how to best critique a research paper

How to Write an Article Critique Step-by-Step

Table of contents

• 1 What is an Article Critique Writing?
• 2 How to Critique an Article: The Main Steps
• 3 Article Critique Outline
• 4 Article Critique Formatting
• 5 How to Write a Journal Article Critique
• 6 How to Write a Research Article Critique
• 7 Research Methods in Article Critique Writing
• 8 Tips for writing an Article Critique

Do you know how to critique an article? If not, don’t worry – this guide will walk you through the writing process step-by-step. First, we’ll discuss what a research article critique is and its importance. Then, we’ll outline the key points to consider when critiquing a scientific article. Finally, we’ll provide a step-by-step guide on how to write an article critique including introduction, body and summary. Read more to get the main idea of crafting a critique paper.

What is an Article Critique Writing?

An article critique is a formal analysis and evaluation of a piece of writing. It is often written in response to a particular text but can also be a response to a book, a movie, or any other form of writing. There are many different types of review articles . Before writing an article critique, you should have an idea about each of them.

To start writing a good critique, you must first read the article thoroughly and examine and make sure you understand the article’s purpose. Then, you should outline the article’s key points and discuss how well they are presented. Next, you should offer your comments and opinions on the article, discussing whether you agree or disagree with the author’s points and subject. Finally, concluding your critique with a brief summary of your thoughts on the article would be best. Ensure that the general audience understands your perspective on the piece.

How to Critique an Article: The Main Steps

If you are wondering “what is included in an article critique,” the answer is:

An article critique typically includes the following:

• A brief summary of the article .
• A critical evaluation of the article’s strengths and weaknesses.
• A conclusion.

When critiquing an article, it is essential to critically read the piece and consider the author’s purpose and research strategies that the author chose. Next, provide a brief summary of the text, highlighting the author’s main points and ideas. Critique an article using formal language and relevant literature in the body paragraphs. Finally, describe the thesis statement, main idea, and author’s interpretations in your language using specific examples from the article. It is also vital to discuss the statistical methods used and whether they are appropriate for the research question. Make notes of the points you think need to be discussed, and also do a literature review from where the author ground their research. Offer your perspective on the article and whether it is well-written. Finally, provide background information on the topic if necessary.

When you are reading an article, it is vital to take notes and critique the text to understand it fully and to be able to use the information in it. Here are the main steps for critiquing an article:

• Read the piece thoroughly, taking notes as you go. Ensure you understand the main points and the author’s argument.
• Take a look at the author’s perspective. Is it powerful? Does it back up the author’s point of view?
• Carefully examine the article’s tone. Is it biased? Are you being persuaded by the author in any way?
• Look at the structure. Is it well organized? Does it make sense?
• Consider the writing style. Is it clear? Is it well-written?
• Evaluate the sources the author uses. Are they credible?
• Think about your own opinion. With what do you concur or disagree? Why?

Article Critique Outline

When assigned an article critique, your instructor asks you to read and analyze it and provide feedback. A specific format is typically followed when writing an article critique.

An article critique usually has three sections: an introduction, a body, and a conclusion.

• The introduction of your article critique should have a summary and key points.
• The critique’s main body should thoroughly evaluate the piece, highlighting its strengths and weaknesses, and state your ideas and opinions with supporting evidence.
• The conclusion should restate your research and describe your opinion.

You should provide your analysis rather than simply agreeing or disagreeing with the author. When writing an article review , it is essential to be objective and critical. Describe your perspective on the subject and create an article review summary. Be sure to use proper grammar, spelling, and punctuation, write it in the third person, and cite your sources.

Article Critique Formatting

When writing an article critique, you should follow a few formatting guidelines. The importance of using a proper format is to make your review clear and easy to read.

Make sure to use double spacing throughout your critique. It will make it easy to understand and read for your instructor.

Indent each new paragraph. It will help to separate your critique into different sections visually.

Use headings to organize your critique. Your introduction, body, and conclusion should stand out. It will make it easy for your instructor to follow your thoughts.

Use standard fonts, such as Times New Roman or Arial. It will make your critique easy to read.

Use 12-point font size. It will ensure that your critique is easy to read.

How to Write a Journal Article Critique

When critiquing a journal article, there are a few key points to keep in mind:

• Good critiques should be objective, meaning that the author’s ideas and arguments should be evaluated without personal bias.
• Critiques should be critical, meaning that all aspects of the article should be examined, including the author’s introduction, main ideas, and discussion.
• Critiques should be informative, providing the reader with a clear understanding of the article’s strengths and weaknesses.

When critiquing a research article, evaluating the author’s argument and the evidence they present is important. The author should state their thesis or the main point in the introductory paragraph. You should explain the article’s main ideas and evaluate the evidence critically. In the discussion section, the author should explain the implications of their findings and suggest future research.

It is also essential to keep a critical eye when reading scientific articles. In order to be credible, the scientific article must be based on evidence and previous literature. The author’s argument should be well-supported by data and logical reasoning.

How to Write a Research Article Critique

When you are assigned a research article, the first thing you need to do is read the piece carefully. Make sure you understand the subject matter and the author’s chosen approach. Next, you need to assess the importance of the author’s work. What are the key findings, and how do they contribute to the field of research?

Finally, you need to provide a critical point-by-point analysis of the article. This should include discussing the research questions, the main findings, and the overall impression of the scientific piece. In conclusion, you should state whether the text is good or bad. Read more to get an idea about curating a research article critique. But if you are not confident, you can ask “ write my papers ” and hire a professional to craft a critique paper for you. Explore your options online and get high-quality work quickly.

However, test yourself and use the following tips to write a research article critique that is clear, concise, and properly formatted.

• Take notes while you read the text in its entirety. Right down each point you agree and disagree with.
• Write a thesis statement that concisely and clearly outlines the main points.
• Write a paragraph that introduces the article and provides context for the critique.
• Write a paragraph for each of the following points, summarizing the main points and providing your own analysis:
• The purpose of the study
• The research question or questions
• The methods used
• The outcomes
• The conclusions were drawn by the author(s)
• Mention the strengths and weaknesses of the piece in a separate paragraph.
• Write a conclusion that summarizes your thoughts about the article.
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Research Methods in Article Critique Writing

When writing an article critique, it is important to use research methods to support your arguments. There are a variety of research methods that you can use, and each has its strengths and weaknesses. In this text, we will discuss four of the most common research methods used in article critique writing: quantitative research, qualitative research, systematic reviews, and meta-analysis.

Quantitative research is a research method that uses numbers and statistics to analyze data. This type of research is used to test hypotheses or measure a treatment’s effects. Quantitative research is normally considered more reliable than qualitative research because it considers a large amount of information. But, it might be difficult to find enough data to complete it properly.

Qualitative research is a research method that uses words and interviews to analyze data. This type of research is used to understand people’s thoughts and feelings. Qualitative research is usually more reliable than quantitative research because it is less likely to be biased. Though it is more expensive and tedious.

Systematic reviews are a type of research that uses a set of rules to search for and analyze studies on a particular topic. Some think that systematic reviews are more reliable than other research methods because they use a rigorous process to find and analyze studies. However, they can be pricy and long to carry out.

Meta-analysis is a type of research that combines several studies’ results to understand a treatment’s overall effect better. Meta-analysis is generally considered one of the most reliable type of research because it uses data from several approved studies. Conversely, it involves a long and costly process.

