cambridge University Press
11.
go back to reference Britten N, Campbell R, Pope C, Donovan J, Morgan M, Pill R: Using meta-ethnography to synthesis qualitative research: a worked example. J Health Serv Res. 2002, 7: 209-15. 10.1258/135581902320432732.CrossRef Britten N, Campbell R, Pope C, Donovan J, Morgan M, Pill R: Using meta-ethnography to synthesis qualitative research: a worked example. J Health Serv Res. 2002, 7: 209-15. 10.1258/135581902320432732.CrossRef
12.
go back to reference Campbell R, Pound P, Pope C, Britten N, Pill R, Morgan M, Donovan J: Evaluating meta-ethnography: a synthesis of qualitative research on lay experiences of diabetes and diabetes care. Soc Sci Med. 2003, 65: 671-84. 10.1016/S0277-9536(02)00064-3.CrossRef Campbell R, Pound P, Pope C, Britten N, Pill R, Morgan M, Donovan J: Evaluating meta-ethnography: a synthesis of qualitative research on lay experiences of diabetes and diabetes care. Soc Sci Med. 2003, 65: 671-84. 10.1016/S0277-9536(02)00064-3.CrossRef
13.
go back to reference Pound P, Britten N, Morgan M, Yardley L, Pope C, Daker-White G, Campbell R: Resisting medicines: a synthesis of qualitative studies of medicine taking. Soc Sci Med. 2005, 61: 133-155. 10.1016/j.socscimed.2004.11.063.CrossRefPubMed Pound P, Britten N, Morgan M, Yardley L, Pope C, Daker-White G, Campbell R: Resisting medicines: a synthesis of qualitative studies of medicine taking. Soc Sci Med. 2005, 61: 133-155. 10.1016/j.socscimed.2004.11.063.CrossRefPubMed
14.
go back to reference Schutz A: Collected Paper. 1962, The Hague: Martinus Nijhoff, 1: Schutz A: Collected Paper. 1962, The Hague: Martinus Nijhoff, 1:
15.
go back to reference Sandelowski M, Barroso J: Handbook for Synthesizing Qualitative Research. 2007, New York: Springer Publishing Company Sandelowski M, Barroso J: Handbook for Synthesizing Qualitative Research. 2007, New York: Springer Publishing Company
16.
go back to reference Kearney MH: Enduring love: a grounded formal theory of women's experience of domestic violence. Research Nurs Health. 2001, 24: 270-82. 10.1002/nur.1029.CrossRef Kearney MH: Enduring love: a grounded formal theory of women's experience of domestic violence. Research Nurs Health. 2001, 24: 270-82. 10.1002/nur.1029.CrossRef
17.
go back to reference Eaves YD: A synthesis technique for grounded theory data analysis. J Adv Nurs. 2001, 35: 654-63. 10.1046/j.1365-2648.2001.01897.x.CrossRefPubMed Eaves YD: A synthesis technique for grounded theory data analysis. J Adv Nurs. 2001, 35: 654-63. 10.1046/j.1365-2648.2001.01897.x.CrossRefPubMed
18.
go back to reference Finfgeld D: Courage as a process of pushing beyond the struggle. Qual Health Res. 1999, 9: 803-814. 10.1177/104973299129122298.CrossRefPubMed Finfgeld D: Courage as a process of pushing beyond the struggle. Qual Health Res. 1999, 9: 803-814. 10.1177/104973299129122298.CrossRefPubMed
19.
go back to reference Glaser BG, Strauss AL: The Discovery of Grounded Theory: Strategies for Qualitative Research. 1967, New York: Aldine De Gruyter Glaser BG, Strauss AL: The Discovery of Grounded Theory: Strategies for Qualitative Research. 1967, New York: Aldine De Gruyter
20.
