What is a narrative review? – A narrative review is a thorough and critical overview of previously published research on the author’s specific topic of interest. It’s also referred to as a traditional review or a literature review. Narrative reviews are helpful in the following ways:
- You can read them as a general and accurate guide to what is already known about a given topic.
- They are a key part of the research process. They help you establish a theoretical and methodological framework or context for your research.
- By doing a literature review, you can locate existing patterns and trends. This helps you find the gaps in your field and formulate a meaningful research question.
So, like the systematic and scoping reviews, a narrative review appraises, critiques, and summarizes a topic’s available research. For example, this narrative review sums up the evidence on exercise interventions in improving the health aspects of patients with preclinical Alzheimer’s disease.This narrative review is provided for the clinical development programs for non-oral, non-injectable formulations of dihydroergotamine (DHE) to treat migraine.
But, narrative reviews are far less systematic and rigorous. They’re evidence-based but not always considered massively helpful in terms of the scientific evidence they bring, They’re much more prone to selection bias. For example, a review paper comparing seven narrative reviews with two systematic reviews found that narrative reviews of the same studies reached different conclusions.
So, when you read or assess a narrative review, watch out for certain biases in data search methods.
What is narrative review in research methodology?
Library Guides: Literature Review: Traditional or narrative literature reviews A narrative or traditional literature review is a comprehensive, critical and objective analysis of the current knowledge on a topic. They are an essential part of the research process and help to establish a theoretical framework and focus or context for your research.
General literature review that provides a review of the most important and critical aspects of the current knowledge of the topic. This general literature review forms the introduction to a thesis or dissertation and must be defined by the research objective, underlying hypothesis or problem or the reviewer’s argumentative thesis. Theoretical literature review which examines how theory shapes or frames research Methodological literature review where the research methods and design are described. These methodological reviews outline the strengths and weaknesses of the methods used and provide future direction Historical literature review which focus on examining research throughout a period of time, often starting with the first time an issue, concept, theory, phenomena emerged in the literature, then tracing its evolution within the scholarship of a discipline. The purpose is to place research in a historical context to show familiarity with state-of-the-art developments and to identify the likely directions for future research.
References and additional resources Baker, J.D. (2016), Association of Operating Room Nurses. AORN Journal, 103 (3), 265-269. doi:10.1016/j.aorn.2016.01.016 : Library Guides: Literature Review: Traditional or narrative literature reviews
How do you write a narrative review for a research paper?
The presentation of a narrative review should be as objective as possible. It is essential that prospective authors remember that the intention of a narrative review is to describe and synthesize the available literature on a topic, providing a conclusion from this evidence.
Is a narrative review qualitative research?
CONCLUSION AND PROPOSAL – There are few systematic reviews on qualitative research in healthcare-related scholarship in South Korea. For the qualitative improvement of healthcare in this scarce situation, research in various healthcare fields should be conducted.
- Therefore, I suggest three things as below.
- First, establishing the nomenclature of systematic reviews on qualitative research is an urgent task, because systematic and coherent use of well-established terms is important when a multitude of suggested terms are in use, as shown in Appendix 1,
- The synthesis of quantitative research through the meta-analytic statistical method can be termed ‘quantitative systematic reviews’ and that of qualitative research, ‘qualitative systematic reviews’,
However, given the current situation that systematic reviews have been established as the major research methodology of the synthesis of the evidences of quantitative research and the meta-analysis applied to this is recognized as statistical methodology, systematic reviews in the narrow sense mean quantitative systematic reviews,
- On the contrary, qualitative systematic reviews is also called narrative systematic reviews and recently in a more abbreviated form called “narrative reviews”,
- However, the term ‘meta-narrative reviews’ does not fit and its use should be avoided because the meta-analysis corresponding to this is a statistical method, not a research method,
Therefore, I suggest a terminological differentiation between (quantitative) systematic reviews and (qualitative) narrative reviews, whereby the term “mixed methods reviews” may be used when both quantitative and qualitative research are involved. It was in consideration of this point that I titled this study “Narrative Reviews.” Second, the practical way to revitalize narrative reviews research when Korean researchers do not have much experience conducting narrative reviews is the critical reading of good research cases from various academic fields and their application to practical use.
To facilitate this process, I organized useful research cases by academic field and presented them in Appendix 2, Third, there is a need to establish a research-supporting organization and expand research human resources for qualitative research in the process of planning and conducting clinical studies,
The basic prior condition of proper narrative reviews is good results from qualitative research. First and foremost, given the fact that multidisciplinary cooperation is of vital importance for qualitative research, an organizational reshuffling appears necessary to facilitate efficient cooperation.
