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Integrative Review Capstone Toolkit

This guide is designed for nursing students who are completing an integrative review as their capstone assignment.

Title/Abstract and Full Text Screening

Title/Abstract (Relevancy) ScreeningPRISMA diagram reflecting the screening process to locate studies for an integrative review

The first phase of screening involves reading through the titles and/or abstracts of records that have been retrieved by the database searches in order to determine:

  • the potential relevance of that source to the review topic
  • if that source may fit the review's eligibility criteria for inclusion

Sometimes reading the title gives enough information to conclude that a record is clearly irrelevant and the record can be rejected, but often it's necessary to read into the abstract. 

If the information in the title and/or abstract indicates that the source is irrelevant or would not fit the eligibility criteria, the record can be rejected.  

If the title and/or abstract indicates that the source could fit the review's eligibility criteria (or if there is not really enough information to fairly judge) the full text of the source should be sought for screening.  For example, in the search flow diagram (PRISMA diagram) to the right, the authors' database search retrieved a total of 249 unique records, 118 of which were rejected as irrelevant after their titles and abstracts were screened, leaving 131 full texts to review.

Full Text Review

After title/abstract screening, the majority of the database search results will likely have been rejected as irrelevant, leaving a smaller pool of potentially relevant sources.  With the information found in the database records, the full text of the sources can be sought for review (see Accessing Full Texts for details about how to locate full texts through NYU Libraries).

During "full text review", the full text of each paper that made it past title/abstract screening is read and screened according to all the elements of the inclusion/exclusion criteria.  This second phase of screening allows the author to ultimately identify the papers that will be included in the appraisal, analysis and synthesis phases of the review.

During full text review, it is customary to indicated the reason why an article is being excluded (e.g,. the reported outcomes don't meet the inclusion criteria).  For example, in the search flow diagram to the right, 131 articles were read in full, with 124 being excluded after screening for the reasons indicated in the diagram.  This screening processes ultimately left the authors with 7 papers to synthesize in their review.

Source for example PRISMA diagram:

Gautam, S., Neville, S., & Montayre, J. (2019). What is known about the spirituality in older adults living in residential care facilities? An integrative review. International Journal of Older People Nursing, 14(2), e12228. https://doi.org/10.1111/opn.12228

Removal of Duplicates & Staying Organized During Screening

There are many possible workflows related to screening and managing records for an integrative review.

Ideally, evidence synthesis projects like integrative reviews should be conducted in a rigorous and transparent way (especially if they will be published or distributed more widely).  To report a review according to PRISMA standards, it is necessary to be more systematic and careful with record keeping.

Less systematic workflow:

  1. Screen records for title/abstract relevance as searches are run in each database
  2. Only save articles for full text review

More systematic workflow (suitable for reporting via PRISMA):

  1. Finalize database search query for each database
  2. Export records from finalized search in database into citation manager or Covidence,
  3. De-duplicate database records - track number of duplicate records identified
  4. Screen pooled set of titles/abstracts for relevance - track number of records rejected after relevance screen
  5. Retrieve full texts of articles for screening
  6. Screen full texts based on inclusion/exclusion criteria - track number of records excluded after full text review, including exclusion reasons

Tools & Software for Managing Records

Citation Managers

Citation management software can be used to:

  • De-duplicate sets of records from different databases
  • Organize records into different folders or collections, based on screening status

Covidence

Exporting Records from Databases into Covidence

Covidence Knowledge Base: Importing references in Covidence

Video Tutorials 
Tips for Using Covidence to Track Screening Data:
  • Finalize Your Database Search Queries
    • Only export your search results into Covidence once you're finished refining/editing your database search queries and you're confident that you've identified the important keywords and subject headings that describe your topic, and your search filters are appropriate
      • Make sure you save a detailed copy of those search queries, including how many records you identified with each search!
  • Single Reviewer vs. Dual Reviewer Mode
    • To ensure rigor, it is common to conduct integrative reviews and evidence syntheses in teams, so Covidence defaults to 'dual reviewer mode', where each record must get two votes to move into the next phase of the review.
    • If you are the only person review records for your project, make sure you change the Settings to only require one reviewer for each screening decision (see How to switch from dual to single reviewer mode)
  • Duplicates
    • Covidence will automatically detect and remove duplicates from the database search results
    • If you notice a duplicate record that Covidence didn't catch, you can manually mark that record as a duplicate (see How to manage duplicates)

 

Citation Management Tools

Citation management software helps you take notes, organize research, import citations from electronic databases and catalogs, format reference lists in standard styles (MLA, APA etc.); insert footnotes and endnotes directly into your papers.

  • Zotero A free online citation management tool.
  • RefWorks Web-based program, licensed to everyone in the NYU community.
  • EndNote Licensed to everyone in the NYU community.

How Do I Choose Between RefWorks, EndNote, and Zotero?

Come to a Library Workshop or view this comparison list.

If you just need some quick citation formatting without having to download software, check out Zotero Bib

 

Covidence Trainings & Support

Tutorials: Exporting Records from Databases into Covidence

Covidence Knowledge Base: Importing references in Covidence

Video Overviews by Database