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  • Five tips for developing useful literature summary tables for writing review articles
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  • http://orcid.org/0000-0003-0157-5319 Ahtisham Younas 1 , 2 ,
  • http://orcid.org/0000-0002-7839-8130 Parveen Ali 3 , 4
  • 1 Memorial University of Newfoundland , St John's , Newfoundland , Canada
  • 2 Swat College of Nursing , Pakistan
  • 3 School of Nursing and Midwifery , University of Sheffield , Sheffield , South Yorkshire , UK
  • 4 Sheffield University Interpersonal Violence Research Group , Sheffield University , Sheffield , UK
  • Correspondence to Ahtisham Younas, Memorial University of Newfoundland, St John's, NL A1C 5C4, Canada; ay6133{at}mun.ca

https://doi.org/10.1136/ebnurs-2021-103417

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Introduction

Literature reviews offer a critical synthesis of empirical and theoretical literature to assess the strength of evidence, develop guidelines for practice and policymaking, and identify areas for future research. 1 It is often essential and usually the first task in any research endeavour, particularly in masters or doctoral level education. For effective data extraction and rigorous synthesis in reviews, the use of literature summary tables is of utmost importance. A literature summary table provides a synopsis of an included article. It succinctly presents its purpose, methods, findings and other relevant information pertinent to the review. The aim of developing these literature summary tables is to provide the reader with the information at one glance. Since there are multiple types of reviews (eg, systematic, integrative, scoping, critical and mixed methods) with distinct purposes and techniques, 2 there could be various approaches for developing literature summary tables making it a complex task specialty for the novice researchers or reviewers. Here, we offer five tips for authors of the review articles, relevant to all types of reviews, for creating useful and relevant literature summary tables. We also provide examples from our published reviews to illustrate how useful literature summary tables can be developed and what sort of information should be provided.

Tip 1: provide detailed information about frameworks and methods

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Tabular literature summaries from a scoping review. Source: Rasheed et al . 3

The provision of information about conceptual and theoretical frameworks and methods is useful for several reasons. First, in quantitative (reviews synthesising the results of quantitative studies) and mixed reviews (reviews synthesising the results of both qualitative and quantitative studies to address a mixed review question), it allows the readers to assess the congruence of the core findings and methods with the adapted framework and tested assumptions. In qualitative reviews (reviews synthesising results of qualitative studies), this information is beneficial for readers to recognise the underlying philosophical and paradigmatic stance of the authors of the included articles. For example, imagine the authors of an article, included in a review, used phenomenological inquiry for their research. In that case, the review authors and the readers of the review need to know what kind of (transcendental or hermeneutic) philosophical stance guided the inquiry. Review authors should, therefore, include the philosophical stance in their literature summary for the particular article. Second, information about frameworks and methods enables review authors and readers to judge the quality of the research, which allows for discerning the strengths and limitations of the article. For example, if authors of an included article intended to develop a new scale and test its psychometric properties. To achieve this aim, they used a convenience sample of 150 participants and performed exploratory (EFA) and confirmatory factor analysis (CFA) on the same sample. Such an approach would indicate a flawed methodology because EFA and CFA should not be conducted on the same sample. The review authors must include this information in their summary table. Omitting this information from a summary could lead to the inclusion of a flawed article in the review, thereby jeopardising the review’s rigour.

Tip 2: include strengths and limitations for each article

Critical appraisal of individual articles included in a review is crucial for increasing the rigour of the review. Despite using various templates for critical appraisal, authors often do not provide detailed information about each reviewed article’s strengths and limitations. Merely noting the quality score based on standardised critical appraisal templates is not adequate because the readers should be able to identify the reasons for assigning a weak or moderate rating. Many recent critical appraisal checklists (eg, Mixed Methods Appraisal Tool) discourage review authors from assigning a quality score and recommend noting the main strengths and limitations of included studies. It is also vital that methodological and conceptual limitations and strengths of the articles included in the review are provided because not all review articles include empirical research papers. Rather some review synthesises the theoretical aspects of articles. Providing information about conceptual limitations is also important for readers to judge the quality of foundations of the research. For example, if you included a mixed-methods study in the review, reporting the methodological and conceptual limitations about ‘integration’ is critical for evaluating the study’s strength. Suppose the authors only collected qualitative and quantitative data and did not state the intent and timing of integration. In that case, the strength of the study is weak. Integration only occurred at the levels of data collection. However, integration may not have occurred at the analysis, interpretation and reporting levels.

Tip 3: write conceptual contribution of each reviewed article

While reading and evaluating review papers, we have observed that many review authors only provide core results of the article included in a review and do not explain the conceptual contribution offered by the included article. We refer to conceptual contribution as a description of how the article’s key results contribute towards the development of potential codes, themes or subthemes, or emerging patterns that are reported as the review findings. For example, the authors of a review article noted that one of the research articles included in their review demonstrated the usefulness of case studies and reflective logs as strategies for fostering compassion in nursing students. The conceptual contribution of this research article could be that experiential learning is one way to teach compassion to nursing students, as supported by case studies and reflective logs. This conceptual contribution of the article should be mentioned in the literature summary table. Delineating each reviewed article’s conceptual contribution is particularly beneficial in qualitative reviews, mixed-methods reviews, and critical reviews that often focus on developing models and describing or explaining various phenomena. Figure 2 offers an example of a literature summary table. 4

Tabular literature summaries from a critical review. Source: Younas and Maddigan. 4

Tip 4: compose potential themes from each article during summary writing

While developing literature summary tables, many authors use themes or subthemes reported in the given articles as the key results of their own review. Such an approach prevents the review authors from understanding the article’s conceptual contribution, developing rigorous synthesis and drawing reasonable interpretations of results from an individual article. Ultimately, it affects the generation of novel review findings. For example, one of the articles about women’s healthcare-seeking behaviours in developing countries reported a theme ‘social-cultural determinants of health as precursors of delays’. Instead of using this theme as one of the review findings, the reviewers should read and interpret beyond the given description in an article, compare and contrast themes, findings from one article with findings and themes from another article to find similarities and differences and to understand and explain bigger picture for their readers. Therefore, while developing literature summary tables, think twice before using the predeveloped themes. Including your themes in the summary tables (see figure 1 ) demonstrates to the readers that a robust method of data extraction and synthesis has been followed.

Tip 5: create your personalised template for literature summaries

Often templates are available for data extraction and development of literature summary tables. The available templates may be in the form of a table, chart or a structured framework that extracts some essential information about every article. The commonly used information may include authors, purpose, methods, key results and quality scores. While extracting all relevant information is important, such templates should be tailored to meet the needs of the individuals’ review. For example, for a review about the effectiveness of healthcare interventions, a literature summary table must include information about the intervention, its type, content timing, duration, setting, effectiveness, negative consequences, and receivers and implementers’ experiences of its usage. Similarly, literature summary tables for articles included in a meta-synthesis must include information about the participants’ characteristics, research context and conceptual contribution of each reviewed article so as to help the reader make an informed decision about the usefulness or lack of usefulness of the individual article in the review and the whole review.

In conclusion, narrative or systematic reviews are almost always conducted as a part of any educational project (thesis or dissertation) or academic or clinical research. Literature reviews are the foundation of research on a given topic. Robust and high-quality reviews play an instrumental role in guiding research, practice and policymaking. However, the quality of reviews is also contingent on rigorous data extraction and synthesis, which require developing literature summaries. We have outlined five tips that could enhance the quality of the data extraction and synthesis process by developing useful literature summaries.

  • Aromataris E ,
  • Rasheed SP ,

Twitter @Ahtisham04, @parveenazamali

Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

Competing interests None declared.

Patient consent for publication Not required.

Provenance and peer review Not commissioned; externally peer reviewed.

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  • How to Write a Literature Review | Guide, Examples, & Templates

How to Write a Literature Review | Guide, Examples, & Templates

Published on January 2, 2023 by Shona McCombes . Revised on September 11, 2023.

What is a literature review? A literature review is a survey of scholarly sources on a specific topic. It provides an overview of current knowledge, allowing you to identify relevant theories, methods, and gaps in the existing research that you can later apply to your paper, thesis, or dissertation topic .

There are five key steps to writing a literature review:

  • Search for relevant literature
  • Evaluate sources
  • Identify themes, debates, and gaps
  • Outline the structure
  • Write your literature review

A good literature review doesn’t just summarize sources—it analyzes, synthesizes , and critically evaluates to give a clear picture of the state of knowledge on the subject.

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Table of contents

What is the purpose of a literature review, examples of literature reviews, step 1 – search for relevant literature, step 2 – evaluate and select sources, step 3 – identify themes, debates, and gaps, step 4 – outline your literature review’s structure, step 5 – write your literature review, free lecture slides, other interesting articles, frequently asked questions, introduction.

  • Quick Run-through
  • Step 1 & 2

When you write a thesis , dissertation , or research paper , you will likely have to conduct a literature review to situate your research within existing knowledge. The literature review gives you a chance to:

  • Demonstrate your familiarity with the topic and its scholarly context
  • Develop a theoretical framework and methodology for your research
  • Position your work in relation to other researchers and theorists
  • Show how your research addresses a gap or contributes to a debate
  • Evaluate the current state of research and demonstrate your knowledge of the scholarly debates around your topic.

Writing literature reviews is a particularly important skill if you want to apply for graduate school or pursue a career in research. We’ve written a step-by-step guide that you can follow below.

Literature review guide

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Writing literature reviews can be quite challenging! A good starting point could be to look at some examples, depending on what kind of literature review you’d like to write.

  • Example literature review #1: “Why Do People Migrate? A Review of the Theoretical Literature” ( Theoretical literature review about the development of economic migration theory from the 1950s to today.)
  • Example literature review #2: “Literature review as a research methodology: An overview and guidelines” ( Methodological literature review about interdisciplinary knowledge acquisition and production.)
  • Example literature review #3: “The Use of Technology in English Language Learning: A Literature Review” ( Thematic literature review about the effects of technology on language acquisition.)
  • Example literature review #4: “Learners’ Listening Comprehension Difficulties in English Language Learning: A Literature Review” ( Chronological literature review about how the concept of listening skills has changed over time.)

You can also check out our templates with literature review examples and sample outlines at the links below.

Download Word doc Download Google doc

Before you begin searching for literature, you need a clearly defined topic .

If you are writing the literature review section of a dissertation or research paper, you will search for literature related to your research problem and questions .

Make a list of keywords

Start by creating a list of keywords related to your research question. Include each of the key concepts or variables you’re interested in, and list any synonyms and related terms. You can add to this list as you discover new keywords in the process of your literature search.

  • Social media, Facebook, Instagram, Twitter, Snapchat, TikTok
  • Body image, self-perception, self-esteem, mental health
  • Generation Z, teenagers, adolescents, youth

Search for relevant sources

Use your keywords to begin searching for sources. Some useful databases to search for journals and articles include:

  • Your university’s library catalogue
  • Google Scholar
  • Project Muse (humanities and social sciences)
  • Medline (life sciences and biomedicine)
  • EconLit (economics)
  • Inspec (physics, engineering and computer science)

You can also use boolean operators to help narrow down your search.

Make sure to read the abstract to find out whether an article is relevant to your question. When you find a useful book or article, you can check the bibliography to find other relevant sources.

You likely won’t be able to read absolutely everything that has been written on your topic, so it will be necessary to evaluate which sources are most relevant to your research question.

For each publication, ask yourself:

  • What question or problem is the author addressing?
  • What are the key concepts and how are they defined?
  • What are the key theories, models, and methods?
  • Does the research use established frameworks or take an innovative approach?
  • What are the results and conclusions of the study?
  • How does the publication relate to other literature in the field? Does it confirm, add to, or challenge established knowledge?
  • What are the strengths and weaknesses of the research?

Make sure the sources you use are credible , and make sure you read any landmark studies and major theories in your field of research.

You can use our template to summarize and evaluate sources you’re thinking about using. Click on either button below to download.

Take notes and cite your sources

As you read, you should also begin the writing process. Take notes that you can later incorporate into the text of your literature review.

It is important to keep track of your sources with citations to avoid plagiarism . It can be helpful to make an annotated bibliography , where you compile full citation information and write a paragraph of summary and analysis for each source. This helps you remember what you read and saves time later in the process.

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To begin organizing your literature review’s argument and structure, be sure you understand the connections and relationships between the sources you’ve read. Based on your reading and notes, you can look for:

  • Trends and patterns (in theory, method or results): do certain approaches become more or less popular over time?
  • Themes: what questions or concepts recur across the literature?
  • Debates, conflicts and contradictions: where do sources disagree?
  • Pivotal publications: are there any influential theories or studies that changed the direction of the field?
  • Gaps: what is missing from the literature? Are there weaknesses that need to be addressed?

This step will help you work out the structure of your literature review and (if applicable) show how your own research will contribute to existing knowledge.

  • Most research has focused on young women.
  • There is an increasing interest in the visual aspects of social media.
  • But there is still a lack of robust research on highly visual platforms like Instagram and Snapchat—this is a gap that you could address in your own research.

There are various approaches to organizing the body of a literature review. Depending on the length of your literature review, you can combine several of these strategies (for example, your overall structure might be thematic, but each theme is discussed chronologically).

Chronological

The simplest approach is to trace the development of the topic over time. However, if you choose this strategy, be careful to avoid simply listing and summarizing sources in order.

Try to analyze patterns, turning points and key debates that have shaped the direction of the field. Give your interpretation of how and why certain developments occurred.

If you have found some recurring central themes, you can organize your literature review into subsections that address different aspects of the topic.

For example, if you are reviewing literature about inequalities in migrant health outcomes, key themes might include healthcare policy, language barriers, cultural attitudes, legal status, and economic access.

Methodological

If you draw your sources from different disciplines or fields that use a variety of research methods , you might want to compare the results and conclusions that emerge from different approaches. For example:

  • Look at what results have emerged in qualitative versus quantitative research
  • Discuss how the topic has been approached by empirical versus theoretical scholarship
  • Divide the literature into sociological, historical, and cultural sources

Theoretical

A literature review is often the foundation for a theoretical framework . You can use it to discuss various theories, models, and definitions of key concepts.

You might argue for the relevance of a specific theoretical approach, or combine various theoretical concepts to create a framework for your research.

Like any other academic text , your literature review should have an introduction , a main body, and a conclusion . What you include in each depends on the objective of your literature review.

The introduction should clearly establish the focus and purpose of the literature review.

Depending on the length of your literature review, you might want to divide the body into subsections. You can use a subheading for each theme, time period, or methodological approach.

As you write, you can follow these tips:

  • Summarize and synthesize: give an overview of the main points of each source and combine them into a coherent whole
  • Analyze and interpret: don’t just paraphrase other researchers — add your own interpretations where possible, discussing the significance of findings in relation to the literature as a whole
  • Critically evaluate: mention the strengths and weaknesses of your sources
  • Write in well-structured paragraphs: use transition words and topic sentences to draw connections, comparisons and contrasts

In the conclusion, you should summarize the key findings you have taken from the literature and emphasize their significance.

When you’ve finished writing and revising your literature review, don’t forget to proofread thoroughly before submitting. Not a language expert? Check out Scribbr’s professional proofreading services !

This article has been adapted into lecture slides that you can use to teach your students about writing a literature review.

Scribbr slides are free to use, customize, and distribute for educational purposes.

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If you want to know more about the research process , methodology , research bias , or statistics , make sure to check out some of our other articles with explanations and examples.

  • Sampling methods
  • Simple random sampling
  • Stratified sampling
  • Cluster sampling
  • Likert scales
  • Reproducibility

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  • Null hypothesis
  • Statistical power
  • Probability distribution
  • Effect size
  • Poisson distribution

Research bias

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  • Implicit bias
  • Hawthorne effect
  • Anchoring bias
  • Explicit bias

A literature review is a survey of scholarly sources (such as books, journal articles, and theses) related to a specific topic or research question .

It is often written as part of a thesis, dissertation , or research paper , in order to situate your work in relation to existing knowledge.

There are several reasons to conduct a literature review at the beginning of a research project:

  • To familiarize yourself with the current state of knowledge on your topic
  • To ensure that you’re not just repeating what others have already done
  • To identify gaps in knowledge and unresolved problems that your research can address
  • To develop your theoretical framework and methodology
  • To provide an overview of the key findings and debates on the topic

Writing the literature review shows your reader how your work relates to existing research and what new insights it will contribute.

The literature review usually comes near the beginning of your thesis or dissertation . After the introduction , it grounds your research in a scholarly field and leads directly to your theoretical framework or methodology .

A literature review is a survey of credible sources on a topic, often used in dissertations , theses, and research papers . Literature reviews give an overview of knowledge on a subject, helping you identify relevant theories and methods, as well as gaps in existing research. Literature reviews are set up similarly to other  academic texts , with an introduction , a main body, and a conclusion .

An  annotated bibliography is a list of  source references that has a short description (called an annotation ) for each of the sources. It is often assigned as part of the research process for a  paper .  

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McCombes, S. (2023, September 11). How to Write a Literature Review | Guide, Examples, & Templates. Scribbr. Retrieved August 12, 2024, from https://www.scribbr.com/dissertation/literature-review/

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Common Assignments: Literature Review Matrix

Literature review matrix.

As you read and evaluate your literature there are several different ways to organize your research. Courtesy of Dr. Gary Burkholder in the School of Psychology, these sample matrices are one option to help organize your articles. These documents allow you to compile details about your sources, such as the foundational theories, methodologies, and conclusions; begin to note similarities among the authors; and retrieve citation information for easy insertion within a document.

You can review the sample matrixes to see a completed form or download the blank matrix for your own use.

  • Literature Review Matrix 1 This PDF file provides a sample literature review matrix.
  • Literature Review Matrix 2 This PDF file provides a sample literature review matrix.
  • Literature Review Matrix Template (Word)
  • Literature Review Matrix Template (Excel)

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literature review chart example

What is a Literature Review? How to Write It (with Examples)

literature review

A literature review is a critical analysis and synthesis of existing research on a particular topic. It provides an overview of the current state of knowledge, identifies gaps, and highlights key findings in the literature. 1 The purpose of a literature review is to situate your own research within the context of existing scholarship, demonstrating your understanding of the topic and showing how your work contributes to the ongoing conversation in the field. Learning how to write a literature review is a critical tool for successful research. Your ability to summarize and synthesize prior research pertaining to a certain topic demonstrates your grasp on the topic of study, and assists in the learning process. 

Table of Contents

  • What is the purpose of literature review? 
  • a. Habitat Loss and Species Extinction: 
  • b. Range Shifts and Phenological Changes: 
  • c. Ocean Acidification and Coral Reefs: 
  • d. Adaptive Strategies and Conservation Efforts: 

How to write a good literature review 

  • Choose a Topic and Define the Research Question: 
  • Decide on the Scope of Your Review: 
  • Select Databases for Searches: 
  • Conduct Searches and Keep Track: 
  • Review the Literature: 
  • Organize and Write Your Literature Review: 
  • How to write a literature review faster with Paperpal? 
  • Frequently asked questions 

What is a literature review?

A well-conducted literature review demonstrates the researcher’s familiarity with the existing literature, establishes the context for their own research, and contributes to scholarly conversations on the topic. One of the purposes of a literature review is also to help researchers avoid duplicating previous work and ensure that their research is informed by and builds upon the existing body of knowledge.

literature review chart example

What is the purpose of literature review?

A literature review serves several important purposes within academic and research contexts. Here are some key objectives and functions of a literature review: 2  

1. Contextualizing the Research Problem: The literature review provides a background and context for the research problem under investigation. It helps to situate the study within the existing body of knowledge. 

2. Identifying Gaps in Knowledge: By identifying gaps, contradictions, or areas requiring further research, the researcher can shape the research question and justify the significance of the study. This is crucial for ensuring that the new research contributes something novel to the field. 

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3. Understanding Theoretical and Conceptual Frameworks: Literature reviews help researchers gain an understanding of the theoretical and conceptual frameworks used in previous studies. This aids in the development of a theoretical framework for the current research. 

4. Providing Methodological Insights: Another purpose of literature reviews is that it allows researchers to learn about the methodologies employed in previous studies. This can help in choosing appropriate research methods for the current study and avoiding pitfalls that others may have encountered. 

5. Establishing Credibility: A well-conducted literature review demonstrates the researcher’s familiarity with existing scholarship, establishing their credibility and expertise in the field. It also helps in building a solid foundation for the new research. 

6. Informing Hypotheses or Research Questions: The literature review guides the formulation of hypotheses or research questions by highlighting relevant findings and areas of uncertainty in existing literature. 

Literature review example

Let’s delve deeper with a literature review example: Let’s say your literature review is about the impact of climate change on biodiversity. You might format your literature review into sections such as the effects of climate change on habitat loss and species extinction, phenological changes, and marine biodiversity. Each section would then summarize and analyze relevant studies in those areas, highlighting key findings and identifying gaps in the research. The review would conclude by emphasizing the need for further research on specific aspects of the relationship between climate change and biodiversity. The following literature review template provides a glimpse into the recommended literature review structure and content, demonstrating how research findings are organized around specific themes within a broader topic. 

Literature Review on Climate Change Impacts on Biodiversity:

Climate change is a global phenomenon with far-reaching consequences, including significant impacts on biodiversity. This literature review synthesizes key findings from various studies: 

a. Habitat Loss and Species Extinction:

Climate change-induced alterations in temperature and precipitation patterns contribute to habitat loss, affecting numerous species (Thomas et al., 2004). The review discusses how these changes increase the risk of extinction, particularly for species with specific habitat requirements. 

b. Range Shifts and Phenological Changes:

Observations of range shifts and changes in the timing of biological events (phenology) are documented in response to changing climatic conditions (Parmesan & Yohe, 2003). These shifts affect ecosystems and may lead to mismatches between species and their resources. 

c. Ocean Acidification and Coral Reefs:

The review explores the impact of climate change on marine biodiversity, emphasizing ocean acidification’s threat to coral reefs (Hoegh-Guldberg et al., 2007). Changes in pH levels negatively affect coral calcification, disrupting the delicate balance of marine ecosystems. 

d. Adaptive Strategies and Conservation Efforts:

Recognizing the urgency of the situation, the literature review discusses various adaptive strategies adopted by species and conservation efforts aimed at mitigating the impacts of climate change on biodiversity (Hannah et al., 2007). It emphasizes the importance of interdisciplinary approaches for effective conservation planning. 

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Writing a literature review involves summarizing and synthesizing existing research on a particular topic. A good literature review format should include the following elements. 

Introduction: The introduction sets the stage for your literature review, providing context and introducing the main focus of your review. 

  • Opening Statement: Begin with a general statement about the broader topic and its significance in the field. 
  • Scope and Purpose: Clearly define the scope of your literature review. Explain the specific research question or objective you aim to address. 
  • Organizational Framework: Briefly outline the structure of your literature review, indicating how you will categorize and discuss the existing research. 
  • Significance of the Study: Highlight why your literature review is important and how it contributes to the understanding of the chosen topic. 
  • Thesis Statement: Conclude the introduction with a concise thesis statement that outlines the main argument or perspective you will develop in the body of the literature review. 