What is a narrative review summary?
A narrative summary provides a brief synopsis of the appraised evidence in a literature review. (Khangura et al., 2012) It can be included as part of a scoping review, or, in a systematic review where there is a lack of heterogeneity of available data for a full meta-analysis.
What is a narrative review vs literature review?
A narrative review is a thorough and critical overview of previously published research on the author’s specific topic of interest. It’s also referred to as a traditional review or a literature review.
What is a narrative review vs systematic review?
Differences In Objective – The main objective of a systematic review is to formulate a well-defined research question and use qualitative and quantitative methods to analyze all the available evidence attempting to answer the question. In contrast, narrative reviews can address one or more questions with a much broader scope.
What should a narrative review include?
Narrative reviews are evidence-based summaries on a particular, defined topic, often covering a range of specific questions from pathophysiology to treatment. The content may be clinical, ethical, policy or legal review. The scope of the narrative review should be defined in the work.
What are 3 examples of narrative research?
Description: – Narrative inquiry is a valuable investigative technique in qualitative research. Narrative inquiry and storytelling offer us a different way of knowing, of investigating the lived experiences of individuals, and of exploring subjectivity.
- Narrative knowledge is created and constructed through the stories of lived experience and sense-making, the meanings people afford to them, and therefore offers valuable insight into the complexity of human lives, cultures, and behaviours.
- It allows us to capture the rich data within stories, including for example giving insight into feelings, beliefs, images and time.
It also takes account of the relationship between individual experience and the wider social and cultural contexts. Crucially, it also involves collaborative inquiry and co-construction of meaning between participants and the researcher. Examples of narrative inquiry in qualitative research include for instance: stories, interviews, life histories, journals, photographs and other artifacts.
Have knowledge of narrative inquiry as a qualitative research technique. Understand the benefits which narrative inquiry and stories offer for understanding people’s lived experience and meanings. Be able to demonstrate knowledge of the theories of narrative analysis. Have an awareness of the different types of narrative analysis that can be employed in practice. Have conducted their own narrative inquiry using a variety of texts and/or images. Understand the additional benefits offered through the use of self-narratives (i.e. auto-ethnography). Be aware of the practical and ethical issues which must be considered when conducting narrative inquiry.
Learning outcomes
Understand the various ways in which narrative analysis is employed in qualitative research. Understand the theories underpinning narrative analysis. Gain knowledge of the various forms of narrative analysis which can be employed in qualitative research. Be able to undertake a narrative analysis as evidenced in practical activities. Understand the role that collaboration plays between researcher and participant in narrative inquiry. Demonstrate awareness of the ethical and practical issues which must be considered when conducting narrative analysis.
Topics During the course we will cover:
What is narrative inquiry? Why use stories in research? Theories of narrative analysis. Different forms of narrative analysis. The importance of collaboration between researcher and participant. How to conduct narrative inquiry including various examples such as: stories, interviews, life histories, journals, photography, and artifacts. Self-narratives i.e. autoethnography. Ethical and practical issues to consider.
Who will benefit This course will benefit participants who wish to advance their knowledge of qualitative research methods by exploring the benefits that narratives and stories offer as a method of inquiry in a range of applied and policy settings and contexts.
- This one-day course is designed to help participants become aware of narrative analysis and storytelling in qualitative research, and to practice some of the techniques involved.
- As well as providing a grounding in the principles and theories of narrative analysis, participants will gain hands-on experience of using the techniques of narrative inquiry and of conducting narrative analysis.
Some prior knowledge of qualitative research methods is advisable. Course tutor Dr Karen Lumsden is Senior Lecturer in Sociology at Loughborough University and has a PhD in Sociology from the University of Aberdeen. She has experience of teaching qualitative research methods at postgraduate level and to academics and practitioners.
This includes courses at the University of Aberdeen, University of Glasgow, University of Essex and Kingston University, and for the Social Research Association. Karen has also designed and delivered social research methods training for police via the East Midlands Policing Academic Collaboration (EMPAC).
Karen is an experienced qualitative researcher and ethnographer. Her work has engaged with diverse end-users including police forces, local authorities, victim organisations and young people, as she produces findings to assist future policy and practice.
What does a narrative review look like?