Are you still struggling to understand the critique of an article concept? You can contact an online review writing service to get help from skilled writers. You can get custom, and unique article reviews easily.

Tips for writing an Article Critique

It’s crucial to keep in mind that you’re not just sharing your opinion of the content when you write an article critique. Instead, you are providing a critical analysis, looking at its strengths and weaknesses. In order to write a compelling critique, you should follow these tips: Take note carefully of the essential elements as you read it.

• Make sure that you understand the thesis statement.
• Write down your thoughts, including strengths and weaknesses.
• Use evidence from to support your points.
• Create a clear and concise critique, making sure to avoid giving your opinion.

It is important to be clear and concise when creating an article critique. You should avoid giving your opinion and instead focus on providing a critical analysis. You should also use evidence from the article to support your points.

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Making sense of research: A guide for critiquing a paper

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• 1 School of Nursing, Griffith University, Meadowbrook, Queensland.
• PMID: 16114192
• DOI: 10.5172/conu.14.1.38

Learning how to critique research articles is one of the fundamental skills of scholarship in any discipline. The range, quantity and quality of publications available today via print, electronic and Internet databases means it has become essential to equip students and practitioners with the prerequisites to judge the integrity and usefulness of published research. Finding, understanding and critiquing quality articles can be a difficult process. This article sets out some helpful indicators to assist the novice to make sense of research.

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A critique asks you to evaluate an article and the author’s argument. You will need to look critically at what the author is claiming, evaluate the research methods, and look for possible problems with, or applications of, the researcher’s claims.

Introduction

Give an overview of the author’s main points and how the author supports those points. Explain what the author found and describe the process they used to arrive at this conclusion.

Body Paragraphs

Interpret the information from the article:

• Does the author review previous studies? Is current and relevant research used?
• What type of research was used – empirical studies, anecdotal material, or personal observations?
• Was the sample too small to generalize from?
• Was the participant group lacking in diversity (race, gender, age, education, socioeconomic status, etc.)
• For instance, volunteers gathered at a health food store might have different attitudes about nutrition than the population at large.
• How useful does this work seem to you? How does the author suggest the findings could be applied and how do you believe they could be applied?
• How could the study have been improved in your opinion?
• Does the author appear to have any biases (related to gender, race, class, or politics)?
• Is the writing clear and easy to follow? Does the author’s tone add to or detract from the article?
• How useful are the visuals (such as tables, charts, maps, photographs) included, if any? How do they help to illustrate the argument? Are they confusing or hard to read?
• What further research might be conducted on this subject?

Try to synthesize the pieces of your critique to emphasize your own main points about the author’s work, relating the researcher’s work to your own knowledge or to topics being discussed in your course.

From the Center for Academic Excellence (opens in a new window), University of Saint Joseph Connecticut

Additional Resources

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Writing an Article Critique (from The University of Arizona Global Campus Writing Center)

How to Critique an Article (from Essaypro.com)

How to Write an Article Critique (from EliteEditing.com.au)

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Writing, reading, and critiquing reviews

Écrire, lire et revue critique, douglas archibald.

1 University of Ottawa, Ontario, Canada;

Maria Athina Martimianakis

2 University of Toronto, Ontario, Canada

Why reviews matter

What do all authors of the CMEJ have in common? For that matter what do all health professions education scholars have in common? We all engage with literature. When you have an idea or question the first thing you do is find out what has been published on the topic of interest. Literature reviews are foundational to any study. They describe what is known about given topic and lead us to identify a knowledge gap to study. All reviews require authors to be able accurately summarize, synthesize, interpret and even critique the research literature. 1 , 2 In fact, for this editorial we have had to review the literature on reviews . Knowledge and evidence are expanding in our field of health professions education at an ever increasing rate and so to help keep pace, well written reviews are essential. Though reviews may be difficult to write, they will always be read. In this editorial we survey the various forms review articles can take. As well we want to provide authors and reviewers at CMEJ with some guidance and resources to be able write and/or review a review article.

What are the types of reviews conducted in Health Professions Education?

Health professions education attracts scholars from across disciplines and professions. For this reason, there are numerous ways to conduct reviews and it is important to familiarize oneself with these different forms to be able to effectively situate your work and write a compelling rationale for choosing your review methodology. 1 , 2 To do this, authors must contend with an ever-increasing lexicon of review type articles. In 2009 Grant and colleagues conducted a typology of reviews to aid readers makes sense of the different review types, listing fourteen different ways of conducting reviews, not all of which are mutually exclusive. 3 Interestingly, in their typology they did not include narrative reviews which are often used by authors in health professions education. In Table 1 , we offer a short description of three common types of review articles submitted to CMEJ.

Three common types of review articles submitted to CMEJ

More recently, authors such as Greenhalgh 4 have drawn attention to the perceived hierarchy of systematic reviews over scoping and narrative reviews. Like Greenhalgh, 4 we argue that systematic reviews are not to be seen as the gold standard of all reviews. Instead, it is important to align the method of review to what the authors hope to achieve, and pursue the review rigorously, according to the tenets of the chosen review type. Sometimes it is helpful to read part of the literature on your topic before deciding on a methodology for organizing and assessing its usefulness. Importantly, whether you are conducting a review or reading reviews, appreciating the differences between different types of reviews can also help you weigh the author’s interpretation of their findings.

In the next section we summarize some general tips for conducting successful reviews.

How to write and review a review article

In 2016 David Cook wrote an editorial for Medical Education on tips for a great review article. 13 These tips are excellent suggestions for all types of articles you are considering to submit to the CMEJ. First, start with a clear question: focused or more general depending on the type of review you are conducting. Systematic reviews tend to address very focused questions often summarizing the evidence of your topic. Other types of reviews tend to have broader questions and are more exploratory in nature.

Following your question, choose an approach and plan your methods to match your question…just like you would for a research study. Fortunately, there are guidelines for many types of reviews. As Cook points out the most important consideration is to be sure that the methods you follow lead to a defensible answer to your review question. To help you prepare for a defensible answer there are many guides available. For systematic reviews consult PRISMA guidelines ; 13 for scoping reviews PRISMA-ScR ; 14 and SANRA 15 for narrative reviews. It is also important to explain to readers why you have chosen to conduct a review. You may be introducing a new way for addressing an old problem, drawing links across literatures, filling in gaps in our knowledge about a phenomenon or educational practice. Cook refers to this as setting the stage. Linking back to the literature is important. In systematic reviews for example, you must be clear in explaining how your review builds on existing literature and previous reviews. This is your opportunity to be critical. What are the gaps and limitations of previous reviews? So, how will your systematic review resolve the shortcomings of previous work? In other types of reviews, such as narrative reviews, its less about filling a specific knowledge gap, and more about generating new research topic areas, exposing blind spots in our thinking, or making creative new links across issues. Whatever, type of review paper you are working on, the next steps are ones that can be applied to any scholarly writing. Be clear and offer insight. What is your main message? A review is more than just listing studies or referencing literature on your topic. Lead your readers to a convincing message. Provide commentary and interpretation for the studies in your review that will help you to inform your conclusions. For systematic reviews, Cook’s final tip is most likely the most important– report completely. You need to explain all your methods and report enough detail that readers can verify the main findings of each study you review. The most common reasons CMEJ reviewers recommend to decline a review article is because authors do not follow these last tips. In these instances authors do not provide the readers with enough detail to substantiate their interpretations or the message is not clear. Our recommendation for writing a great review is to ensure you have followed the previous tips and to have colleagues read over your paper to ensure you have provided a clear, detailed description and interpretation.