Body: The body of the literature review is where you provide a comprehensive analysis of existing literature, grouping studies based on themes, methodologies, or other relevant criteria. 

  • Organize by Theme or Concept: Group studies that share common themes, concepts, or methodologies. Discuss each theme or concept in detail, summarizing key findings and identifying gaps or areas of disagreement. 
  • Critical Analysis: Evaluate the strengths and weaknesses of each study. Discuss the methodologies used, the quality of evidence, and the overall contribution of each work to the understanding of the topic. 
  • Synthesis of Findings: Synthesize the information from different studies to highlight trends, patterns, or areas of consensus in the literature. 
  • Identification of Gaps: Discuss any gaps or limitations in the existing research and explain how your review contributes to filling these gaps. 
  • Transition between Sections: Provide smooth transitions between different themes or concepts to maintain the flow of your literature review. 

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Conclusion: The conclusion of your literature review should summarize the main findings, highlight the contributions of the review, and suggest avenues for future research. 

  • Summary of Key Findings: Recap the main findings from the literature and restate how they contribute to your research question or objective. 
  • Contributions to the Field: Discuss the overall contribution of your literature review to the existing knowledge in the field. 
  • Implications and Applications: Explore the practical implications of the findings and suggest how they might impact future research or practice. 
  • Recommendations for Future Research: Identify areas that require further investigation and propose potential directions for future research in the field. 
  • Final Thoughts: Conclude with a final reflection on the importance of your literature review and its relevance to the broader academic community. 

what is a literature review

Conducting a literature review

Conducting a literature review is an essential step in research that involves reviewing and analyzing existing literature on a specific topic. It’s important to know how to do a literature review effectively, so here are the steps to follow: 1  

Choose a Topic and Define the Research Question:

  • Select a topic that is relevant to your field of study. 
  • Clearly define your research question or objective. Determine what specific aspect of the topic do you want to explore? 

Decide on the Scope of Your Review:

  • Determine the timeframe for your literature review. Are you focusing on recent developments, or do you want a historical overview? 
  • Consider the geographical scope. Is your review global, or are you focusing on a specific region? 
  • Define the inclusion and exclusion criteria. What types of sources will you include? Are there specific types of studies or publications you will exclude? 

Select Databases for Searches:

  • Identify relevant databases for your field. Examples include PubMed, IEEE Xplore, Scopus, Web of Science, and Google Scholar. 
  • Consider searching in library catalogs, institutional repositories, and specialized databases related to your topic. 

Conduct Searches and Keep Track:

  • Develop a systematic search strategy using keywords, Boolean operators (AND, OR, NOT), and other search techniques. 
  • Record and document your search strategy for transparency and replicability. 
  • Keep track of the articles, including publication details, abstracts, and links. Use citation management tools like EndNote, Zotero, or Mendeley to organize your references. 

Review the Literature:

  • Evaluate the relevance and quality of each source. Consider the methodology, sample size, and results of studies. 
  • Organize the literature by themes or key concepts. Identify patterns, trends, and gaps in the existing research. 
  • Summarize key findings and arguments from each source. Compare and contrast different perspectives. 
  • Identify areas where there is a consensus in the literature and where there are conflicting opinions. 
  • Provide critical analysis and synthesis of the literature. What are the strengths and weaknesses of existing research? 

Organize and Write Your Literature Review:

  • Literature review outline should be based on themes, chronological order, or methodological approaches. 
  • Write a clear and coherent narrative that synthesizes the information gathered. 
  • Use proper citations for each source and ensure consistency in your citation style (APA, MLA, Chicago, etc.). 
  • Conclude your literature review by summarizing key findings, identifying gaps, and suggesting areas for future research. 

Whether you’re exploring a new research field or finding new angles to develop an existing topic, sifting through hundreds of papers can take more time than you have to spare. But what if you could find science-backed insights with verified citations in seconds? That’s the power of Paperpal’s new Research feature!  

How to write a literature review faster with Paperpal?

Paperpal, an AI writing assistant, integrates powerful academic search capabilities within its writing platform. With the Research feature, you get 100% factual insights, with citations backed by 250M+ verified research articles, directly within your writing interface with the option to save relevant references in your Citation Library. By eliminating the need to switch tabs to find answers to all your research questions, Paperpal saves time and helps you stay focused on your writing.   

Here’s how to use the Research feature:  

  • Ask a question: Get started with a new document on paperpal.com. Click on the “Research” feature and type your question in plain English. Paperpal will scour over 250 million research articles, including conference papers and preprints, to provide you with accurate insights and citations. 
  • Review and Save: Paperpal summarizes the information, while citing sources and listing relevant reads. You can quickly scan the results to identify relevant references and save these directly to your built-in citations library for later access. 
  • Cite with Confidence: Paperpal makes it easy to incorporate relevant citations and references into your writing, ensuring your arguments are well-supported by credible sources. This translates to a polished, well-researched literature review. 

The literature review sample and detailed advice on writing and conducting a review will help you produce a well-structured report. But remember that a good literature review is an ongoing process, and it may be necessary to revisit and update it as your research progresses. By combining effortless research with an easy citation process, Paperpal Research streamlines the literature review process and empowers you to write faster and with more confidence. Try Paperpal Research now and see for yourself.  

Frequently asked questions

A literature review is a critical and comprehensive analysis of existing literature (published and unpublished works) on a specific topic or research question and provides a synthesis of the current state of knowledge in a particular field. A well-conducted literature review is crucial for researchers to build upon existing knowledge, avoid duplication of efforts, and contribute to the advancement of their field. It also helps researchers situate their work within a broader context and facilitates the development of a sound theoretical and conceptual framework for their studies.

Literature review is a crucial component of research writing, providing a solid background for a research paper’s investigation. The aim is to keep professionals up to date by providing an understanding of ongoing developments within a specific field, including research methods, and experimental techniques used in that field, and present that knowledge in the form of a written report. Also, the depth and breadth of the literature review emphasizes the credibility of the scholar in his or her field.  

Before writing a literature review, it’s essential to undertake several preparatory steps to ensure that your review is well-researched, organized, and focused. This includes choosing a topic of general interest to you and doing exploratory research on that topic, writing an annotated bibliography, and noting major points, especially those that relate to the position you have taken on the topic. 

Literature reviews and academic research papers are essential components of scholarly work but serve different purposes within the academic realm. 3 A literature review aims to provide a foundation for understanding the current state of research on a particular topic, identify gaps or controversies, and lay the groundwork for future research. Therefore, it draws heavily from existing academic sources, including books, journal articles, and other scholarly publications. In contrast, an academic research paper aims to present new knowledge, contribute to the academic discourse, and advance the understanding of a specific research question. Therefore, it involves a mix of existing literature (in the introduction and literature review sections) and original data or findings obtained through research methods. 

Literature reviews are essential components of academic and research papers, and various strategies can be employed to conduct them effectively. If you want to know how to write a literature review for a research paper, here are four common approaches that are often used by researchers.  Chronological Review: This strategy involves organizing the literature based on the chronological order of publication. It helps to trace the development of a topic over time, showing how ideas, theories, and research have evolved.  Thematic Review: Thematic reviews focus on identifying and analyzing themes or topics that cut across different studies. Instead of organizing the literature chronologically, it is grouped by key themes or concepts, allowing for a comprehensive exploration of various aspects of the topic.  Methodological Review: This strategy involves organizing the literature based on the research methods employed in different studies. It helps to highlight the strengths and weaknesses of various methodologies and allows the reader to evaluate the reliability and validity of the research findings.  Theoretical Review: A theoretical review examines the literature based on the theoretical frameworks used in different studies. This approach helps to identify the key theories that have been applied to the topic and assess their contributions to the understanding of the subject.  It’s important to note that these strategies are not mutually exclusive, and a literature review may combine elements of more than one approach. The choice of strategy depends on the research question, the nature of the literature available, and the goals of the review. Additionally, other strategies, such as integrative reviews or systematic reviews, may be employed depending on the specific requirements of the research.

The literature review format can vary depending on the specific publication guidelines. However, there are some common elements and structures that are often followed. Here is a general guideline for the format of a literature review:  Introduction:   Provide an overview of the topic.  Define the scope and purpose of the literature review.  State the research question or objective.  Body:   Organize the literature by themes, concepts, or chronology.  Critically analyze and evaluate each source.  Discuss the strengths and weaknesses of the studies.  Highlight any methodological limitations or biases.  Identify patterns, connections, or contradictions in the existing research.  Conclusion:   Summarize the key points discussed in the literature review.  Highlight the research gap.  Address the research question or objective stated in the introduction.  Highlight the contributions of the review and suggest directions for future research.

Both annotated bibliographies and literature reviews involve the examination of scholarly sources. While annotated bibliographies focus on individual sources with brief annotations, literature reviews provide a more in-depth, integrated, and comprehensive analysis of existing literature on a specific topic. The key differences are as follows: 

 Annotated Bibliography Literature Review 
Purpose List of citations of books, articles, and other sources with a brief description (annotation) of each source. Comprehensive and critical analysis of existing literature on a specific topic. 
Focus Summary and evaluation of each source, including its relevance, methodology, and key findings. Provides an overview of the current state of knowledge on a particular subject and identifies gaps, trends, and patterns in existing literature. 
Structure Each citation is followed by a concise paragraph (annotation) that describes the source’s content, methodology, and its contribution to the topic. The literature review is organized thematically or chronologically and involves a synthesis of the findings from different sources to build a narrative or argument. 
Length Typically 100-200 words Length of literature review ranges from a few pages to several chapters 
Independence Each source is treated separately, with less emphasis on synthesizing the information across sources. The writer synthesizes information from multiple sources to present a cohesive overview of the topic. 

References 

  • Denney, A. S., & Tewksbury, R. (2013). How to write a literature review.  Journal of criminal justice education ,  24 (2), 218-234. 
  • Pan, M. L. (2016).  Preparing literature reviews: Qualitative and quantitative approaches . Taylor & Francis. 
  • Cantero, C. (2019). How to write a literature review.  San José State University Writing Center . 

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Literature Review Basics

  • What is a Literature Review?
  • Synthesizing Research
  • Using Research & Synthesis Tables
  • Additional Resources

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About the Research and Synthesis Tables

Research Tables and Synthesis Tables are useful tools for organizing and analyzing your research as you assemble your literature review. They represent two different parts of the review process: assembling relevant information and synthesizing it. Use a Research table to compile the main info you need about the items you find in your research -- it's a great thing to have on hand as you take notes on what you read! Then, once you've assembled your research, use the Synthesis table to start charting the similarities/differences and major themes among your collected items.

We've included an Excel file with templates for you to use below; the examples pictured on this page are snapshots from that file.

  • Research and Synthesis Table Templates This Excel workbook includes simple templates for creating research tables and synthesis tables. Feel free to download and use!

Using the Research Table

Image of Model Research Excel Table

This is an example of a  research table,  in which you provide a basic description of the most important features of the studies, articles, and other items you discover in your research. The table identifies each item according to its author/date of publication, its purpose or thesis, what type of work it is (systematic review, clinical trial, etc.), the level of evidence it represents (which tells you a lot about its impact on the field of study), and its major findings. Your job, when you assemble this information, is to develop a snapshot of what the research shows about the topic of your research question and assess its value (both for the purpose of your work and for general knowledge in the field).

Think of your work on the research table as the foundational step for your analysis of the literature, in which you assemble the information you'll be analyzing and lay the groundwork for thinking about what it means and how it can be used.

Using the Synthesis Table

Image of Model Synthesis Excel Table

This is an example of a  synthesis table  or  synthesis matrix , in which you organize and analyze your research by listing each source and indicating whether a given finding or result occurred in a particular study or article ( each row lists an individual source, and each finding has its own column, in which X = yes, blank = no). You can also add or alter the columns to look for shared study populations, sort by level of evidence or source type, etc. The key here is to use the table to provide a simple representation of what the research has found (or not found, as the case may be). Think of a synthesis table as a tool for making comparisons, identifying trends, and locating gaps in the literature.

How do I know which findings to use, or how many to include?  Your research question tells you which findings are of interest in your research, so work from your research question to decide what needs to go in each Finding header, and how many findings are necessary. The number is up to you; again, you can alter this table by adding or deleting columns to match what you're actually looking for in your analysis. You should also, of course, be guided by what's actually present in the material your research turns up!

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How to Conduct a Literature Review (Health Sciences and Beyond)

  • What is a Literature Review?
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Review Matrix

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Using a spreadsheet or table to organize the key elements (e.g. subjects, methodologies, results) of articles/books you plan to use in your literature review can be helpful. This is called a review matrix.

When you create a review matrix, the first few columns should include (1) the authors, title, journal, (2) publication year, and (3) purpose of the paper. The remaining columns should identify important aspects of each study such as methodology and findings.

Click on the image below to view a sample review matrix.

Sample health sciences review matrix

You can also download this template as a Microsoft Excel file .

The information on this page is from the book below. The 5th edition is available online through VCU Libraries.

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Writing a Literature Review

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A literature review is a document or section of a document that collects key sources on a topic and discusses those sources in conversation with each other (also called synthesis ). The lit review is an important genre in many disciplines, not just literature (i.e., the study of works of literature such as novels and plays). When we say “literature review” or refer to “the literature,” we are talking about the research ( scholarship ) in a given field. You will often see the terms “the research,” “the scholarship,” and “the literature” used mostly interchangeably.

Where, when, and why would I write a lit review?

There are a number of different situations where you might write a literature review, each with slightly different expectations; different disciplines, too, have field-specific expectations for what a literature review is and does. For instance, in the humanities, authors might include more overt argumentation and interpretation of source material in their literature reviews, whereas in the sciences, authors are more likely to report study designs and results in their literature reviews; these differences reflect these disciplines’ purposes and conventions in scholarship. You should always look at examples from your own discipline and talk to professors or mentors in your field to be sure you understand your discipline’s conventions, for literature reviews as well as for any other genre.

A literature review can be a part of a research paper or scholarly article, usually falling after the introduction and before the research methods sections. In these cases, the lit review just needs to cover scholarship that is important to the issue you are writing about; sometimes it will also cover key sources that informed your research methodology.

Lit reviews can also be standalone pieces, either as assignments in a class or as publications. In a class, a lit review may be assigned to help students familiarize themselves with a topic and with scholarship in their field, get an idea of the other researchers working on the topic they’re interested in, find gaps in existing research in order to propose new projects, and/or develop a theoretical framework and methodology for later research. As a publication, a lit review usually is meant to help make other scholars’ lives easier by collecting and summarizing, synthesizing, and analyzing existing research on a topic. This can be especially helpful for students or scholars getting into a new research area, or for directing an entire community of scholars toward questions that have not yet been answered.

What are the parts of a lit review?

Most lit reviews use a basic introduction-body-conclusion structure; if your lit review is part of a larger paper, the introduction and conclusion pieces may be just a few sentences while you focus most of your attention on the body. If your lit review is a standalone piece, the introduction and conclusion take up more space and give you a place to discuss your goals, research methods, and conclusions separately from where you discuss the literature itself.

Introduction:

  • An introductory paragraph that explains what your working topic and thesis is
  • A forecast of key topics or texts that will appear in the review
  • Potentially, a description of how you found sources and how you analyzed them for inclusion and discussion in the review (more often found in published, standalone literature reviews than in lit review sections in an article or research paper)
  • Summarize and synthesize: Give an overview of the main points of each source and combine them into a coherent whole
  • Analyze and interpret: Don’t just paraphrase other researchers – add your own interpretations where possible, discussing the significance of findings in relation to the literature as a whole
  • Critically Evaluate: Mention the strengths and weaknesses of your sources
  • Write in well-structured paragraphs: Use transition words and topic sentence to draw connections, comparisons, and contrasts.

Conclusion:

  • Summarize the key findings you have taken from the literature and emphasize their significance
  • Connect it back to your primary research question

How should I organize my lit review?

Lit reviews can take many different organizational patterns depending on what you are trying to accomplish with the review. Here are some examples:

  • Chronological : The simplest approach is to trace the development of the topic over time, which helps familiarize the audience with the topic (for instance if you are introducing something that is not commonly known in your field). If you choose this strategy, be careful to avoid simply listing and summarizing sources in order. Try to analyze the patterns, turning points, and key debates that have shaped the direction of the field. Give your interpretation of how and why certain developments occurred (as mentioned previously, this may not be appropriate in your discipline — check with a teacher or mentor if you’re unsure).
  • Thematic : If you have found some recurring central themes that you will continue working with throughout your piece, you can organize your literature review into subsections that address different aspects of the topic. For example, if you are reviewing literature about women and religion, key themes can include the role of women in churches and the religious attitude towards women.
  • Qualitative versus quantitative research
  • Empirical versus theoretical scholarship
  • Divide the research by sociological, historical, or cultural sources
  • Theoretical : In many humanities articles, the literature review is the foundation for the theoretical framework. You can use it to discuss various theories, models, and definitions of key concepts. You can argue for the relevance of a specific theoretical approach or combine various theorical concepts to create a framework for your research.

What are some strategies or tips I can use while writing my lit review?

Any lit review is only as good as the research it discusses; make sure your sources are well-chosen and your research is thorough. Don’t be afraid to do more research if you discover a new thread as you’re writing. More info on the research process is available in our "Conducting Research" resources .

As you’re doing your research, create an annotated bibliography ( see our page on the this type of document ). Much of the information used in an annotated bibliography can be used also in a literature review, so you’ll be not only partially drafting your lit review as you research, but also developing your sense of the larger conversation going on among scholars, professionals, and any other stakeholders in your topic.

Usually you will need to synthesize research rather than just summarizing it. This means drawing connections between sources to create a picture of the scholarly conversation on a topic over time. Many student writers struggle to synthesize because they feel they don’t have anything to add to the scholars they are citing; here are some strategies to help you:

  • It often helps to remember that the point of these kinds of syntheses is to show your readers how you understand your research, to help them read the rest of your paper.
  • Writing teachers often say synthesis is like hosting a dinner party: imagine all your sources are together in a room, discussing your topic. What are they saying to each other?
  • Look at the in-text citations in each paragraph. Are you citing just one source for each paragraph? This usually indicates summary only. When you have multiple sources cited in a paragraph, you are more likely to be synthesizing them (not always, but often
  • Read more about synthesis here.

The most interesting literature reviews are often written as arguments (again, as mentioned at the beginning of the page, this is discipline-specific and doesn’t work for all situations). Often, the literature review is where you can establish your research as filling a particular gap or as relevant in a particular way. You have some chance to do this in your introduction in an article, but the literature review section gives a more extended opportunity to establish the conversation in the way you would like your readers to see it. You can choose the intellectual lineage you would like to be part of and whose definitions matter most to your thinking (mostly humanities-specific, but this goes for sciences as well). In addressing these points, you argue for your place in the conversation, which tends to make the lit review more compelling than a simple reporting of other sources.

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Get Organized

  • Lit Review Prep Use this template to help you evaluate your sources, create article summaries for an annotated bibliography, and a synthesis matrix for your lit review outline.

Synthesize your Information

Synthesize: combine separate elements to form a whole.

Synthesis Matrix

A synthesis matrix helps you record the main points of each source and document how sources relate to each other.

After summarizing and evaluating your sources, arrange them in a matrix or use a citation manager to help you see how they relate to each other and apply to each of your themes or variables.  

By arranging your sources by theme or variable, you can see how your sources relate to each other, and can start thinking about how you weave them together to create a narrative.

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How to Write a Literature Review

  • 6. Synthesize
  • Literature Reviews: A Recap
  • Reading Journal Articles
  • Does it Describe a Literature Review?
  • 1. Identify the Question
  • 2. Review Discipline Styles
  • Searching Article Databases
  • Finding Full-Text of an Article
  • Citation Chaining
  • When to Stop Searching
  • 4. Manage Your References
  • 5. Critically Analyze and Evaluate

Synthesis Visualization

Synthesis matrix example.

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About Synthesis

What is synthesis? What synthesis is NOT:

Approaches to Synthesis

You can sort the literature in various ways, for example:

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How to Begin?

Read your sources carefully and find the main idea(s) of each source

Look for similarities in your sources – which sources are talking about the same main ideas? (for example, sources that discuss the historical background on your topic)

Use the worksheet (above) or synthesis matrix (below) to get organized

This work can be messy. Don't worry if you have to go through a few iterations of the worksheet or matrix as you work on your lit review!

Four Examples of Student Writing

In the four examples below, only ONE shows a good example of synthesis: the fourth column, or  Student D . For a web accessible version, click the link below the image.

Four Examples of Student Writing; Follow the "long description" infographic link for a web accessible description.

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Literature Review Template

The fastest (and smartest) way to craft a strong literature review that lays a solid theoretical foundation and earns marks.

Available in Google Doc, Word & PDF format 4.9 star rating, 5000 + downloads

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What It Covers

This literature review template is based on the tried and trusted best-practice format and structure  for formal academic research projects. It includes the following sections:

  • Before you start – essential groundwork to ensure you’re ready
  • The introduction section
  • The core/body section
  • The conclusion /summary
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Each section is explained in plain, straightforward language , followed by an overview of the key elements.  We’ve also included practical examples and links to free videos to help you understand what’s required in each section.

The template can be copied to your Google Drive 0r downloaded as a fully editable MS Word Document (DOCX format), adaptable to LaTeX.

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FAQs: Literature Review Template

What format is the template (doc, pdf, ppt, etc.).

The literature review chapter template is provided as a Google Doc. You can download it in MS Word format or make a copy to your Google Drive. You’re also welcome to convert it to whatever format works best for you, such as LaTeX or PDF.

What types of literature reviews can this template be used for?

The template follows the standard format for academic literature reviews, which means it will be suitable for the vast majority of academic research projects (especially those within the sciences), whether they are qualitative or quantitative in terms of design.

Keep in mind that the exact requirements for the literature review chapter will vary between universities and degree programs. These are typically minor, but it’s always a good idea to double-check your university’s requirements before you finalize your structure.

Is this template for an undergrad, Master or PhD-level thesis?

This template can be used for a literature review at any level of study. Doctoral-level projects typically require the literature review to be more extensive/comprehensive, but the structure will typically remain the same.

Can I modify the template to suit my topic/area?

Absolutely. While the template provides a general structure, you should adapt it to fit the specific requirements and focus of your literature review.

What structural style does this literature review template use?

The template assumes a thematic structure (as opposed to a chronological or methodological structure), as this is the most common approach. However, this is only one dimension of the template, so it will still be useful if you are adopting a different structure.

Does this template include the Excel literature catalog?

No, that is a separate template, which you can download for free here . This template is for the write-up of the actual literature review chapter, whereas the catalog is for use during the literature sourcing and sorting phase.

How long should the literature review chapter be?

This depends on your university’s specific requirements, so it’s best to check with them. As a general ballpark, literature reviews for Masters-level projects are usually 2,000 – 3,000 words in length, while Doctoral-level projects can reach multiples of this.