Write the review – Continuing on from the extensive outline, you’re now going to turn this into a full-fledged article. Bullet points will be replaced with full paragraphs. All necessary sections will be developed. You’ll end with a product that you can submit. Different authors bring different knowledge. Collaborate on the writing, emphasizing your strengths. Where possible, summarize information using appropriate tables. But make sure you don’t repeat the information in the text once again in the table. For example, Table 1 in this review gives a snapshot of thalassemia classification based on clinical severity, without repeating the information in the text.
- After you’ve finished writing the narrative review, write the abstract,
- In narrative reviews, the abstract is usually unstructured, so you’ll need to briefly summarize the entire narrative review.
- Depending on the journal the abstract may only need be a few sentences, like in this review about non-small cell lung cancer,
Circulate the document among all the authors, get feedback, incorporate it, make sure all authors approve of the contents. Then it’s time to submit the manuscript to the journal. We don’t take this section lightly. It is, after all, the review itself, which is the output of your work.
What are the weakness of narrative review?
The weakness of a narrative review lies in the procedure used to reach and offer conclusions about the nature of quantitative or qualitative empirical literature. Quantitative literature outcomes vary based on the existence of Type I (false positive) or Type II (false negative) errors.
What are the 4 types of literature review?
Over the years, numerous types of literature reviews have emerged, but the four main types are traditional or narrative, systematic, meta-analysis and meta-synthesis.
How long does it take to write a narrative review?
Anywhere from a week to, say, a month, depending on your existing familiarity with the literature. Less if you just mean a rough draft. Fastest times can be expected when you’re already familiar with the literature, and have been keeping notes as you read it. It’s vital to make a thorough literature review in any case.
How many pages should a narrative review be?
The length of a literature review varies depending on its purpose and audience. In a thesis or dissertation, the review is usually a full chapter ( at least 20 pages), but for an assignment it may only be a few pages. There are several ways to organize and structure a literature review.
What are the 5 elements of narrative paragraph?
It consists of the exposition (introduction of setting and characters), rising action (events that build conflict for the protagonist), climax (tension of conflict reaches highest, most intense point), falling action (the events following the climax), and denouement (the resolution of conflict).
What are the 5 parts of narrative report?
1 – Elements – Every narrative should have five elements to become a story: plot, setting, character, conflict, and theme, Sounds difficult at first glance, but what if look closer?
- Plot: it’s the events happening in your essay (story). For example, you write about how you learned swimming and describe what you did/how it influenced your mood and swimming skills.
- Setting: it’s when and where the events happen; in other words, it’s location and time. For example, you learned swimming in the pool of your local school, in the winter of 2013.
- Character: it’s a protagonist who drives a plot of your story. Also, there can be supporting characters. Thus, you are the protagonist of your essay about swimming, and the supporting characters are your friends May and Jerry who went to the pool with you.
In classical storytelling, a character is a hero who has to set off on a journey and deal with all antagonists and conflicts to come back home with a reward or wisdom. Source: SlideShare It was Joseph Campbell, mythologist who developed the hero’s journey in literature. Read his book The Hero with a Thousand Faces if want to learn the tricks behind writing compelling stories. Or, check The Writer’s Journey, the book by Disney’s screenwriter Christopher Vogler to reveal storytelling secrets behind all movie blockbusters.
Conflict: it’s a problem the character resolves, a moment of tension he needs to win through. In our example, the conflict was the challenge for you to swim with legs and arms together.
In literature, a conflict is defined as a hero’s struggle with opposing force. These forces are three: other characters (enemies), outside forces (society, nature, technology, fate), and a hero himself (his internal conflict). In your narrative essay, feel free to use any of those three conflict types.
Theme: it’s the moral of a story. What have you learned? What do you want the readers to understand? Back to the example with the essay about swimming: you’ve learned to swim; you want to encourage readers to learn new things, be brave and not afraid of challenges.
To combine all the five elements into a strong narrative essay, make sure you follow the format known as the narrative arc, It’s five phases your plot should get through to become a story.
What level of evidence is a narrative review?
Narrative reviews (often just called Reviews) are opinion with selective illustrations from the literature. They do not qualify as adequate evidence to answer clinical questions.
How do you write an abstract for a narrative review?
11.8 Writing an abstract All full reviews must include an abstract of not more than 400 words. The abstract should be kept as brief as possible without sacrificing important content. Abstracts to Cochrane reviews are published in MEDLINE and the Science Citation Index, and are made freely available on the internet.
- It is therefore important that they can be read as stand-alone documents.
