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British Journal of Management, Vol.

14, 207–222 (2003)

Towards a Methodology for Developing


Evidence-Informed Management
Knowledge by Means of Systematic
Review*
David Tranfield, David Denyer and Palminder Smart
Advanced Management Research Centre (AMRC), Cranfield School of Management,
Cranfield University, Cranfield, MK43 OA1, UK
Corresponding author email: D. Tranfield@cranfield.ac.uk

Undertaking a review of the literature is an important part of any research project. The
researcher both maps and assesses the relevant intellectual territory in order to specify a
research question which will further develop the knowledge base. However, traditional
‘narrative’ reviews frequently lack thoroughness, and in many cases are not undertaken
as genuine pieces of investigatory science. Consequently they can lack a means for
making sense of what the collection of studies is saying. These reviews can be biased by
the researcher and often lack rigour. Furthermore, the use of reviews of the available
evidence to provide insights and guidance for intervention into operational needs of
practitioners and policymakers has largely been of secondary importance. For
practitioners, making sense of a mass of often-contradictory evidence has become
progressively harder. The quality of evidence underpinning decision-making and action
has been questioned, for inadequate or incomplete evidence seriously impedes policy
formulation and implementation. In exploring ways in which evidence-informed
management reviews might be achieved, the authors evaluate the process of systematic
review used in the medical sciences. Over the last fifteen years, medical science has
attempted to improve the review process by synthesizing research in a systematic,
transparent, and reproducible manner with the twin aims of enhancing the knowledge base
and informing policymaking and practice. This paper evaluates the extent to which the
process of systematic review can be applied to the management field in order to produce a
reliable knowledge stock and enhanced practice by developing context-sensitive research.
The paper highlights the challenges in developing an appropriate methodology.

Introduction: the need for an evidence- practice in any discipline, is a key research
informed approach objective for the respective academic and practi-
tioner communities.
Undertaking a review of the literature to provide The post-World-War-II era witnessed a sharp
the best evidence for informing policy and focus of attention by academics and practitioners
on the discipline and profession of management
(Blake and Mouton, 1976; Tisdall, 1982). The
pace of knowledge production in this field has
*This paper results from research undertaken in Cran-
been accelerating ever since and has resulted in a
field IMRC (EPSRC) grant no IMRC19, ‘Developing a
methodology for evidence-informed management body of knowledge that is increasingly fragmen-
knowledge using systematic review’, Professor David ted and transdisciplinary as well as being inter-
Tranfield and Dr David Denyer. dependent from advancements in the social

r 2003 British Academy of Management


208 D. Tranfield, D. Denyer and P. Smart

sciences (Friedman, Durkin, Phillips and Volt- through the effective use of systematic reviews.
singer, 2000). The following sections will compare and contrast
In management research, the literature review the nature of reviews in medical science and
process is a key tool, used to manage the diversity management research and evaluate the extent to
of knowledge for a specific academic inquiry. The which the systematic review process can be
aim of conducting a literature review is often to applied to the management field. Finally this
enable the researcher both to map and to assess paper will present the challenges in designing an
the existing intellectual territory, and to specify a appropriate methodology for management re-
research question to develop the existing body of search.
knowledge further. Management reviews are
usually narrative and have been widely criticized
for being singular descriptive accounts of the The origins of the evidence-based
contributions made by writers in the field, often approach
selected for inclusion on the implicit biases of the
researcher (Fink, 1998; Hart, 1998). Not surpris- Since the 1980s, the British central government
ingly they have also been condemned for lacking has placed increasing emphasis on ensuring that
critical assessment. The management-research policy and practice are informed through a more
community perpetuates this type of practice by rigorous and challenging evidence base. The
not actively commissioning infrastructural ar- ‘three E’ initiatives (economy, efficiency and
rangements to ensure previous investments in effectiveness) have focused attention on the
literature reviews are not lost. This tolerance to delivery of public services and have led to the
loss of knowledge forms a high-risk strategy that development of detailed guidance and best-
will inevitably become unsustainable as organiza- practice manuals in many disciplines. Effective-
tions endeavour further into the networked and ness in this context is concerned both with
knowledge-based economy. appropriateness and the validity of the methods
Reviews of the available evidence in manage- used by professionals in their day-to-day work to
ment to assimilate ‘best evidence’ to provide achieve their basic aims and also with the overall
insights and guidance for intervention into the ability of agencies to deliver the services they are
operational needs of practitioners and policy- required to provide (Davies, Nutley and Smith,
makers have largely become a secondary con- 2000). The concern for effective service delivery
sideration. has attracted considerable attention, and has
Sufficient momentum from academics, practi- focused interest on basing policy and practice on
tioners, and government has stirred an urgent the best evidence available. Consequently, an
need to re-evaluate the process by which manage- evidence-based movement has developed under
ment researchers conduct literature reviews. Over New Labour, and in May 1997 Tony Blair
the last fifteen years, medical science has at- announced that ‘what counts is what works’, the
tempted to improve the quality of the review intention being to signal a new ‘post-ideological’
process. This paper proposes the view that approach to public policy where evidence would
applying specific principles of the systematic take centre stage in the decision-making process
review methodology used in the medical sciences (Davies, Nutley and Smith, 2000).
to management research will help in counteracting
bias by making explicit the values and assump-
tions underpinning a review. By enhancing the The evidence-based approach in medical
legitimacy and authority of the resultant evidence, science and healthcare
systematic reviews could provide practitioners and
policy-makers with a reliable basis to formulate The evidence-based movement has had a major
decisions and take action. This is particularly impact in certain disciplines. Pre-eminent have
sobering if one considers the growing pressures been applications in medical science, where the
upon practitioners in today’s global trading pace of knowledge production has meant that
environments to do this in shorter cycle times. making sense of an often-contradictory mass of
This paper will begin by discussing the evidence has become increasingly difficult (Ohls-
evidence-based approach in medical sciences son, 1994). Specifically in the late 1980s, attention
Developing Evidence-Informed Management Knowledge 209