Can I include literature that contradicts my hypothesis?

Yes, it’s important to acknowledge and discuss literature that presents different viewpoints or contradicts your hypothesis. So, don’t shy away from existing research that takes an opposing view to yours.

How do I avoid plagiarism in my literature review?

Always cite your sources correctly and paraphrase ideas in your own words while maintaining the original meaning. You can always check our plagiarism score before submitting your work to help ease your mind. 

Do you have an example of a populated template?

We provide a walkthrough of the template and review an example of a high-quality literature research chapter here .

Can I share this literature review template with my friends/colleagues?

Yes, you’re welcome to share this template in its original format (no editing allowed). If you want to post about it on your blog or social media, all we ask is that you reference this page as your source.

Do you have templates for the other dissertation/thesis chapters?

Yes, we do. You can find our full collection of templates here .

Can Grad Coach help me with my literature review?

Yes, you’re welcome to get in touch with us to discuss our private coaching services , where we can help you work through the literature review chapter (and any other chapters).

Additional Resources

If you’re working on a literature review, you’ll also want to check these out…

Literature Review Bootcamp

1-On-1 Private Coaching

The Grad Coach YouTube Channel

The Grad Coach Podcast

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How to Write a Literature Review for Research: Guide, Structure & Template Examples

Literature_Review

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A literature review is a critical analysis of published research on a particular topic. It involves reviewing and analyzing a range of sources, such as academic articles, books, and reports. Students conduct a literature review before writing a research paper or dissertation to gain an understanding of the existing knowledge and recognize areas for further exploration.

Evaluating scholarly works is a crucial aspect of academic work because it establishes the foundation for an inquiry and uncovers new information or gaps in studies. Thus, it is essential to develop and structure it correctly.  In this guide you will find:

  • A detailed definition
  • Elements of a good literary review
  • How to do a literature review
  • Examples of literature review template.

Read on to explore the structure and straightforward steps for assessing existing sources on your topic.  In case you are looking for a quick solution, consider giving our literature review services a try. 

What Is a Literature Review: Definition

Before delving further, let’s first define what is a literature review in research. As a researcher, you might need to objectively synthesize, explore, and evaluate existing studies conducted by others. A literature review helps you identify gaps or areas that require further investigation. It boils down to analyzing and making sense of a massive body of knowledge. It is crucial to be critical during the entire process as it is the most effective approach to engaging with texts. You need to objectively identify their strengths and weaknesses, and convey your positive or negative views.   In other words, literature reviews are about deducing specific sources and comparing relevant studies to find similarities and differences. This process may reveal new perspectives or offer a thorough outline for further developments in a specific field. It can also inform readers about the relevance and validity of existing documents to the statement of the problem . You conduct a lit review to get an overview of concepts surrounding your subject, keep up to date with trends in your field, and enhance your credibility. Besides, it offers a solid background for a research paper , thesis or dissertation .

Literature review definition

What Is the Purpose of a Literature Review?

A literature review must highlight your overall knowledge of a research subject and help you develop an argument, mostly by responding to a specific question. It is not just a summary of what you have read.  Commonly, the purpose of a literature review is to help you:

  • Understand and convey the current state of literature on your research topic .
  • Find adequate documents on your subject to form your perspective.
  • Create a framework for your paper based on research goals.
  • Identify gaps in studies and develop novel research questions .
  • Select appropriate methods by locating tried and tested techniques.

Note that keeping all these points in mind is important to get the most from an evaluation process when conducting the review.

Types of Literature Reviews

There are various types of literature reviews, each with specific expectations in terms of depth, structure, length, and scope. Here are the main ones:

  • Stand-alone literature review. This type involves a comprehensive analysis of prior research related to a specific question. Here, your task is to evaluate and compare existing studies, identify trends, and recognize gaps, weaknesses, and controversies in the field.
  • Literature review for a journal article. In this case, the analysis of literature focuses on providing background information for an inquiry being conducted. It is usually placed in an introduction or combined with the discussion of results.
  • Literature review assignment. Students may be assigned a selective project to familiarize themselves with a theme and studies in their field. The intention could also be to identify gaps in the current knowledge base to suggest new questions, develop a theoretical framework in research , or determine a suitable methodology for future exploration. This type deals with a small part of research on a subject and stands as a complete work.
  • Research paper literature review. The main objective here is to facilitate scholars in gathering, condensing, synthesizing, and examining current research on a specific issue. This is particularly beneficial to academics who are investigating a new area of study or seeking guidance on topics that have not yet been thoroughly explored.
  • Thesis or dissertation literature review. This is a separate chapter placed after the Ph.D. thesis introduction and before the dissertation methodology section. It helps the author understand what has already been studied and what gaps exist in the current knowledge. By analyzing the existing research, a researcher can identify opportunities for further investigation and ensure that their study is original and significant.

How Long Should a Literature Review Be?

If the instructions for a task do not specify the required length of the literature review, there are some guidelines to consider. In general, it would be enough to have 20-25% of the total size of your work as an analysis part. Typically, the analysis section of the review should constitute around 20-25% of the total length of the work. However, several factors, such as the project purpose, intended audience, type, and scope, may affect how long a literature review is. For example, a dissertation usually requires an extensive literature evaluation section. The best assessments, however, are usually not less than 2 pages long.  If you are uncertain about the appropriate length, refer to the table below for guidance. Literature Review Length in Different Projects

Stand-alone literature review

4-7 pages

1,200-2,000 words

Scientific journal article

3-4 pages

900-1,200 words

Research paper

3-5 pages

900-1,500 words

Master's thesis

6-9 pages

2,000-3,000 words

Ph.D. dissertation

20-25 pages

6,000-8,000 words

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Features of a Good Literature Review

Regardless of your work’s nature, composing a good literature review is a laborious process that many students rightfully find challenging. This is because you may need to go through numerous studies and identify gaps, recognize frameworks, cite sources, and ensure coherence. Therefore, to develop a decent piece it is essential to consider the characteristics described below. The best work:

  • Is more than just a list of relevant studies: you should critically examine others’ ideas and assess how they are presented.
  • Considers a variety of reliable and applicable sources: a scientific literature review should demonstrate that you are familiar with relevant readings on your topic. Thus, ensure you have covered important, broad, latest, and pertinent texts. Such an approach enhances the depth of your evaluation and highlights various viewpoints.
  • Demonstrates an awareness of values and theories underpinning the work: in the first place, you must understand why exactly you are conducting the evaluation. If you don’t know the purpose and function of the process, you will not write effectively.
  • Relates papers to each other by comparing and contrasting them: a literature review in research moves past simple descriptions of what others have written. Rather, it entails connecting, finding differences and similarities, and interpreting concepts.
  • Offers personal reactions and opinions to manuscripts: after comparing, contrasting, and critiquing others’ works, you should present your own interpretation and analysis.
  • Showcases research gaps that your study will deal with and help address.
  • Applies appropriate linking/transition words such as “similarly”, “however”, “also”, “contend”, “conclude”, “argue”, and “assert”: this helps you group together related notions, highlight contrasting views, and introduce others’ opinions or texts while remaining objective throughout the analysis.

literature review characteristics

What to Include in a Literature Review?

At this point, you understand the definitions, purpose, and features of a literature review. Now you need to present information effectively. Like in any other formal paper, your work must have a basic structure comprising an introduction, body, and conclusion.  But what does it look like? The layout goes beyond these sections because you must also consider how your themes and arguments will be organized.  Here is a detailed description of the three main parts of a literature review:

  • Introduction Your first section should be brief, direct, and focused. Explain the main themes or topics to be analyzed, the arguments you will present, and the underlying reasons for your claims.
  • Body In this section, conduct a comprehensive evaluation of the selected sources and organize them using a specific approach, such as themes or topics. Make sure to present your arguments clearly, linking them to studies that support or contradict your assessment. Remember to include viewpoints that disagree with your position to strengthen your evaluation. Cite the works of various authors you are critically analyzing, and limit the use of direct quotes. Instead, paraphrase and include references.
  • Conclusion Summarize your literature review by highlighting the conclusions drawn from your analysis. You can restate gaps in knowledge, explain how your study will address them, and recommend future research needed on the topic.

Look at the example of the literature review template below to learn more.

Literature Review Template

Read more: Literature Review Outline

How to Structure a Literature Review?

Once you are ready to begin writing a literature review, it is necessary to think about how you will organize information. This helps avoid the risk of your work turning into a loose sequence of summaries instead of a logical and integrated analysis.  A literature review structure should be chosen based on the style used in your body section. Here are the major approaches you can use:

  • Thematic This approach involves organizing your analysis around themes, topics, or issues. It is particularly useful when focusing on a single overarching subject and enables you to highlight critical debates within sub-themes.
  • Chronological Literature reviews using this format organize studies based on when they were published, typically moving from older to newer works to explore the topic's development over time. It is important to analyze sources by considering any debates and turning points that influenced the subject and offer your interpretation.
  • Methodological This design focuses on the methods other researchers used. A review of literature using this layout considers the perspective from which a particular theme was examined or the procedures used to answer a specific question. It may use qualitative, quantitative, or other strategies within these two broad techniques.
  • Theoretical A theoretical approach involves a systematic and critical examination of existing theories, models, and frameworks related to the research topic or question. This approach helps to establish the context, identify gaps, and provide a foundation for your own research.

Approaches to structuring a literature review

How to Write a Literature Review?

If you are still wondering how to write a literature review for a research paper, thesis or dissertation, this guideline will help you get started. While you have learned about important elements such as structuring and organization, you may still need guidance on how to establish your foundation for creating your review.  The following sections provide easy-to-understand explanations on how to write a lit review. Below are 7 steps you must follow to develop a decent paper.

How to write a literature review in 7 steps

1. Select a Topic and Narrow It Down

As you begin reviewing literature, it is vital to get your focus correct. Depending on your field of study, the selected topic must be:

  • Relevant and important Explore a crucial concern in your field so that people will be interested in your work and you will have sufficient material to base your project on.
  • Interesting This is essential because learning how to write a good literature review starts with being inquisitive since you can’t investigate something that doesn’t arouse your curiosity.
  • Well defined this helps you include only relevant publications to make your paper helpful.
  • Narrow Your theme must be specific yet researched enough to allow for an in-depth analysis. Broad issues usually necessitate a large number of studies, which will be impossible to explore meaningfully.

2. Search for Pertinent Literature

After having selected a topic for your research literature review, you need to search for studies. As you do this research, you'll want to take note of the keywords and phrases that appear frequently in the articles. These keywords can be used to create a list of search terms that you'll use to find additional articles on your topic. To ensure that your search terms are effective, you should try to identify the most important keywords and phrases related to your topic. These might be the names of key researchers, conceptual frameworks , theories, or techniques related to your topic. Consider the headings that the documents have been tagged with and words occurring in abstracts and titles. You can then organize your phrases into blocks based on the main ideas. Once you have identified the relevant keywords for your scientific literature review, it's time to search for articles. To do this, you'll need to choose at least two credible databases to search for good articles. Popular options include:

  • Google Scholar

But there may be other databases that are more appropriate for your specific topic. When searching across different databases, it's important to use a uniform search strategy. This means combining your search terms using " OR " and " AND " to create a block of related terms. You can then type this block into the basic search box or use the advanced search feature, enclosing the terms in parentheses. This makes it easier to find specific articles. For example, consider these keywords:

Crohn’s disease, ulcerative colitis, adolescents, young adults, and management. The search term block would be “(Crohn’s disease OR ulcerative colitis) AND (young adults OR adolescent) AND management”.

Since the generated results may contain irrelevant or unreliable sources, ensure that you select only dependable ones. This is a key skill to develop when conducting a literature review because it allows you to choose the best articles to support your arguments.

3. Analyze and Choose Relevant Sources

After completing your search for articles and selecting databases, it's time to review the sources and choose which ones to include in your lit review. Focus on studies that are relevant to your topic and meet any other inclusion criteria.  To determine whether an article is relevant to your project, you'll need to read it carefully and grasp the arguments presented. Take notes as you read, recording interesting facts, main points, and any thoughts you have about the article. This will help you remember which author made which arguments, your impressions of the article, and any relationships you identified between different sources. As you read, try to answer these questions:

  • What is the main argument of the article?
  • How does the author support their argument?
  • What is the research question or objective of the study?
  • What research methods were used, and were they appropriate for the research question?
  • What were the main findings or results of the study?
  • Were the results statistically significant, and were the conclusions supported by the data?
  • Are there any limitations or weaknesses to the study that should be considered?
  • Are the authors qualified to conduct this research?
  • Are there any conflicts of interest or biases that may affect the study's findings?
  • Is the article well-written and easy to understand?
  • Are the sources cited in the article reliable and relevant to the topic?

Remember that you can only start to write your literature review after going through all your manuscripts. Therefore, creating a rough draft is essential as this gives you a general idea of the volume of available material available. While conducting a literature review, you must examine the quality of all sources critically. This typically entails using a checklist or table to evaluate aspects such as methods, results, and presentation. An example of a template to assess sources for a literature review is provided below. It contains questions and criteria that assist in locating bias, errors, or flaws. Template for Literature Evaluation

Template for Evaluation of Existing Literature

4. Group the Sources by Categories

To write a review of literature, you need to sort your sources. After reading and evaluating your articles, you should have a general idea of the main achievements, major debates, themes, trends, and outstanding issues/questions. The next step is to organize your sources into logical categories. Good research literature reviews are systematic and consistent. You may choose to arrange your sources by topic, research methodology , geographic location, or other relevant criteria. It's also helpful to use subheadings within each category to further organize your sources. As you group your sources, be sure to consider how they relate to one another and to the overall research question or topic. You may find that certain sources address multiple themes or issues. In this case you'll need to decide which category is the most appropriate for each source. Remember that the purpose of organizing your sources is to provide a clear and coherent structure for your literature review. By grouping your sources into logical categories, you make it easier for your readers to follow your arguments and understand the connections between different sources. Here is an example of how to group sources by categories.

Example of how to group existing sources by categories

5. Build Connection Between Your Ideas and the Literature

To complete this step of the literature review, you need to connect your research, arguments, or ideas to the texts you've gathered. Begin by using your research question to identify connections between your sources and insights into your findings. Match your key concepts with the central points in each article to establish associations between topics. Be aware that you may see differences or contradictions between readings. To ensure that you're ready to write your literature review, use your key concepts as headings in your notes to easily locate articles that address specific themes. Observe and make explicit the relationships that emerge between your arguments and the manuscripts. These connections will be useful when structuring your work and selecting the papers to include in your project.

6. Write a Literature Review

At this point, you can start a literature review because you have already synthesized relevant works in your mind and recorded the details. With that information in mind, it is time to begin composing the actual analysis and thoroughly creating each of the components of a literature review.  Initiate the process by highlighting your topic and your overall argument or view.  Just like any other academic essay , your project must be well-structured and contain an introduction, main part, and conclusion. Consider the following explanations on how to write a literature review for a dissertation, thesis, or research paper.

Literature Review Introduction

The introduction section should provide the necessary background information and clarify the purpose of your analysis.  Begin by broadly announcing the topic and providing contextual details of major concepts and terms, such as what is already known about the subject and how the field has developed. Next, provide specific and relevant information about the issue and explain why it is important or why readers should engage with your work. Finally, describe the organization, scope, and aim or highlight the key points that will be discussed. Look at the following example to see how you can write an introduction for a literature review. Literature Review Introduction Example

The concentration of carbon emissions has been increasing throughout the years. The amount was 290 ppm before the industrial revolution but rose to 450 ppm afterward (Block, 2019, Wbeltz, 2020). These changes will affect the global climate significantly by influencing mean temperatures and precipitation levels. In turn, this will put pressure on global agricultural production and affect the growth speed, crop quality, and yield of staple foods like wheat (Wbeltz, 2020). Since over 90% of people worldwide depend on this crop, it must survive any climate changes. Thus, the purpose of this review is to evaluate how carbon emissions will affect global wheat production and identify any mitigation measures. The paper will explore wheat growth, yield, and quality in the face of elevated carbon levels.

Lit Review Body

The body section of your literature review is where you analyze relevant studies related to your topic. It is essential to organize your analysis coherently and logically.  Identify important sub-topics and structuring them to support your arguments. Using subheadings under major themes can help to order and focus your work effectively.  While writing the body of your literature review, you should critically examine texts.  This involves recognizing gaps, points of agreement or disagreement, and key subjects.  You can structure this section chronologically, thematically, theoretically, or methodologically, depending on your research question and the nature of your sources. Remember to use reliable and accurate references to support your arguments. Consider this example: Example of a Literature Review Paper Body Section

Various studies show that elevated carbon emissions result in increased crop growth. Adams (2018) attributes this to improved photosynthesis in leaves when exposed to high carbon levels in the air. Other studies argue that carbon enriches crops, accelerates and amplifies their productivity, and causes improved growth (Hog, 2020). In an experimental study, Li (2019) compared crop growth under high carbon conditions and found that a 500 ppm level enhances growth by nearly 8%. Nevertheless, high carbon levels also result in other effects such as high temperatures (Daley, 2019). In turn, this leads to short growth periods or cycles. Thus, an increase in temperature while accelerating the time for growth adversely affects crop quality (Adams, 2020).

Literature Review Conclusion

The concluding section of a literature review should show how you addressed the topic or achieved your purpose. You should then mention the major arguments you examined before identifying their implications in the broader field. Remember to recommend any applicable future research. Also, keep in mind these things when writing your literature review conclusion:

  • Avoid in-text citations.
  • Do not include new information.
  • Highlight main ideas raised in the body paragraphs.
  • Give your general view of the studies and explain your conclusions and underlying reasons.

Here is a sample literature review conclusion. Literature Review Conclusion Example

The review aimed to explore the effect of elevated carbon levels on global wheat production. Assessments of effects on the crop’s growth, yield, and quality were conducted to understand how changes in climate due to increasing carbon emissions will affect global agriculture. Findings demonstrate a definite impact of these changes on the aforementioned aspects. In particular, elevated carbon levels lead to enhanced growth, shorter growth cycle, and low and poor quality yields. It is suggested that future studies should further explore the role of other factors such as soil health and fertilizer use in explaining these effects because modern agricultural techniques are considered to harm soil quality.

7. Proofread and Revise Your Review of Literature

Once you are done with reviewing your literature, give yourself some time off and then come back to edit it. Attend to its narrative and flow by ensuring that all parts fit together and transition smoothly from one paragraph to another. Improve any poor connections, revise to enhance clarity, or re-write sentences to eradicate construction mistakes. You can then give your scientific literature review to a colleague or friend, who is not an expert in the field, and ask their opinion about the message of your overall paper. Also, seek responses from your supervisor if possible. Use any feedback you get to better your project further. At this point, you understand how to do a lit review. Additional tips are provided below.

Literature Review Format

Besides following the aforementioned steps, you must also consider how to format a literature review. Be sure to check with your institution or target journal about style guidelines and the specific rules of your work’s layout.  Each style has instructions regarding the major sections, in-text citations, and a literature reference page.  For example, an APA paper format is based on an “author-date” approach, in which the author’s name and publication year are cited inside the document. A reference list is included on your paper’s last page. APA literature review format is dominant in the sciences, psychology, and education fields.  In contrast, an MLA format paper follows a “researcher-page number” style accompanied by works cited page, which is common in the humanities.  A Chicago style paper requires footnotes or endnotes with a bibliography section for all sources. It is mostly used in fine arts, history, and business disciplines.

Literature Review Examples

At this point, you are ready to start writing your review. Before proceeding, it is advisable to consider an example of literature review in a research paper, thesis or dissertation in your field. Thoroughly read the samples you find to get familiar with aspects such as organization, argument presentation, and referencing sources correctly. This is an effective way of learning ways of framing and structuring your work. Additionally, going through how to write a literature review example helps you understand what is expected in this task. Also, when reading these samples, pay attention to the academic language used. Look at the following free examples: Literature review example (APA 7th Edition)

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Literature review for research paper example

Thesis/dissertation literature review example

Tips on Writing a Literature Review in Research

Now that you have a well-rounded idea about how to write a literature review, read the recommendation described here as they remind you of essential points. Before proceeding, remember that you should include sources that are associated with your work directly. This helps you avoid frustrating and distracting readers or making them lose sight of your purpose. Also, once you start writing your review, stick to the previously created outline and keep these tips in mind:

  • Analyze Do not just list studies, rather, examine them critically to find similarities, differences, relationships, or contradictions.
  • Time management Take your time to select a topic, gather literature, evaluate, read, and write. The last part should take about half of your time, while the remainder is for the other tasks.
  • Revise Anticipate revising countless times before delivering a final version.
  • Presentation A literature review in a research paper, thesis or dissertation must be specific and provide concrete examples. For example, rather than “this” use “this result”. First-person references should be avoided because they signal unsupported arguments. Everything written should have a reason. Also, use short paragraphs as they are easier to read. Additionally, structure your work with headings, subheadings, and subsections to make it flow.
  • Paraphrase Avoid relying too much on quoting directly from sources or one researcher. Rather, paraphrase and compare authors between themselves and with your ideas.
  • References Give credit to every outside idea or language by citing their work in your paper.

Literature Review Checklist

Now that you are through with composing your literature review, it is essential to be sure that your work is ready for delivery or publication. Therefore, you must take your time and reflect on the following questions to ensure that every section is covered thoroughly. Consider this final checklist:

  • checkbox I stated the reason for conducting my project and outlined its scope.
  • checkbox I chose relevant and credible studies.
  • checkbox I have identified recent trends.
  • checkbox I have logically presented a review of literature in my research paper or dissertation.
  • checkbox I organized my information based on themes/issues/methods/theories.
  • checkbox I have located gaps in research and literature.
  • checkbox I displayed how details supporting a topic relate to its significance.
  • checkbox I wrote my literature review critically.
  • checkbox I have demonstrated instances when findings contradicted each other or were inconclusive.
  • checkbox I explored designs, theories, questions, models, and hypotheses.
  • checkbox I highlighted each source’s importance to my theme.
  • checkbox I have included an introduction, body, and conclusion.
  • checkbox I have checked for grammatical issues.

Final Thoughts on Writing a Scientific Literature Review

We have provided you with all the necessary information on how to write a review of literature. Follow our step-by-step guide to identify the right keywords, evaluate sources, and select credible and relevant articles. Make sure to structure your writing clearly and logically using the key components of a literature review that we have outlined for you.  To help you further, we have included examples of literature reviews for you to check. With these simplified requirements, you are ready to start practicing and creating your own literature reviews. Remember, practice is essential to mastering this type of writing, so keep it up!

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FAQ About Literature Reviews

1. what is a literature review in a research paper.

The literature review of a research paper is a type of academic essay that analyzes and evaluates previous or existing studies on a topic. It aims to survey readings, synthesize, and digest the obtained information. It also critically explores the data by identifying gaps in knowledge, demonstrating limitations in manuscripts, examining contradictions, and determining areas for additional research. The final piece is presented logically.

