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Literature Reviews in the Health Sciences

Reading and Note-Taking

You have to read the articles you find in order to accurately assess the evidence around your research question. So, be sure you read the articles you find. ​

Synthesis Matrix

A great way to take notes for a literature review is to use a synthesis matrix. Creating a spreadsheet and breaking down each article will help you see similarities and differences in your topic. Your synthesis matrix should have columns for: the article’s citation, the aim of that study, the participant sample, methods used, outcomes measured, findings, notes on the article, and 1-2 sentences that paraphrase the article/study.​

Citation Aim Participants Methods Outcomes Findings
           
           

 

Putting It All Together

Once you’ve read all of the studies and taken notes on them, here are some questions to ask so that you can begin to work on your literature review.

  •  What kinds of common threads do you see?
  •  What kinds of conversations are the scholars having about your topic?
  •  What are the divisions on the topic?

You can also ask yourself if the studies you included:​

  • Demonstrated the topic’s chronological development. 
  • Showed different approaches to the problem. ​
  • Showed an ongoing debate. ​
  • Centered on an influential study or studies. ​
  • Demonstrated a “paradigm shift.”

Your literature review as a whole should demonstrate both what scholars in your field know about your topic – and what they do not know. 

After assessing the literature in your field, you should be able to answer the following questions: ​

  • Why should we (further) study this topic?​
  • What will my paper contribute?

Structure of a Literature Review

Introduction
  • Indicate scope of the literature review.​

  • Provide some background to the topic.​

  • Demonstrate the importance or need for research.​

  • Make a claim.​

  • Offer an overview/map of the ensuing discussion​

  • If you’re writing a standalone literature review, you may opt to include a description of how you found sources and how you analyzed them for inclusion and discussion in the review

Research Question/Statement
  • Needs to be clear

  • If you have a PICO question, you’ll share it here​

  • Offer an argument and critical assessment of the literature (i.e., topic + claim).​

  • Provide an overview of current scholarly conversations.​

  • Point out gaps or weaknesses in the literature.​

  • Relate the literature to the larger aim of the study

Literature Review
  • Summarizing and synthesizing the literature. You’ll also want to analyze and interpret. Don’t just paraphrase other researchers – add your own interpretations where possible, discussing the significance of findings in relation to the literature as a whole. You’ll also be critically evaluating: Mention the strengths and weaknesses of your sources.​
  • ​Paragraphs should have topic sentences that reflect a larger idea, followed by describing how those various sources discuss that idea.​
Conclusion
  • Summarize the main findings of your review.​

  • Provide closure.​

  • Explain “so what?”​

  • If this is just one part of a larger paper, state implications for future research or connections to the current study.​

  • Connect it back to your original research question

 

Body of the Literature Review

There are different organizational structures you can select from in order to build the body of your literature review.​

​Topical/thematic: If you have found some recurring central themes that you will continue working with throughout your piece, you can organize your literature review into subsections that address different aspects of the topic, where you’ll discusses them one by one, sometimes with critiques of each. This is the most common structure.​

​Debate: This is organized by subtopic and there may be a chronological element. This organization emphasizes various strands of research in which proponents of various models openly criticize one another.​

​Chronological: This approach lists studies in terms of chronological development; it is most useful when a field shows clear development over time.

Influential study: Begins with a detailed description of one extremely important study. You will try to analyze the patterns, turning points, and key debates that have shaped the direction of the field. Give your interpretation of how and why certain developments occurred.

No matter which organizational structure you use, you’ll want to make sure you summarize and synthesize (meaning, bring different ideas together) the key findings that are relevant to your research question or topic. Here are some questions you can answer:​

● What do we know about the immediate area?​

● What are the key arguments, key characteristics, key concepts or key figures?​

● What are the existing debates/theories?​

● What common methodologies are used?​

Writing

Here’s an example of a synthesis, where this reviewer is judging research validity.

 

Compare and Contrast

In a literature review, you will also likely compare and critique articles. This will be to establish strengths and weaknesses in your field. Note that you may not recognize strengths and weaknesses until you have read widely in your subject and begin to see which studies are stronger. Here are some questions you can answer in this section:​

● How do the different studies relate? What is new, different, or controversial?​

● What views need further testing?​

● What evidence is lacking, inconclusive, contradicting, or too limited?​

● What research designs or methods seem unsatisfactory?

Here's an example of going through sources to contrast and compare:

Annotated Literature Review Example