Quality appraisal scores (using tool from Hawker et al24)
Source paper (n=7) | Abstract/title | Introduction/aims | Method/data | Sampling | Data analysis | Ethics/bias | Results | Transferability | Implications | Score (out of 36) |
Fang et al26 | 4—Structured abstract with full information title is clear | 4—concise background to discussion, contain up-to-date literature review, highlight gaps in knowledge; statement of aim and objectives may not be clear but can still be found in the paragraphs | 4—method is appropriate and described clearly (interview themes mentioned); clear details of the data collection and recording | 4—appropriate sampling method; details of who was studied and how they were recruited; explained the reason of being targeted; response rate and justification of sample size are not mentioned in the study | 4—clear description of how analysis was done; detailed description of how themes derived | 4—ethics: address issues of confidentiality, sensitivity and consent; bias: researcher was reflexive and aware of own bias | 4—findings are explicit and easy to understand as the authors divided them into different paragraphs per different themes; tables are explained in text; results directly related to aims | 3—only insights of young and marginalised women affected generalisability | 4—provided insights from a gender lens, letting us to see whether women being treated unequally; suggest ideas for further research and implications for policy and practice | 35 |
Heidenreich et al27 | 4—structured abstract bit better to divide in sections | 3—clear statement of aims but no objectives | 4—appropriate and described in detail; included interview questions; clear details of the data collection and recording | 4—inclusion criteria listed and sampling method appropriate; how study population being recruited described clearly; justified why target this group of participants | 4—clear description on how analysis was done; how themes derived are described | 3—researchers’ own bias not acknowledged | 4—findings easy to understand, tables are easily read and explained in text; results relate to aims | 3—some context and settings are described but replication of study with larger sample size and different sites are needed | 4 – contribute to something new; discussed the research question (communication); suggestions of ideas for further research and implications for nursing practice | 33 |
Nielsen et al28 | 3—abstract not in good structure | 3—full background for explaining the framework used in the study but little mention in the knowledge gap; literature review and background is adequate but aims and research questions not clear | 1—no details of data collection | 3—inadequate information of sampling strategy | 1—no details of data analysis | 2—no mention of bias acknowledged | 4—findings were easy to follow and understand in a logical progression with subheadings; results directly related to purpose of the study | 3—context and setting of the study is described | 3—new insights mentioned; suggested ways for policy change | 23 |
Mondia et al29 | 3—abstract with most of the information; purpose was not stated | 3—inadequate background and literature review; aim and objectives are mentioned; research gap is acknowledged | 3—method can be described in details | 2—no mention of sampling method or settings | 2—inadequate details of data analysis | 2—only one sentence for de-identification | 3—presented logically but more can be added to illustrate results | 2—only some context and setting described | 3 – further research direction and clinical implications are mentioned | 23 |
Yonashiro-Cho et al30 | 3—abstract with most information but not well-structured | 3—some background to discussion, highlighting in knowledge gaps; clear statements of aim and objectives; no research question mentioned | 3—method appropriate and data collection is given; recruitment mentioned but can be further elaborated in detail; focus group protocol is included | 3—appropriate sampling method; recruitment can be given in detail | 3—described grounded theory used and theme derived from coding; more can be given | 1—no mention of issues of confidentiality, sensitivity or consent | 3—findings in logical progression but can be elaborated more; demographic table was explained in text; data presented relate directly to results | Three context and settings of immigrants in America was described but the interpretation of results may not be generalisable | 4—good to suggest informal and indirect ways for communication | 26 |
Chi et al31 | 4—structured abstract; good literature review | 3—concise background to discussion; highlighted the knowledge gap; clear statement of aim but no objectives mentioned | 4—appropriate focused ethnographic study with justification; data collection is described with sample interview questions; handling of recording of data is described with information | 3—sampling method is appropriate; inclusion criteria recruitment process described; why this group is targeted is missing | 4—clear description of how analysis was done; description of how theme derived using open coding and there was triangulation to strengthen the study’s rigour | 2—only mention informed consent given | 4—indings are explicit and easy to understand; shown clearly in tables; results related directly to aims; direct quotes were presented to support findings | 3—context and settings were given and described | 4—new insights demonstrated; suggested ideas for further research; suggested implications for practice | 31 |
Duke and Petersen32 | 4—structured abstract with aim, method, results and conclusion; clear title is given | 3—no mention of objectives | 4—method is appropriate and described clearly; details of data collection clearly shown | 4—inclusion and exclusion criteria of participants described; how they recruited was stated; why this group being targeted mentioned; sample size has not justified but response rate is shown yet without explanation | 4—clear description of how themes derived: using Krippendorff’s thematic data analysis method | 3—informed consent was address but confidentiality and sensitivity were not acknowledged; researcher bias was addressed through training for them | 4—findings explicit to understand; four themes were discussed point by point; table with themes and subthemes was elaborated in text; results related directly to aims; direct quotes from interviews and focus group discussions used to support the findings | 3—most context and setting described, data collected through the study subjects were not generalisable | 3—new insights that there should not be cultural stereotype and assumption based on ethnicity or culture group; suggests implications for practice | 32 |