- The abstract should summarize the key methods, results and conclusions of the review and should not contain any information that is not in the review.
- Links to other parts of the review (such as references, studies, tables and figures) may not be included in the abstract.
A hypothetical example of an abstract is included in, Abstracts should be targeted primarily at healthcare decision makers (clinicians, informed consumers and policy makers) rather than just to researchers. Terminology should be reasonably comprehensible to a general rather than a specialist healthcare audience.
Abbreviations should be avoided, except where they are widely understood (for example, HIV). Where essential, other abbreviations should be spelt out (with the abbreviations in brackets) on first use. Names of drugs and interventions that can be understood internationally should be used wherever possible.
Trade names should not be used. The content under each heading in the abstract should be as follows: Background: This should be one or two sentences to explain the context or elaborate on the purpose and rationale of the review. If this version of the review is an update of an earlier one, it is helpful to include a sentence such as “This is an update of a Cochrane review first published in YEAR, and previously updated in YEAR”.
- Objectives: This should be a precise statement of the primary objective of the review, ideally in a single sentence, matching the Objectives in the main text of the review.
- Where possible the style should be of the form “To assess the effects of for for/in “.
- Search methods: This should list the sources and the dates of the last search, for each source, using the active form ‘We searched.’ or, if there is only one author, the passive form can be used, for example, ‘Database X, Y, Z were searched’.
Search terms should not be listed here. If the CRG’s Specialized Register was used, this should be listed first in the form ‘Cochrane X Group Specialized Register’. The order for listing other databases should be the Cochrane Central Register of Controlled Trials, MEDLINE, EMBASE, other databases.
- The date range of the search for each database should be given.
- For the Cochrane Central Register of Controlled Trials this should be in the form ‘Cochrane Central Register of Controlled Trials ( The Cochrane Library 2007, Issue 1)’.
- For most other databases, such as MEDLINE, it should be in the form ‘MEDLINE (January 1966 to December 2006)’.
Searching of bibliographies for relevant citations can be covered in a generic phrase ‘reference lists of articles’. If there were any constraints based on language or publication status, these should be listed. If individuals or organizations were contacted to locate studies this should be noted and it is preferable to use ‘We contacted pharmaceutical companies’ rather than a listing of all the pharmaceutical companies contacted.
- If journals were specifically handsearched for the review, this should be noted but handsearching to help build the Specialized Register of the CRG should not be listed.
- Selection criteria: These should be given as ‘ of in ‘,
- Outcomes should only be listed here if the review was restricted to specific outcomes.
Data collection and analysis: This should be restricted to how data were extracted and assessed, and not include details of what data were extracted. This section should cover whether data extraction and assessments of risk of bias were done by more than one person.
- If the authors contacted investigators to obtain missing information, this should be noted here.
- What steps, if any, were taken to identify adverse effects should be noted.
- Main results: This section should begin with the total number of studies and participants included in the review, and brief details pertinent to the interpretation of the results (for example, the risk of bias in the studies overall or a comment on the comparability of the studies, if appropriate).
It should address the primary objective and be restricted to the main qualitative and quantitative results (generally including not more than six key results). The outcomes included should be selected on the basis of which are most likely to help someone making a decision about whether or not to use a particular intervention.
- Adverse effects should be included if these are covered in the review.
- If necessary, the number of studies and participants contributing to the separate outcomes should be noted, along with concerns over quality of evidence specific to these outcomes.
- The results should be expressed narratively as well as quantitatively if the numerical results are not clear or intuitive (such as those from a standardized mean differences analysis).
The summary statistics in the abstract should be the same as those selected as the defaults for the review, and should be presented in a standard way, such as ‘odds ratio 2.31 (95% confidence interval 1.13 to 3.45)’. Ideally, risks of events (percentage) or averages (for continuous data) should be reported for both comparison groups.
If overall results are not calculated in the review, a qualitative assessment or a description of the range and pattern of the results can be given. However, ‘vote counts’ in which the numbers of ‘positive’ and ‘negative’ studies are reported should be avoided. Authors’ conclusions: The primary purpose of the review should be to present information, rather than to offer advice or recommendations.
The Authors’ conclusions should be succinct and drawn directly from the findings of the review so that they directly and obviously reflect the main results. Assumptions should generally not be made about practice circumstances, values, preferences, tradeoffs; and the giving of advice or recommendations should generally be avoided.
Are narrative reviews useful?
