How to tackle the conundrum of quality appraisal in systematic reviews of normative literature/information? Analysing the problems of three possible strategies (translation of a German paper)
Open accessAbstract
Background: In the last years, there has been an increase in publication of systematic reviews of normative (“argument-based”) literature or of normative information (such as ethical issues) in bioethics. The aim of a systematic review is to search, select, analyse and synthesise literature in a transparent and systematic way in order to provide a comprehensive and unbiased overview of the information sought, predominantly as a basis for informed decision-making in health care. Traditionally, one part of the procedure when conducting a systematic review is an appraisal of the quality of the literature that could be included. Main text: However, while there are established methods and standards for appraising e.g. clinical studies or other empirical research, quality appraisal of normative literature (or normative information) in the context of a systematic review is still rather a conundrum – not only is it unclear how it could or should be done, but also the question whether it necessarily must be done is not settled yet. Based on a pragmatic definition of “normative literature” as well as on a typology of different types of systematic reviews of normative literature/information, this paper identifies and critically discusses three possible strategies of conducting quality appraisal. Conclusions: The paper will argue that none of the three strategies is able to provide a general and satisfying solution to the problems associated with quality appraisal of normative literature/information. Still, the discussion of the three strategies allows outlining minimal conditions that elaborated strategies have to meet in future, and facilitates sketching a theoretically and practically promising strategy.
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Normative quality appraisal has constraints.
“Given the constraints of normative quality appraisal100 and in line with our research goal to portrait the landscape of ethical discussions, we decided to take a hybrid approach to the quality question.”
From The ethics of ChatGPT in medicine and healthcare: a systematic review on large language models (LLMs) (2024) · cites this paper as [100]
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An empirical turn in physical therapy ethics literature: systematic ethics review 2000–2023
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- Authors
- Mertz, M.
- Affiliations
- Medizinische Hochschule Hannover (DE)
- Corresponding author
- Mertz, Marcel
- ORCID
- Mertz, Marcel
- Venue
- BMC Medical Ethics
- Published
- 2019-11-14
- Volume
- 20
- Issue
- 1
- Pages
- 81-81
- ISSN
- 1472-6939 (ISSN-L)
- PMC
- PMC6857152
- OpenAlex
- W2983734199
- Cited by
- 75
- References
- 36
- Citations by year
- 2026: 6 · 2025: 19 · 2024: 16 · 2023: 9 · 2022: 17 · 2021: 4 · 2020: 4
- FWCI
- 1.27
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- BMC Medical Ethics (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Topics
- Social Sciences › Decision Sciences › Statistics, Probability and Uncertainty › Meta-analysis and systematic reviews
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Clinical practice guidelines implementation
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Ethics and bioethics in healthcare
- Keywords
- quality assessment, systematic reviews, normative information, bioethics, ethical considerations, informed decision-making
- MeSH terms
- Data Accuracy, Systematic Reviews as Topic, Germany, Humans, Periodicals as Topic, Ethics, Research
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