Finally, we leave you with some resources to guide your review writing. 3 , 7 , 8 , 10 , 11 , 16 , 17 We look forward to seeing your future work. One thing is certain, a better appreciation of what different reviews provide to the field will contribute to more purposeful exploration of the literature and better manuscript writing in general.

In this issue we present many interesting and worthwhile papers, two of which are, in fact, reviews.

Major Contributions

A chance for reform: the environmental impact of travel for general surgery residency interviews by Fung et al. 18 estimated the CO 2 emissions associated with traveling for residency position interviews. Due to the high emissions levels (mean 1.82 tonnes per applicant), they called for the consideration of alternative options such as videoconference interviews.

Understanding community family medicine preceptors’ involvement in educational scholarship: perceptions, influencing factors and promising areas for action by Ward and team 19 identified barriers, enablers, and opportunities to grow educational scholarship at community-based teaching sites. They discovered a growing interest in educational scholarship among community-based family medicine preceptors and hope the identification of successful processes will be beneficial for other community-based Family Medicine preceptors.

Exploring the global impact of the COVID-19 pandemic on medical education: an international cross-sectional study of medical learners by Allison Brown and team 20 studied the impact of COVID-19 on medical learners around the world. There were different concerns depending on the levels of training, such as residents’ concerns with career timeline compared to trainees’ concerns with the quality of learning. Overall, the learners negatively perceived the disruption at all levels and geographic regions.

The impact of local health professions education grants: is it worth the investment? by Susan Humphrey-Murto and co-authors 21 considered factors that lead to the publication of studies supported by local medical education grants. They identified several factors associated with publication success, including previous oral or poster presentations. They hope their results will be valuable for Canadian centres with local grant programs.

Exploring the impact of the COVID-19 pandemic on medical learner wellness: a needs assessment for the development of learner wellness interventions by Stephana Cherak and team 22 studied learner-wellness in various training environments disrupted by the pandemic. They reported a negative impact on learner wellness at all stages of training. Their results can benefit the development of future wellness interventions.

Program directors’ reflections on national policy change in medical education: insights on decision-making, accreditation, and the CanMEDS framework by Dore, Bogie, et al. 23 invited program directors to reflect on the introduction of the CanMEDS framework into Canadian postgraduate medical education programs. Their survey revealed that while program directors (PDs) recognized the necessity of the accreditation process, they did not feel they had a voice when the change occurred. The authors concluded that collaborations with PDs would lead to more successful outcomes.

Experiential learning, collaboration and reflection: key ingredients in longitudinal faculty development by Laura Farrell and team 24 stressed several elements for effective longitudinal faculty development (LFD) initiatives. They found that participants benefited from a supportive and collaborative environment while trying to learn a new skill or concept.

Brief Reports

The effect of COVID-19 on medical students’ education and wellbeing: a cross-sectional survey by Stephanie Thibaudeau and team 25 assessed the impact of COVID-19 on medical students. They reported an overall perceived negative impact, including increased depressive symptoms, increased anxiety, and reduced quality of education.

In Do PGY-1 residents in Emergency Medicine have enough experiences in resuscitations and other clinical procedures to meet the requirements of a Competence by Design curriculum? Meshkat and co-authors 26 recorded the number of adult medical resuscitations and clinical procedures completed by PGY1 Fellow of the Royal College of Physicians in Emergency Medicine residents to compare them to the Competence by Design requirements. Their study underscored the importance of monitoring collection against pre-set targets. They concluded that residency program curricula should be regularly reviewed to allow for adequate clinical experiences.

Rehearsal simulation for antenatal consults by Anita Cheng and team 27 studied whether rehearsal simulation for antenatal consults helped residents prepare for difficult conversations with parents expecting complications with their baby before birth. They found that while rehearsal simulation improved residents’ confidence and communication techniques, it did not prepare them for unexpected parent responses.

Review Papers and Meta-Analyses

Peer support programs in the fields of medicine and nursing: a systematic search and narrative review by Haykal and co-authors 28 described and evaluated peer support programs in the medical field published in the literature. They found numerous diverse programs and concluded that including a variety of delivery methods to meet the needs of all participants is a key aspect for future peer-support initiatives.

Towards competency-based medical education in addictions psychiatry: a systematic review by Bahji et al. 6 identified addiction interventions to build competency for psychiatry residents and fellows. They found that current psychiatry entrustable professional activities need to be better identified and evaluated to ensure sustained competence in addictions.

Six ways to get a grip on leveraging the expertise of Instructional Design and Technology professionals by Chen and Kleinheksel 29 provided ways to improve technology implementation by clarifying the role that Instructional Design and Technology professionals can play in technology initiatives and technology-enhanced learning. They concluded that a strong collaboration is to the benefit of both the learners and their future patients.

In his article, Seven ways to get a grip on running a successful promotions process, 30 Simon Field provided guidelines for maximizing opportunities for successful promotion experiences. His seven tips included creating a rubric for both self-assessment of likeliness of success and adjudication by the committee.

Six ways to get a grip on your first health education leadership role by Stasiuk and Scott 31 provided tips for considering a health education leadership position. They advised readers to be intentional and methodical in accepting or rejecting positions.

Re-examining the value proposition for Competency-Based Medical Education by Dagnone and team 32 described the excitement and controversy surrounding the implementation of competency-based medical education (CBME) by Canadian postgraduate training programs. They proposed observing which elements of CBME had a positive impact on various outcomes.

You Should Try This

In their work, Interprofessional culinary education workshops at the University of Saskatchewan, Lieffers et al. 33 described the implementation of interprofessional culinary education workshops that were designed to provide health professions students with an experiential and cooperative learning experience while learning about important topics in nutrition. They reported an enthusiastic response and cooperation among students from different health professional programs.

In their article, Physiotherapist-led musculoskeletal education: an innovative approach to teach medical students musculoskeletal assessment techniques, Boulila and team 34 described the implementation of physiotherapist-led workshops, whether the workshops increased medical students’ musculoskeletal knowledge, and if they increased confidence in assessment techniques.

Instagram as a virtual art display for medical students by Karly Pippitt and team 35 used social media as a platform for showcasing artwork done by first-year medical students. They described this shift to online learning due to COVID-19. Using Instagram was cost-saving and widely accessible. They intend to continue with both online and in-person displays in the future.

Adapting clinical skills volunteer patient recruitment and retention during COVID-19 by Nazerali-Maitland et al. 36 proposed a SLIM-COVID framework as a solution to the problem of dwindling volunteer patients due to COVID-19. Their framework is intended to provide actionable solutions to recruit and engage volunteers in a challenging environment.

In Quick Response codes for virtual learner evaluation of teaching and attendance monitoring, Roxana Mo and co-authors 37 used Quick Response (QR) codes to monitor attendance and obtain evaluations for virtual teaching sessions. They found QR codes valuable for quick and simple feedback that could be used for many educational applications.