was drawn to the comparative lack of rigour in Systematic reviews differ from traditional
secondary research (Mulrow, 1987). Critics ar- narrative reviews by adopting a replicable,
gued that the preparation of reviews of secondary scientific and transparent process, in other words
sources were dependent on implicit, idiosyncratic a detailed technology, that aims to minimize bias
methods of data collection and interpretation through exhaustive literature searches of pub-
(Cook, Mulrow and Haynes, 1997; Greenhalgh, lished and unpublished studies and by providing
1997). In addition, practice based on poor-quality an audit trail of the reviewers decisions, proce-
evaluations of the literature sometimes had led to dures and conclusions (Cook, Mulrow and
inappropriate recommendations (Cook, Green- Haynes, 1997). The process of systematic review
gold, Ellrodt and Weingarten, 1997). In 1991, and its associated procedure, meta-analysis, has
Smith questioned the overall wisdom of much of been developed over the last decade and now
medical science, arguing that only 15–20% of plays a major role in evidence-based practices.
medical interventions were supported by solid Whereas systematic review identifies key scien-
medical evidence (Smith, 1991). The result, it was tific contributions to a field or question, meta-
argued, was that patients were being regularly analysis offers a statistical procedure for synthe-
subjected to ineffective treatments and interven- sizing findings in order to obtain overall relia-
tions, and for many practices there was little or bility unavailable from any single study alone.
no understanding of whether or not the benefits Indeed, undertaking systematic review is now
outweighed the potential harm (Davies, Nutley regarded as a ‘fundamental scientific activity’
and Smith, 1999). (Mulrow, 1994, p. 597). The 1990s saw several
The National Health Service (NHS) Research organizations formed with the aim of establishing
and Development Strategy identified that too agreed and formalized procedures for systematic
little research was being carried out in the review and to undertake systematic reviews to
important clinical areas and that much of the synthesize and disseminate evidence across all
existing research was ad hoc, piecemeal and areas of healthcare. These organizations included
poorly conducted (Peckham, 1991). The report the Cochrane Collaboration (2001), the National
also argued that researchers rather than practi- Health Science Centre for Reviews and Dissemi-
tioners, managers or policymakers drove the nation (2001) and the National Institute for
research agenda. Clinical Excellence (2001).
Furthermore, there was little dissemination, let
alone diffusion, of research findings. The Strategy
not only argued for an increase in the level of Evidence-based approaches in other
research conducted but also for systematic re- disciplines
views of existing research on important clinical or
operational questions, assessing the best evidence The movement to base practice on the best
available, collating the findings and presenting available evidence has migrated from medicine
them in a way that was accessible and relevant to to other disciplines. In the UK, the Department
decision-makers (Peckham, 1991). for Education and Skills (DfES) has established a
Centre for Evidence Informed Policy and Prac-
tice in Education. Furthermore, a ‘What Works?
Systematic review – a key tool in Programme’ was introduced in the probation
developing the evidence base service following the Crime Reduction Strategy
published by the Home Office in July 1998. The
Over the last decade medical science has made aim of the programme was to develop successful
significant strides in attempting to improve the intervention programmes based on hard evidence
quality of the review process by synthesizing so that they could be used as models for day-to-
research in a systematic, transparent and repro- day probation practice (HM Inspectorate of
ducible manner to inform policy and decision- Probation, 1998; Home Office, 1998). An Effec-
making about the organization and delivery of tive Practice Initiative also has sought to address
health and social care (Cook, Greengold, Ellrodt the difficult problem of ensuring that offender
and Weingarten, 1997; Cook, Mulrow and supervision changes in line with research evidence
Haynes, 1997; Wolf, Shea and Albanese, 2001). on what works (Furniss and Nutley, 2000). The
210 D. Tranfield, D. Denyer and P. Smart

Department for the Environment, Transport, and research to be both well founded and socially
the Regions (DETR) commissioned a review of robust. This emphasis on producing a science
the evidence base as it relates to regeneration base, which is both rigorous in formulation and
policy and practice (Dabinett, Lawless, Rhodes relevant to practice, is a key characteristic of an
and Tyler, 2001). Other disciplines such as evidence-based approach.
nursing (Evans and Pearson, 2001), housing The quality of information accepted as evi-
policy (Davies and Nutley, 1999; Maclennan dence in a discipline is dependent on a number of
and More, 1999), social care (Macdonald, 1999) criteria. These include the broad intellectual
and criminal justice (Laycock, 2000) have also approach, the value system adopted by research-
adjusted the approach with varying degrees of ers and commissioning bodies and the usual
success. In 2001, the Economic and Social research methods employed (Davies and Nutley,
Research Council (ESRC) funded the establish- 1999). Medical science has traditionally adopted
ment of a network (the Evidence Network) of a ‘normal science’ approach within which double-
multi-disciplinary centres dedicated to the im- blinded randomized controlled trials have been
provement of the evidence base for policy and widely accepted as the most rigorous method for
practice in social sciences. The Evidence Network testing interventions before use. So far, systema-
aims to use systematic review to inform and tic reviews have tended to be applied in, and to
improve decision-making in government, busi- emanate from, fields and disciplines privileging a
ness and the voluntary sector. positivist tradition, attempting to do for research
Internationally, in February 2000 the Camp- synthesis what randomized controlled trials
bell Collaboration was launched in Philadelphia aspire to do for single studies (Macdonald,
by about 150 pioneering social scientists. This 1999). Systematic reviews entail a series of techni-
equivalent of the Cochrane collaboration aims: ques for minimizing bias and error, and as such
systematic review and meta-analysis are widely
‘to help people make well-informed decisions about
regarded as providing ‘high-quality’ evidence.
the effects of interventions in the social, behavioural
Figure 1 highlights the hierarchy of evidence in
and educational arenas’ (Campbell Collaboration,
2001). the medical sciences (Davies and Nutley, 1999).
In other disciplines such as education, social
Within the approach taken by the Campbell services and criminal justice there is often both
Collaboration, delegates considered questions less consensus regarding the appropriate metho-
such as how practitioners might engage the dology to be used for evaluating the evidence
review process, what makes research useful and base, and little agreement as to how use research
useable and what standards and quality criteria evidence to inform policy and practice (Davies and
distinguished reliable from unreliable research? Nutley, 1999; Laycock, 2000; Macdonald, 1999;
In this sense, discussions addressed the need for Maclennan and More, 1999). Furthermore, policy

Hierarchy of evidence

I-I Systematic review and meta-analysis of two or more double blind randomized controlled trials.

