Systematic Review
Transcript: http://blogs.gartner.com/svetlana-sicular/data-scientist-mystified/ Proforma utilized that Centre for Reviews and Dissemination created to ensure a summary table was properly filled out and that information was taken systematically. Once eligibility was determined, more data was extracted from article. Quality assessment was then completed before the article was included in the study. Strengths and Limitations of Sample Identified (Moorcroft et al., 2011) Quality Appraisal Not necessary because meta-analysis was not used. Introduction (Moorcroft et al., 2011) (Moorcroft et al., 2011) Information that was extracted included study methodology, quality, sample selection, blinding, population characteristics, setting of study, exposure, baseline measurements, outcome measurements, and findings. Also, length of follow-up, completing of follow-up, missing data, statistical analysis, and presentation of results was collected. Meta-analysis Was Not Performed, Was There Adequate Justification For Using a Narrative Integration Method? Implications for Nursing Practice and Further Research Clearly Stated Adequate Information About Sample Characteristics and Findings Extracted Data extraction (Moorcroft et al., 2011) The Report Clearly Described Criteria for Selecting Primary Studies (Moorcroft et al., 2011) -Guidance from Critical Appraisal Skills Programme, Scottish Intercollegiate Guidelines Network, School of Health and Related Research, Centre for Reviews and Dissemination, and Oxman and Guyatt were used for critical appraisal. -A defensible and well-defined set of criteria was used - Design, methods, participants, setting, bias, key measures, and variables assessed (Polit & Beck, 2012) Information extracted about methodologic and administrative aspects of study Information about sample characteristics and findings extracted Steps taken to enhance integrity of dataset (Moorcroft et al., 2011) Data was put into tables and put together based upon when solid foods were introduced, and then when the obesity rate was measured. (Moorcroft et al., 2011) Quality 16 papers were excluded based on low quality assessment Quantity 24 studies, 34000 participants Consistency Majority showed no association. The studies that did either did not have a significant difference, did not include breastfeeding, or did not relate height Search Strategy (Moorcroft et al., 2011) Scope and Importance Conclusions BMI is not always a good indicator for being overweight and this is what most of the studies used. Most studies relied on memory recall of when solids were introduced. Publication bias could have occurred since only electronic data bases were included. Developing countries were not included in this study, even though obesity is a global issue. Outcome measurements to determine if the participants were overweight differed. Most studies were small, but together they showed a large sample size (Moorcroft et al., 2011) http://www.actbucks.org.uk/research.html The Reviewers Appraised the Quality of Primary Studies as Evidence With Good Quality http://www.webgnomes.org/blog/10-seo-analysis-tools/ The scope of the project is appropriate as obesity is one of the leading public health concerns worldwide. The topic of the review is important for nursing due to the fact that obesity is a risk factor for diabetes, some cancers, cardiovascular disease, and musculoskeletal disorders (Moorcroft et al., 2011). As nurse practitioners, prevention strategies should be implemented with each individual case to prevent such diseases. Nurses should educate patients about health promotion for healthy eating habits. Issue of Publication Bias Adequately Addressed Nurses should continue to recommend current WHO recommendations and include healthy eating practices per the results of this study. No specific further research was suggested, but a whole family approach to obesity prevention and education that includes genetics and environment was recommended. -Criteria reasonable as initial search began as early as 2007 and later updated in 2008 and 2010. -No date restrictions were applied until the updated research began. Studies approved for use were of those participants living in developed countries. -Studies also used had to be randomized, observational, and case-controlled. 17 million people die per year from cardiovascular disease At age 4-5,24% of boys and 21.5% of girls are overweight or obese At age 10-11, 34.5% of boys and 30.7% of girls are overweight or obese Systematic Review Tables, Figures, and Text Used Effectively to Summarize Findings (Moorcroft et al., 2011) Analysis of Data Thorough and Credible Appraised quality of studies used Appraisals done by two reviewers Appraisal information used in well defined and defensible manner in result analysis Crystal Lillibridge & Sabrina Meza NUR/518 December 6, 2013 Dr. Patricia Shannon http://ts-1.eee.hku.hk/ccst9015sp13/p03/conclusions-and-recommendations/ Study designs, duplicate reports, topic of
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