Integrative review: what is it? How to do it?

Einstein 01/2010;
Source: DOAJ

ABSTRACT Introduction: The integrative review is the methodology that provides synthesis of knowledge and applicability of results of significant studies to practice. Objective: To present the phases of an integrative review and the relevant aspects to be taken into account when using this methodological resource. Methods: This study was based on bibliographic search and on the experience of the authors when performing an integrative review. Results: Presentation of the six stages of the integrative review process: preparing the guiding question, searching or sampling the literature, data collection, critical analysis of the studies included, discussion of results and presentation of the integrative review. Conclusions: Considering the need to assure care based on scientific evidence, the integrative review has been identified as a unique tool in healthcare for it synthesizes investigations available on the given topic and guides practice based on scientific knowledge.

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    ABSTRACT: This is a comprehensive literature review with the objective of deepening knowledge about complications related to orthognathic surgery. This search used the Virtual Health Library (Biblioteca Virtual em Saúde – BVS), PUBMED, EMBASE, Sciverse SCOPUS, and OVID portals, as well as the COCHRANE and CINHAL databases, and the following search terms: ((Intraoperative Complications) OR (Postoperative Complications)) AND Orthognathic Surgical Procedures. A total of 819 articles published between 1980 and 2010 were found, out of which 23 publications addressed the topic of this study. The methodological designs of the articles included prevalence studies, clinical trials, systematic reviews, case–control stud- ies, and cohort studies. Commonly found complications included nerve damage (12.1%), infection (3.4%), problems with fixative materials (2.5%), temporomandibular joint disorder (2.1%), undue fracture (1.8%), scarring problems (1.7%), and hemorrhage (1.4%). Given the many possible complications, a mastery of orthognathic surgical treatment, as well as interactions among members of the multidisciplinary team, is important in offering safe care to the patient.
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    ABSTRACT: Purpose To develop an inter-professional clinical practice guideline for vocational evaluation following severe burn. Methods The Canadian Medical Association's (CMA) handbook on clinical practice guideline and the appraisal of guidelines for research and evaluation (AGREE) were used to develop the guideline. The following steps from the CMA handbook were followed: (1) identifying the guideline's objective and questions; (2) systematic literature review; (3) study selection and quality appraisal and (4) development of clear recommendations by key stakeholders. The international classification of function and disability was used as a guiding theoretical framework. Results The guideline includes recommendations within seven domains: (1) establishing evaluation purpose and consent; (2) history taking and information gathering; (3) assessment of functional systems: body systems and structures; (4) assessment of functional systems: activity limitations and participation restrictions; (5) identification of key personal and environmental factors; (6) analysis and synthesis; (7) development of evaluation recommendations. Conclusions This guideline insures that vocational evaluators use an evidence-based approach to systematically assess elements within the individual, the work, workplace, personal and environmental facilitators and barriers to work participation. The guideline may be useful to clinicians, healthcare teams, employers and individuals with severe burns. Future steps will include guideline pilot testing and endorsement.
    Burns: journal of the International Society for Burn Injuries 09/2014; · 1.95 Impact Factor


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