I-2 One or more large double-blind randomized controlled trials.

II-1 One or more well-conducted cohort studies.

II-2 One or more well-conducted case-control studies.

II-3 A dramatic uncontrolled experiment.

III Expert committee sitting in review; peer leader opinion.

IV Personal experience.

Figure 1. Hierarchies of evidence. Source: reproduced by kind permission of the publisher from Davies, H. T. O. and S. M. Nutley
(1999). ‘The Rise and Rise of Evidence in Health Care’, Public Money & Management, 19 (1), pp. 9–16. r 1999 Blackwell Publishing.
Developing Evidence-Informed Management Knowledge 211

questions are rarely addressed by the use of Pettigrew (1997, p. 291), in much the same vein
randomized controlled trials. For example, in as Whitley, emphasized the significance of the
social care the nature of evidence is often hotly social production of knowledge in viewing
disputed and there exists strong resistance to management research, emphasizing stakeholder
privileging one research method over another. perspectives. His influential view was that man-
Indeed, postmodern perspectives generally mis- agement research faces a series of challenges:
trust any notion of objective evidence.
‘best captured in a series of concurrent double
Divergences such as these are deeply rooted in
hurdles, which together raise a wide spectrum of
the ontological and epistemological assumptions cognitive, social and political demands on [the]
of specific fields. Despite these difficulties, Davies, skills and knowledge of [management] researchers.’
Nutley and Smith argue optimistically:
He argued for a thematic approach:
‘The different ontological and epistemological start-
ing points in different professional traditions un- ‘to meet the double hurdle of embeddedness in the
doubtedly colour the methods and enthusiasm with social sciences and the worlds of policy and
which professionals engage with evidence. However, practice’ (Pettigrew, 1997, p. 292).
what is clear is that there remains in all of the areas Berry (1995) offered a Gallic perspective,
examined great potential for research evidence to be
arguing strongly the case for the importance of
vastly more influential than hitherto’. (2000, p. 4)
qualitative work. Several writers (Aram and
Salipante, 2000; Pfeffer and Sutton, 1999; Van
The nature of management research de Ven, 1998; Wind and Nueno, 1998) have
argued convincingly for the applied nature of
The nature of the field of management research management research. Likewise, Hambrick
has been subject, over the years, to considerable (1994) and Huff (2000) both used their addresses
analysis and discussion. Much of this discussion as President of the Academy of Management to
and debate has focused upon the ontological address the ontological status of the field. More
status of the field, particularly its fragmented and recently, Wilcoxson and Fitzgerald (2001) have
divergent nature. For example, Whitley (1984a, focused on the nature of management as a
1984b), in two influential articles, investigated the discipline and the consequences of this for
scientific status of management research as a researchers and practitioners in an Australasian
‘practically oriented social science’. He identified context and Van Aken (2001) has developed a
its fragmented state and argued that the conse- view of management research based as a design
quence of this is a: science, rather than as a formal or explanatory
science. By conceptualizing management research
‘low degree of reputational control over significance in this way, he identifies the need for a field of
standards y (which) means that the significance of
study to deliver output not only of high academic
problems and preferred ways of formulating them
are unstable, subject to disputes, and are assessed
quality but also which is practitioner and
by diffused and diverse standards.’ (Whitley, 1984a, context-sensitive. He argues that the mission of
p. 343) design sciences is to develop valid and reliable
knowledge in the form of ‘field tested and
Whitley (2000) further refined this position, grounded technological rules’ to be used in
suggesting that the continued fragmentation of designing, configuring and implementing solu-
the management field may displace academics as tions to specific problems.
key stakeholders in the research process. In The 1990s saw an extensive debate concerning
comparing management research with industrial, the nature of management research within the
work and organizational psychology, Hodgkin- British Academy of Management, which focused
son, Herriot and Anderson (2001, s45) also on the ontological status of the field, and
conclude that there is a considerable and widen- particularly the extent to which academic–practi-
ing divide between academics and other stake- tioner relations were to be privileged. The work
holder groups and that ‘this divergence is likely to of Gibbons et al. (1994) on modes of knowledge
further proliferate irrelevant theory and untheor- production has become increasingly influential in
ized and invalid practice’. such debates. In particular, their notion of mode
212 D. Tranfield, D. Denyer and P. Smart

