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Literature Reviews: A How-To Guide

How to conduct literature reviews in medicine/health

Develop a Research Question

A well-formulated research question:

  • starts your entire search process
  • provides focus for your searches
  • guides the selection of literature sources

Most likely, you will start with an idea for research that is not fully fleshed out. You will need to review some literature before you can finalize your research question, methods, and next steps.

Searching the Literature as Exploration

Research question formulation and searching the literature is an iterative process. You will likely circle back many times through this cycle as you learn more about your topic, revise your question, raise new questions or take a different direction based on what you find.

Question Frameworks

Use frameworks to help formulate your question. The process of generating a well-define and well-structured question will help you to reflect on your true information needs and aims for your study. Such a question will also help you to identify concepts that will become search terms when you are ready to search the literature.

The first and most popular framework is PICO, but there are many others. This chart shows a selection. 

PICO Patient/Population/Problem, Intervention, Comparison, Outcome Specific clinical questions
PEO Population, Exposure, Outcome Often used in public health
SPIDER Sample, Phenomenon of Interest, Design, Evaluation, Research Type Qualitative and mixed-methods studies focused on samples rather than populations
SPICE Setting, Perspective, Intervention/exposure/interest, Comparison, Evaluation Qualitative topics evaluating outcomes of a service, project or intervention
ECLIPSE Expectation, Client group, Location, Impact, Professionals, Service

Policy/service questions. What needs to be changed or improved?

PCC Population/Problem, Concept, Context Mixed methods, scoping reviews. Can help you frame important concepts

For more examples of question frameworks:

FINER

The acronym FINER will help you evaluate the quality and feasibility of your developing research question. Use it like a checklist to help you determine whether your research is feasible to do and whether the answers you hope to find are exciting and needed.

Hulley, S.B., & Cummings, S.R., Browner, W.S., Grady, D.G., & Newman, T.B. (2013). Designing clinical research. Wolters Kluwer.