In Creation and implementation of the Ottawa Handbook of Emergency Medicine Kaitlin Endres and team 38 described the creation of a handbook they made as an academic resource for medical students as they shift to clerkship. It includes relevant content encountered in Emergency Medicine. While they intended it for medical students, they also see its value for nurses, paramedics, and other medical professionals.

Commentary and Opinions

The alarming situation of medical student mental health by D’Eon and team 39 appealed to medical education leaders to respond to the high numbers of mental health concerns among medical students. They urged leaders to address the underlying problems, such as the excessive demands of the curriculum.

In the shadows: medical student clinical observerships and career exploration in the face of COVID-19 by Law and co-authors 40 offered potential solutions to replace in-person shadowing that has been disrupted due to the COVID-19 pandemic. They hope the alternatives such as virtual shadowing will close the gap in learning caused by the pandemic.

Letters to the Editor

Canadian Federation of Medical Students' response to “ The alarming situation of medical student mental health” King et al. 41 on behalf of the Canadian Federation of Medical Students (CFMS) responded to the commentary by D’Eon and team 39 on medical students' mental health. King called upon the medical education community to join the CFMS in its commitment to improving medical student wellbeing.

Re: “Development of a medical education podcast in obstetrics and gynecology” 42 was written by Kirubarajan in response to the article by Development of a medical education podcast in obstetrics and gynecology by Black and team. 43 Kirubarajan applauded the development of the podcast to meet a need in medical education, and suggested potential future topics such as interventions to prevent learner burnout.

Response to “First year medical student experiences with a clinical skills seminar emphasizing sexual and gender minority population complexity” by Kumar and Hassan 44 acknowledged the previously published article by Biro et al. 45 that explored limitations in medical training for the LGBTQ2S community. However, Kumar and Hassen advocated for further progress and reform for medical training to address the health requirements for sexual and gender minorities.

In her letter, Journey to the unknown: road closed!, 46 Rosemary Pawliuk responded to the article, Journey into the unknown: considering the international medical graduate perspective on the road to Canadian residency during the COVID-19 pandemic, by Gutman et al. 47 Pawliuk agreed that international medical students (IMGs) do not have adequate formal representation when it comes to residency training decisions. Therefore, Pawliuk challenged health organizations to make changes to give a voice in decision-making to the organizations representing IMGs.

In Connections, 48 Sara Guzman created a digital painting to portray her approach to learning. Her image of a hand touching a neuron showed her desire to physically see and touch an active neuron in order to further understand the brain and its connections.

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• CAREER FEATURE
• 04 December 2020
• Correction 09 December 2020

How to write a superb literature review

Andy Tay is a freelance writer based in Singapore.

You can also search for this author in PubMed   Google Scholar

Literature reviews are important resources for scientists. They provide historical context for a field while offering opinions on its future trajectory. Creating them can provide inspiration for one’s own research, as well as some practice in writing. But few scientists are trained in how to write a review — or in what constitutes an excellent one. Even picking the appropriate software to use can be an involved decision (see ‘Tools and techniques’). So Nature asked editors and working scientists with well-cited reviews for their tips.

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doi: https://doi.org/10.1038/d41586-020-03422-x

Interviews have been edited for length and clarity.

Updates & Corrections

Correction 09 December 2020 : An earlier version of the tables in this article included some incorrect details about the programs Zotero, Endnote and Manubot. These have now been corrected.

Hsing, I.-M., Xu, Y. & Zhao, W. Electroanalysis 19 , 755–768 (2007).

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Ledesma, H. A. et al. Nature Nanotechnol. 14 , 645–657 (2019).

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Choi, Y. & Lee, S. Y. Nature Rev. Chem . https://doi.org/10.1038/s41570-020-00221-w (2020).

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How to Write an Article Critique

Tips for Writing a Psychology Critique Paper

Kendra Cherry, MS, is a psychosocial rehabilitation specialist, psychology educator, and author of the "Everything Psychology Book."

Emily is a board-certified science editor who has worked with top digital publishing brands like Voices for Biodiversity, Study.com, GoodTherapy, Vox, and Verywell.

Cultura RM / Gu Cultura / Getty Images

• Steps for Writing a Critique

Evaluating the Article

• How to Write It
• Helpful Tips

An article critique involves critically analyzing a written work to assess its strengths and flaws. If you need to write an article critique, you will need to describe the article, analyze its contents, interpret its meaning, and make an overall assessment of the importance of the work.

Critique papers require students to conduct a critical analysis of another piece of writing, often a book, journal article, or essay . No matter your major, you will probably be expected to write a critique paper at some point.

For psychology students, critiquing a professional paper is a great way to learn more about psychology articles, writing, and the research process itself. Students will analyze how researchers conduct experiments, interpret results, and discuss the impact of the results.

At a Glance

An article critique involves making a critical assessment of a single work. This is often an article, but it might also be a book or other written source. It summarizes the contents of the article and then evaluates both the strengths and weaknesses of the piece. Knowing how to write an article critique can help you learn how to evaluate sources with a discerning eye.

Steps for Writing an Effective Article Critique

While these tips are designed to help students write a psychology critique paper, many of the same principles apply to writing article critiques in other subject areas.

Your first step should always be a thorough read-through of the material you will be analyzing and critiquing. It needs to be more than just a casual skim read. It should be in-depth with an eye toward key elements.

To write an article critique, you should:

• Read the article , noting your first impressions, questions, thoughts, and observations
• Describe the contents of the article in your own words, focusing on the main themes or ideas
• Interpret the meaning of the article and its overall importance
• Critically evaluate the contents of the article, including any strong points as well as potential weaknesses

The following guidelines can help you assess the article you are reading and make better sense of the material.

Read the Introduction Section of the Article

Start by reading the introduction . Think about how this part of the article sets up the main body and how it helps you get a background on the topic.

• Is the hypothesis clearly stated?
• Is the necessary background information and previous research described in the introduction?

In addition to answering these basic questions, note other information provided in the introduction and any questions you have.

Read the Methods Section of the Article

Is the study procedure clearly outlined in the methods section ? Can you determine which variables the researchers are measuring?

Remember to jot down questions and thoughts that come to mind as you are reading. Once you have finished reading the paper, you can then refer back to your initial questions and see which ones remain unanswered.

Read the Results Section of the Article

Are all tables and graphs clearly labeled in the results section ? Do researchers provide enough statistical information? Did the researchers collect all of the data needed to measure the variables in question?

Make a note of any questions or information that does not seem to make sense. You can refer back to these questions later as you are writing your final critique.

Read the Discussion Section of the Article

Experts suggest that it is helpful to take notes while reading through sections of the paper you are evaluating. Ask yourself key questions:

• How do the researchers interpret the results of the study?
• Did the results support their hypothesis?
• Do the conclusions drawn by the researchers seem reasonable?

The discussion section offers students an excellent opportunity to take a position. If you agree with the researcher's conclusions, explain why. If you feel the researchers are incorrect or off-base, point out problems with the conclusions and suggest alternative explanations.

Another alternative is to point out questions the researchers failed to answer in the discussion section.

Begin Writing Your Own Critique of the Paper

Once you have read the article, compile your notes and develop an outline that you can follow as you write your psychology critique paper. Here's a guide that will walk you through how to structure your critique paper.

Introduction

Begin your paper by describing the journal article and authors you are critiquing. Provide the main hypothesis (or thesis) of the paper. Explain why you think the information is relevant.

