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DNP Program: Evidence-Based Practice Resources: Appraise & Synthesize

Brief published guides

Critical Appraisal Tools

Tools for several different study types are available (including systematic reviews):

Tools emphasize a particular type of study:

Main Evaluation/Synthesis Table

This table should list all the sources that comprise your body of evidence and indicate Author (Year), Conceptual Framework, Design and/or Method Sample and/or Setting, Major Variables Studied (and Their Definitions), Measurement, Data Analysis, Findings, and Appraisal (Worth to Practice).

Be concise. Abbreviate heavily and be sure to include a legend at the bottom for abbreviations.

Additional Synthesis Tables (for easy visual summaries)

Other Methods of Assessing the Strength of the Evidence

These methods are often used with systematic reviews.

GRADE

GRADE CERQual

ConQual

EPC (AHRQ)

Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA)

  • PRISMA aims to help authors improve the reporting of systematic reviews and meta-analyses.
  • PRISMA may also be useful for critical appraisal of published systematic reviews, although it is not a quality assessment instrument to gauge the quality of a systematic review.

Check out these short videos from Towson University's Health Professions Librarian Carrie Price for more information about PRISMA:

 

Journal Credibility Questions in Evidence Synthesis

Journals that follow deceptive or fraudulent publication practices are often found alongside more legitimate publications, whether in Google Scholar or established library databases.

This study indicated that evidence synthesizers tend to advocate for having a process in place to identify predatory journals.  They supported the need to assess the quality of the data published in them and indicated that only good quality studies should be incorporated into the synthesis.

When synthesizing evidence, you should have a clear protocol for how you will identify potentially predatory journals, how you will evaluate quality, and to what extent you will include studies from those publications.

Avoiding Retracted Articles in Evidence Synthesis

Retraction aims to correct both fraud and unintended errors in the scientific record. Including retracted literature in evidence syntheses can cause patient harm.  However, retraction notices are not always clearly publicized, so retracted articles often still get cited post-retraction.  

This opinion piece calls for more careful scrutiny by authors, editors, and peer reviewers to avoid citing retracted articles.

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