Meta-analysis: the glass eye of evidence-based practice?

Abstract:

:Meta-analysis was developed as a technique for combining the results of many different quantitative studies: it is often used to produce quantitative estimates of causal relations and/or association between variables. Meta-analysis is sometimes regarded as a central component of evidence-based practice. We draw attention to an incompatibility in the epistemology and methods of reasoning in quantitative meta-analysis and the epistemology and reasoning implicit in expert practice. We argue that this may be because the common perception of meta-analysis appeals to truth as correspondence; we suggest that rejecting the naive realism that underpins truth as correspondence allows meta-analysis to be understood in terms of truth as coherence. We can then develop an account of meta-analysis that does not depend upon reduction to a mathematical procedure but is an attempt to maximise coherence in beliefs about what works that is consistent with clinical reasoning in expert practice.

journal_name

Nurs Inq

journal_title

Nursing inquiry

authors

Gregson PR,Meal AG,Avis M

doi

10.1046/j.1440-1800.2002.00129.x

subject

Has Abstract

pub_date

2002-03-01 00:00:00

pages

24-30

issue

1

eissn

1320-7881

issn

1440-1800

journal_volume

9

pub_type

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