‘Design turn’ and the systematic review protocol

This is one of those blogs that I am starting with no way of knowing where it will go.  It follows on from my recent post on practising systematic reviews systemically.  It was prompted by re-reading an old post on the ‘design turn’ (which my blog stats tell me someone looked at today – if it was you, thanks 🙂 ).  So, I’ve re-opened Ison (2010) to the two-page long section on ‘Systemic Inquiry and the ‘Design turn’ (pages 260-262).

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Doh – it’s another landscape…stupid (Aka the ‘aha’ moment)

I’ve just realised that my post from early february on Discovering a landscape of research practice can provide effective insights into my current struggles and tensions about systematic reviews (discussed in my last post).  I’ve yet again gotten bogged down into the need to construct typologies or categories – this time of systematic reviews.  But my ‘aha’ moment – Instead I can choose to think of a landscape of literature review practices – with communities of reviewing practitioners identifying with each other, with certain questions/tasks to do and with certain ways of answering those questions/doing those task drawing on existing literature as ‘data’.

So whether you are concerned with ‘does x work for y condition for z population?’ or ‘what is known about the phenomenom a?’ or ‘what are the problems/gaps with the existing literature around q?’, you can belong somewhere in this landscape and identify with different sets of practitioners at different times.  New practices emerge from critiques or problems with existing ones, new communities form around those new practices, boundary spanners move between them taking ideas from one place to another where they mutate.  The ‘old’ practices pick up practices from the ‘new’ ones or respond to the critiques made of them.  Technology such as research databases revolutionalise the opportunities.  It shifts, it changes, it diversifies – it isn’t fixed

Why didn’t I spot the read across before! Doh!

Can systematic literature reviews be approached systemically?

My current PhD module is on the research ‘technology’ of systematic reviewing.  This type of research study is a manifestation of the evidence-based practice movement driven by the desire to make sure that research informs practice and/or policy.  Systematic reviewing arose in the world of medicine as a way of drawing together the findings of different ‘Randomised control trials’ in order to come up with a better answer to whether the intervention x leads to an outcome y.  The method of systematic review was/is hailed as better than traditional literature reviews which were criticised for cherry-picking the studies that fit with what an author wants to say.  My own view is that the traditional literature review actually has a different purpose – to scope out existing research in an area to highlight the ‘niche’ for a proposed piece of research and as Boell and Cecez-Kecmanovic (2014) eloquently argue can be undertaken just as rigorously.

Anyway, as I’ve gone through the module, I’ve begun to understand that the term systematic review now goes well beyond the original ‘what works’ review of the Cochrane collaboration.  There are a multitude of different approaches to identifying and synthesising both quantitative and qualitative information held in research literature underpinned by a variety of study designs – like other forms of research they arise from different epistemological perspectives and therefore approach the task in different ways in order to answer different types of questions.  There are now articles of systematic review methods leading to different typologies and a multitude of terms (see for example, Dixon-Woods et al, 2005; Gough et al, 2012; and, Grant and Booth, 2009) and more that focus on different ‘stages’ of the review process especially synthesis (see Barnett-Page and Thomas, 2009).

As I near the end of the module, I’ve started to wonder about the degree to which systematic reviewing can be undertaken systemically.  The systems practitioner in me is rearing its head! As Ray Ison once said to me – “research is a practice too” – words which I directly hold responsible for me doing a PhD in the first place [depending on the day I am having that may be blame or gratitude!]

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