2 knowledge production, where there is ‘a constant advantage of defining disciplinary boundaries,


flow back and forth between the theoretical and making them easy to defend. Thus, the extent to
the practical’ and where ‘knowledge is produced in which disciplines are opening up research ques-
the context of application’ has been argued to be tions, or addressing a previously defined and
central to debates about the future of management agreed agenda, dictates positioning on this
research (Tranfield and Starkey, 1998). Creating a dimension.
management research which is both theoretically Management research is a relatively young
sound and methodologically rigorous as well as field, far less well developed in terms of agenda
relevant to the practitioner community has been a and question formulation than much of medical
theme explored by both the British Academy of science. As a result there tends to be low
Management and the Foundation for Manage- consensus concerning key research questions in
ment Education (Starkey and Madan, 2001). management research. Studies in the field rarely
This discussion was developed further in a special address identical problems and share a research
issue of the British Journal of Management agenda or, more importantly, ask the same
(Hodgkinson, 2001). questions. Therefore, it is unlikely that aggrega-
tive approaches to research synthesis, such as
meta-analysis will be appropriate in management
Comparing the management and research as the heterogeneity of studies prevents
medical fields the pooling of results and the measurement of the
net effectiveness of interventions.
Tranfield and Starkey (1998), in an article which Table 1 outlines the similarities and differences
both reflected and drove the debate in the British between medical science as an applied field of
Academy of Management, used Becher’s (1989) study stemming from the biological sciences, and
dimensions drawn from the sociology of knowl- management research as an applied field with
edge to characterize management research as strong connections to the social sciences.
‘soft’ rather than ‘hard’ ‘applied’ rather than The main question here is to what extent
‘pure’, rural’ rather than ‘urban’, and ‘divergent’ review processes developed in fields that are
rather than ‘convergent’. The creation of such a striving to become evidence based, such as the
profile, with the use of dimensions drawn from more convergent field of medicine, can inform the
the sociology of knowledge, enabled contrasts to review process in the management field to help
be made with other disciplines, particularly create rigorous and relevant reviews. As manage-
medical science, where systematic review has ment research questions need to be clearly
been applied to considerable effect. Comparison specified, either as replication of an existing
can be made in both epistemological and study, as further development of an existing
ontological realms. study, or as a new study to meet a defined ‘gap’ in
Whereas medical research enjoys considerable the literature, a more systematic literature review
and extensive epistemological consensus, this is process can help to justify/qualify the near/final
untrue of management research, in general. The research question which is posed. Furthermore,
consequential difficulties of establishing agreed the process described/proposed in this paper
thresholds for high-quality work result from this values and takes steps to encourage participation,
lack of consensus. by both academics and by managers/policy-
Key ontological differences between manage- makers, and is pragmatic in intent.
ment research and medical science concern the Systematic reviews have traditionally been
dimension ‘convergent–divergent’. The extent to applied in fields and disciplines privileging a
which a discipline resides at one end of this positivist and quantitative tradition:
dimension or another is purported to depend
upon similarities in research ideologies, values ‘Positivists seek cause-and-effect laws that are
and quality judgements which create a shared sufficiently generalizable to ensure that a knowledge
sense of nationhood amongst researchers within of prior events enables a reasonable predication of
the field (Becher, 1989). Agreements concerning subsequent event y Because positivists see knowl-
key research questions to be addressed lead to a edge as accumulating, they have been more inter-
relatively low tolerance of deviance, but have the ested in developing approaches to research
Developing Evidence-Informed Management Knowledge 213

Table 1. Differences between medical research and management research

Medicine Management

Nature of the discipline Convergent Divergent.


Research culture Subjected to rigorous scientific evaluation. Split between positivist and phenomenological
perspectives.
Research questions High consensus over research questions. Low consensus over research questions.
Interventions Can be measured through experiments. Experimentation may or may not be feasible.
Research designs Based upon a hierarchy of evidence. Triangulation is recommended.
Theory Concerned with what works–did the intervention Concerned with why something works or does
offer overall benefits. not work and the context in which this occurs.
Aims of policy Generally reducing illness and death, and Multiple and competing and the balance between
improving health. them may change over time.
Weight of inputs into policy Scientific evidence. Many extraneous factors.
Methods Predominantly quantitative. Quantitative and qualitative.
Literature reviews Systematic review and meta-analysis. Largely narrative reviews.
The need for a review Reviews of effectiveness are used by clinical To develop a research question and inform
practitioners. empirical research practice.
Preparation of the review A review panel (including practitioners) guides Usually an informal/ad hoc process involving the
the process. researcher, peers and supervisor.
A brief scoping study is conducted to delimit the
subject area.
Review protocol A plan prior to the review states the criterion for Level of formality and standardisation in
including and excluding studies, the search designing/adopting protocols is usually low.
strategy, description of the methods to be used, Unacceptable to ‘tightly’ plan literature review,
coding strategies and the statistical procedures to as this may inhibit the researchers capacity to
the employed. explore, discover and develop ideas.
Protocols are made available by international
bodies to enhance networking the exchange of
knowledge.
Identifying research A comprehensive, structured search is conducted Identifying a field/sub- fields of study generally
using predetermined keywords and search strings. occurs through informal consultation. Implicit
idiosyncratic methods of data collection are used.
Selection of studies Inclusion and exclusion criteria are expressed in Based on studies that appear relevant or
the protocol to ensure a review of the best interesting. Researchers bias disables critical
available evidence. appraisal. Decisions regarding choice are not
Draw upon ‘raw data’ from ‘whole studies’ for recorded precluding any audit trails ‘Raw data’ is
analysis to create a study in its own right. often not available in academic articles, which
usually represent ‘partial studies’. Precise
inclusion/exclusion criteria are often not formally
agreed, applied recorded or monitored.
Study quality assessment Studies are assessed against predetermined Poor evaluating of the fit between research
criteria. The internal validity of the study is methodology and research questions.
judged Assessing and including qualitative Researchers tend to rely on the quality rating of a
studies is problematic. particular journal, rather than applying quality
assessment criteria to individual articles.
Data extraction Data extraction forms are used which act as a Data extraction is not formally guided by
historical record for the decisions made during explicitly stated inclusion and exclusion criteria.
the process and provides the basis on which to Data extracted is not comprehensively recorded
conduct data synthesis. and monitored.
Data synthesis A qualitative synthesis provides a tabulation of Generally narrative and qualitative. Higher levels
key characteristics and results. Meta-analysis of subjectivity associated with what is taken from
pools the data across studies to increase the an article for analysis and synthesis. Lack explicit
power of statistical analysis. Aims to generate descriptive and thematic analysis. Specific tools
‘best’ evidence. and techniques from the field of qualitative data
analysis are increasingly applied.
Reporting and Standardized reporting structures used Non- Non-standardized reporting structures.
Dissemination explanatory style adopted. Short scripts recorded Interpretive long scripts. The explanatory power
and made widely avail able through improved through the use of analogy, metaphor
internationally recognized institutions. and homology. Process of knowledge production,
Comprehensible by practitioners. omitted. Sometimes incomprehensible by
practitioners lack links between different
literature.
Evidence into practice Collaborative process and practice-oriented. Implementation of evidence is often an
afterthought.
214 D. Tranfield, D. Denyer and P. Smart