2. Where does a literature review go in a research paper?

A literature review generally comes after an introduction and before the methodology chapter of dissertations. Here, it is used to analyze relevant scholarship about a topic, ground your research paper in a specific field, and inform your data collection methods and analysis procedures.

3. How to start a literature review?

Start a literature review by describing the background of what you will analyze in your body paragraphs. There is no need to be comprehensive here. Rather, show that you clearly understand your paper’s scope. In particular, begin by conveying the established ideas and knowledge on the subject being explored to your audience.

4. What is the difference between a literature review and an annotated bibliography?

The main difference between the two is that literature reviews focus on providing an overview and analysis of existing research on a particular theme. They aim to identify the strengths and weaknesses of arguments and draw conclusions. In contrast, the purpose of an annotated bibliography is to collect sources for a specific project and offer summaries of what they are about.

5. What is the importance of a literature review?

A literature review is important because:

  • It establishes a rapport with your readers They will trust you because you have examined and analyzed facts appropriately.
  • Helps researchers deliver original work The entire process of conducting the assessment assists you to evade repeating something done by someone else.
  • It improves your research focus Synthesizing and analyzing studies can guide and shape your investigation in new directions by providing novel insights and views on a theme.

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Organizing and Creating Information

  • Citation and Attribution

What Is a Literature Review?

Review the literature, write the literature review, further reading, learning objectives, attribution.

This guide is designed to:

  • Identify the sections and purpose of a literature review in academic writing
  • Review practical strategies and organizational methods for preparing a literature review

A literature review is a summary and synthesis of scholarly research on a specific topic. It should answer questions such as:

  • What research has been done on the topic?
  • Who are the key researchers and experts in the field?
  • What are the common theories and methodologies?
  • Are there challenges, controversies, and contradictions?
  • Are there gaps in the research that your approach addresses?

The process of reviewing existing research allows you to fine-tune your research question and contextualize your own work. Preparing a literature review is a cyclical process. You may find that the research question you begin with evolves as you learn more about the topic.

Once you have defined your research question , focus on learning what other scholars have written on the topic.

In order to  do a thorough search of the literature  on the topic, define the basic criteria:

  • Databases and journals: Look at the  subject guide  related to your topic for recommended databases. Review the  tutorial on finding articles  for tips. 
  • Books: Search BruKnow, the Library's catalog. Steps to searching ebooks are covered in the  Finding Ebooks tutorial .
  • What time period should it cover? Is currency important?
  • Do I know of primary and secondary sources that I can use as a way to find other information?
  • What should I be aware of when looking at popular, trade, and scholarly resources ? 

One strategy is to review bibliographies for sources that relate to your interest. For more on this technique, look at the tutorial on finding articles when you have a citation .

Tip: Use a Synthesis Matrix

As you read sources, themes will emerge that will help you to organize the review. You can use a simple Synthesis Matrix to track your notes as you read. From this work, a concept map emerges that provides an overview of the literature and ways in which it connects. Working with Zotero to capture the citations, you build the structure for writing your literature review.

Citation Concept/Theme Main Idea Notes 1 Notes 2 Gaps in the Research Quotation Page
               
               

How do I know when I am done?

A key indicator for knowing when you are done is running into the same articles and materials. With no new information being uncovered, you are likely exhausting your current search and should modify search terms or search different catalogs or databases. It is also possible that you have reached a point when you can start writing the literature review.

Tip: Manage Your Citations

These citation management tools also create citations, footnotes, and bibliographies with just a few clicks:

Zotero Tutorial

Endnote Tutorial

Your literature review should be focused on the topic defined in your research question. It should be written in a logical, structured way and maintain an objective perspective and use a formal voice.

Review the Summary Table you created for themes and connecting ideas. Use the following guidelines to prepare an outline of the main points you want to make. 

  • Synthesize previous research on the topic.
  • Aim to include both summary and synthesis.
  • Include literature that supports your research question as well as that which offers a different perspective.
  • Avoid relying on one author or publication too heavily.
  • Select an organizational structure, such as chronological, methodological, and thematic.

The three elements of a literature review are introduction, body, and conclusion.

Introduction

  • Define the topic of the literature review, including any terminology.
  • Introduce the central theme and organization of the literature review.
  • Summarize the state of research on the topic.
  • Frame the literature review with your research question.
  • Focus on ways to have the body of literature tell its own story. Do not add your own interpretations at this point.
  • Look for patterns and find ways to tie the pieces together.
  • Summarize instead of quote.
  • Weave the points together rather than list summaries of each source.
  • Include the most important sources, not everything you have read.
  • Summarize the review of the literature.
  • Identify areas of further research on the topic.
  • Connect the review with your research.
  • DeCarlo, M. (2018). 4.1 What is a literature review? In Scientific Inquiry in Social Work. Open Social Work Education. https://scientificinquiryinsocialwork.pressbooks.com/chapter/4-1-what-is-a-literature-review/
  • Literature Reviews (n.d.) https://writingcenter.unc.edu/tips-and-tools/literature-reviews/ Accessed Nov. 10, 2021

This guide was designed to: 

  • Identify the sections and purpose of a literature review in academic writing 
  • Review practical strategies and organizational methods for preparing a literature review​

Content on this page adapted from: 

Frederiksen, L. and Phelps, S. (2017).   Literature Reviews for Education and Nursing Graduate Students.  Licensed CC BY 4.0

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Writing the Literature Review

Barry Mauer and John Venecek

Note: Not all research papers contain literature reviews in their finished or published form. Check your assignment and guidelines to see if one is required. Even if a literature review is not required, you still need to read the available scholarly literature on your topic so you can join the scholarly conversation.

  • The Literature Review

What is the Purpose of the Review?

What is the scope of the review, strategies for getting started, types of literature reviews, composition guidelines, how to locate reviews by discipline, key takeaways.

We also provide the following activities:

Types of Literature Reviews [Refresher]

Writing the literature review [refresher], the literature review [1].

Conducting a literary studies research project involves time and effort, with much of it going towards the development of a literature review . A literature review might fill several pages of your research paper and usually appears soon after an introduction but before you present your detailed argument. A literature review provides your audience with an overview of the available research about your area(s) of study, including the literary work, your theory, and methodology. The literature review demonstrates how these scholarly discussions have changed over time, and it allows you to position your research in relation to research that has come before yours. Your aim is to present the discussion up to this point. Depending on the nature of the assignment, you may also include your critical commentary on prior research, noting among this material the weaker and stronger arguments, breakthroughs and dead ends, blind spots and opportunities, the invention of key terms and methods, mistakes as well as misreadings, and so on.

Once you have gathered the research materials you need for your literature review, you have another task: conducting an analysis on the research to see where your original contribution fits into the scholarly conversation. As the saying goes, “we are standing on the shoulders of giants.” Your job is to show a portrait of these giants to your audience, and to show how your work relates to the portrait. On many scholarly topics, literature reviews already exist. You may refer to such existing reviews within your own, indicating any materials might have been overlooked, new developments that have arisen since the publication of the existing literature review, and new perspectives or insights you have about the materials.

Some beginning researchers try to tear down the work of other researchers in an effort to make their own work look good by comparison. It rarely works. First, it tends to make your audience skeptical of your claims. Second, it ignores the fact that even the mistakes, blind spots, and failures of other researchers contribute something to our knowledge. Albert Einstein didn’t disrespect Sir Isaac Newton by saying Newton’s theory of space was wrong and terrible and that Einstein’s own theory was great by comparison. He built upon Newton’s work, showing how it could be improved. If, however, a researcher willfully set out to deceive or distort or to tear down the work of other scholars without good reason, then their work does not deserve such deference.

Most literature reviews appear after the introduction. It presents your reader with relevant information about the scholarly discussion up to now. Later in your paper, you discuss your contribution. Before you begin work on your literature review, let’s discuss what we mean by “literature”; understand the purpose and scope of the review; establish criteria for selecting, organizing, and interpreting your findings; and discuss how to connect your findings to your research question.

Many students seek to “find sources that agree with my claim or idea.” That approach is too narrow, in our view. If we use such an approach, we may get the following results:

  • Because we can find sources that agree with almost any claim, readers will wonder whether your claims are weak and the sources are cherry picked.
  • While literary scholars sometimes cite authorities to support their claims, they don’t rely only on authority. They respect authority, but not too much. Your own claims need to rely more on evidence (from the literary text, historical and biographical information), and your critical and creative reasoning skills.
  • Scholarship is a conversation; thus, the goal is less about finding agreement and more about joining the conversation with the aim of making a valuable contribution to the discussion.

The literature review provides your reader with an overview of the existing research about your topic or problem. It provides the context necessary for your reader to catch up with the scholarly conversation and then to appreciate the value of your contribution to it. The literature review sharpens the focus of your research and demonstrates your knowledge and understanding of the scholarly conversation around your topic, which, in turn, helps establish your credibility as a researcher.

Creating the literature review involves more than gathering citations. It is a qualitative process through which you will discover what is already known about your topic, and identify the key authorities, methods, and theoretical foundations, so you can begin to position your contributions within the scholarly conversation.

Defining the scope of your review will also help you establish criteria to determine the relevance of the sources you are finding. At this stage, you are not reading in-depth; instead, you are skimming through what has already been published and identifying the major concepts, theories, methodologies, and methods present within these published works. You should also be identifying connections, tensions, and contradictions within the already published works of your topic or problem. This involves building on the knowledge of others and understanding what methods, measures, and models we have inherited from previous researchers in our field.

Literature Reviews: Common Errors Made When Conducting a Literature Review [12 min 22 sec]

Video provided courtesy of the Center for Quality Research (CQR)

A literature review helps your reader understand the relationship of your research project to the work of other scholars. It covers the existing knowledge about a problem, and allows you to show the relevance/significance of your contribution to the discussion. Your reader may or may not have read scholarly literature about the theories, methodologies, and literary works you are discussing. But they want to know that you have read it and have thought about it. Your literature review provides not only a summary of the existing scholarship for readers; it also offers your perspective on it.

Begin your work on the literature review by synthesizing the various sources in your annotated bibliography .

For advice on Synthesizing Sources, consider the following from The Purdue Online Writing Lab: [2]

Note that  synthesizing is not the same as summarizing .

  • A summary restates the information in one or more sources without providing new insight or reaching new conclusions.
  • A synthesis draws on multiple sources to reach a broader conclusion.
  • Don’t force a relationship between sources if there isn’t one. Not all of your sources have to complement one another.
  • Do your best to highlight the relationships between sources in very clear ways.
  • Don’t ignore any outliers in your research. It’s important to take note of every perspective (even those that disagree with your broader conclusions).

Not all humanities research projects contain literature reviews, but many do. Keep in mind that the type of literature review you choose (see list below) pertains to the secondary research – other scholarly sources – and not to the primary literary work. For instance, a literature review about Kate Chopin’s writing will be your thoughts about the scholarship on Chopin and not about Chopin’s text itself. You are summarizing what you see in the scholarly literature about Chopin’s writing. The literature review puts you in the position of authority not just on Chopin’s writing but on the scholarship about her writing. You are seeking to understand what scholars have said about her work. Scholars might belong to different schools of thought (psychoanalytic, feminist, Marxist, etc.). They might make different arguments about Chopin. They might use different methodological approaches. 

If your research involves two or more theories, such as psychology and genre studies, you may need to create multiple literature reviews, one for each theory or methodology. If the theories overlap with each other significantly (i.e., Marxism and Cultural Studies), you may combine them. Your literature review need not include everything about the subject area – you would need to write a book to cover a single theory – but only those concepts and methods that are most relevant to your research problem.

Factors to Consider When Developing Your Literature Review

  • Determine the Scope : How broad or narrow should your literature review be? You may want to focus on recent scholarship only, or on a particular school of thought in the literature. Your scope is determined by your purpose; what is it you aim to achieve with your research?
  • Establish Criteria : We discussed the importance of defining the purpose and scope of your review on the previous page, but it’s worth reviewing here as well. This step will help you establish important criteria and focus your searching. For example, how many sources will you need? What types of sources (primary, secondary, statistics, media)? Is currency important? Do you know who the prominent authors or theorists are in your subject area? Take some time to map out these or other important factors before you begin searching journals and databases.
  • Consider Your Audience : Unlike a work cited page or an annotated bibliography, both of which are lists of sources, a literature review is essayistic and can be considered a precursor to your final paper. Therefore, it should be written in your own voice, and it should be geared toward a specific audience. Considering audience during this early stage will help focus your final paper as well.
  • Find Models : We’ll discuss the different types of literature reviews and how to locate examples in the section below. However, even if you’re undecided about what type of review will work best for you, you may want to review some example literature reviews to get a sense of what they look like before you begin your own.

One piece of advice before starting: look for existing literature reviews on your area of scholarship. You can build on the work that other scholars have put into reviewing the scholarly literature. There’s no need to completely “reinvent the wheel” if some of the work is already done.

Scholars sometimes publish “stand-alone” literature reviews that are not part of a larger work; such literature reviews are valuable contributions to the field, as they summarize the state of knowledge for other scholars.

Maria J. Grant and Andrew Booth’s “A Typology of Reviews” identifies 14 distinct types of literature reviews. Further, the UCLA library created a chart to complement the article and for easy comparison of those 14 types of reviews. This section provides a brief summary of the most common literature reviews. For a more complete analysis, please see the full article and the chart .

To choose the most appropriate structure, put yourself in your reader’s shoes and think through their need for information. The literature review is about providing context for your contribution. How much context do people need? Keep it to the minimum necessary; compressing a lot of information into a small amount of text is a must.

These structures are not meant to be straightjackets but tools to help you organize your research. If you find that the tool is working, then keep using it. If not, switch tools or modify the one you are using. Keep in mind that the types of literature reviews are just different ways of organizing information. So, you can discuss literary trends without organizing your review of secondary literature by trend; your discussion can be organized by theory or theme, for examples. In our literature reviews, we are not recounting other scholars’ arguments at length but merely providing key concepts so we can summarize the discussion so far and position our own claims. You don’t have to adhere strictly to one structure or another. They are just organizing tools that help you manage your material (and help your reader make sense of it).

Types of Reviews

  • Traditional or narrative reviews : This approach will generate a comprehensive, critical analysis of the published research on your topic. However, rather than merely compiling as many sources as possible, use this approach to establish a theoretical framework for your paper, establish trends, and identify gaps in the research. This process should bring your research question into clearer focus and help define a thesis that you will argue for in your paper. This is perhaps the most common and general type of literature review. The examples listed below are all designed to serve a more specific purpose.
  • Argumentative : The purpose of an argumentative literature review is to select sources for the purpose of supporting or refuting a specific claim. While this type of review can help the author make a strong case for or against an issue, they can also be prone to claims of bias. Later in this textbook, we will read about the distinction between warranted and unwarranted bias . One is ok and the other is not.
  • Chronological : A chronological review is used when the author wants to demonstrate the progression of how a theory, methodology, or issue has progressed over time. This method is most effective when there is a clear chronological path to the research about a specific historical event or trend as opposed to a more recursive theoretical concept.
  • By trend : This is similar to the chronological approach except it focuses on clearly-defined trends rather than date ranges. This would be most appropriate if you want to illustrate changing perspectives or attitudes about a given issue when specific date ranges are less important than the ebb and flow of the trend.
  • Thematic : In this type of literature review, the author will select specific themes that he or she feels are important to understanding a larger topic or concept. Then, the author will organize the sources around those themes, which are often based on relevance or importance. The value of this method is that the process of organizing the review by theme is similar to constructing an argument. This can help the author see how resources connect to each other and determine how as well as why specific sources support their thesis.
  • Theoretical : The goal of this type of review is to examine how theory has shaped the research on a given topic. It establishes existing theoretical models, their connections, and how extensively they have been developed in the published research. For example, Jada applied critical race theory to her analysis of Sonny’s Blues , but she might also consider conducting a more comprehensive review of other theoretical frameworks such as feminism, Marxism, or postmodernism. Doing so could provide insight into alternate readings, and help her identify theoretical gaps such as unexplored or under-developed approaches to Baldwin’s work.
  • Methodological : The approach focuses on the various methodologies used by researchers in a specific area rather than an analysis of their findings. In this case, you would create a framework of approaches to data collection related to your topic or research question. This is perhaps more common in education or the social and hard sciences where published research often includes a methods section, but it is sometimes appropriate for the digital humanities as well.
  • Scoping : The aim of a scoping review is to provide a comprehensive overview or map of the published research or evidence related to a research question. This might be considered a prelude to a systematic review that would take the scoping review one step further toward answering a clearly defined research question. See below for more details.
  • Systematic : The systematic review is most appropriate when you have a clearly-defined research question and have established criteria for the types of sources you need. In this way, the systematic review is less exploratory than other types of reviews. Rather, it is comprehensive, strategic, and focused on answering a specific research question. For this reason, the systematic review is more common in the health and social sciences, where comprehensiveness is more important. Literature reviews in the Humanities are not usually exhaustive but tend to show only the most representative or salient developments in the scholarship.
  • Meta-analysis : Does your research deal with statistics or large amounts of data? If so, then a meta-analysis might be best for you rather than providing a critical review, the meta-analysis will summarize and synthesize the results of numerous studies that involve statistics or data to provide a more comprehensive picture than would be possible from just one study.

An argumentative literature review presents and takes sides in scholarly arguments about the literary work. It makes arguments about other scholars’ work. It does not necessarily involve a claim that the literary work is itself making an argument. Likewise, a chronological literature review presents the scholarly literature in chronological order.

You don’t need to keep strictly to one type. Scholars often combine features from various types of literature reviews. A sample review that combines the follow types –

  • Argumentative
  • Theoretical
  • Methodological

– is the excellent work of Eiranen, Reetta, Mari Hatavara, Ville Kivimäki, Maria Mäkelä & Raisa Maria Toivo (2022) “ Narrative and Experience: Interdisciplinary Methodologies between History and Narratology , ” Scandinavian Journal of History , 47:1, 1-15

When writing your literature review, please follow these pointers:

  • Conduct systematic searches
  • Use Evidence
  • Be Selective
  • Use Quotes Sparingly
  • Summarize & Synthesize
  • Use Caution when Paraphrasing
  • Use Your Own Voice

Advice from James Mason University’s “Literature Reviews: An Overview”

literature review chart example

A note on synthesizing : Don’t make the common mistake of summarizing individual studies or articles one after the other. The goal is to synthesize — that is, to make observations about groups of studies. Synthesis often uses language like this:

  • Much of the literature on [topic x ] focuses on [major themes].
  • In recent years, researchers have begun investigating [facets a , b , and c ] of [topic x ].
  • The studies in this review of [topic x ] confirm / suggest / call into question / support [idea / practice / finding / method / theory / guideline y ].
  • In the reviewed studies [variable x ] was generally associated with higher / lower rates of [outcome y ].
  • A limitation of some / most / all of these studies is [ y ].

Please see this sample annotated literature review  from James Mason University.

Structure of a literature review [2]

  • Problematization: The 2 to 3 pages of problematization are a distinct, iterative, step. It may take doing such a statement a few times before moving forward to writing the actual paper.
  • Search: Write down your keyword sets, your updated keyword sets, and databases. It is perfectly within a reviewer’s rights to ask for these details.
  • Summary: Really getting to know major themes requires some annotation of articles. You want to identify core papers and themes and write about them. This helps you really learn the material. [ChatGPT or Wikipedia are no substitute for deep engagement with a paper.]
  • Argument: Either outline or create a slide deck that help you express the arguments in your paper. Read them out loud. Have friends look at them. Present them. [Every literature review has an argument. If not, it’s a summary. A summary does not merit publication in a top outlet.]
  • Unpacking: Once you’ve nailed the short pitch, unpack the full argument. [ a) Take time in each major section to map out a) the argument, b) the supporting evidence, and the takeaway. b) Take those major sections, reconcile them, make sure they don’t overlap, then move on to writing. c) Sketch out the paper’s sections, tables, figures, and appendices.]
  • Writing: Writing is the easy part. You can always put words to the screen. [Revising and improving is hard. Make time to write every day. Improving requires feedback. Find a writing partner to give feedback. Create your tables and figures. Write to them. Make sure the words in the paper align to the visuals.]
  • Communicate: When the paper is done, go back and create a paper presentation. [I do this for the papers that I’m most serious about. The act of storyboarding helps me sort out the small pieces of the story that don’t fit together. If I really want it to succeed, I present it. The act of presenting helps me get it right. My best papers sometimes take seven or eight presentations to get it right. Then I return to the paper and fine tune it. Only then, does it have a shot at a top outlet.]

Literature reviews can be published as part of a scholarly article, often after the introduction and sometimes with a header, but they can also be published as a standalone essay. To find examples of what reviews look like in your discipline, choose an appropriate subject database (such as MLA for literary criticism) and conduct a keyword search with the term “Literature Review” added in quotes:

Lit review_1.PNG

Not only do these examples demonstrate how to structure different types of literature reviews, but some offer insights into trends and directions for future research. In the next section, we’ll take a closer look at some reading strategies to help guide you through this process.

Since scholars already have produced literature reviews on various scholarly conversations, you don’t always need to “reinvent the wheel” (start a literature review from nothing). You can find a published literature review and update it or amend it; scholars do that all the time. However, you must properly cite work you incorporate from others.

image

Provide your audience with an overview of the available research on your area(s) of study, including: the literary work, theory, methodology, and method (if the assignment permits). Skip the literature review.
Review only materials about the literary work but not about theory, methodology, and method.
Provide your critical commentary on the materials (if the assignment permits). Present previous research as though it is all equally good or useful.
Build on the research found in other scholarship. Aim to tear down the research of other scholars.
  • What types of literature review will you be using for your paper? Why did you make this selection over others? If you haven’t made a selection yet, which types are you considering?
  • What specific challenges do you face in following a literature review structure?
  • If there are any elements of your assignment that need clarification, please list them.
  • What was the most important lesson you learned from this page? What point was confusing or difficult to understand?
  • In the “Back Matter” of this book, you will find a page titled “Rubrics.” On that page, we provide a rubric for Creating a Literature Review ↵
  • Richard West, Brigham Young University, amended by Jason Thatcher, Temple University - https://www.linkedin.com/posts/jason-thatcher-0329764_academicwriting-topten2023-activity-7146507675021766656-BB0O ↵

Writing the Literature Review Copyright © 2021 by Barry Mauer and John Venecek is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License , except where otherwise noted.

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Literature Review Templates

50 smart literature review templates (apa).

A literary review template is a type of written work that discusses published information about a specific subject matter. The length of the review doesn’t matter. It can be as simple as a summary of sources or can be as long as several pages. An outline for literature review can also evaluate these sources and advise to the readers regarding what’s relevant depending on certain conditions.

Table of Contents

  • 1 Literature Review Templates
  • 2 Why do you need a literature review template?
  • 3 Literature Review Formats
  • 4 Tips for creating a literature review template
  • 5 Outlines For Literature Review
  • 6 Compose the literature review
  • 7 Strategies for composing your literature review template

Free literature review template 01

Why do you need a literature review template?