Thesis Statement

The final part of your introduction should include your thesis statement. Your thesis statement is the main idea of your critique. Your thesis should briefly sum up the main points of your critique.

Article Summary

Provide a brief summary of the article. Outline the main points, results, and discussion.

When describing the study or paper, experts suggest that you include a summary of the questions being addressed, study participants, interventions, comparisons, outcomes, and study design.

Don't get bogged down by your summary. This section should highlight the main points of the article you are critiquing. Don't feel obligated to summarize each little detail of the main paper. Focus on giving the reader an overall idea of the article's content.

Your Analysis

In this section, you will provide your critique of the article. Describe any problems you had with the author's premise, methods, or conclusions. You might focus your critique on problems with the author's argument, presentation, information, and alternatives that have been overlooked.

When evaluating a study, summarize the main findings—including the strength of evidence for each main outcome—and consider their relevance to key demographic groups.  

Organize your paper carefully. Be careful not to jump around from one argument to the next. Arguing one point at a time ensures that your paper flows well and is easy to read.

Your critique paper should end with an overview of the article's argument, your conclusions, and your reactions.

More Tips When Writing an Article Critique

• As you are editing your paper, utilize a style guide published by the American Psychological Association, such as the official Publication Manual of the American Psychological Association .
• Reading scientific articles can be challenging at first. Remember that this is a skill that takes time to learn but that your skills will become stronger the more that you read.
• Take a rough draft of your paper to your school's writing lab for additional feedback and use your university library's resources.

What This Means For You

Being able to write a solid article critique is a useful academic skill. While it can be challenging, start by breaking down the sections of the paper, noting your initial thoughts and questions. Then structure your own critique so that you present a summary followed by your evaluation. In your critique, include the strengths and the weaknesses of the article.

Archibald D, Martimianakis MA. Writing, reading, and critiquing reviews .  Can Med Educ J . 2021;12(3):1-7. doi:10.36834/cmej.72945

Pautasso M. Ten simple rules for writing a literature review . PLoS Comput Biol . 2013;9(7):e1003149. doi:10.1371/journal.pcbi.1003149

Gülpınar Ö, Güçlü AG. How to write a review article?   Turk J Urol . 2013;39(Suppl 1):44–48. doi:10.5152/tud.2013.054

Erol A. Basics of writing review articles .  Noro Psikiyatr Ars . 2022;59(1):1-2. doi:10.29399/npa.28093

American Psychological Association.  Publication Manual of the American Psychological Association  (7th ed.). Washington DC: The American Psychological Association; 2019.

By Kendra Cherry, MSEd Kendra Cherry, MS, is a psychosocial rehabilitation specialist, psychology educator, and author of the "Everything Psychology Book."

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How to Critique a Research Article

Published: 01 October 2023

Let's briefly examine some basic pointers on how to perform a literature review.

If you've managed to get your hands on peer-reviewed articles, then you may wonder why it is necessary for you to perform your own article critique. Surely the article will be of good quality if it has made it through the peer-review process?

Unfortunately, this is not always the case.

Publication bias can occur when editors only accept manuscripts that have a bearing on the direction of their own research, or reject manuscripts with negative findings. Additionally,  not all peer reviewers have expert knowledge on certain subject matters , which can introduce bias and sometimes a conflict of interest.

Performing your own critical analysis of an article allows you to consider its value to you and to your workplace.

Critical evaluation is defined as a systematic way of considering the truthfulness of a piece of research, its results and how relevant and applicable they are.

How to Critique

It can be a little overwhelming trying to critique an article when you're not sure where to start. Considering the article under the following headings may be of some use:

Title of Study/Research

You may be a better judge of this after reading the article, but the title should succinctly reflect the content of the work, stimulating readers' interest.

Three to six keywords that encapsulate the main topics of the research will have been drawn from the body of the article.

Introduction

This should include:

• Evidence of a literature review that is relevant and recent, critically appraising other works rather than merely describing them
• Background information on the study to orientate the reader to the problem
• Hypothesis or aims of the study
• Rationale for the study that justifies its need, i.e. to explore an un-investigated gap in the literature.

Materials and Methods

Similar to a recipe, the description of materials and methods will allow others to replicate the study elsewhere if needed. It should both contain and justify the exact specifications of selection criteria, sample size, response rate and any statistics used. This will demonstrate how the study is capable of achieving its aims. Things to consider in this section are:

• What sort of sampling technique and size was used?
• What proportion of the eligible sample participated? (e.g. '553 responded to a survey sent to 750 medical technologists'
• Were all eligible groups sampled? (e.g. was the survey sent only in English?)
• What were the strengths and weaknesses of the study?
• Were there threats to the reliability and validity of the study, and were these controlled for?
• Were there any obvious biases?
• If a trial was undertaken, was it randomised, case-controlled, blinded or double-blinded?

Results should be statistically analysed and presented in a way that an average reader of the journal will understand. Graphs and tables should be clear and promote clarity of the text. Consider whether:

• There were any major omissions in the results, which could indicate bias
• Percentages have been used to disguise small sample sizes
• The data generated is consistent with the data collected.

Negative results are just as relevant as research that produces positive results (but, as mentioned previously, may be omitted in publication due to editorial bias).

This should show insight into the meaning and significance of the research findings. It should not introduce any new material but should address how the aims of the study have been met. The discussion should use previous research work and theoretical concepts as the context in which the new study can be interpreted. Any limitations of the study, including bias, should be clearly presented. You will need to evaluate whether the author has clearly interpreted the results of the study, or whether the results could be interpreted another way.

Conclusions

These should be clearly stated and will only be valid if the study was reliable, valid and used a representative sample size. There may also be recommendations for further research.

These should be relevant to the study, be up-to-date, and should provide a comprehensive list of citations within the text.

Final Thoughts

Undertaking a critique of a research article may seem challenging at first, but will help you to evaluate whether the article has relevance to your own practice and workplace. Reading a single article can act as a springboard into researching the topic more widely, and aids in ensuring your nursing practice remains current and is supported by existing literature.

• Marshall, G 2005, ‘Critiquing a Research Article’, Radiography , vol. 11, no. 1, viewed 2 October 2023, https://www.radiographyonline.com/article/S1078-8174(04)00119-1/fulltext

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Writing a Critique Paper: Seven Easy Steps

Were you assigned or asked by your professor to write a critique paper? It’s easy to write one. Just follow the following four steps in writing a critique paper and three steps in presenting it, then you’re ready to go.

One of the students’ requirements I specified in the course module is a critique paper. Just so everyone benefits from the guide I prepared for that class, I share it here.

To standardize the format they use in writing a critique paper, I came up with the following steps to make their submissions worthwhile.

Since they are graduate students, more is expected of them. Hence, most of the verbs I use in writing the lesson’s objectives reside in the domain of higher thinking skills or HOTS. Developing the students’ critical thinking skills will help them analyze future problems and propose solutions that embody environmental principles thus resonate desirable outcomes aligned with the goal of sustainable development.

Table of Contents

Step-by-step procedure in writing a critique paper.

I quickly wrote this simple guide on writing a critique paper to help you evaluate any composition you want to write about. It could be a book, a scientific article, a gray paper, or whatever your professor assigns. I integrated the essence of the approach in this article.

The critique paper essentially comprises two major parts, namely the:

1) Procedure in Writing a Critique Paper, and the

2) Format of the Critique Paper.