At its most basic, narrative reviews are most useful for obtaining a broad perspective on a topic and are often more comparable to a textbook chapter including sections on the physiology and/or epidemiology of a topic. When reading and evaluating a narrative review, keep in mind that author’s bias may or may not be present.
Good Quality Systematic Reviews | Traditional Narrative Reviews | |
Review question formulation | Start with clear question to be answered or hypothesis to be tested. Specific: the populations, intervention, comparison, and outcome (PICO) of interest are specified. | May also start with a clear question to be answered, but they more often involve general discussion of a subject with no stated hypothesis; i.e., a topical approach. |
Searching for relevant studies | Strive to locate all relevant published and unpublished studies, fully reported, to impact of publication and other biases. Comprehensive; high-recall search for published and unpublished material, fully reported, explicit search strategy; uses several evidence sources/databases. | Do not usually attempt to locate all relevant literature. Searches for pivotal papers known to the subject expert. Not usually specified, potentially biased. |
Deciding which studies to include and exclude | Involve explicit description of what types of studies are to be included to limit selection bias on behalf of the reviewer; explicit inclusion and exclusion criteria for primary studies; tables reporting salient features of each article with expert synthesis, discussion and agreement by two or more reviewers. | Not usually specified, potentially biased; seldom reported |
Assessing study quality | Methodology of the primary articles/studies is assessed; rigorous critical appraisal; meta-analysis resulting in a pooled estimate of intervention effectiveness (not done in all systematic reviews). | Seldom reported and if reported not usually systematic |
Synthesizing study | Meta-analysis resulting in a pooled estimate of intervention effectiveness (not done in all systematic reviews). | Often a qualitative summary; may use meta-ethnographic techniques |
Are narrative reviews systematic?
Background – Narrative review articles are common in the medical literature. Bastian et al. found that they constitute the largest share of all text types in medicine and they concluded that they “remain the staple of medical literature”, Narrative reviews also appear popular among both authors and readers, and it is plausible to assume that they exercise an enormous influence among doctors in clinical practice and research.
- However, because their quality varies widely, they have frequently been compared in blanket, negative terms with systematic reviews.
- We use the term narrative review to refer to an attempt to summarize the literature in a way which is not explicitly systematic, where the minimum requirement for the term systematic relates to the method of the literature search, but in a wider sense includes a specific research question and a comprehensive summary of all studies,
While systematic reviews are not per se superior articles and while certain systematic reviews have been criticized lately, non-systematic reviews or narrative reviews have been widely criticized as unreliable, Hence, the hierarchy of evidence-based medicine places systematic reviews much higher than non-systematic ones.
However, it is likely—and even desirable—that good quality narrative reviews will continue to play an important role in medicine: while systematic reviews are superior to narrative reviews in answering specific questions (for example, whether it is advisable to switch an antidepressant among antidepressant non-responders in patients with major depressive disorder ), narrative reviews are better suited to addressing a topic in wider ways (for example, outlining the general principles of diagnosing and treating depression ).
Critical appraisal tools have been developed for systematic reviews (e.g., AMSTAR 2 ) and papers on RCTs (e.g., the CASP checklist for randomized trials ) and other types of medical studies. For narrative reviews, in contrast, no critical appraisal, or quality assessment tool is available.
- Such a tool, however, if simple and brief enough for day-to-day use, may support editors in choosing or improving manuscripts, help reviewers and readers in assessing the quality of a paper, and aid authors in preparing narrative reviews.
- It may improve the general quality of narrative reviews.
- As a consequence, we have developed SANRA, the Scale for the Assessment of Narrative Review Articles, a brief critical appraisal tool for the assessment of non-systematic articles.
Here, we present the revised scale and the results of a field test regarding its feasibility, item-total correlation, internal consistency, reliability, and criterion validity.
How many pages should a narrative review be?
The length of a literature review varies depending on its purpose and audience. In a thesis or dissertation, the review is usually a full chapter ( at least 20 pages), but for an assignment it may only be a few pages. There are several ways to organize and structure a literature review.
How do you write an introduction for a narrative review?
Introduction – Your introduction should give an outline of:
why you are writing a review, and why the topic is important the scope of the review — what aspects of the topic will be discussed the criteria used for your literature selection (e.g. type of sources used, date range) the organisational pattern of the review.
How long does it take to write a narrative review?
Anywhere from a week to, say, a month, depending on your existing familiarity with the literature. Less if you just mean a rough draft. Fastest times can be expected when you’re already familiar with the literature, and have been keeping notes as you read it. It’s vital to make a thorough literature review in any case.