A literary review template can serve as a guide about a specific topic. If you’re under time constraints to conduct more research, a literature review outline example can do you good as it provides you with an overview of what you intend to research on.

Even professionals of various fields rely on literary reviews to keep them updated in terms of what’s current in their fields. As for scholars, they can detect a writer’s credibility in a certain field by reading their literature review format. You can also use these works as a foundation for the investigation of a research paper.

Literature Review Formats

Free literature review template 10

Tips for creating a literature review template

Literary review templates are surveys of scholarly sources on a specific subject matter. It gives a general summary of information relevant to a certain research problem or question. Here are the steps to follow when creating a literary review.

  • Gather, assess, and choose the appropriate literature Before researching for literature for a review, you must have a topic that’s narrowly-defined. If you were to write a review for some research work or dissertation, you have to gather information related to the research problem or question. Having to understand the state of knowledge of your subject is the first step in creating your outline for literature review. Composing a literature review outline example for stand-alone research shouldn’t be that difficult. You only have to a good focus, then come up with a question that directs your search. This should be an answerable question without the need to generate or collect new data. Start the process by making a list of relevant keywords for the research topic in question. Based on the list, whenever you discover useful articles, check your list of references to find other relevant articles. During this process, you can identify any significant publications which didn’t show up when you performed a keyword search through recurring citations. It’s impossible for you to read all the available sources about a single topic. The best thing to do first is to read the abstract and determine if the articles are of any use. You have to do some evaluations on which of the sources are of value and relevant to the question. Also, make sure to only choose credible sources. Make it a point to read major theories and landmark studies in the field of your research. Logically, your scope of work depends upon the discipline and topic you have chosen. Make it a habit of writing down notes while you’re reading. Later on, you can incorporate these notes in your literature review format. Also, consider keeping track of the sources you have cited to avoid any consequential plagiarism cases. Making an annotated bibliography is a good suggestion. Include here a written paragraph for the summary and the analysis for each cited source. This can also be very helpful in reminding you about what you have read.
  • Look for themes and connections When you start organizing a literature review format, you should identify the relationships between all of the sources that you have read. Based on what you have read and the notes you have taken, look for: Patterns and trends: Are there approaches which become less or more popular as time goes by? Themes: Identifying concepts or questions that repeat constantly across the different literature. Conflicts, contradictions, and debates: At what points do the sources disagree or agree? Pivotal publications: Identify any influential studies or theories which affected the direction of the field. Gaps: Try looking for answers for the following questions – What’s missing from the literature? Did you find any weaknesses that you need to address? The answers to these questions can help organize the structure of the literary review. If applicable, you can include how your research contributes to the existing knowledge.
  • Plan the structure of your literature review template You can organize the whole body of your literary review through various approaches but at this point, you should already have an idea of the strategy you want to use even before writing your review. Depending on how long your review will be, you can use the following strategies: Chronological This is the simplest strategy where you map out the development of your topic over a period of time. If you use this approach, you should avoid merely listing or summarizing your sources chronologically. Make it a point to analyze the patterns, key events, and turning points that have influenced the direction of the field. If possible, give your own ideas about why and how certain developments came to happen. Thematic If you’ve discovered, in the course of your research, some recurring themes, you may organize your literary review into subsections which address the different parts of your topic. Methodology When you’re drawing your sources from various fields or disciplines which use different methods for research, you may end up with different conclusions and results. Perform analysis and try to compare these results that emerged from the different approaches. Theoretical In many cases, a literary review becomes the basis for theoretical frameworks. You may use this to talk about various definitions, theories, and models of important concepts. You may even argue about the significance of a theoretical approach or you can combine different theoretical ideas to come up with your own framework for research.

Outlines For Literature Review

Free literature review template 20

Compose the literature review

The literary review isn’t any different in form from any other kind of academic texts as it also has the basic parts. What you included in each would depend upon your objective for writing the literature review:

  • Introduction This part should clearly define the purpose and focus of the review. Dissertation: If you wrote the review as a part of a thesis or dissertation, you must reiterate the research question or central problem. Provide a short summary of the context as well. Stand-Alone: When writing this type of review, provide a short background regarding the topic along with its significance. Talk about the scope you plan to review along with your objective.
  • Body If you have a lengthy review, it’s best to divide this part into sub-sections then come up with a subheading for each of them.
  • Conclusion State in the conclusion, a summary of the key findings you have derived from the literature and emphasize their significance. Dissertation: Demonstrate how your research can address gaps and how it can contribute to gaining new knowledge. You can also discuss how you have used existing theories and methods to build a framework for your research. Stand-Alone: Discuss the overall effects of the literature or make suggestions for future research based on those gaps you have identified in your review.

Free literature review template 30

Strategies for composing your literature review template

Most people write literature review templates in the sciences although occasionally, some are in the Humanities. In many experiments and laboratory reports, literature reviews constitute a section of the document. At times, some people write the review as the paper itself. Here are some strategies that may prove helpful when tasked to write a literature review:

  • Find your focus Although they can differ, a literary review is like a term paper as you would organize both around ideas, not the sources themselves. This means that writing a review is not merely about listing your sources and going into their details one at a time. You also have to consider the themes and issues that connect your sources together.
  • Convey your message Literary reviews may not have the usual thesis statement but you still need to inform your readers what to expect. Writing a simple statement is enough to let your readers know what your main organizing principle is.
  • Organize the information There are instances when you may need additional sections in your review which are necessary for the study but don’t fit into the body’s organizational strategy. This depends on which sections you want to include. Only put in those that are necessary. To help you out, here are some sections that you may want to include in your review: Current Situation: This refers to the information that’s necessary to easily understand the focus or topic of the review. History: The chronological progression of the field, the literature, or an idea that’s necessary to understand the literature review. Include this only if the body isn’t already arranged chronologically. Methods or Standards: What criteria did you use to choose the sources in your review or the manner in which you want to present the information. Questions for Further Research: Are there questions about your field of research the review had sparked? Based on the review, what steps can you take to advance your research?

Free literature review template 40

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Literature Review Chart

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Learning goals and assessments.

Learning Goal(s):

  • Students will be able to articulate the themes or concepts shared in common across a body of scholarly literature and use these ideas to draft a competent mini-literature review.

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  • After completing the template included in this resource, students should be asked to draft a 2-3 page literature review. A rubric for evaluating literature review drafts is included.

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National Academies Press: OpenBook

Redesigning Continuing Education in the Health Professions (2010)

Chapter: appendix a: literature review tables, appendix a literature review tables.

E vidence on the effectiveness of continuing education (CE) and CE methods was identified through a literature review. Although nonexhaustive, the review included a comprehensive search of the Research and Development Resource Base (RDRB), a bibliographic database of more than 18,000 articles from fields including CE, knowledge translation, interprofessional literature, and faculty development. Articles in the RDRB are culled from Medline, the Cumulative Index to Nursing and Allied Health Literature (CINAHL), Excerpta Medica Database (EMBASE), Education Resources Information Center (ERIC), Sociological Abstracts, PsychoInfo, Library Information and Science Abstracts (LISA), and business databases, as well as automatic retrieval of articles from journals dedicated to medical education (e.g., Journal of Continuing Education in the Health Professions , Medical Education , Studies in Continuing Education ).

The RDRB was searched using keywords, 1 and the results of the searches were culled by two independent reviewers using an iterative approach. Studies collected were from 1989 to April 2009.

Keywords used to search the RDRB included “patient participation,” “patient initiated,” “patient mediated,” “physician prompt,” “audit,” “feedback,” “checklist,” “checklists,” “protocol,” “protocols,” “reminder,” “reminders,” “academic detailing,” “simulation,” “simulations,” “lifelong learning,” “experiential,” “self-directed,” “reflection,” “problem based,” “model,” and “modeling.” These keywords were used alone or in combination.

Abstracts of search results were reviewed to eliminate articles that clearly did not pertain to CE methods, cost-effectiveness, or educational theory and to categorize the studies as informative, equivocal, or not informative of CE effectiveness. A wide range of designs were classified as informative, including randomized controlled trials, prospective cohort studies, observational studies, and studies with pre- and post-intervention assessment methodologies. Quantitative and qualitative approaches were included, and inclusion was not limited to studies with positive results. The most common reasons articles were classified as not informative were absence of a trial design, small sample size, and high likelihood of confounding factors in the design that could affect outcomes. The two reviewers independently classified abstracts and full texts of the articles and then compared their classification results. Interreviewer reliability was greater than 80 percent, and discrepancies were resolved by a consensus process. A third reviewer verified the results classified as informative or equivocal in a final round of detailed assessment of the study design, populations, intervention, type of outcome, and conclusions for each article. Systematic reviews and metaanalyses are included in Table A-1 ; studies and articles are included in Table A-2 .

Table A-1 begins on the next page.

TABLE A-1 Summary of Systematic Reviews on Effectiveness of CE Methods

Reference

Purpose

Number of Studies, Inclusion Criteria, and Databases Searched

Ruth-Sahd, L. A. 2003. Reflective practice: A critical analysis of data-based studies and implications for nursing education. 42(11):488-497.

* Identify common themes that emerge from data-based studies

* Identify implications for reflective practice in the field of nursing education

20 articles, 12 doctoral dissertations, and 6 books

Delineated methodology section; emphasis on reflective practice in an education setting; publication between 1992 and 2002; English language

CINAHL, Dissertation Abstracts International, ERIC, PsychInfo

Issenberg, S. B., W. C. McGaghie, E. R. Petrusa, D. L. Gordon, and R. J. Scalese. 2005. Features and uses of high-fidelity medical simulations that lead to effective learning: A BEME systematic review. 27:10-28.

Determine the features and uses of high-fidelity medical simulators that lead to the most effective learning (high-fidelity simulators are models, mannequins, or virtual packages that utilize realistic materials and equipment and incorporate feedback, computerized control, or other advanced technology)

109 articles

Empirical study; use of a simulator as an education assessment or intervention; learner outcomes measured quantitatively; experimental or quasi-experimental design

ERIC, Medline, PsychInfo, Web of Science, Timelit

Main Results

Limitations

* Conditions necessary for reflection to be successful:

* Students require guidance about how to practice reflection

* No research on how unconscious knowledge is affected by reflective practice

* Lack of hypothesis testing in reviewed studies

High fidelity simulators facilitate learning under certain conditions:

Heterogeneity of research designs, educational interventions, outcome measures, and time frame precluded data synthesis using meta-analysis

Reference

Purpose

Number of Studies, Inclusion Criteria, and Databases Searched

Sutherland, L. M., P. F. Middleton, A. Anthony, J. Hamdorf, P. Cregan, D. Scott, and G. J. Maddern. 2006. Surgical simulation: A systematic review. 243(3):291-300.

Evaluate the effectiveness of surgical simulation compared with other methods of surgical training

30 trials with 760 participants

Randomized controlled trial; assessing surgical simulation; measures of surgical task performance

Medline, EMBASE, Cochrane Library, PsycINFO, CINAHL, Science Citation Index

Balas, E. A., S. M. Austin, J. A. Mitchell, B. G. Ewigman, K. D. Bopp, and G. D. Brown. 1996. The clinical value of computerized information services. A review of 98 randomized clinical trials. 5(5):271-278.

Determine the clinical settings, types of interventions, and effects of studies in randomized clinical trials addressing the efficacy of clinical information systems

98 articles reporting on 100 trials

Randomized controlled trial (RCT); computerized information intervention in the experimental group; effect measured on the process or outcome of care

Medline

Shea, S., W. DuMouchel, and L. Bahamonde. 1996. A meta-analysis of 16 randomized controlled trials to evaluate computer-based clinical reminder systems for preventive care in the ambulatory setting. 3(6):399-409.

Assess the overall effectiveness of computer-based reminder systems in ambulatory settings directed at preventive care

16 trials

Randomized controlled trial; computer-based reminder; control group received no intervention

Medline, Nursing and Allied Health database, Health Planning and Administration database

Main Results

Limitations

Computer simulation generally showed better results than no training at all but was not superior to standard training (e.g., surgical drills) or video simulation

Insufficient evidence to evaluate types of simulation because outcomes were often not comparable across studies

Patient and physician reminders, computerized treatment planners, and interactive patient education can make a significant difference in managing care ( < 0.05)

Many trials evaluate the effect of information services on care processes as opposed to patient outcomes

* Computer reminders improved preventive practices for vaccinations, breast cancer screening, colorectal cancer screening, and cardiovascular screening

* Computerized reminders did not improve preventive practices for cervical cancer screening

Heterogeneity in study designs and the ways in which results were presented

Reference

Purpose

Number of Studies, Inclusion Criteria, and Databases Searched

Jamtvedt, G., J. M. Young, D. T. Kristoffersen, M. A. O’Brien, and A. D. Oxman. 2006. Does telling people what they have been doing change what they do? A systematic review of the effects of audit and feedback. 15(6):433-436.

Review the effects of audit and feedback on improving professional practice

118 trials

Randomized controlled trials; utilized audit and feedback; objective measures of provider performance

Cochrane Library

Cheraghi-Sohi, S., and P. Bower. 2008. Can the feedback of patient assessments, brief training, or their combination, improve the interpersonal skills of primary care physicians? A systematic review. 8.

* Review the efficacy of patient feedback on the interpersonal care skills of primary care physicians

* Review the efficacy of brief training (up to one working week in length) focused on the improvement of interpersonal care

9 studies

Randomized controlled trials; published in English; based on primary care practitioners and their patients; utilized patient feedback or brief training or a combination of these methods; outcome measure was a patient-based assessment in change

CENTRAL, Medline, EMBASE

Main Results

Limitations

* Effects of audit and feedback on improving professional practice are generally small to moderate

* Effects of audit and feedback are likely to be larger when baseline adherence to recommended practice is low and audit and feedback are delivered more frequently and over longer periods of time

* Lack of a process evaluation embedded in trials

* Few studies compare audit and feedback to other interventions

Brief training as currently delivered is not effective

* Limited evidence on the effects of patient-based feedback for changes in primary care physician behavior

* Evidence is not definitive due to the small number of trials

* Variation in training methods and goals

* Lack of theory linking feedback to behavior change

Reference

Purpose

Number of Studies, Inclusion Criteria, and Databases Searched

Davis, D., M. A. O’Brien, N. Freemantle, F. M. Wolf, P. Mazmanian, and A. Taylor-Vaisey. 1999. Impact of formal continuing medical education: Do conferences, workshops, rounds, and other traditional continuing education activities change physician behavior or health care outcomes? 282(9):867-874.

Review, collate, and interpret the effect of formal continuing medical education (CME) interventions on physician performance and health care outcomes

14 studies

Randomized controlled trial of formal didactic and/or interactive CME; >50% physicians

RDRB, Cochrane Library, Medline

Forsetlund, L., A. Bjørndal, A. Rashidian, G. Jamtvedt, M. A. O’Brien, F. Wolf, D. Davis, J. Odgaard-Jensen, and A. D. Oxman. 2009. Continuing education meetings and workshops: Effects on professional practice and health care outcomes. (2):CD003030.

To assess the effects of educational meetings on professional practice and health care outcomes

81 trials involving more than 11,000 health professionals

Randomized controlled trial of educational meetings that reported an objective measure of professional practice or health care outcomes

Cochrane Library

Grimshaw, J., L. Shirran, R. Thomas, G. Mowatt, C. Fraser, L. Bero, R. Grilli, E. Harvey, A. Oxman, and M. A. O’Brien. 2001. Changing provider behavior: An overview of systematic reviews of interventions. 39(8 Suppl 2):II2-II45.

Identify, appraise, and synthesize systematic reviews of professional education or quality assurance interventions to improve quality of care

41 reviews

Interventions targeted at health professionals; reported measures of professional performance and/or patient outcomes; study design included explicit selection criteria

Medline, Healthstar, Cochrane Library

Main Results

Limitations

* Interactive CME sessions that enhance participant activity and provide the opportunity to practice skills can effect change in professional practice and, on occasion, health outcomes

* Didactic sessions did not appear to be effective in changing physician performance

* Limited number of randomized controlled trials and settings limits generalizability of findings

* The comparability of CME interventions is debatable due to the lack of comparability of reviewed interventions

* Educational meetings alone are not likely to be effective for changing behaviors

* The effect of educational meetings combined with other interventions is most likely to be small and similar to other types of CE, such as audit and feedback, and educational outreach visits

* Heterogeneity in study designs and the ways in which results were presented

* Observed differences in changing behaviors cannot be explained with confidence

* Passive approaches generally ineffective

* Active approaches effective under some circumstances

* Multifaceted interventions more likely to be effective than interventions with one method

Lack of agreement within the research community on a theoretical or empirical framework for classifying interventions

Reference

Purpose

Number of Studies, Inclusion Criteria, and Databases Searched

Gross, P. A., and D. Pujat. 2001. Implementing practice guidelines for appropriate antimicrobial usage: A systematic review. 39(8 Suppl 2):II55-II69.

* Conduct a systematic review of guideline implementation studies for improving appropriate use of antimicrobial agents

* Determine which implementation methods appear to improve the outcome of appropriate antimicrobial use

40 studies

Comparative study; quantitative data; English language; between 1966 and 2000

Medline

Lam-Antoniades, M., S. Ratnapalan, and G. Tait. 2009. Electronic continuing education in the health professions: An update on evidence from RCTs. 29:44-51.

Update evidence from RCTs assessing the effectiveness of electronic CE (e-CE)

15 studies

Evaluated a CE intervention for any group of health professionals; intervention included a computer interface (CD-ROM or Internet); randomized controlled trial; published between 2004 and 2007

Medline, EMBASE, CINAHL

Marinopoulos, S. S., T. Dorman, N. Ratanawongsa, L. M. Wilson, B. H. Ashar, J. L. Magaziner, R. G. Miller, P. A. Thomas, G. P. Prokopowicz, R. Qayyum, and E. B. Bass. 2007.

Evidence report/technology assessment no. 149. AHRQ Publication No. 07-E006. Rockville, MD: Agency for Healthcare Research and Quality.

Synthesize evidence regarding the effectiveness of CME and differing instructional designs in terms of knowledge, attitudes, skills, practice behavior, and clinical practice outcomes

136 articles and 9 systematic reviews

Reporting on the effects of CME or simulation; written in English; contained original human data; included at least 15 fully trained physicians; evaluated an educational activity; published between 1981 and 2006; conducted in the United States or Canada; included data from a comparison group

Medline, EMBASE, Cochrane Library, PsycINFO, ERIC

Main Results

Limitations

* Multifaceted implementation methods most successful

* Individual implementation methods determined to be useful:

* Multimethod approaches make it difficult to determine which method(s) were critical for appropriate antimicrobial use

* Findings may not be generalizable because study conditions vary

* Positive effects of e-CE on knowledge sustained up to 12 months

* Positive effects of e-CE on practice sustained up to 5 months

* e-CE interventions that only included text via reading passages of limited effectiveness in changing knowledge or practice

None of the studies attempted to identify which components of a multifaceted intervention were responsible for effects

* CME effective in achieving and maintaining knowledge, attitudes, skills, practice behavior, and clinical practice outcomes

* Live media more effective than print; multimedia more effective than single-media interventions; multiple exposures more effective than a single exposure

* Firm conclusions not possible because of overall low quality of the literature

* Heterogeneity in study designs and the ways in which results were presented

* Limited evidence on reliability and validity of the tools used to assess CME effectiveness

Reference

Purpose

Number of Studies, Inclusion Criteria, and Databases Searched

Mansouri, M., and J. Lockyer. 2007. A meta-analysis of continuing medical education effectiveness. 27:6-15.

Examine the effect of moderator variables on physician knowledge, performance, and patient outcomes

31 studies

Randomized controlled trial or before-and-after experimental design; participants were practicing physicians; focus on at least 1 of the 3 identified outcomes (physician knowledge, physician performance, patient outcome); adequate description of the intervention; quantitative analyses

Medline, ERIC

O’Brien, M. A., N. Freemantle, A. D. Oxman, F. Wolf, D. A. Davis, and J. Herrin. 2001. Continuing education meetings and workshops: Effects on professional practice and health care outcomes. (2).

Assess the effects of educational meetings on professional practice and health care outcomes

32 studies

Randomized trials or quasi-experimental studies; effect of lectures, workshops, and/or courses on clinical practice or health care outcomes

Cochrane Library, Medline, RDRB

Prior, M., M. Guerin, and K. Grimmer-Somers. 2008. The effectiveness of clinical guideline implementation strategies—A synthesis of systematic review findings. 14(5):888-897.

Synthesize evidence of effectiveness of clinical guideline implementation strategies in terms of improved clinical processes and improved cost-benefit ratios

33 systematic reviews that included 714 primary studies

Generic implementation strategies; comparison study; measured clinical practice change and/or compliance; published between 1987 and 2007; English language

Medline, Amed, CINAHL, Academic Search Elite, Cochrane Library

Main Results

Limitations

* Larger effect size when the interventions are interactive ( = 0.33 [0.33]) and use multiple methods ( = 0.33 [0.26])

* Larger effect size for longer interventions ( = 0.33) and multiple interventions over time ( = 0.36)

* Smaller effect size for programs with multiple professions ( = −0.18) and a geater number of participants ( = −0.13

Studies did not always provide

* Interactive workshops can result in changes in professional practice

* Didactic sessions alone unlikely to change professional practice

* Study design generally poorly reported, making it difficult to judge the degree to which results may be biased

* Substantial variation in the complexity of targeted behaviors, baseline compliance, and the characteristics of interventions

* Heterogeneity in study designs and the ways in which results were presented

* Implementation strategies where there was strong evidence of guideline compliance included

* Didactic education and passive dissemination strategies (e.g., conferences, websites) ineffective

* Implementation strategies varied and rarely comparable

* Cost-effectiveness analyses rare

Reference

Purpose

Number of Studies, Inclusion Criteria, and Databases Searched

Robertson, M. A., K. E. Umble, and R. M. Cervero. 2003. Impact studies in continuing education for health professions: Update. 23:146-156.

* Determine if CE is effective and for what outcomes

* Determine what kinds of CE are effective

15 syntheses

Primary CE study; professionals’ performance and/or patient health outcomes considered; published since 1993

RDRB, Medline, ERIC, Digital Dissertation Abstracts

Steinman, M. A., S. R. Ranji, K. G. Shojania, and R. Gonzales. 2006. Improving antibiotic selection: A systematic review and quantitative analysis of quality improvement strategies. 44(7):617-628.

Assess which interventions are most effective at improving the prescribing of recommended antibiotics for acute outpatient infections

26 studies reporting on 33 trials

Clinical trial; reports on antibiotic selection in acute outpatient infections; randomized trials, controlled before-and-after and interrupted time-series designs with at least 3 data points; English language

Cochrane Library, Medline

Tian, J., N. L. Atkinson, B. Portnoy, and R. S. Gold. 2007. A systematic review of evaluation in formal continuing medical education. 27:16-27.