go back to reference Strauss AL, Corbin J: Basics of Qualitative Research: Grounded Theory Procedures and Techniques. 1990, Newbury Park, CA: Sage Strauss AL, Corbin J: Basics of Qualitative Research: Grounded Theory Procedures and Techniques. 1990, Newbury Park, CA: Sage
21.
go back to reference Strauss AL, Corbin J: Basics of Qualitative Research: Techniques and Procedures for Developing Grounded Theory. 1998, Thousand Oaks, CA: Sage Strauss AL, Corbin J: Basics of Qualitative Research: Techniques and Procedures for Developing Grounded Theory. 1998, Thousand Oaks, CA: Sage
22.
go back to reference Charmaz K: The grounded theory method: an explication and interpretation. Contemporary Field Research: A Collection of Readings. Edited by: Emerson RM. 1983, Waveland Press: Prospect Heights, IL, 109-126. Charmaz K: The grounded theory method: an explication and interpretation. Contemporary Field Research: A Collection of Readings. Edited by: Emerson RM. 1983, Waveland Press: Prospect Heights, IL, 109-126.
23.
go back to reference Chesler MA: Professionals' Views of the Dangers of Self-Help Groups: Explicating a Grounded Theoretical Approach. 1987, [Michigan]: Department of Sociology, University of Michigan, Ann Arbour Centre for Research on Social Organisation, Working Paper Series Chesler MA: Professionals' Views of the Dangers of Self-Help Groups: Explicating a Grounded Theoretical Approach. 1987, [Michigan]: Department of Sociology, University of Michigan, Ann Arbour Centre for Research on Social Organisation, Working Paper Series
24.
go back to reference Kearney MH: Ready-to-wear: discovering grounded formal theory. Res Nurs Health. 1988, 21: 179-186. 10.1002/(SICI)1098-240X(199804)21:2<179::AID-NUR8>3.0.CO;2-G.CrossRef Kearney MH: Ready-to-wear: discovering grounded formal theory. Res Nurs Health. 1988, 21: 179-186. 10.1002/(SICI)1098-240X(199804)21:2<179::AID-NUR8>3.0.CO;2-G.CrossRef
25.
go back to reference Thomas J, Harden A: Methods for the thematic synthesis of qualitative research in systematic reviews. BMC Med Res Meth. 2008, 8: 45-10.1186/1471-2288-8-45.CrossRef Thomas J, Harden A: Methods for the thematic synthesis of qualitative research in systematic reviews. BMC Med Res Meth. 2008, 8: 45-10.1186/1471-2288-8-45.CrossRef
26.
go back to reference Lucas PJ, Arai L, Baird , Law C, Roberts HM: Worked examples of alternative methods for the synthesis of qualitative and quantitative research in systematic reviews. BMC Med Res Meth. 2007, 7 (4): Lucas PJ, Arai L, Baird , Law C, Roberts HM: Worked examples of alternative methods for the synthesis of qualitative and quantitative research in systematic reviews. BMC Med Res Meth. 2007, 7 (4):
27.
go back to reference Harden A, Garcia J, Oliver S, Rees R, Shepherd J, Brunton G, Oakley A: Applying systematic review methods to studies of people's views: an example from public health research. J Epidemiol Community H. 2004, 58: 794-800. 10.1136/jech.2003.014829.CrossRef Harden A, Garcia J, Oliver S, Rees R, Shepherd J, Brunton G, Oakley A: Applying systematic review methods to studies of people's views: an example from public health research. J Epidemiol Community H. 2004, 58: 794-800. 10.1136/jech.2003.014829.CrossRef
28.
go back to reference Paterson BL, Thorne SE, Canam C, Jillings C: Meta-Study of Qualitative Health Research. A Practical Guide to Meta-Analysis and Meta-Synthesis. 2001, Thousand Oaks, CA: Sage PublicationsCrossRef Paterson BL, Thorne SE, Canam C, Jillings C: Meta-Study of Qualitative Health Research. A Practical Guide to Meta-Analysis and Meta-Synthesis. 2001, Thousand Oaks, CA: Sage PublicationsCrossRef
29.