First, you will need to know the procedure that will guide you in evaluating a paper. Second, the format of the critique paper refers to how you present it so that it becomes logical and scholarly in tone.

The Four Steps in Writing a Critique Paper

Here are the four steps in writing a critique paper:

To write a good critique paper, it pays to adhere to a smooth flow of thought in your evaluation of the piece. You will need to introduce the topic, analyze, interpret, then conclude it.

Introduce the Discussion Topic

Introduce the topic of the critique paper. To capture the author’s idea, you may apply the  5Ws and 1H approach  in writing your technical report.

That means, when you write your critique paper, you should be able to answer the Why , When , Where , What , Who , and How questions. Using this approach prevents missing out on the essential details. If you can write a critique paper that adheres to this approach, that would be excellent.

Here’s a simplified example to illustrate the technique:

The news article by John Doe was a narrative about a bank robbery. Accordingly, a masked man  (Who)  robbed a bank  (What)  the other day  (When)  next to a police station  (Where) . He did so in broad daylight  (How) . He used a bicycle to escape from the scene of the crime  (How) . In his haste, he bumped into a post. His mask fell off; thus, everyone saw his face, allowing witnesses to describe him. As a result, he had difficulty escaping the police, who eventually retrieved his loot and put him in jail because of his wrongdoing  (Why) .

Hence, you give details about the topic, in this case, a bank robbery. Briefly describe what you want to tell your audience. State the overall purpose of writing the piece and its intention.

Is the essay written to inform, entertain, educate, raise an issue for debate, and so on? Don’t parrot or repeat what the writer wrote in his paper. And write a paragraph or a few sentences as succinctly as you can.

Analyze means to break down the abstract ideas presented into manageable bits.

What are the main points of the composition? How was it structured? Did the view expressed by the author allow you, as the reader, to understand?

In the example given above, it’s easy to analyze the event as revealed by the chain of events. How do you examine the situation?

The following steps are helpful in the analysis of information:

• Ask yourself what your objective is in writing the critique paper. Come up with a guidepost in examining it. Are you looking at it with some goal or purpose in mind? Say you want to find out how thieves carry out bank robberies. Perhaps you can categorize those robberies as either planned or unplanned.
• Find out the source, or  basis, of the information that you need. Will you use the paper as your source of data, or do you have corroborating evidence?
• Remove  unnecessary information  from your data source. Your decision to do so depends on your objective. If there is irrelevant data, remove it from your critique.

We can use an analogy here to clearly explain the analysis portion.

If you want to split a log, what would you do? Do you use an ax, a chainsaw, or perhaps a knife? The last one is out of the question. It’s inappropriate.

Thus, it would be best if you defined the tools of your analysis. Tools facilitate understanding and allow you to make an incisive analysis.

Read More : 5 Tools in Writing the Analysis Section of the Critique Paper

Now, you are ready to interpret the article, book, or any composition once the requisites of analysis are in place.

Visualize the event in your mind and interpret the behavior of actors in the bank robbery incident. You have several actors in that bank heist: the robber, the police, and the witnesses of the crime.

While reading the story, it might have occurred to you that the robber is inexperienced. We can see some discrepancies in his actions.

Imagine, his mode of escape is a bicycle. What got into him? Maybe he did not plan the robbery at all. Besides, there was no mention that the robber used a gun in the heist.

That fact confirms the first observation that he was not ready at all. Escaping the scene of the crime using a bicycle with nothing to defend himself once pursued? He’s insane. Unimaginable. He’s better off sleeping at home and waiting for food to land on his lap if food will come at all.

If we examine the police’s response, they were relatively quick. Right after the robber escaped the crime scene, they appeared to remedy the situation. The robber did not put up a fight.

What? With bare knuckles? It makes little sense.

If we look at the witnesses’ behavior, we can discern that perhaps they willingly informed the police of the bank robber’s details. They were not afraid. And that’s because the robber appears to be unarmed. But there was no specific mention of it.

Narrate the importance of each of the different sections or paragraphs. How does the write-up contribute to the overall picture of the issue or problem being studied?

Assess or Evaluate

Finally, judge whether the article was a worthwhile account after all. Did it meet expectations? Was it able to convey the information most efficiently? Or are there loopholes or flaws that should have been mentioned?

Format of Presenting the Critique Paper

The logical format in writing a critique paper comprises at least three sections: the introduction, the body, and the conclusion. This approach is systematic and achieves a good flow that readers can follow.

Introduction

Include the title and name of the author in your introduction. Make a general description of the topic being discussed, including the author’s assumptions, inferences, or contentions. Find out the thesis or central argument , which will be the basis of your discussion.

The robbery example appears to be inappropriate to demonstrate this section, as it is so simple. So we level up to a scientific article.

In any scientific article, there is always a thesis that guides the write-up. A thesis is a statement that expresses what the author believes in and tries to test in his study. The investigation or research converges (ideally) to this central theme as the author’s argument.

You can find the thesis in the paper’s hypothesis section. That’s because a hypothesis is a tentative thesis. Hypo means “below or under,” meaning it is the author’s tentative explanation of whatever phenomenon he tackles.

If you need more information about this, please refer to my previous post titled “ How to Write a Thesis .”

How is the introduction of a critique paper structured? It follows the general guidelines of writing from a broad perspective to more specific concerns or details. See how it’s written here:  Writing a Thesis Introduction: from General to Specific .

You may include the process you adopted in writing the critique paper in this section.

The body of the paper includes details about the article being examined. It is here where you place all those musings of yours after applying the  analytical tools .

This section is similar to the results and discussion portion of a scientific paper. It describes the outcome of your analysis and interpretation.

In explaining or expressing your argument, substantiate it by citing references to make it believable. Make sure that those references are relevant as well as timely. Don’t cite references that are so far out in the past. These, perhaps, would not amount to a better understanding of the topic at hand. Find one that will help you understand the situation.

Besides, who wants to adopt the perspective of an author who has not even got hold of a mobile phone if your paper is about  using mobile phones to facilitate learning during the pandemic caused by COVID-19 ? Find a more recent one that will help you understand the situation.

Objectively examine the major points presented by the author by giving details about the work. How does the author present or express the idea or concept? Is he (or she) convincing the way he/she presents his/her paper’s thesis?

Well, I don’t want to be gender-biased, but I find the “he/she” term somewhat queer. I’ll get back to the “he” again, to represent both sexes.

I mention the gender issue because the literature says that there is a difference in how a person sees things based on gender. For example, Ragins & Sundstrom (1989) observed that it would be more difficult for women to obtain power in the organization than men. And there’s a paper on gender and emotions by Shields et al. (2006) , although I wouldn’t know the outcome of that study as it is behind a paywall. My point is just that there is a difference in perspective between men and women. Alright.

Therefore, always find evidence to support your position. Explain why you agree or disagree with the author. Point out the discrepancies or strengths of the paper.

Well, everything has an end. Write a critique paper that incorporates the  key takeaways  of the document examined. End the critique with an overall interpretation of the article, whatever that is.

Why do you think is the paper relevant in the course’s context that you are taking? How does it contribute to say, the study of human behavior (in reference to the bank robbery)? Are there areas that need to be considered by future researchers, investigators, or scientists? That will be the knowledge gap that the next generation of researchers will have to look into.