Improve CME evaluation study design by determining

32 studies

Randomized controlled trial or quasi-experimental trial; published between 1993 and 1999; primary studies; >50% physicians; CME intervention was didactic, interactive, or both

Medline, EBSCOhost

Main Results

Limitations

* CE can improve knowledge, skills, attitudes, behavior, and patient health outcomes

* Effective CE is ongoing, interactive, contextually relevant, and based on needs assessment

* Few primary studies addressed the impact of CE on patient health outcomes (and instead measured patient satisfaction)

* Focus on how CE affects individuals as opposed to teams or organizations

Multidimensional interventions using audit and feedback less effective than interventions using clinician education alone

* Sample size too small to conduct detailed analysis of all potential confounders and effect modifiers

* Heterogeneity in study designs and the ways in which results were presented

* Valid and reliable questionnaire addressing variables necessary to allow comparison of effectiveness across interventions

* Minimum 1-year post-intervention period necessary to investigate sustainability of outcomes

Variation across study designs prevents comparing the effectiveness of CME programs

Reference

Purpose

Number of Studies, Inclusion Criteria, and Databases Searched

Tu, K., and D. A. Davis. 2002. Can we alter physician behavior by educational methods? Lessons learned from studies of the management and follow-up of hypertension. 22(1):11-22.

Review the literature on the effectiveness of physician educational interventions in the management and follow-up of hypertension

12 studies

Use of replicable educational interventions; >50% physician involvement; objective measures of physician behavior change or patient outcomes; dropout rate of <30%; outcomes assessed for >30 days

PubMed, RDRB

Wensing, M., H. Wollersheim, and R. Grol. 2006. Organizational interventions to implement improvements in patient care: A structured review of reviews. 1(1).

Provide an overview of the research evidence on the effects of organizational strategies to implement improvements in patient care

36 reviews

Evaluated organizational strategies; published in 1995 or later; rigorous evaluations (e.g., randomized trials, interrupted time-series, controlled before-and-after, and prospective comparative observational studies)

PubMed, Cochrane Library

Main Results

Limitations

* Studies included 7 different educational interventions: reminders, formal CME, computerized decision support, printed materials, academic detailing, continuous quality improvement, and prompts

* Relatively small number of trials in each of the types of interventions

* Randomized trials using quantitative outcomes do not capture processes and dimensions of learning

* Professional performance was generally improved by revision of professional roles and utilization of computer systems for knowledge management

* Multidisciplinary teams, integrated care services, and computer systems generally improved patient outcomes

Heterogeneity in study designs and the ways in which results were presented

TABLE A-2 Literature Review on the Effectiveness of CE Methods

Reference

Study Purpose

Sample, Method, Outcome Measures, and Duration

East, D., and K. Jacoby. 2005. The effect of a nursing staff education program on compliance with central line care policy in the cardiac intensive care unit. 31(3):182-184.

Demonstrate the effectiveness of a self-study education module on nurse compliance with central line care policy

20 registered nurses (RNs) in a 12-bed pediatric cardiovascular intensive care unit

Quasi-experimental cohort study with pre- and post-test design

Compliance with 10 central line policies; intravenous (IV) line audit tool used to collect data on 47 patients pre-and post-intervention

7 months

Hewson, M. G., H. L. Copeland, E. Mascha, S. Arrigain, E. Topol, and J. E. Fox. 2006. Integrative medicine: Implementation and evaluation of a professional development program using experiential learning and conceptual change teaching approaches. 62(1):5-12.

Raise physicians’ awareness of, and initiate attitudinal changes toward, integrative medicine through a professional development program involving experiential learning

48 cardiologists at an academic medical center

Randomized controlled trial

Self-reported knowledge, attitudes, likelihood of changing practice, and satisfaction

8 hours

Description of Educational Method

Findings

Self-study module included a fact sheet and poster outlining proper care

Self-study had a statistically significant impact on staff compliance with central line policy ( < 0.001, 95% CI)

Professional development session in which participants participated in integrative medicine modalities (e.g., yoga, Reiki)

* Participant group had significant positive changes in their conceptions about and attitudes to complementary and alternative medicine after the program

* Physicians significantly increased their willingness to integrate CAM into their practice

Reference

Study Purpose

Sample, Method, Outcome Measures, and Duration

Karner, K. J., D. C. Rheinheimer, A. M. DeLisi, and C. Due. 1998. The impact of a hospital-wide experiential learning educational program on staff’s knowledge and misconceptions about aging. 29(3):100-104.

Examine the impact on the knowledge and attitudes of hospital personnel of their participation in an experiential learning program to increase knowledge about aging

95 hospital employees (administrative, nursing, social work, occupational therapy, physical therapy, dietary, maintenance, and pastoral care)

Cohort study with pre- and post-test design

Knowledge gains as evidenced by improvement on a 25-question exam about the feelings of older people; bias as determined by responses on the exam

2 hours

Love, B., C. McAdams, D. M. Patton, E. J. Rankin, and J. Roberts. 1989. Teaching psychomotor skills in nursing: A randomized control trial. 14(11):970-975.

Compare the effectiveness of teaching psychomotor skills in a structured laboratory setting with self-directed, self-taught modules

77 second-year students in a baccalaureate nursing program in Ontario, Canada

Randomized controlled trial

Achievement as measured by the Objective Structured Clinical Examination (OSCE)

One clinical term

Description of Educational Method

Findings

One-hour role-play game designed for participants to experience and then reflect on their feelings toward older people

* Significant increase in scores between pre-test and post-test ( = 64.08, < 0.0001)

* Negative bias scores decreased significantly from pre- to post-test ( = 23.86, < 0.0001)

* Packets containing information on specific skills, definitions, resources, problem-solving scenarios were distributed

* Learners watched expert clinicians

No difference between psychomotor skill performance of students who learned in a self-directed manner and those taught in a structured clinical laboratory

Reference

Study Purpose

Sample, Method, Outcome Measures, and Duration

Russell, J. M. 1990. Relationships among preference for educational structure, self-directed learning, instructional methods, and achievement. 6(2):86-93.

Analyze nurses’ preference for educational structure, self-directed learning, instructional method, and achievement on a written exam

40 RNs in 8 community hospitals

Randomized controlled trial

Scores on a 50-item post-test; scores on the Self-Directed Learning Readiness Scale

1 week

Suggs, P. K., M. B. Mittelmark, R. Krissak, K. Oles, C. Lane, Jr., and B. Richards. 1998. Efficacy of a self-instruction package when compared with a traditional continuing education offering for nurses. 18(4):220-226.

Determine whether a multimedia, self-instructional education package can provide similar learning results as received from a conventional CE conference

63 RNs and licensed practical nurses (LPNs) in 2 rural regions in North and South Carolina

Ecologic study

Knowledge gains evaluated by a pre- and post-multiple-choice test

NA

Forneris, S. G., and C. Peden-McAlpine. 2007. Evaluation of a reflective learning intervention to improve critical thinking in novice nurses. 57(4):410-421.

Determine if a reflective contextual learning intervention would improve novice nurses’ critical thinking skills during their first 6 months of practice

6 novice nurse-nurse preceptor dyads at an urban acute care facility

Qualitative case study

Self-reported anxiety, influence of power, use of questioning, use of sequential thinking, use of contextual thinking

6 months

Description of Educational Method

Findings

Self-directed group received reading materials, audio tapes, self-evaluation tests, case study analyses, and an instruction session for clarification

* No significant relationships found between exam scores and self-directed learning readiness ( = 0.24)

* No participant in the self-directed group chose to participate in an instructor clarification session

* 5-hour CE workshop delivered by a pharmacist

* Self-paced 6- to 10-hour instructional education package with videotapes, a workbook with case histories, and a textbook

* Both control and experimental groups had statistically significant improvement ( = 4.86, < 0.0001 and = −2.54, < 0.18, respectively)

* Knowledge gains were not significantly higher for the control group

* Narrative journals

* Daily coaching to help incorporate critical thinking into practice

* Leader-facilitated discussion groups

* Lack of trust in one’s knowledge base influenced how an individual used critical thinking

* Thinking out loud allowed nurses to verbalize sources of knowledge and plan actions

* Contextual learning assisted in the development of critical thinking

* Sustainability of critical thinking skills post-intervention unknown

Reference

Study Purpose

Sample, Method, Outcome Measures, and Duration

Mathers, N. J., M. C. Challis, A. C. Howe, and N. J. Field. 1999. Portfolios in continuing medical education—Effective and efficient? 33(7):521-530.

Evaluate the effectiveness and efficiency of portfolios for the continuing professional development of general practitioners (GPs)

32 general practitioners in Sheffield, UK

Qualitative cohort study comparing traditional CME activities and portfolio-based learning

Presence of defined learning objectives; hours of participation in CME activity

12 months

Ranson, S. L., J. Boothby, P. E. Mazmanian, and A. Alvanzo. 2007. Use of personal digital assistants (PDAs) in reflection on learning and practice. 27:227-233.

Describe the use of (1) personal digital assistants (PDAs) in patient care and (2) a PDA version of a learning portfolio intended to encourage documentation of reflection on practice and medical education

10 physicians

Case study

PDA usage data; written comments in learning portfolios; self-reported PDA use information

6 months

Doyne, E. O., M. P. Alfaro, R. M. Siegel, H. D. Atherton, P. J. Schoettker, J. Bernier, and U. R. Kotagal. 2004. A randomized controlled trial to change antibiotic prescribing patterns in a community. 158(6):577-583.

Examine the effects of academic detailing on community pediatricians’ prescription of antibiotics for children

12 pediatric practice groups in the greater Cincinnati area

Cluster randomized controlled trial

Antibiotic prescription rate pre- and post-academic detailing

24 months

Description of Educational Method

Findings

3 small-group sessions with a CME tutor to use a portfolio-based learning route to

Portfolio learners developed individual learning objectives and had flexibility in methods and timing

Physicians received a PDA preloaded with learning portfolio software and were individually trained in its use

* Use of the PDA associated with the value of information for making clinical decisions

* Use of the learning portfolio prompted physicians to reflect on changes in clinical practice

* Each group practice in the experimental group identified 1 leader to present academic detailing sessions to the practice on a monthly basis

* Quarterly report cards detailing antibiotic-prescribing data from each practice

* Academic detailing no more effective in reducing antibiotic use than the practice-specific report cards

* Antibiotic prescription rate decreased to 0.82 of the baseline rate for the experimental group (95% CI: 0.71-0.95) and to 0.86 of the baseline for the control group (95% CI: 0.77-0.95)

Reference

Study Purpose

Sample, Method, Outcome Measures, and Duration

Goldberg, H. I., E. H. Wagner, S. D. Fihn, D. P. Martin, C. R. Horowitz, D. B. Christensen, A. D. Cheadle, P. Diehr, and G. Simon. 1998. A randomized controlled trial of CQI teams and academic detailing: Can they alter compliance with guidelines? 24(3):130-142.

Determine the effectiveness of academic detailing techniques and continuous quality improvement teams in increasing compliance with national guidelines for the care of hypertension and depression

15 small group practices at 4 Seattle primary care clinics

Randomized controlled trial

Changes in hypertension prescribing; changes in blood pressure control; changes in depression recognition; changes in use of older tricyclics; changes in scores on the Hopkins Symptom Checklist depression scale

29 months

Goldstein, M. G., R. Niaura, C. Willey, A. Kazura, W. Rakowski, J. DePue, and E. Park. 2003. An academic detailing intervention to disseminate physician-delivered smoking cessation counseling: Smoking cessation outcomes of the Physicians Counseling Smokers Project. 36(2):185-196.

Determine the effect of a community-based academic detailing intervention on the quit rates of a population-based sample of smokers

259 primary care physicians and 4,295 adult smokers in Rhode Island

Quasi-experimental trial

Measures of smoking behavior assessed at baseline and at 6, 12, 19, and 24 months

24 months

Description of Educational Method

Findings

* 2 opinion leaders at each site conducted 15-minute academic detailing sessions

* On-site pharmacists conducted 2 sessions to discuss physician-specific prescribing patterns in comparison to peer prescribing patterns

* A CQI facilitator trained practice leaders in “plan, do, study, act” and the use of real-time data collection

* Academic detailing alone and CQI alone were generally ineffective in improving clinical outcomes

* Academic detailing was associated with decreased use of older tricyclics

* Use of CQI teams and academic detailing in combination increased percentage of adequately controlled hypertensives

* Resources provided to offices, including patient education resources, pocket cards, and desk prompts

* Practice consultants conducted 4-5 visits to offices in the intervention counties

Smokers who resided in intervention areas were more likely to report they had quit smoking than smokers who resided in control areas (OR = 1.35; 95% CI: 0.99-1.83; = 0.057)

Reference

Study Purpose

Sample, Method, Outcome Measures, and Duration

Ilett, K. F., S. Johnson, G. Greenhill, L. Mullen, J. Brockis, C. L. Golledge, and D. B. Reid. 2000. Modification of general practitioner prescribing of antibiotics by use of a therapeutics adviser (academic detailer). 49(2):168-173.

Evaluate the use of a clinical pharmacist as an academic detailer to modify antibiotic prescribing by GPs

112 GPs in Perth, Western Australia

Randomized controlled trial

Total prescriptions; prescriptions for individual antibiotics before and after the intervention

7 months

Kim, C. S., R. J. Kristopaitis, E. Stone, M. Pelter, M. Sandhu, and S. R. Weingarten. 1999. Physician education and report cards: Do they make the grade? Results from a randomized controlled trial. 107(6):556-560.

Determine whether tailored educational interventions can improve the quality of care and lead to better patient satisfaction

41 primary care physicians who cared for 1,810 patients at a large health maintenance organization

Randomized controlled trial

Provision of preventive care reported by patients and in medical records; patient satisfaction

2.5 years

Description of Educational Method

Findings

* A panel of experts prepared a best-practice chart of recommended drugs for various infections

* A pharmacist visited each prescriber in the experimental group to disseminate the chart and discuss its recommendations

* Academic detailing decreased prescription numbers and costs

* Total cost of antibiotics prescribed by doctors in the control group increased by 48% from the pre- to post-intervention periods

* Costs for the experimental group increased by only 35%

* All physicians received mailed educational materials that contained overviews of preventive care services

* The experimental group received peer-comparison feedback and academic detailing from a pharmacist at 3 separate sessions

* Patient-reported preventive care measures did not align with medical records review data, resulting in an ambiguous effect of education, peer comparison, and academic detailing on preventive services

* Education, peer comparison, and academic detailing had modest effects on patient satisfaction

Reference

Study Purpose

Sample, Method, Outcome Measures, and Duration

Mol, P. G. M., J. E. Wieringa, P. V. NannanPanday, R. O. B. Gans, J. E. Degener, M. Laseur, and F. M. Haaijer-Ruskamp. 2005. Improving compliance with hospital antibiotic guidelines: A time-series intervention analysis. 55(4): 550-557.

Investigated impact of a 2-phase intervention strategy to improve antimicrobial prescribing compliance with treatment guidelines

2,869 patients treated with an antimicrobial agent at a teaching hospital in the Netherlands

Interrupted time-series study

Prescribing data collected at baseline, after update of guidelines, and at the conclusion of academic detailing

25 months

Reeve, J. F., G. M. Peterson, R. H. Rumble, and R. Jaffrey. 1999. Programme to improve the use of drugs in older people and involve general practitioners in community education. 24(4): 289-297.

Determine the effect of educational materials and academic detailing sessions on GP prescribing patterns for older patients

13 GPs in Australia

Cohort study

Scores on pre- and post-multiple choice tests; number of prescribed “indicator” medications

NA

Siegel, D., J. Lopez, J. Meier, M. K. Goldstein, S. Lee, B. J. Brazill, and M. S. Matalka. 2003. Academic detailing to improve antihypertensive prescribing patterns. 16(6): 508-511.

Determine whether using academic detailing increased practitioner compliance with antihypertensive treatment guidelines

5 Department of Veterans Affairs (VA) medical facilities

Quasi-experimental design

Antihypertensive prescribing patterns; blood pressures

17 months

Description of Educational Method

Findings

* Sessions with users conducted to improve guidelines

* Antimicrobial guidelines were updated and disseminated in paper and electronic formats

* Academic detailing was used to improve compliance with the guidelines

* Updating guidelines in collaboration with specialists followed by active dissemination resulted in a significant change in the level of compliance

* Academic detailing did not lead to statistically significant changes in already high levels of guideline compliance

* Pharmacist-developed prescribing guidelines discussed at academic detailing sessions

* GP-conducted education sessions to interdisciplinary groups of practitioners

* Patient-held medication record distributed to elderly patients

* Significant decline in prescribing of psychoactive drugs (χ = 4.1, df = 1, < 0.05) and nonsteroidal anti-inflammatory drugs (NSAIDs) (χ = 4.8, df = 1, < 0.05)

* Patient-held medication records were useful in cueing discussions but time-consuming and infrequently used

* 1 pharmacist per VA facility was trained as an academic detailer

* Academic detailing included lectures, educational materials, provider profiling (one-on-one meetings), and group meetings

* Prescribing patterns more closely followed national recommendations with use of academic detailing

* Changes in prescribing patterns may have resulted from factors other than the intervention

Reference

Study Purpose

Sample, Method, Outcome Measures, and Duration

Simon, S. R., S. R. Majumdar, L. A. Prosser, S. Salem-Schatz, C. Warner, K. Kleinman, I. Miroshnik, and S. B. Soumerai. 2005. Group versus individual academic detailing to improve the use of antihypertensive medications in primary care: A cluster-randomized controlled trial. 118(5): 521-528.

Compare group vs. individual academic detailing to increase diuretic and β-blocker use in hypertension

9,820 patients with newly treated hypertension in a large health maintenance organization

Cluster randomized controlled trial

Rates of diuretic or β-blocker use 1- and 2-years post-intervention; average per-patient cost of antihypertensive medications; rates of hospitalization; per-patient cost of the intervention

3 years

Solomon, D. H., L. Van Houten, R. J. Glynn, L. Baden, K. Curtis, H. Schrager, and J. Avorn. 2001. Academic detailing to improve use of broad-spectrum antibiotics at an academic medical center. 161(15):1897-1902.

Test the efficacy of academic detailing designed to improve the appropriateness of broad-spectrum antibiotic use

51 interns and residents in 17 general medicine, oncology, and cardiology services at a teaching hospital

Randomized controlled trial

Number of days that unnecessary levofloxacin or ceftazidime was administered; rate of unnecessary use of levofloxacin or ceftazidime

18 weeks

Description of Educational Method

Findings

* Individual academic detailing entailed a single meeting of a physician-educator with a clinician to address barriers implementing guidelines

* Small-group academic detailing with physician “idea champions”

* After 1 year, both individual and group academic detailing improved prescribing compliance by 13% over usual care

* By the second year following the interventions, effects had decayed

* Group detailing intervention ($3,500) cost less than individual detailing ($5,000); these intervention costs were of similar magnitude to the medication costs savings

* Peer leaders were trained in academic detailing through practice sessions using role play

* Academic detailing targeted to interns and residents who wrote an unnecessary order

* Length of stay, intensive care unit transfers, readmission rates, and in-hospital death rates were similar in both groups

* 37% reduction in days of unnecessary antibiotic use ( < 0.001)

* Rate of unnecessary use of the 2 target antibiotics reduced by 41% (95% CI: 44-78%, < 0.001)

Reference

Study Purpose

Sample, Method, Outcome Measures, and Duration

Van Eijk, M. E. C., J. Avorn, A. J. Porsius, and A. De Boer. 2001. Reducing prescribing of highly anticholinergic antidepressants for elderly people: Randomised trial of group versus individual academic detailing. 322(7287):654-657.

Compare effect of individual vs. group academic detailing on prescribing of highly anticholinergic antidepressants in elderly people

190 GPs and 37 pharmacists in 21 peer-review groups in the Netherlands

Randomized controlled trial

Incidence rates calculated as the number of elderly people with new prescriptions of highly anticholinergic antidepressants

NA

Wong, R. Y., and P. E. Lee. 2004. Teaching physicians geriatric principles: A randomized control trial on academic detailing plus printed materials versus printed materials only. 59(10):1036-1040.

Compare the effectiveness of academic detailing with printed materials on promoting geriatric knowledge among physicians

19 post-graduate trainees (residents and fellows) in British Columbia, Canada

Randomized controlled trial

Scores on pre and post multiple choice tests

12 months

Description of Educational Method

Findings

* A peer educator met individually with GPs to discuss guidelines and prescribing patterns from the past year

* Group academic detailing sessions were similar to the individual sessions and included group and individual performance data

* Individual and group academic detailing improved the clinical appropriateness of prescribing behavior

* Patients in both groups more likely to receive drugs that were less anticholinergic

15-minute face-to-face educational outreach with a specialist in geriatric medicine

Academic detailing plus printed educational materials demonstrated a trend toward increased knowledge retention (1.1 ± 1.3) compared with printed materials alone (0.0 ± 1.1, = 0.053)

Reference

Study Purpose

Sample, Method, Outcome Measures, and Duration

Crofts, J. F., C. Bartlett, D. Ellis, L. P. Hunt, R. Fox, and T. J. Draycott. 2006. Training for shoulder dystocia: A trial of simulation using low-fidelity and high-fidelity mannequins. 108(6):1477-1485.

* Evaluate the effectiveness of simulation training for shoulder dystocia management

* Compare training using a high-fidelity mannequin with training using a traditional mannequin

45 physicians and 95 midwives

Randomized controlled trial

Pre-and post-training delivery, head-to-body delivery time, use of appropriate actions, force applied, and communication

NA

Gerson, L. B., and J. Van Dam. 2003. A prospective randomized trial comparing a virtual reality simulator to bedside teaching for training in sigmoidoscopy. 35(7):569-575.

Compare the exclusive use of a virtual reality endoscopy simulator with bedside teaching for training in sigmoidoscopy

16 internal medicine residents at an academic medical center

Prospective randomized controlled trial

Score on 5 endoscopic evaluations based on procedure duration, completion, ability to perform retroflexion, and level of patient comfort or discomfort

10 months

Description of Educational Method

Findings

* High-fidelity mannequin training incorporated force perception and occurred at a simulation center

* Low-fidelity mannequin training occurred at local hospitals

* Both high- and low-fidelity simulation were associated with improved successful deliveries pre-and post-training (42.9% vs. 83.3%, < 0.001)

* Training with high-fidelity mannequins was associated with a higher successful delivery rate than the control (94% vs. 72%; OR: 6.53; 95% CI: 2.05-20.81; = 0.02)

Residents had unlimited use of a virtual reality simulator that included

* Simulator group had more difficulty with initial endoscope insertion and endoscope negotiation than control group residents

* Simulator group less likely to be able to perform retroflexion (mean score = 2.9) than the control group residents (mean score = 3.8) ( < 0.001)

Reference

Study Purpose

Sample, Method, Outcome Measures, and Duration

Gordon, D. L., S. B. Issenberg, M. S. Gordon, D. Lacombe, W. C. McGaghie, and E. R. Petrusa. 2005. Stroke training of prehospital providers: An example of simulation-enhanced blended learning and evaluation. 27(2):114-121.