go back to reference Zhao S: Metatheory, metamethod, meta-data-analysis: what, why and how?. Sociol Perspect. 1991, 34: 377-390.CrossRef Zhao S: Metatheory, metamethod, meta-data-analysis: what, why and how?. Sociol Perspect. 1991, 34: 377-390.CrossRef
30.
go back to reference Ritzer G: Metatheorizing in Sociology. 1991, Lexington, MA: Lexington Books Ritzer G: Metatheorizing in Sociology. 1991, Lexington, MA: Lexington Books
32.
go back to reference Greenhalgh T, Robert G, Macfarlane F, Bate P, Kyriakidou O, Peacock R: Storylines of research in diffusion of innovation: a meta-narrative approach to systematic review. Soc Sci Med. 2005, 61: 417-30. 10.1016/j.socscimed.2004.12.001.CrossRefPubMed Greenhalgh T, Robert G, Macfarlane F, Bate P, Kyriakidou O, Peacock R: Storylines of research in diffusion of innovation: a meta-narrative approach to systematic review. Soc Sci Med. 2005, 61: 417-30. 10.1016/j.socscimed.2004.12.001.CrossRefPubMed
33.
go back to reference Kuhn TS: The Structure of Scientific Revolutions. 1962, Chicago: University of Chicago Press Kuhn TS: The Structure of Scientific Revolutions. 1962, Chicago: University of Chicago Press
34.
go back to reference Dixon-Woods M, Cavers D, Agarwal S, Annandale E, Arthur A, Harvey J, Hsu R, Katbamna S, Olsen R, Smith L, Riley R, Sutton AJ: Conducting a critical interpretive synthesis of the literature on access to healthcare by vulnerable groups. BMC Med Res Meth. 2006, 6 (35): Dixon-Woods M, Cavers D, Agarwal S, Annandale E, Arthur A, Harvey J, Hsu R, Katbamna S, Olsen R, Smith L, Riley R, Sutton AJ: Conducting a critical interpretive synthesis of the literature on access to healthcare by vulnerable groups. BMC Med Res Meth. 2006, 6 (35):
35.
go back to reference Gough D: Weight of evidence: a framework for the appraisal of the quality and relevance of evidence. Applied and Practice-based Research. Edited by: Furlong J, Oancea A. 2007, Special Edition of Research Papers in Education, 22 (2): 213-228. Gough D: Weight of evidence: a framework for the appraisal of the quality and relevance of evidence. Applied and Practice-based Research. Edited by: Furlong J, Oancea A. 2007, Special Edition of Research Papers in Education, 22 (2): 213-228.
36.
go back to reference Webb EJ, Campbell DT, Schwartz RD, Sechrest L: Unobtrusive Measures. 1966, Chicago: Rand McNally Webb EJ, Campbell DT, Schwartz RD, Sechrest L: Unobtrusive Measures. 1966, Chicago: Rand McNally
37.
go back to reference Denzin NK: The Research Act: a Theoretical Introduction to Sociological Methods. 1978, New York: McGraw-Hill Denzin NK: The Research Act: a Theoretical Introduction to Sociological Methods. 1978, New York: McGraw-Hill
40.
go back to reference Brunton G, Oliver S, Oliver K, Lorenc T: A Synthesis of Research Addressing Children's, Young People's and Parents' Views of Walking and Cycling for Transport. 2006, London: EPPI-Centre, Social Science Research Unit, Institute of Education, University of London Brunton G, Oliver S, Oliver K, Lorenc T: A Synthesis of Research Addressing Children's, Young People's and Parents' Views of Walking and Cycling for Transport. 2006, London: EPPI-Centre, Social Science Research Unit, Institute of Education, University of London
41.
go back to reference Oliver S, Rees R, Clarke-Jones L, Milne R, Oakley A, Gabbay J, Stein K, Buchanan P, Gyte G: A multidimensional conceptual framework for analysing public involvement in health services research. Health Expect. 2008, 11: 72-84. 10.1111/j.1369-7625.2007.00476.x.CrossRefPubMed Oliver S, Rees R, Clarke-Jones L, Milne R, Oakley A, Gabbay J, Stein K, Buchanan P, Gyte G: A multidimensional conceptual framework for analysing public involvement in health services research. Health Expect. 2008, 11: 72-84. 10.1111/j.1369-7625.2007.00476.x.CrossRefPubMed
42.