If you have read up to this point, then thank you for reading my musings. I hope that helped you clarify the steps in writing a critique paper. A well-written critique paper depends on your writing style.

Read More : How to Write an Article with AI: A Guide to Using AI for Article Creation and Refinement

Notice that my writing style changes based on the topic that I discuss. Hence, if your professor assigns you a serious, rigorous, incisive, and detailed analysis of a scientific article, then that is the way to go. Adopt a formal mode in your writing.

Final Tip : Find a paper that is easy for you to understand. In that way, you can clearly express your thoughts. Write a critique paper that rocks!

Related Reading

Master Content Analysis: An All-in-One Guide

Ragins, B. R., & Sundstrom, E. (1989). Gender and power in organizations: A longitudinal perspective. Psychological bulletin , 105 (1), 51.

Shields, S. A., Garner, D. N., Di Leone, B., & Hadley, A. M. (2006). Gender and emotion. In Handbook of the sociology of emotions (pp. 63-83). Springer, Boston, MA.

© 2020 November 20 P. A. Regoniel

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About the author, patrick regoniel.

Dr. Regoniel, a faculty member of the graduate school, served as consultant to various environmental research and development projects covering issues and concerns on climate change, coral reef resources and management, economic valuation of environmental and natural resources, mining, and waste management and pollution. He has extensive experience on applied statistics, systems modelling and analysis, an avid practitioner of LaTeX, and a multidisciplinary web developer. He leverages pioneering AI-powered content creation tools to produce unique and comprehensive articles in this website.

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How to Critique an Article (Psychology)

Introduction.

• The introduction is a justification for why the study was conducted.
• By the end of the introduction you should have a very good idea of what the researchers are going to study, and be convinced that the study is absolutely necessary to advance the field.
• The justification should be a combination of improving on previous research and good theoretical reasons and practical reasons for why the study is important.
• If the authors are talking about a controversial issue, are they presenting both sides in a reasonable way? Is their choice of one side over the other based on hard evidence?
• Do you understand what their hypotheses are e.g. what they expect to find?
• It is not good enough just to say that the study has not been done before. There are plenty of topics that have not been scientifically researched before but that doesn't mean that they should be. For example, I doubt that anyone has ever looked at the correlation between favorite color of Skittles and personality, but that doesn't mean that it should be researched unless there is a good theoretical reason for why we would expect a relationship and a good reason to think that knowing the relationship would advance our understanding of personality in some meaningful way.

• Last Updated: Nov 5, 2021 9:46 AM
• Subjects: Psychology

How to Write a Critique Paper: Format, Tips, & Critique Essay Examples

A critique paper is an academic writing genre that summarizes and gives a critical evaluation of a concept or work. Or, to put it simply, it is no more than a summary and a critical analysis of a specific issue. This type of writing aims to evaluate the impact of the given work or concept in its field.

Our specialists will write a custom essay specially for you!

Want to learn more? Continue reading this article written by Custom-writing experts! It contains:

• best tips on how to critique an article or a literary work,
• a critique paper example with introduction, body, and conclusion.

💁 What Is a Critique Paper?

• 👣 Critical Writing Steps

👀 Critical Essay Types

📝 critique paper format, 📑 critique paper outline, 🔗 references.

A critique is a particular academic writing genre that requires you to carefully study, summarize, and critically analyze a study or a concept. In other words, it is nothing more than a critical analysis. That is all you are doing when writing a critical essay: trying to understand the work and present an evaluation. Critical essays can be either positive or negative, as the work deserves.

👣 How to Write a Critique Essay: Main Steps

Starting critique essays is the most challenging part. You are supposed to substantiate your opinion with quotes and paraphrases, avoiding retelling the entire text. A critical analysis aims to find out whether an article or another piece of writing is compelling. First, you need to formulate the author’s thesis: what was the literary work supposed to convey? Then, explore the text on how this main idea was elaborated. Finally, draft your critique according to the structure given below.

Step 1: Critical Reading

1.1. Attentively read the literary work. While reading, make notes and underline the essentials.

• Try to come into the author’s world and think why they wrote such a piece.
• Point out which literary devices are successful. Some research in literary theory may be required.
• Find out what you dislike about the text, i.e., controversies, gaps, inconsistency, or incompleteness.

1.2. Find or formulate the author’s thesis. 

• What is the principal argument? In an article, it can be found in the first paragraph.
• In a literary work, formulate one of the principal themes, as the thesis is not explicit.
• If you write a critique of painting, find out what feelings, emotions, or ideas, the artist attempted to project.

1.3. Make a summary or synopsis of the analyzed text. 

• One paragraph will suffice. You can use it in your critique essay, if necessary.
• The point is to explore the gist.

Step 2: Analyzing the Text

After the reading phase, ask yourself the following questions :

• What was your emotional response to the text? Which techniques, images, or ideas made you feel so?
• Find out the author’s background. Which experiences made them raise such a thesis? What other significant works have they written that demonstrate the general direction of thought of this person?
• Are the concepts used correctly in the text? Are the references reliable, and do they sufficiently substantiate the author’s opinion?

Step 3: Drafting the Essay

Finally, it is time to draft your essay. First of all, you’ll need to write a brief overview of the text you’re analyzing. Then, formulate a thesis statement – one sentence that will contain your opinion of the work under scrutiny. After that, make a one-paragraph summary of the text.

You can use this simple template for the draft version of your analysis. Another thing that can help you at this step is a summary creator to make the creative process more efficient.

Critique Paper Template

• Start with an introductory phrase about the domain of the work in question.
• Tell which work you are going to analyze, its author, and year of publication.
• Specify the principal argument of the work under study.
• In the third sentence, clearly state your thesis.
• Here you can insert the summary you wrote before.
• This is the only place where you can use it. No summary can be written in the main body!
• Use one paragraph for every separate analyzed aspect of the text (style, organization, fairness/bias, etc.).
• Each paragraph should confirm your thesis (e.g., whether the text is effective or ineffective).
• Each paragraph shall start with a topic sentence, followed by evidence, and concluded with a statement referring to the thesis.
• Provide a final judgment on the effectiveness of the piece of writing.
• Summarize your main points and restate the thesis, indicating that everything you said above confirms it.

You can evaluate the chosen work or concept in several ways. Pick the one you feel more comfortable with from the following:

Just in 1 hour! We will write you a plagiarism-free paper in hardly more than 1 hour

• Descriptive critical essays examine texts or other works. Their primary focus is usually on certain features of a work, and it is common to compare and contrast the subject of your analysis to a classic example of the genre to which it belongs.
• Evaluative critical essays provide an estimate of the value of the work. Was it as good as you expected based on the recommendations, or do you feel your time would have been better spent on something else?
• Interpretive essays provide your readers with answers that relate to the meaning of the work in question. To do this, you must select a method of determining the meaning, read/watch/observe your analysis subject using this method, and put forth an argument.

There are also different types of critiques. The University of North Carolina-Chapel Hill, in the article “ Writing critiques ,” discusses them as well as the appropriate critique language.