Assess the effectiveness of a stroke course that incorporates didactic lectures, tabletop exercises, small-group sessions, and standardized patients (a type of simulation used to develop communication, interpersonal, and psychomotor skills)

73 pre-hospital paraprofessionals participating in a stroke class

Cohort study with a pre- and post-intervention design

Scores on a pre- and post-multiple choice test; scores on 4 case scenarios as determined by clinician raters

9 months

Grantcharov, T. P., V. B. Kristiansen, J. Bendix, L. Bardram, J. Rosenberg, and P. Funch-Jensen. 2004. Randomized clinical trial of virtual reality simulation for laparoscopic skills training. 91(2):146-150.

Examine the impact of virtual reality simulation on improvement of psychomotor skills relevant to the performance of laparoscopic cholecystectomy

16 surgical trainees

Randomized controlled trial

Baseline and post-intervention time to complete the procedure, error score, and economy-of-movement score

2 years

Quinn, F., P. Keogh, A. McDonald, and D. Hussey. 2003. A study comparing the effectiveness of conventional training and virtual reality simulation in the skills acquisition of junior dental students. 7(4):164-169.

Measure the effectiveness of exclusive use of a virtual reality simulator in the training of operative dentistry

20 second-year dental undergraduate students in Dublin, Ireland

Randomized controlled trial

Assessment on 2 class-1 cavities

NA

Description of Educational Method

Findings

Participants evaluated 2 standardized patients before the stroke course and 2 different standardized patients after the stroke course

Mean scores on case scenarios improved significantly (85.4%) from the pre-test (53.9%) ( < 0.0001)

Experimental group participated in 10 repetitions of each of 6 tasks on a virtual reality surgical simulator

* Experimental group performed laparoscopic surgery significantly faster than control group ( = 0.021)

* Experimental group showed significantly greater improvement in economy-of-movement scores ( = 0.003)

* Both groups carried out procedures on virtual reality-based training units

* The control group received feedback and evaluation from a clinical instructor

* The experimental group received real-time feedback and software evaluation from the virtual reality simulator

* Group trained exclusively on the virtual reality simulator scored worse on cavity assessment

* 84% of participants did not believe exclusive virtual reality training could replace conventional training

Reference

Study Purpose

Sample, Method, Outcome Measures, and Duration

Schwid, H. A., G. A. Rooke, P. Michalowski, and B. K. Ross. 2001. Screen-based anesthesia simulation with debriefing improves performance in a mannequin-based anesthesia simulator. 13(2):92-96.

Measure the effectiveness of screen-based simulator training with debriefing on the response to simulated anesthetic critical incidents

21 first-year clinical anesthesia residents

Randomized controlled trial

Quantitative scoring on residents’ management of 4 standardized scenarios in a mannequin-based simulator

2 years

Triola, M., H. Feldman, A. L. Kalet, S. Zabar, E. K. Kachur, C. Gillespie, M. Anderson, C. Griesser, and M. Lipkin. 2006.2006. A randomized trial of teaching clinical skills using virtual and live standardized patients. 21(5):424-429.

Assess the educational effectiveness of computer-based virtual patients compared to standardized patients

55 health care providers (RNs and physicians)

Randomized controlled trial

Knowledge and diagnostic scores assessed through clinical vignettes

1 day

Description of Educational Method

Findings

* The simulator used a graphical interface and an automated record system to produce a detailed record of the simulated case

* The program included learning objectives and diagnostic and treatment suggestions

Residents who managed anesthetic problems using a screen-based simulator handled emergencies in a mannequin-based simulator (52.6 ± 9.9) better than residents who studied a handout (43.4 ± 5.9, = 0.004)

* Virtual (web-based) standardized cases were conducted individually at a computer

* Live, standardized patient cases were faculty-facilitated, small-group sessions

* Experimental and control groups scored the same in preparedness to respond ( = 0.61), to screen ( = 0.79), and to care ( = 0.055) for patients

* Improvement in diagnostic abilities were equivalent in both groups ( = 0.054)

Reference

Study Purpose

Sample, Method, Outcome Measures, and Duration

Cannon, D. S., and S. N. Allen. 2000. A comparison of the effects of computer and manual reminders on compliance with a mental health clinical practice guideline. 7(2):196-203.

Evaluate the relative effectiveness of computer and manual reminder systems on the implementation of clinical practice guidelines

78 outpatients and 4 senior clinicians at an urban VA Medical Center

Randomized controlled trial

Screening rates for mood disorder; completeness of the documentation of diagnostic criteria for patients with a major depressive disorder

9 months

Chen, P., M. J. Tanasijevic, R. A. Schoenenberger, J. Fiskio, G. J. Kuperman, and D. W. Bates. 2003. A computer-based intervention for improving the appropriateness of antiepileptic drug level monitoring. 119(3):432-438.

* Evaluate an automated, activity-based reminder designed to reduce inappropriate ordering behavior

* Determine the long-term benefit of continuous implementation of the reminder system

1,646 serum antiepileptic drug (AED) test orders placed at a teaching hospital

2-phase randomized controlled trial

Total number of AED orders; proportion of inappropriate orders; proportion of redundant orders

4 years

Description of Educational Method

Findings

* The CaseWalker computer reminder system generated reminders to screen patients for mood disorders

* The CaseWalker system presented and scored diagnostic criteria for major depressive disorders and created progress notes

* Computerized reminders, compared with the paper checklist, resulted in a higher screening rate for mood disorder (86.5% vs. 61%, = 0.008)

* Computerized reminders resulted in a higher rate of complete documentation of diagnostic criteria (100% vs. 5.6%, < 0.001)

Educational messages reminded physicians of clinical guidelines when test orders may have been inappropriate or redundant

* During a 3-month period after implementation, 13% of ordered tests were canceled following computerized reminders; for orders appearing redundant, 27% cancellation rate

* Cancellation rate sustained after 4 years

* 19.5% decrease in AED testing volume despite a 19.3% increase in overall chemistry test volume

Reference

Study Purpose

Sample, Method, Outcome Measures, and Duration

Demakis, J. G., C. Beauchamp, W. L. Cull, R. Denwood, S. A. Eisen, R. Lofgren, K. Nichol, J. Woolliscroft, and W. G. Henderson. 2000. Improving residents’ compliance with standards of ambulatory care: Results from the VA cooperative study on computerized reminders. 284(11):1411-1416.

Examine whether a computerized reminder system operating in multiple VA ambulatory care clinics improves resident physician compliance with standards of ambulatory care

275 resident physicians caring for 12,989 patients at 12 VA medical centers

Clinical trial

Compliance with 13 standards of care, tracked using hospital databases and encounter forms

17 months

Dexter, P. R., S. Perkins, J. Marc Overhage, K. Maharry, R. B. Kohler, and C. J. McDonald. 2001. A computerized reminder system to increase the use of preventive care for hospitalized patients. 345(13):965-970.

Determine the effects of computerized reminders on the rates at which 4 preventive therapies were ordered for inpatients

8 independent staff teams on the general medicine ward and 6,371 patients at an urban hospital

Randomized controlled trial

Ordering rates for pneumococcal vaccination, influenza vaccination, prophylactic heparin, and prophylactic aspirin

18 months

Description of Educational Method

Findings

* All residents attended a 1-hour session to discuss standards of care

* Residents in the experimental group had a training session to introduce them to the reminder system

* Experimental group had statistically significant higher rates of compliance than the control group for all care standards combined (58.8% vs. 53.5%; OR = 1.24; 95% CI)

* Percentage of compliance in the experimental group declined over the course of the study, even though the reminders remained active

* Computer-based order-entry work stations provided clinical decision support through rule-based reminders

* Physicians could accept or reject the reminders

Computerized reminders resulted in higher adjusted ordering rates for

< 0.001)

< 0.001)

< 0.001)

< 0.001)

Reference

Study Purpose

Sample, Method, Outcome Measures, and Duration

Dexter, P. R., F. D. Wolinsky, G. P. Gramelspacher, X. H. Zhou, G. J. Eckert, M. Waisburd, and W. M. Tierney. 1998. Effectiveness of computer-generated reminders for increasing discussions about advance directives and completion of advance directive forms: A randomized, controlled trial. 128(2): 102-110.

* Determine the effects of computer-generated reminders to physicians on the frequency of advanced directive discussions between patients and their primary caregivers

* Determine the effects of computer-generated reminders to physicians on consequent establishment of advanced directives

1,009 patients and 147 primary care physicians at an outpatient general medicine practice

Randomized controlled trial

Discussion about advanced directives determined by patient interview; completed advanced directive forms

9 months

Gill, J. M., and A. M. Saldarriaga. 2000. The impact of a computerized physician reminder and a mailed patient reminder on influenza immunizations for older patients. 72(10):425-430.

Examine the impact of a computer physician reminder in combination with a mailed patient reminder on the rate of influenza vaccinations for older adults

344 patients 65 years and older in a large family medicine office

Retrospective cohort study

Rates of receipt of influenza immunization compared to the year before and after the interventions were implemented

2 years

Description of Educational Method

Findings

* Advanced directive forms placed in the offices of all participating physicians

* Physician-investigators presented the concepts of advanced directives at grand rounds and face-to-face meetings with all physicians

* Experimental group physicians received reminders regarding advanced directive discussions

* Physicians who received reminders discussed advanced directives with more patients (24%) than control group physicians (4%) (OR = 7.7, 95% CI: 3.4-18, < 0.001)

* Experimental group completed advanced directives with 15% of patients compared to 4% completion in control group (OR = 7.0, 95% CI: 2.9-17, < 0.001)

* An electronic patient record system generated automatic reminders to the physician if the immunization had not been completed

* A mailed patient reminder was sent to encourage patients to schedule appointments for the immunization

Influenza immunization rates increase from 50.4% before the interventions to 61.6% after the intervention ( < 0.001)

Reference

Study Purpose

Sample, Method, Outcome Measures, and Duration

Hung, C. S., J. W. Lin, J. J. Hwang, R. Y. Tsai, and A. T. Li. 2008. Using paper chart based clinical reminders to improve guideline adherence to lipid management. 14(5):861-866.

Apply a paper-based clinical reminder to improve the adherence to lipid guidelines

198 patients with coronary heart diseases at a university hospital in Taiwan

Randomized controlled trial

New lipid-lowering therapy subscription; composite result of lipid-lowering therapy or lipid profile checkup

6 months

Iliadis, E. A., L. W. Klein, B. J. Vandenberg, D. Spokas, T. Hursey, J. E. Parrillo, and J. E. Calvin. 1999. Clinical practice guidelines in unstable angina improve clinical outcomes by assuring early intensive medical treatment. 34(6): 1689-1695.

* Determine the influence of clinical practice guidelines on treatment patterns and clinical outcomes in unstable angina

* Determine the effectiveness of guideline reminders on implementing practice guidelines

519 patients with unstable angina at an academic medical center

Interrupted time-series design

Pharmaceutical treatments rendered; diagnostic or therapeutic procedures performed; major cardiac complications

3.5 years

Description of Educational Method

Findings

* In the experimental group, a reminder was stamped in each medical chart

* The reminder indicated the current policy of statin reimbursement

* No difference at the end of 6 months regarding lipid-lowering therapy subscription (OR = 1.70, = 0.248, 95% CI: 0.69-4.19)

* Composite result of lipid-lowering therapy or lipid profile checkup significantly higher in the experimental group (OR = 2.81, = 0.001, 95% CI: 1.57-5.04)

Dissemination of guidelines was ensured by a grand rounds lecture and by posting guideline reminders on all of the experimental group’s charts

* Experimental group patients received β-blockers ( = 0.008), aspirin, and coronary angiography ( = 0.001) earlier than control group patients

* Experimental group patients experienced recurrent angina (29% vs. 54%) and myocardial infarction or death less frequently (3% vs. 9%, = 0.028) than control group patients

Reference

Study Purpose

Sample, Method, Outcome Measures, and Duration

Kitahata, M. M., P. W. Dillingham, N. Chaiyakunapruk, S. E. Buskin, J. L. Jones, R. D. Harrington, T. M. Hooton, and K. K. Holmes. 2003. Electronic human immunodeficiency virus (HIV) clinical reminder system improves adherence to practice guidelines among the University of Washington HIV study cohort. 36(6):803-811.

Examine adherence to HIV practice guidelines before and after implementation of an electronic clinical reminder system

1,204 HIV-infected patients and 41 clinicians (physicians, nurse practitioners, and physician assistants) at an HIV clinic in an academic medical center

Prospective before-and-after study

Proportion of patients in care who undergo (1) monitoring of CD4 cell count, (2) HIV-1 RNA level, (3) prophylaxis for pneumocystis pneumonia, (4) MAC prophylaxis, (5) tuberculin skin testing, (6) cervical Pap smears, and (7) serological screening

5 years

Koide, D., K. Ohe, D. Ross-Degnan, and S. Kaihara. 2000. Computerized reminders to monitor liver function to improve the use of etretinate. 57(1):11-19.

Determine whether computerized reminders during the process of prescribing can improve the use of drugs requiring prior laboratory testing

1,024 prescriptions prescribed for 111 patients at a teaching hospital in Tokyo, Japan

Interrupted time-series design to compare a pre-intervention period and a post-intervention period

Change in proportion of appropriate prescribing; frequency of severe hepatotoxicity between pre- and post-intervention

2 years

Description of Educational Method

Findings

An HIV disease-specific electronic medical record (EMR) enhancement provided clinicians with access to patient-specific information and a clinical reminder system

* More than 90% of patients received CD4 cell count and HIV-1 RNA level monitoring both before and after the intervention

* Patients were significantly more likely to receive prophylaxis (hazard ratio = 3.84; 95% CI, 1.58-9.31; = 0.03), to undergo cervical cancer screening (OR = 2.09; 95% CI, 1.04-4.16; = 0.04), and to undergo serological screening (OR = 1.86; 95% CI, 1.05-3.27; = 0.03) after the reminders were implemented

* Computer alerts when physicians submit inappropriate prescriptions

* The physician can choose to proceed despite the alert or to cancel the prescription

* Appropriate prescriptions increased from 25.9% (127/491) in the pre-intervention period to 66.2% (353/533) in the post-intervention period ( < 0.0001)

Reference

Study Purpose

Sample, Method, Outcome Measures, and Duration

Morgan, M. M., J. Goodson, and G. O. Barnett. 1998. Long-term changes in compliance with clinical guidelines through computer-based reminders. 493-497.

* Evaluate the effectiveness of computer-based reminders in improving compliance with preventive medicine screening guidelines

* Examine the long-term impact of these reminders

24,200 patients and 20 primary care physicians

Ecologic study with a 12-month period prior to introduction of reminders, a 12-month period after the reminders were in place, and 5 years later

Changes in compliance rates for preventive screenings

6 years

Nilasena, D. S., and M. J. Lincoln. 1995. A computer-generated reminder system improves physician compliance with diabetes preventive care guidelines. 640-645.

Evaluate the use of computerized reminders for preventive care in diabetes

35 internal medicine residents

Randomized controlled trial

Average compliance score of all patients seen by a resident (compliance score based on the number of items completed in accordance with the guidelines divided by the total number of items recommended for the patient)

6 months

Description of Educational Method

Findings

* Physicians were given a health maintenance report of preventive screening items at each patient visit

* EMR system was programmed to integrate 13 clinical guidelines

* Mean performance on 10 out of 13 health maintenance measures improved in the year following the integrated guideline report

* 5 years after introduction, improvement in mean performance persisted on 7 out of 13 measures and compliance improved for 1 additional measure

* Diabetes guidelines and encounter forms were incorporated in a computer program that served as a longitudinal patient database for storing clinical information

* The computer program outputs a health maintenance report for the physician, and the report is placed on the patient’s chart

* Clinical alerts about high-risk aspects of the patient’s profile are presented

Compliance with recommended care significantly improved in both the experimental group (38% at baseline, 54.9% at follow-up) and the control group (34.6% at baseline, 51% at follow-up)

Reference

Study Purpose

Sample, Method, Outcome Measures, and Duration

Rhew, D. C., P. A. Glassman, and M. B. Goetz. 1999. Improving pneumococcal vaccine rates. Nurse protocols versus clinical reminders. 14(6):351-356.

Compare the effectiveness of 3 interventions designed to improve the pneumococcal vaccination rate by nurses

3,502 outpatients and 3 nursing teams at a VA ambulatory care clinic

Prospective controlled trial

Vaccination rates

12 weeks

Sarasin, F. P., M. L. Maschiangelo, M. D. Schaller, C. Heliot, S. Mischler, and J. M. Gaspoz. 1999. Successful implementation of guidelines for encouraging the use of beta blockers in patients after acute myocardial infarction. 106(5):499-505.

Assess whether implementation of guidelines increases the prescription of β-blockers recommended for secondary prevention after acute myocardial infarction

355 patients discharged after recovery from myocardial infarction from a teaching hospital in Geneva, Switzerland

Ecologic study with 12-month control period and a 6-month guideline implementation period; a neighboring public teaching hospital was used as a comparison

Prescription patterns for nitrates, β-blockers, combined β-blockers and angiotensin-converting enzyme (ACE) inhibitors, and ACE inhibitors alone; physician attitude survey

18 months

Description of Educational Method

Findings

* Team A nurses received comparative feedback information on their vaccine rates relative to those of Team B nurses

* Team B nurses received reminders to vaccinate but no information on vaccination rates

* Nurses in all groups received clinician reminders

Vaccination rates for comparative feedback group and compliance reminder group were significantly higher than the 5% vaccination rate for the control group ( < 0.001)

* Short advisory statements regarding drug therapies were presented and distributed to all internal medicine and cardiology physicians

* Adherence was encouraged during large group meetings

* Guidelines were placed in the charts of all patients diagnosed with acute myocardial infarction

Implementation of guidelines significantly associated with prescription of β-blockers at discharge (OR = 10; 95% CI: 3.2-33; < 0.001)

Reference

Study Purpose

Sample, Method, Outcome Measures, and Duration

Tang, P. C., M. P. Larosa, C. Newcomb, and S. M. Gorden. 1999. Measuring the effects of reminders for outpatient influenza immunizations at the point of clinical opportunity. 6(2):115-121.

Evaluate the influence of computer-based reminders about influenza vaccination on the behavior of individual clinicians at each clinical opportunity

23 physicians and 629 patients at an internal medicine clinic at an academic medical center

Cohort study

Compliance with a guideline for influenza vaccination behavior for eligible patients as evidenced by ordering of the vaccine, patient counseling, or verification that the patient had received the vaccine elsewhere

4 years

Walker, N. M., K. L. Mandell, and J. Tsevat. 1999. Use of chart reminders for physicians to promote discussion of advance directives in patients with AIDS. 11(3):345-353.

Determine if use of a physician chart reminder improves the rate of physician-initiated discussion and subsequent completion of advanced directives in patients with AIDS

74 patients with AIDS and 10 primary care physicians at a university-based hospital clinic

Controlled trial

Rate of documentation of discussion of advanced directives and rate of completion of an advanced directive

6 months

Description of Educational Method

Findings

Rule-based clinical reminders appeared on the electronic chart of a patient eligible for a recommended intervention

Compliance rates for computer-based record users increased 78% from baseline ( < 0.001) whereas rates for paper record users did not change significantly ( = 0.18)

Chart reminders were placed on medical records of experimental group patients at each clinic visit

* 12 out of 39 (31%) experimental group patients and 3 out of 35 (9%, = 0.02) control group patients discussed advanced directives with physicians

* More subjects in experimental group completed advanced directives (28% vs. 9%, = 0.03)

Reference

Study Purpose

Sample, Method, Outcome Measures, and Duration

Weingarten, S. R., M. S. Riedinger, L. Conner, T. H. Lee, I. Hoffman, B. Johnson, and A. G. Ellrodt. 1994.1994. Practice guidelines and reminders to reduce duration of hospital stay for patients with chest pain: An interventional trial. 120(4):257-263.

Evaluate the acceptability, safety, and efficacy of practice guidelines for patients admitted to coronary care and intermediate care units

375 patients with chest pain and 155 primary physicians at an academic medical center

Prospective, controlled clinical trial

Patient instability at discharge; patient survival, hospital readmission, and other problems 1-month post-discharge; patient health perceptions; patient rating of the quality of information received at discharge; total costs (direct and indirect)

12 months

Dexter, P. R., S. M. Perkins, K. S. Maharry, K. Jones, and C. J. McDonald. 2004. Inpatient computer-based standing orders vs. physician reminders to increase influenza and pneumococcal vaccination rates: A randomized trial. 292(19):2366-2371.

Determine the effects of computerized physician standing orders compared with physician reminders on inpatient vaccination rates

3,777 general medicine patients discharged during a 14-month period from an urban teaching hospital

Randomized controlled trial

Vaccine administration

14 months

Description of Educational Method

Findings

Physicians received concurrent, personalized written and verbal reminders regarding a guideline that recommended a 2-day hospital stay for patients with chest pain who were at low risk for complications

* Use of practice guidelines with concurrent reminders was associated with a 50-69% increase in guideline compliance ( < 0.001) and a decrease in length of stay from 3.54 ± 4.1 to 2.63 ± 3.0 days (95% CI)

* Intervention associated with a total cost reduction of $1,397 per patient (CI: $176-$2,618; = 0.03)

* No significant difference found in complication rates, patient health status, or patient satisfaction

* For eligible patients in the standing order group, a computer system automatically produced a vaccine order at the time of discharge; nurses were authorized to administer vaccines in response to standing orders

* For eligible patients in the reminder group, a computer system produced a pop-up message with orders each time a physician began a daily order entry session

* Patients with standing orders received an influenza vaccine significantly more often (42%) than those with reminders (30%) ( < 0.001)

* Patients with standing orders received a pneumococcal vaccine significantly more often (51%) than those with reminders (31%) ( < 0.001)

Reference

Study Purpose

Sample, Method, Outcome Measures, and Duration

Fakhry, S. M., A. L. Trask, M. A. Waller, and D. D. Watts. 2004. Management of brain-injured patients by an evidence-based medicine protocol improves outcomes and decreases hospital charges. 56(3):492-499.

Determine whether management of traumatic brain injury (TBI) patients according to established guidelines would reduce mortality, length of stay, charges, and disability

830 patients with TBI

Time trend analysis

Mortality; intensive care unit days; total hospital days; total charges; Rancho Los Amigos Scores; Glasgow Outcome Scale scores

9 years

Lobach, D. F. 1996. Electronically distributed, computer-generated, individualized feedback enhances the use of a computerized practice guideline. 493-497.