synthesis than have interpretivists.’ (Noblit and and Crombie, 1998). The Cochrane Collabora-
Hare, 1988, p. 12) tion’s Cochrane Reviewers’ Handbook (Clarke and
Oxman, 2001) and the National Health Service
Indeed researchers from an interpretivist or Dissemination (2001) provide a list of stages in
phenomenological position may suggest that conducting systematic review (see Figure 2).
systematic reviews, with their positivist leanings,
should not be adopted in the social sciences. Even
within medical research, not everybody accepts Stage I: planning the review
that systematic reviews are necessary or desirable Prior to beginning the review a review panel is
(Petticrew, 2001). Petticrew (2001, p. 98) argues formed encompassing a range of experts in the
that the concern over systematic review has been areas of both methodology and theory. Efforts
fuelled by the fact that they are often presented as should be made to include practitioners working
synonymous with a numerical aggregation of the in the field on the panel. The review panel should
results of individual studies through a process of help direct the process through regular meetings
meta-analysis and ‘that they are incapable of and resolve any disputes over the inclusion and
dealing with other forms of evidence, such as exclusion of studies. The initial stages of
from non-randomized studies or qualitative re- systematic reviews may be an iterative process
search’. However, meta-analysis ‘is simply one of of definition, clarification, and refinement
the tools, albeit a particularly important one, that (Clarke and Oxman, 2001). Within management
is used in preparing systematic reviews’ (Mulrow, it will be necessary to conduct scoping studies to
Cook and Davidoff, 1997, p. 290). In most assess the relevance and size of the literature and
systematic reviews the heterogeneity of study data to delimit the subject area or topic. Such studies
prevents the use of meta-analysis. In these cases, need to consider cross-disciplinary perspectives
synthesis is achieved through summarizing the and alternative ways in which a research topic
findings of a group of studies. Alternative has previously been tackled. The scoping study
methods of research synthesis such as realist may also include a brief overview of the
synthesis, meta-synthesis and meta-ethnography theoretical, practical and methodological history
have also been developed to draw comparisons debates surrounding the field and sub-fields of
and conclusions from a collection of studies
through interpretative and inductive methods.
Whilst there are fundamental differences between
Stage I−Planning the review
meta-analysis and qualitative research synthesis
(Campbell, Pound, Pope, Bitten, Pill, Mogan, and Phase 0 - Identification for the need for a review
Phase 1 - Preparation of a proposal for a review
Donovan, 2003), both are concerned with ‘putting
Phase 2 - Development of a review protocol
together’ (Noblit and Hare, 1988, p. 7) findings
from a number of empirical studies in some Stage II−Conducting a review
coherent way (Dingwall, Murphy, Watson,
Phase 3 - Identification of research
Greatbatch and Parker, 1998).
Phase 4 - Selection of studies
The following section of the paper reports the
Phase 5 - Study quality assessment
systematic review methodology used in medical
Phase 6 - Data extraction and monitoring progress
science, seeks to tease out the key characteristics
Phase 7 - Data synthesis
of the approach, highlights the key challenges in
transferring the model to the management field Stage III−Reporting and dissemination
and presents a number of recommendations on Phase 8 - The report and recommendations
how these may be addressed. Phase 9 - Getting evidence into practice

Figure 2. Stages of a systematic review (Source: adapted by kind


Conducting a systematic review permission of the publisher from NHS Centre for Reviews and
Dissemination (2001). Undertaking Systematic Reviews of
Research on Effectiveness. CRD’s Guidance for those Carrying
Despite the relative infancy of systematic review, Out or Commissioning Reviews. CRD Report Number 4 (2nd
a reasonable consensus has emerged as to its Edition) r 2001 NHS Centre for Reviews and Dissemination,
desirable methodological characteristics (Davies University of York.
Developing Evidence-Informed Management Knowledge 215