43.
go back to reference Ritchie J, Spencer L: Qualitative data analysis for applied policy research. Analysing Qualitative Data. Edited by: Bryman A, Burgess R. 1993, London: Routledge, 173-194. Ritchie J, Spencer L: Qualitative data analysis for applied policy research. Analysing Qualitative Data. Edited by: Bryman A, Burgess R. 1993, London: Routledge, 173-194.
44.
go back to reference Miles M, Huberman A: Qualitative Data Analysis. 1984, London: Sage Miles M, Huberman A: Qualitative Data Analysis. 1984, London: Sage
45.
go back to reference Evans D, Fitzgerald M: Reasons for physically restraining patients and residents: a systematic review and content analysis. Int J Nurs Stud. 2002, 39: 739-743. 10.1016/S0020-7489(02)00015-9.CrossRef Evans D, Fitzgerald M: Reasons for physically restraining patients and residents: a systematic review and content analysis. Int J Nurs Stud. 2002, 39: 739-743. 10.1016/S0020-7489(02)00015-9.CrossRef
46.
go back to reference Suikkala A, Leino-Kilpi H: Nursing student-patient relationships: a review of the literature from 1984–1998. J Adv Nurs. 2000, 33: 42-50. 10.1046/j.1365-2648.2001.01636.x.CrossRef Suikkala A, Leino-Kilpi H: Nursing student-patient relationships: a review of the literature from 1984–1998. J Adv Nurs. 2000, 33: 42-50. 10.1046/j.1365-2648.2001.01636.x.CrossRef
47.
go back to reference Weed M: 'Meta-interpretation': a method for the interpretive synthesis of qualitative research. Forum: Qual Soc Res. 2005, 6: Art 37- Weed M: 'Meta-interpretation': a method for the interpretive synthesis of qualitative research. Forum: Qual Soc Res. 2005, 6: Art 37-
49.
go back to reference Spencer L, Ritchie J, Lewis J, Dillon L: Quality in Qualitative Evaluation: a Framework for Assessing Research Evidence. 2003, London: Government Chief Social Researcher's Office Spencer L, Ritchie J, Lewis J, Dillon L: Quality in Qualitative Evaluation: a Framework for Assessing Research Evidence. 2003, London: Government Chief Social Researcher's Office
51.
go back to reference Paterson BL: Coming out as ill: understanding self-disclosure in chronic illness from a meta-synthesis of qualitative research. Reviewing Research Evidence for Nursing Practice. Edited by: Webb C, Roe B. 2007, [Oxford]: Blackwell Publishing Ltd, 73-83.CrossRef Paterson BL: Coming out as ill: understanding self-disclosure in chronic illness from a meta-synthesis of qualitative research. Reviewing Research Evidence for Nursing Practice. Edited by: Webb C, Roe B. 2007, [Oxford]: Blackwell Publishing Ltd, 73-83.CrossRef
Metadata
Title
Methods for the synthesis of qualitative research: a critical review
Authors
Elaine Barnett-Page
James Thomas
Publication date
01-12-2009
Publisher
BioMed Central
Published in
BMC Medical Research Methodology / Issue 1/2009
Electronic ISSN: 1471-2288
DOI
https://doi.org/10.1186/1471-2288-9-59

Other articles of this Issue 1/2009

BMC Medical Research Methodology 1/2009 Go to the issue