Test the hypothesis that computer-generated, individualized feedback regarding adherence to care guidelines will significantly improve clinician compliance with guideline recommendations

45 primary care clinicians at a clinic affiliated with an academic medical center

Randomized controlled trial

Compliance with guideline recommendations for diabetic patients

12 weeks

Description of Educational Method

Findings

* Standard orders were developed based on established guidelines

* Guidelines were implemented by trauma service team leaders

* From the pre-guideline period to the period of high compliance, ICU stay was reduced by 1.8 days ( = 0.021) and hospital stay by 5.4 days ( < 0.001)

* Overall mortality rate was reduced from pre-guideline period (17.8%) to period of high compliance (13.8%), but the result was not statistically significant ( > 0.05)

* On Glasgow Outcome Scale score, 61.5% of patients in high compliance period had a “good recovery” or “moderate disability” compared with 43.3% in pre-guideline period ( < 0.001)

* The study site used a computer-based patient record that runs a computer-assisted management protocol, which incorporates guidelines for diabetes mellitus on paper encounter forms

* E-mail was used to transmit clinical information

Experimental group had significantly higher guideline compliance (35%) than control group (6.1%) ( < 0.01)

Reference

Study Purpose

Sample, Method, Outcome Measures, and Duration

Baker, R., A. Farooqi, C. Tait, and S. Walsh. 1997. Randomised controlled trial of reminders to enhance the impact of audit in general practice on management of patients who use benzodiazepines. 6(1):14-18.

Determine whether reminder cards in medical records enhance the effectiveness of audit and feedback in improving the care of patients with long-term benzodiazepine drugs

742 patients taking a benzodiazepine in 18 general practices in Leicestershire, UK

Randomized controlled trial

Number of patients whose care complies with each of 5 criteria

NA

Cleland, J. A., J. M. Fritz, G. P. Brennan, and J. Magel. 2009. Does continuing education improve physical therapists’ effectiveness in treating neck pain? A randomized clinical trial. 89(1):38-47.

Investigate the effectiveness of an ongoing educational intervention for improving the outcomes for patients with neck pain

19 physical therapists from 11 clinical sites in an integrated health system

Randomized controlled trial

All patients treated by the physical therapists completed the Neck Disability Index and a pain rating scale before and after the ongoing intervention

7 weeks

Description of Educational Method

Findings

* All practices received a copy of audit criteria justifying “must do” and “should do” priorities

* All practices received feedback comparing their performance to the criteria and to other practices

* The group receiving reminders had the reminders placed in the records of long-term benzodiazepine users

* Number of patients whose care complied with criteria rose after the interventions (OR: 1.46, 95% CI: 1.32-5.21)

* The increase was not statistically greater in practices receiving feedback plus reminders than in those receiving only feedback

* 2-day course on management of neck pain (for both control and experimental groups)

* 2 1.5-hour meetings to review the 2-day course, discuss management of specific cases, and co-treat a patient with neck pain in the therapist’s own setting (experimental group only)

* Patients treated by experimental group therapists experienced significantly greater reduction in disability during study period than those treated by therapists who did not receive ongoing training (mean difference = 4.2 points)

* Pain ratings did not differ for patients treated by the 2 groups

Reference

Study Purpose

Sample, Method, Outcome Measures, and Duration

Fjortoft, N. F., and A. H. Schwartz. 2003. Evaluation of a pharmacy continuing education program: Long-term learning outcomes and changes in practice behaviors. 67(2).

Assess the long-term outcomes from a 3-month, curriculum-based pharmacy CE program on lipid management and hypertension services

46 participants in a pharmacy continuing education course

Cohort study with a pre- and post-test design

Survey responses assessing participant knowledge on cognitive and psychomotor concepts; time spent providing clinical services

3 months

Gonzales, R., J. F. Steiner, A. Lum, and P. H. Barrett, Jr. 1999. Decreasing antibiotic use in ambulatory practice: Impact of a multidimensional intervention on the treatment of uncomplicated acute bronchitis in adults. 281(16):1512-1519.

Decrease total antibiotic use for uncomplicated acute bronchitis in adults

93 clinicians (physicians, physician assistants, nurse practitioners, RNs) and 4,489 patients in 6 primary care practices

Prospective, nonrandomized controlled trial with baseline and study periods

Antibiotic prescriptions for uncomplicated acute bronchitis during baseline and study periods

15 months

Hobma, S. O., P. M. Ram, F. van Merode, C. P. M. van der Vleuten, and R. P. T. M. Grol. 2004. Feasibility, appreciation and costs of a tailored continuing professional development approach for general practitioners. 12(4):271-278.

Study the feasibility and appreciation of a tailored continuing professional development (CPD) method in which GPs work in small groups to improve demonstrated deficiencies

43 GPs in the Netherlands

Cohort study

Participation rates; costs per participant based on time invested by support staff, costs of materials, and time dedicated to the intervention; participant appreciation by self-reported Likert scale

11 months

Description of Educational Method

Findings

* Self-study materials

* 3 live, interactive workshops with case discussion and physical assessment

* Improvements in participant knowledge base and skill were observed between pre- and post-survey administration

* No change in percentage of time spent providing clinical services observed at 6 months or at 12 months

* 2 practices received house- and office-based patient education materials, clinician education, practice-profiling, and academic detailing (full intervention)

* 2 practices received only office-based patient education materials (partial intervention)

* Substantial decline in antibiotic prescription rates at the full intervention site (from 74% to 48%, = 0.003) but no statistically significant change at the control and partial intervention sites

* Compared with control sites, nonantibiotic prescriptions (cough suppressants, analgesics) and return office visits were not significantly different for intervention sites

*Assessment to select aspects of care in need of improvement

* Comparison of assessment scores to standards in a meeting with a trained peer; identification of personal improvement goals

* Program of self-directed learning via 7 small-group meetings with fellow GPs led by trained GP tutors

* Total costs were €117.56 per hour or €2700 per participant

* Video assessment was appreciated more than knowledge tests

* Written feedback was appreciated; oral feedback from trained peer contributed little

* Role of the tutor in group sessions was described as “invaluable”

Reference

Study Purpose

Sample, Method, Outcome Measures, and Duration

Lagerløv, P., M. Loeb, M. Andrew, and P. Hjortdahl. 2000. Improving doctors’ prescribing behaviour through reflection on guidelines and prescription feedback: A randomised controlled study. 9(3):159-165.

Study the effect on the quality of prescribing by a combined intervention of providing individual feedback and deriving quality criteria using guideline recommendations by peer review groups

199 GPs in Norway

Randomized controlled trial

Difference in prescribing behavior between the year before and the year after the intervention; self-report of intent to change disease management approach

21 months

Laprise, R. J., R. Thivierge, G. Gosselin, M. Bujas-Bobanovic, S. Vandal, D. Paquette, M. Luneau, P. Julien, S. Goulet, J. Desaulniers, and P. Maltais. 2009. Improved cardiovascular prevention using best CME practices: A randomized trial. 29(1):16-31.

Determine if after a CME event, practice enablers and reinforcers addressing clinical barriers to preventive care would be more effective in improving adherence to cardiovascular guidelines than a CME event alone

122 GPs

Cluster randomized trial

Proportion of patients undermanaged at baseline who received preventive care action

Description of Educational Method

Findings

* Participation in 2 peer meetings to discuss treatment guidelines and agree on common quality criteria for prescribing

* Prescription feedback provided to each GP

* Improved prescribing behavior in accordance with guideline recommendations

* Group discussion and feedback were well regarded by participants

Nurses visited GPs’ offices once a month to

Practice enablers and reinforcers following CME significantly improved adherence to guidelines compared to CME alone (OR = 1.78; 95% CI: 1.32-2.41)

Reference

Study Purpose

Sample, Method, Outcome Measures, and Duration

Martin, C. M., G. S. Doig, D. K. Heyland, T. Morrison, and W. J. Sibbald. 2004. Multicentre, cluster-randomized clinical trial of algorithms for critical-care enteral and parenteral therapy (ACCEPT). 170(2):197-204.

Test the hypothesis that evidence-based algorithms to improve nutritional support in the intensive care unit (ICU) would improve patient outcomes

499 patients in 14 ICUs over an 11-month period

Cluster randomized controlled trial

Days of enteral nutrition, length of stay in hospital, mortality rates, length of stay in ICU

11 months

Monaghan, M. S., P. D. Turner, M. Z. Skrabal, and R. M. Jones. 2000. Evaluating the format and effectiveness of a disease state management training program for diabetes. 64(2):181-184.

Determine whether a CE approach to disease management training in diabetes mellitus is an effective means of improving both cognitive knowledge and confidence levels of participants

25 pharmacists participating in a training program

Cohort study with pre- and post-intervention design

Scores on a pre- and post-test examination; scores on a 15-item attitudinal questionnaire

14 months

Description of Educational Method

Findings

Evidence-based recommendations were introduced via in-service education sessions, reminders by a local dietitian, posters, and academic detailing

* Patients in intervention ICUs received significantly more days of enteral nutrition (6.7 vs. 5.4 per 10 patient-days; = 0.042), had a significantly shorter mean stay in hospital (25 vs. 35 days; = 0.003), and showed a trend toward reduced mortality (27% vs. 37%; = 0.058) than patients in control ICUs

* Mean stay in the ICU did not differ between control and experimental groups

Traditional lectures and small-group exercises in which participants obtained “hands-on” information related to the pharmacist’s role

* Cognitive post-test scores (68.8%) improved significantly ( < 0.001) over the pre-test scores (49.6%)

* Post-test scores on all 15 attitudinal items significantly improved over pre-test scores ( < 0.012)

Reference

Study Purpose

Sample, Method, Outcome Measures, and Duration

Naunton, M., G. M. Peterson, G. Jones, G. M. Griffin, and M. D. Bleasel. 2004. Multifaceted educational program increases prescribing of preventive medication for corticosteroid induced osteoporosis. 31(3):550-556.

Assess a comprehensive educational program aimed at increasing the use of osteoporosis preventive therapy in patients prescribed long-term oral corticosteroids

All patients admitted to the Royal Hobart Hospital, Australia; all physicians and pharmacists in 2 regions in Australia

Controlled trial

Evaluation feedback from GPs and pharmacists; drug utilization data

17 months

Pronovost, P. J., S. M. Berenholtz, C. Goeschel, I. Thom, S. R. Watson, C. G. Holzmueller, J. S. Lyon, L. H. Lubomski, D. A. Thompson, D. Needham, R. Hyzy, R. Welsh, G. Roth, J. Bander, L. Morlock, and J. B. Sexton. 2008. Improving patient safety in intensive care units in Michigan. 23(2):207-221.

Describe the design and lessons learned from implementing a large-scale patient safety collaborative and the impact of an intervention on teamwork climate in intensive care units

99 ICUs across the state of Michigan over 24 months

Cohort study of ICU teams

Improvements in safety culture scores using a teamwork questionnaire; adherence to evidence-based interventions for ventilated patients

17 months

Description of Educational Method

Findings

All GPs and pharmacies in the study area were sent educational materials and guidelines; received academic detailing visits and reminders; and were provided educational magnets for their patients

* Use of preventive therapy increased from 31% of admitted hospital patients taking corticosteroids to 57% post-intervention ( < 0.0001)

* Significant increase in the use of preventive therapy in the intervention region over the control region ( < 0.01)

* Collaborative project included group meetings and conference calls to share best practices and evaluate performance

* Partnership between hospital leadership, ICU improvement teams, and ICU staff to identify and resolve barriers

* Daily goals communication toolkits for staff education, redesign of work processes, and support of local opinion leaders

* Teamwork climate improved from baseline to post-intervention ( (71) = −2.921, < 0.005)

* Post-intervention: 46% had >60% consensus of good teamwork; pre-intervention: 17% of ICUs had >60% consensus of good teamwork

Reference

Study Purpose

Sample, Method, Outcome Measures, and Duration

Rashotte, J., M. Thomas, D. Grégoire, and S. Ledoux. 2008. Implementation of a two-part unit-based multiple intervention: Moving evidence-based practice into action. 40(2):94-114.

Examine the impact and sustained change of a 2-part, unit-based multiple intervention on the use by pediatric critical care nurses of guidelines for pressure-ulcer prevention

23 pediatric critical care nurses in a Canadian pediatric ICU

Cohort study

Before-and-after measures of frequency of use of interventions as documented in patient records and by observation

6 months

Richards, D., L. Toop, and P. Graham. 2003. Do clinical practice education groups result in sustained change in GP prescribing? 20(2):199-206.

Determine whether a peer-led small-group educational program is an effective tool in changing practice when added to audit and feedback, academic detailing, and educational bulletins

230 GPs in urban New Zealand

Retrospective analysis of a controlled trial

Targeted prescribing for 12 months before and 24 months after education sessions

36 months

Description of Educational Method

Findings

* Part I targeted individuals with independent and group learning activities: laminated pocket guides, bedside decision-making algorithm

* Part II incorporated local and organizational strategies: unit champions, bedside coaching, development of standards

Significant change in implementation of 2 of 11 recommended practices following both interventions ( < 0.001)

* Clinical practice education groups met monthly

* GP-led discussion of evidence-based topics

* Individual prescribing data provided to each GP

* Peer-led small-group discussions had a sustained, positive effect on prescribing behavior that was in addition to any effect of the other educational methods (mean effect size = 1.20)

* Mean duration of significant effect was 14.5 months (CI: 95%)

Reference

Study Purpose

Sample, Method, Outcome Measures, and Duration

Saini, B., L. Smith, C. Armour, and I. Krass. 2006. An educational intervention to train community pharmacists in providing specialized asthma care. 70(5):118-126.

Test the effect of an educational intervention on pharmacist satisfaction and practice behavior as well as patient outcomes

27 pharmacists providing asthma care to 102 patients in Australia

Controlled trial

Participant reactions gauged using a questionnaire; asthma severity; peak flow indices; medication costs per patient

6 months

Schneeweiss, S., and S. Ratnapalan. 2007. Impact of a multifaceted pediatric sedation course: Self-directed learning versus a formal continuing medical education course to improve knowledge of sedation guidelines. 9(2):93-100.

Evaluate the effectiveness of a sedation course in improving physicians’ knowledge of pediatric procedural sedation guidelines, relative to self-directed learning

48 emergency staff physicians, fellows, and residents in a pediatric emergency department

Randomized controlled trial

Scores on multiple choice pre- and post-intervention exam

2 weeks

Description of Educational Method

Findings

Self-directed learning, small-group learning, and workshops with case studies in addition to asthma care training provided in a lecture

* Significant reduction in asthma severity in the experimental group ( < 0.001) vs. the control group

* In the experimental group, peak flow indices improved from 82.7% at baseline to 87.4% ( < 0.0010) at the final visit

* Significant reduction in defined daily dose of albuterol used by patients ( < 0.015)

* The 4-hour course consisted of small-group and didactic instruction with case studies

* The self-directed group received a package with learning objectives, guidelines, a pocket card, and reading materials

Control group’s median exam score (83.3%; range: 75.8-96.5%) was significantly higher ( < 0.0001) than median exam score of the experimental group (73.3%; range: 43.5-86.6%)

Reference

Study Purpose

Sample, Method, Outcome Measures, and Duration

Scholes, D., L. Grothaus, J. McClure, R. Reid, P. Fishman, C. Sisk, J. E. Lindenbaum, B. Green, J. Grafton, and R. S. Thompson. 2006. A randomized trial of strategies to increase screening in young women. 43(4):343-350.

Evaluate an intervention to increase guideline-recommended screening

23 primary care clinics; 3,509 sexually active females ages 14-25

Randomized controlled trial

Post-intervention testing rates

27 months

Young, J. M., C. D’Este, and J. E. Ward. 2002. Improving family physicians’ use of evidence-based smoking cessation strategies: A cluster randomization trial. 35(6):572-583.

Evaluate a multifaceted, practice-based intervention involving audit, feedback, and academic detailing to improve family physician smoking cessation advice

60 family physicians in Australia

Cluster randomized controlled trial

Delivery of smoking cessation advice determined by patient recall, physician report, and medical record audit; utilization of nicotine replacement therapies

6 months

NOTE: NA = Not applicable.

Description of Educational Method

Findings

The enhanced guideline group used clinic-based opinion leaders, individual measurement and feedback, exam room reminders, and chart prompts

* Enhanced intervention did not significantly affect testing (OR = 1.08; 95% CI: 0.92-1.26; = 0.31)

* Testing rates increased among women making preventive care visits in intervention vs. control clinics

* Audit and feedback conducted by a medical peer

* Medical record prompt in the form of Post-it notes on medical records

* Provision of additional resources for physicians and patients

* Significant increase in the experimental group over the control group in the use of nicotine replacement gum ( = 0.0002) and patches ( = 0.0056)

* No significant differences between groups in smokers’ recall or documentation in medical record of specific cessation advice

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Today in the United States, the professional health workforce is not consistently prepared to provide high quality health care and assure patient safety, even as the nation spends more per capita on health care than any other country. The absence of a comprehensive and well-integrated system of continuing education (CE) in the health professions is an important contributing factor to knowledge and performance deficiencies at the individual and system levels.

To be most effective, health professionals at every stage of their careers must continue learning about advances in research and treatment in their fields (and related fields) in order to obtain and maintain up-to-date knowledge and skills in caring for their patients. Many health professionals regularly undertake a variety of efforts to stay up to date, but on a larger scale, the nation's approach to CE for health professionals fails to support the professions in their efforts to achieve and maintain proficiency.

Redesigning Continuing Education in the Health Professions illustrates a vision for a better system through a comprehensive approach of continuing professional development, and posits a framework upon which to develop a new, more effective system. The book also offers principles to guide the creation of a national continuing education institute.

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  1. Writing the Literature Review

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  2. 50 Smart Literature Review Templates (APA) ᐅ TemplateLab

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  3. 50 Smart Literature Review Templates (APA) ᐅ TemplateLab

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  4. 50 Smart Literature Review Templates (APA) ᐅ TemplateLab

    literature review chart example

  5. Flow chart for the literature review process.

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  6. How to Write a Literature Review: Guide, Template, Examples

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COMMENTS

  1. Five tips for developing useful literature summary tables for writing

    Here, we offer five tips for authors of the review articles, relevant to all types of reviews, for creating useful and relevant literature summary tables. We also provide examples from our published reviews to illustrate how useful literature summary tables can be developed and what sort of information should be provided.

  2. How to Write a Literature Review

    A literature review is a survey of scholarly knowledge on a topic. Our guide with examples, video, and templates can help you write yours.

  3. PDF Writing A Literature Review and Using a Synthesis Matrix

    One way that seems particularly helpful in organizing literature reviews is the synthesis matrix. The synthesis matrix is a chart that allows a researcher to sort and categorize the different arguments presented on an issue. Across the top of the chart are the spaces to record sources, and along the side of the chart are the spaces to record ...

  4. Literature Review Matrix

    Literature Review Matrix As you read and evaluate your literature there are several different ways to organize your research. Courtesy of Dr. Gary Burkholder in the School of Psychology, these sample matrices are one option to help organize your articles. These documents allow you to compile details about your sources, such as the foundational theories, methodologies, and conclusions; begin to ...

  5. What is a Literature Review? How to Write It (with Examples)

    A literature review is a comprehensive analysis of existing research on a topic, identifying trends, gaps, and insights to inform new scholarly contributions. Read this comprehensive article to learn how to write a literature review, with examples.

  6. Literature Review Example (PDF + Template)

    We walk you through an example of an A+ literature review chapter, as well as our free literature review template (Word/PDF).

  7. How To Structure Your Literature Review

    Don't let a bad structure ruin your literature review. Learn how to structure your literature review and download our free template.

  8. (PDF) Five tips for developing useful literature summary tables for

    PDF | On Mar 6, 2021, Ahtisham Younas and others published Five tips for developing useful literature summary tables for writing review articles | Find, read and cite all the research you need on ...

  9. How To Write An A-Grade Literature Review

    Learn how to write a literature review in three straightforward steps. Includes free literature review templates and resources.

  10. Write a Literature Review

    Literature reviews take time. Here is some general information to know before you start. VIDEO -- This video is a great overview of the entire process. (2020; North Carolina State University Libraries) --The transcript is included. --This is for everyone; ignore the mention of "graduate students". --9.5 minutes, and every second is important.

  11. Using Research & Synthesis Tables

    About the Research and Synthesis Tables Research Tables and Synthesis Tables are useful tools for organizing and analyzing your research as you assemble your literature review. They represent two different parts of the review process: assembling relevant information and synthesizing it. Use a Research table to compile the main info you need about the items you find in your research -- it's a ...

  12. PDF Writing an Effective Literature Review

    INTRODUCTION Whatever stage you are at in your academic life, you will have to review the literature and write about it. You will be asked to do this as a student when you write essays, dissertations and theses. Later, whenever you write an academic paper, there will usually be some element of literature review in the introduction. And if you have to write a grant application, you will be ...

  13. How to Conduct a Literature Review (Health Sciences and Beyond)

    Review Matrix Using a spreadsheet or table to organize the key elements (e.g. subjects, methodologies, results) of articles/books you plan to use in your literature review can be helpful. This is called a review matrix.

  14. Writing a Literature Review

    A guide on writing a literature review for research and citation, with tips and examples from Purdue OWL.

  15. Write a Literature Review

    A synthesis matrix helps you record the main points of each source and document how sources relate to each other. After summarizing and evaluating your sources, arrange them in a matrix or use a citation manager to help you see how they relate to each other and apply to each of your themes or variables. By arranging your sources by theme or ...

  16. 6. Synthesize

    Learn how to synthesize different sources and perspectives in a literature review with this research guide from the University of Oregon.

  17. Free Literature Review Template (Word Doc & PDF)

    Download Grad Coach's comprehensive literature review template for free. Fully editable - includes detailed instructions and examples.

  18. How to Write a Literature Review: Guide, Template, Examples

    Find out how to write a literature review for a research paper, thesis or dissertation. Learn the definition, structure and use free literature review examples.

  19. Literature Reviews

    Structure. The three elements of a literature review are introduction, body, and conclusion. Introduction. Define the topic of the literature review, including any terminology. Introduce the central theme and organization of the literature review. Summarize the state of research on the topic. Frame the literature review with your research question.

  20. Writing the Literature Review

    This is perhaps the most common and general type of literature review. The examples listed below are all designed to serve a more specific purpose. Argumentative: The purpose of an argumentative literature review is to select sources for the purpose of supporting or refuting a specific claim. While this type of review can help the author make a ...

  21. How to Create a Table for a Literature Review Summary

    How to Create a Table for a Literature Review Summary NurseKillam 40.1K subscribers 1.9K 146K views 11 years ago

  22. 50 Smart Literature Review Templates (APA) ᐅ TemplateLab

    50 Smart Literature Review Templates (APA) A literary review template is a type of written work that discusses published information about a specific subject matter. The length of the review doesn't matter. It can be as simple as a summary of sources or can be as long as several pages. An outline for literature review can also evaluate these ...

  23. Literature Review Chart

    Students asked to write a literature review for the first time typically struggle to move beyond "book report" style writing and toward literature synthesis. The template builds on a chart developed...

  24. Literature Review Tables

    Suggested Citation: "Appendix A: Literature Review Tables." Institute of Medicine. 2010. Redesigning Continuing Education in the Health Professions. Washington, DC: The National Academies Press. doi: 10.17226/12704. × Save Cancel Appendix A Literature Review Tables E vidence on the effectiveness of continuing education (CE) and CE methods was identified through a literature review. Although ...