study. Where fields comprise of semi-independent and almost always requiring perseverance and
and autonomous sub-fields, then this process attention to detail, systematic review has been
may prove difficult and the researcher is likely to argued to provide the most efficient and high-
struggle with the volume of information and the quality method for identifying and evaluating
creation of transdisciplinary understanding. extensive literatures (Mulrow, 1994). A systema-
tic search begins with the identification of
Within medical science the researcher will also keywords and search terms, which are built from
arrive at a definitive review question. The review the scoping study, the literature and discussions
question is critical to systematic review as other within the review team. The reviewer should then
aspects of the process flow from it. In systematic decide on the search strings that are most
review the outcome of these decisions is captured appropriate for the study. The search strategy
through a formal document called a review should be reported in detail sufficient to ensure
protocol. The protocol is a plan that helps to that the search could be replicated. Searches
protect objectivity by providing explicit descrip- should not only be conducted in published
tions of the steps to be taken. The protocol journals and listed in bibliographic databases,
contains information on the specific questions but also comprise unpublished studies, con-
addressed by the study, the population (or ference proceedings, industry trials, the Internet
sample) that is the focus of the study, the search and even personal requests to known investiga-
strategy for identification of relevant studies, and tors. The output of the information search should
the criteria for inclusion and exclusion of studies be a full listing of articles and papers (core
in the review (Davies and Crombie, 1998). Once contributions) on which the review will be based.
protocols are complete they are registered with Only studies that meet all the inclusion criteria
the appropriate review-group editors, such as the specified in the review protocol and which
Cochrane Collaboration. If satisfactory, the manifest none of the exclusion criteria need be
review is published to encourage interested incorporated into the review. The strict criteria
parties to contact the reviewers and to avoid used in systematic review are linked to the desire
duplication of studies. to base reviews on the best-quality evidence. As
Any management review protocol may contain decisions regarding inclusion and exclusion re-
a conceptual discussion of the research problem main relatively subjective, this stage of the
and a statement of the problem’s significance systematic review might be conducted by more
rather than a defined research question. Further- than one reviewer. Disagreements can be resolved
more management reviews are often regarded as a within the review panel. The process of selecting
process of exploration, discovery and develop- studies in systematic review involves several
ment. Therefore, it is generally considered unac- stages. The reviewer will initially conduct a
ceptable to plan the literature-review activities review of all potentially relevant citations identi-
closely. A more flexible approach may make fied in the search. Relevant sources will be
explicit what the researcher intends to do a priori retrieved for a more detailed evaluation of the
but can be modified through the course of the full text and from these some will be chosen for
study. The researcher needs to state explicitly what the systematic review. The number of sources
changes have been made and the rationale for included and excluded at each stage of the review
doing so. The aim is to produce a protocol that is documented with the reasons for exclusions.
does not compromise the researcher’s ability to be Within the medical domain there is a tension
creative in the literature review process, whilst also between the statistical benefits of including a
ensuring reviews be less open to researcher bias large number of primary studies and conducting
than are the more traditional narrative reviews. high-quality reviews of fewer studies with the use
of more selective methodological criteria of
inclusion and exclusion (Davies, 2000). Quality
Stage II: conducting the review
assessment refers to the appraisal of a study’s
A comprehensive, unbiased search is one of the internal validity and the degree to which its
fundamental differences between a traditional design, conduct and analysis have minimized
narrative review and a systematic review. biases or errors. Individual studies in systematic
Although sometimes taking considerable time, review are judged against a set of predetermined
216 D. Tranfield, D. Denyer and P. Smart

criteria and checklists to assist the process (Ox- Sandelowski, Docherty and Emden (1997)
man, 1994). The relevance of a study to the claim that checklists, when applied to qualitative
review depends on the relevance of its research studies, should be used with caution if they are
questions and the quality of its methodology. The used as a basis on which to exclude studies from a
reviewer should avoid including: review. They go on to argue that any decisions
regarding exclusion must be supported by a
‘all studies that meet broad standards in terms of
independent and dependent variables, avoiding any
detailed explanation of the reviewer’s conception
judgement of quality.’ (Slavin, 1986, p. 6) of ‘good’ and ‘bad’ studies and the reasons for
exclusion.
Systematic reviews, due to their positivistic Whereas systematic reviews draw upon ‘raw
origins, sit comfortably with studies that use data’, in management research these data are
quantitative methods such as randomized con- often not made available in articles by authors. In
trolled trials, quasi-experimental designs, and many cases the articles only represent the results
cost-benefit and cost-effectiveness studies, there- of part studies that satisfy the orientation of the
fore, establishing criteria for ascertaining what is editors of a particular journal. Therefore, the
‘relevant’ or ‘good quality’ in qualitative research decisions regarding the selection of studies
provides a further challenge (Engel and Kuzel, actually become decisions about the selection of
1992). With qualitative studies there is no possi- ‘articles’ based on the more subjective findings
bility of testing statistically the significance of the and conclusions of the author rather than on the
results. Qualitative research, by its very nature: ‘raw’ data:
‘is non-standard, unconfined, and dependent on the ‘It is highly unlikely that such a synthesis will
subjective experience of both the researcher and the involve a re-analysis of primary data which may be
researched y it is debatable, therefore, whether an in the form of transcripts from interviews, for field-
all-encompassing critical appraisal checklist along notes from studies involving participant observa-
the lines of the User’s Guides to the Medical tion. Rather, the data to be analysed are most likely
Literature could ever be developed’ (Greenhalgh to be the findings of the studies involved. These
and Taylor, 1997, p. 741). might take the form of substantive themes arising,
for example, from in-depth interviews. Within
Several authors have presented a range of qualitative research (and arguably all research)
criteria that might be used to appraise and theory plays a pivotal role in informing the
evaluate qualitative studies (Blaxter, 1996; interpretation of data. Whilst few authors appear
Greenhalgh and Taylor, 1997; Mays and Pope, to have considered the role for theory-led synthesis
of findings across studies an argument can be made
2000; Popay, Rogers and Williams, 1998). Popay,
for exploring the potential for this approach.’
Rogers and Williams (1998) suggest that a quality
(Clarke and Oxman, 2001, section 4, p. 20)
assessment would include the following:
 a primary marker: is the research aiming to explore
Systematic reviews expose studies to rigorous
the subjective meanings that people give to particular methodological scrutiny. Within the management
experiences and interventions?; field it may be possible to conduct a quality
 context sensitive: has the research been designed in assessment of the research articles by evaluating
such a way as to enable it to be sensitive/flexible to the fit between research methodology and re-
changes occurring during the study?; search questions. However, management re-
 sampling strategy: has the study sample been selected searchers usually rely on the implicit quality
in a purposeful way shaped by theory and/or rating of a particular journal, rather than
attention given to the diverse contexts and meanings formally applying any quality assessment criteria
that the study is aiming to explore?; to the articles they include in their reviews (i.e.
 data quality: are different sources of knowledge/under-
refereed journals are ‘better’ than practitioner
standing about the issues being explored or compared?;
 theoretical adequacy: do researchers make explicit the
journals). The difficulty in specifying and con-
process by which they move from data to interpreta- ducting quality assessments of studies is a major
tion?; challenge in developing a systematic review
 generalizability: if claims are made to generalizability methodology for management research.
do these follow logically and/or theoretically from the To reduce human error and bias, systematic
data? reviews employ data-extraction forms. These
Developing Evidence-Informed Management Knowledge 217

often contain general information (title, author, question and measure the phenomenon in the
publication details), study features and specific same way. Furthermore, researchers are less
information (details and methods) and notes on concerned with the effectiveness of certain classes
emerging themes coupled with details of synth- of intervention, and rather more concerned with
esis. The Cochrane Collaboration states that understanding organizations and management
data-extraction forms serve at least three im- processes. Therefore, it is unlikely that meta-
portant functions. First, the form is directly analysis will be appropriate in management
linked to the formulated review question and research.
the planned assessment of the incorporated A number of authors have offered interpretive
studies, providing a visual representation of and inductive approaches to research synthesis,
these. Second, the extraction form acts as a which are more likely to provide a means of
historical record of the decisions made during the drawing insight from studies and for addressing
process. Third, the data-extraction form is the issues pertinent to management research. Some
data-repository from which the analysis will authors contend that there are a number of
emerge (Clarke and Oxman, 2001). philosophical and practical problems associated
The data-extraction process requires a docu- with ‘summing up’ qualitative studies, whilst
mentation of all steps taken. In many cases others argue that attempts to ‘synthesize existing
double extraction processes are employed, where studies are seen as essential to reaching higher
two independent assessors analyse a study and analytic goals and also enhancing the general-
their findings are compared and reconciled if izability of qualitative research’ (Sandelowski,
required. Data-extraction can be paper based or Docherty and Emden, 1997, p.367). Two inter-
computer based. The development of the data- pretive and inductive methods, realist synthesis
extraction sheets is flexible and may depend upon and meta-synthesis, have been developed to fill
the nature of the study. When devising the form, the gap between narrative reviews and meta-
reviewers should consider the information that analysis.
will be needed to construct summary tables and For Pawson (2001), realist synthesis offers one
to perform data synthesis. Data-extraction forms technique for producing a synthesis of a range of
should include details of the information source study types. He argues that in medical research,
(title, authors, journal, publication details) and programmes (such as medical treatments) carry
any other features of the study such as popula- the potential for change. The aim of a systematic
tion characteristics, context of the study and an review is to classify these programmes and to
evaluation of the study’s methodological quality. conduct a meta-analysis to provide a reliable
Links to other concepts, identification of emer- measure of net effect. The practitioner is invited
gent themes, and key results and additional notes to replicate the treatment that has worked to
also need to be included on the data-extraction maximum effect. In contrast, narrative reviews
form. tend to explain the combination of attributes in a
Research synthesis is the collective term for a programme and generally identify exemplars of
family of methods for summarizing, integrating, best practice. The practitioner is invited to
and, where possible, cumulating the findings of imitate the programmes that are successful.
different studies on a topic or research question According to Pawson, it is not programmes that
(Mulrow, 1994). The simplest and best-known work; rather it is the underlying reasons or
form of research synthesis is a narrative review resources that they offer subjects that generate
that attempts to identify what has been written change. Whether change occurs is also dependent
on a subject or topic. Such reviews make no on the nature of the actors and the circumstances
attempt to seek generalization or cumulative of the programme. Realist synthesis captures a
knowledge from what is reviewed (Greenhalgh, list of vital ingredients or mechanisms (positive or
1997). Meta-analysis is an alternative approach negative) that underpin each individual pro-
to synthesis, which enables the pooling of data gramme. The researcher then builds theory by
from individual studies to allow for an increase in accumulating understanding across a range of
statistical power and a more precise estimate of programmes. Whilst some scholars would ques-
effect size (Glass, 1976). Within management tion whether contingency statements could ever
research, few studies address the same research be developed, Pawson (2001) argues that a realist
218 D. Tranfield, D. Denyer and P. Smart

synthesis can provide a transferable programme desire to improve upon traditional narrative
theory in the form of ‘what works for whom in reviews by adopting explicit and rigorous pro-
what circumstances’. cesses and by:
Meta-synthesis also offers an interpretative
‘the bringing together of findings on a chosen
approach to research synthesis which can be used
theme, the results of which should be to achieve a
to identify the: greater level of understanding and attain a level of
‘theories, grand narratives, generalizations, or conceptual or theoretical development beyond that
interpretative translations produced from the in- achieved in any individual empirical study. (Camp-
tegration or comparison of findings from qualita- bell et al., 2002, p. 2)
tive studies.’ (Sandelowski, Docherty and Emden,
As in systematic reviews, the aim of realist
1997, p. 366)
syntheses and meta-syntheses is to ‘have impact’
Unlike meta-analysis, meta-synthesis is not lim- by being ‘presented in an accessible and usable
ited to synthesizing strictly comparable studies by form in the real world of practice and policy
constructing ‘interpretations, not analyses, and making’ (Sandelowski, Docherty and Emden,
by revealing the analogies between accounts’(No- 1971, p. 365).
blit and Hare, 1988, p. 8). Meta-synthesis
provides a means of taking into account:
Stage III: reporting and dissemination
‘all important similarities and differences in lan-
A good systematic review should make it easier
guage, concepts, images, and other ideas around a
target experience.’ (Sandelowski, Docherty and
for the practitioner to understand the research by
Emden, 1997, p.669) synthesizing extensive primary research papers
from which it was derived. Within management
Meta-ethnography is a method of meta-synthesis research a two-stage report might be produced.
that offers three alternative techniques for The first would provide full (rough-cut and
synthesising studies. ‘Refutational synthesis’ can detailed) ‘descriptive analysis’ of the field. This
be used when reports give conflicting representa- is achieved using a very simple set of categories
tions of the same phenomenon, ‘reciprocal with the use of the extraction forms. For
translations’ can be used where reports address example, who are the authors, how many of the
similar issues and ‘lines of argument synthesis’ core contributions are from the USA, how many
can be used if different reports examine different are European? What is the age profile of the
aspects of the same phenomenon. A meta- articles? Can the fields be divided into epochs in
ethnography is analogous with a grounded terms of volume of orientation of study? Do
theory approach for open coding and identifying simple categories divide up the field? For
categories emerging from the data and by making example, can the field be divided sectorally? By
constant comparisons between individual ac- gender? Or simple categories ‘borrowed’ from
counts (Beck, 2001). The categories are then associated cognate disciplines such as psychology
linked interpretively to provide a holistic account or sociology (interpretivist versus positivistic or
of the whole phenomenon (Suri, 1999). behavioural versus cognitive studies, for exam-
Many of the techniques of meta-synthesis ple). The researcher should be able to provide a
remain ‘either relatively untried and undeve- broad ranging descriptive account of the field
loped, and/or difficult to codify and understand’ with specific exemplars and an audit trail,
(Sandelowski, Docherty and Emden, 1997, p. justifying his/her conclusions.
369). However, both realist synthesis and meta- Researchers also need to report the findings of
synthesis challenge the positivistic orthodoxy that a ‘thematic analysis’, whether or not the results
surrounds contemporary approaches to research were derived through an aggregative or inter-
reviews, demonstrating that a synthesis can be an pretative approach, outlining that which is
interpretive, inductive, hermeneutic and eclectic known and established already from data-
process (Jensen and Alien, 1996). Whilst meta- extraction forms of the core contributions. They
synthesis and realist synthesis approaches are may wish to focus on the extent to which
fundamentally different to systematic reviews and consensus is shared across various themes. They
in particular meta-analysis, they both share a may also want to identify key emerging themes
Developing Evidence-Informed Management Knowledge 219

and research questions. Whatever overarching Conclusions


categories are chosen for the tabulation, research-
ers should again provide a detailed audit trail This paper began by arguing that reviews of
back to the core contributions to justify and existing research evidence in the management
ground their conclusions. Linking themes across field lack both rigour and relevance. Anderson,
the various core contributions wherever possible Herriot and Hodgkinson (2001) offer a four-fold
and highlighting such links is an important part characterization of applied social science. They
of the reporting process. term research that is low on rigour but high on
Systematic review provides a means for practi- relevance ‘Popularist Science’. In contrast, ‘Ped-
tioners to use the evidence provided by research to antic Science’ is high on rigour but low on
inform their decisions. However, turning the relevance, whereas ‘puerile Science’ is neither
conclusions from systematic reviews into guidelines rigorous nor relevant. Only ‘Pragmatic Science’
for practice has been a challenge in medicine balances both rigour and relevance (see Figure 3).
(Macdonald, 1999), as ‘clinicians reason about They acknowledge that the pursuit of ‘prag-
individual patients on the basis of analogy, matic’ research:
experience, heuristics, and theory, as well as
evidence’ (Cook, Mulrow and Haynes, 1997, p. ‘that genuinely bears the hallmarks of scientific
380). Decision-makers are likely, and should be rigour (irrespective of whether it be quantitative
encouraged, to use personal experience and pro- and/or qualitative in nature), but which also
blem-solving skills rather than relying solely on the engages a wider body of stakeholders in the
knowledge production process, presents a set of
results of systematic reviews (Bero and Rennie,
formidable challenges for the management research
1995; Rosenberg and Donald, 1995). Within community at this juncture.’ (Hodgkinson, Herriot
management there is a need to recognize that and Anderson, 2001, p. S46)
evidence alone is often insufficient and incomplete,
only informing decision-making by bounding This paper has outlined the opportunities and
available options. Therefore, the terms ‘evidence challenges in applying ideas and methods devel-
informed’ or even ‘evidence aware’, rather than
‘evidence based’ (Nutley, Davies and Walter, 2002; Theoretical and
Nutley and Davies, 2002), may be more appro- methodological
priate in the management field, and the former has rigour
influenced our choice of title for this paper. Low High
Improving the translation of research evidence High Quadrant 1: Quadrant 2:
into practice is not unproblematic as the ‘rela- Practical , ,
Popularist Pragmatic
relevance Science , Science ,
tionships between research, knowledge, policy
and practice are always likely to remain loose,
shifting and contingent’ (Nutley and Davies,
2002, p. 11). For evidence-informed practice to Quadrant 3: Quadrant 4:
be achieved, strategies need to be developed ,Puerile
,
Pedantic
which encourage the uptake and utilization of Science , Science ,
evidence that move beyond the simple construc-
tion and dissemination of the research base
Low
(Nutley and Davies, 2000). Encouraging practi-
tioners to set specific questions for reviews and to
Figure 3. A four-fold typology of research in industrial, work and
engage in the process may help in developing a
organizational psychology. Source: adapted by G. P. Hodgkin-
‘context sensitive’ science (Nowotny, Scott and son, P. Herriot and N. Anderson (2001), British Journal of
Gibbons, 2001) which may help to blur the Management, 12 (Special Issue), page S42, from N. Anderson,
boundaries between science, policy and practice. P. Herriot and G. P. Hodgkinson, ‘The practitioner-researcher
Increasing the precision of a reliable evidence divide in industrial, work and organizational (IWO) psychology:
where are we now, and where do we go from here?’, Journal of
base in order that policymakers and practitioners
Occupational and Organizational Psychology, 74, pp. 391–411.
can make more sensitive judgements is the r 2001 The British Psychological Society and the British
ultimate aim of the application of systematic Academy of Management. Reproduced by kind permission of
review procedures to management research. both publishers.
220 D. Tranfield, D. Denyer and P. Smart

oped in medical science to the field of manage- Cochrane Collaboration (2001), The Cochrane Brochure, http://
ment, with the aim of further developing and www.cochrane.org/cochrane/cc-broch.htm#BDL
Cook, D. J., N. L. Greengold, A. G. Ellrodt, and S. R.
enhancing the quality of management reviews
Weingarten (1997). ‘The Relation Between Systematic Re-
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