Critique Paper Topics

• Critique of the article Is Google Making Us Stupid? by Nicholas Carr .
• Interpret the symbolism of Edgar Alan Poe’s The Black Cat .
• Examine the topicality of the article Impact of Racial/Ethnic Differences on Child Mental Health Care .  
• Critical essay on Alice Walker’s short story Everyday Use .
• Discuss the value of the essay The Hanging by George Orwell .
• A critique on the article Stocks Versus Bonds : Explaining the Equity Risk Premium .
• Explore the themes Tennessee Williams reveals in The Glass Menagerie.
• Analyze the relevance of the article Leadership Characteristics and Digital Transformation .
• Critical evaluation of Jonathan Harvey’s play Beautiful Thing .
• Analyze and critique Derek Raymond’s story He Died with His Eyes Open .
• Discuss the techniques author uses to present the problem of choice in The Plague .
• Examine and evaluate the research article Using Evidence-Based Practice to Prevent Ventilator-Associated Pneumonia . 
• Explore the scientific value of the article Our Future: A Lancet Commission on Adolescent Health and Wellbeing .
• Describe the ideas E. Hemingway put into his A Clean, Well-Lighted Place .
• Analyze the literary qualities of Always Running La Vida Loca: Gang Days in L. A .
• Critical writing on The Incarnation of Power by Wright Mills. 
• Explain the strengths and shortcomings of Tim Kreider’s article The Busy Trap .
• Critical response to Woolf’s novel Mrs. Dalloway .
• Examine the main idea of Richard Godbeer’s book Escaping Salem .
• The strong and weak points of the article The Confusion of Tongues by William G. Bellshaw .
• Critical review of Gulliver’s Travels .
• Analyze the stylistic devices Anthony Lewis uses in Gideon’s Trumpet.
• Examine the techniques Elie Wiesel uses to show relationship transformation in the book Night .
• Critique of the play Fences by August Wilson .
• The role of exposition in Achebe’s novel Things Fall Apart.
• The main themes John Maxwell discusses in his book Disgrace .
• Critical evaluation of Ray Bradbury’s Fahrenheit 451 .
• The ideas and concept of the book The Vegetarian Imperative .  
• Different points of view on one historical figure in the book Two Lives of Charlemagne .

Since the APA critique paper format is one of the most common, let’s discuss it in more detail. Check out the information below to learn more:

The APA Manual recommends using the following fonts:

• 11-point Calibri,
• 11-point Arial,
• 10-point Lucida Sans Unicode,
• 12-point Times New Roman,
• 11-point Georgia,
• 10-point Computer Modern.

Receive a plagiarism-free paper tailored to your instructions. Cut 15% off your first order!

Add 1-inch margins on all sides.

📌 Page numbers

Page numbers should appear at the top right-hand corner, starting with the title page.

📌 Line spacing

The entire document, including the title page and reference list, should be double-spaced.

Get an originally-written paper according to your instructions!

📌 Title page

The title page should include the following information:

• page number 1 in the top right-hand corner of the page header,
• paper title,
• the student’s name,
• the name of the department and the college or university,
• course number and name,
• the instructor’s name,
• due date (the date format used in your country).

📌 Critique paper title

The title of your critique paper should be no more than 12 words. In addition, it should be centered and typed in bold using title case.

📌 In-text citations

For the in-text citation, provide the author’s last name and publication year in brackets. If you are using direct citation, add the page number after the year.

📌 References

The last page of your paper should include a list of all sources cited in your essay. Here’s a general format of book and journal article citations you should use:

Book: Last name, First initial. Middle initial. (Year). Book title: Subtitle . Publisher.

Journal article: Last name, First initial. Middle initial. (Year). Title of the article. Journal Title, volume (issue number), start page–end page.

The main parts of good critical response essays are:

• Introduction. The introduction is the most essential part of the critical response. It should be concise and include the author and title of the work being analyzed, its main idea, and a strong thesis statement.
• Summary. This should be brief and to the point. Only the author’s/creator’s main ideas and arguments should be included.
• Analysis/interpretation. Discuss what the author’s/creator’s primary goal was and determine whether this goal was reached successfully. Use the evidence you have gathered to argue whether or not the author/creator achieved was adequately convincing (remember there should be no personal bias in this discussion).
• Evaluation/response. At this point, your readers are ready to learn your objective response to the work. It should be professional yet entertaining to read. Do not hesitate to use strong language. You can say that the work you analyzed was weak and poorly-structured if that is the case, but keep in mind that you have to have evidence to back up your claim.
• Conclusion. The last paragraph of your work should restate the thesis statement, summarize the key points, and create a sense of closure for the readers.

Critique Paper Introduction

The introduction is setting the stage for your analysis. Here are some tips to follow when working on it:

• Provide the reader with a brief synopsis of the main points of the work you are critiquing .
• State your general opinion of the work , using it as your thesis statement. The ideal situation is that you identify and use a controversial thesis.
• Remember that you will uncover a lot of necessary information about the work you are critiquing. You mustn’t make use of all of it, providing the reader with information that is unnecessary in your critique. If you are writing about Shakespeare, you don’t have to waste your or your reader’s time going through all of his works.

Critique Paper Body

The body of the critique contains the supporting paragraphs. This is where you will provide the facts that prove your main idea and support your thesis. Follow the tips below when writing the body of your critique.

• Every paragraph must focus on a precise concept from the paper under your scrutiny , and your job is to include arguments to support or disprove that concept. Concrete evidence is required.
• A critical essay is written in the third-person and ensures the reader is presented with an objective analysis.
• Discuss whether the author was able to achieve their goals and adequately get their point across.
• It is important not to confuse facts and opinions . An opinion is a personal thought and requires confirmation, whereas a fact is supported by reliable data and requires no further proof. Do not back up one idea with another one.
• Remember that your purpose is to provide the reader with an understanding of a particular piece of literature or other work from your perspective. Be as specific as possible.

Critique Paper Conclusion

Finally, you will need to write a conclusion for your critique. The conclusion reasserts your overall general opinion of the ideas presented in the text and ensures there is no doubt in the reader’s mind about what you believe and why. Follow these tips when writing your conclusion:

• Summarize the analysis you provided in the body of the critique.
• Summarize the primary reasons why you made your analysis .
• Where appropriate, provide recommendations on how the work you critiqued can be improved.

For more details on how to write a critique, check out the great critique analysis template provided by Thompson Rivers University.

If you want more information on essay writing in general, look at the Secrets of Essay Writing .

Example of Critique Paper with Introduction, Body, and Conclusion

Check out this critical response example to “The Last Inch” by James Aldridge to show how everything works in practice:

Introduction 

In his story “The Last Inch,” James Aldridge addresses the issue of the relationship between parents and children. The author captured the young boy’s coming into maturity coinciding with a challenging trial. He also demonstrated how the twelve-year-old boy obtained his father’s character traits. Aldridge’s prose is both brutal and poetic, expressing his characters’ genuine emotions and the sad truths of their situations.

Body: Summary 

The story is about Ben Ensley, an unemployed professional pilot, who decides to capture underwater shots for money. He travels to Shark Bay with his son, Davy. Ben is severely injured after being attacked by a shark while photographing. His last hope of survival is to fly back to the little African hamlet from where they took off.

Body: Analysis 

The story effectively uses the themes of survival and fatherhood and has an intriguing and captivating plot. In addition, Ben’s metamorphosis from a failing pilot to a determined survivor is effectively presented. His bond with his son, Davy, adds depth and emotional importance to the story. At the same time, the background information about Ben’s past and his life before the shark attack could be more effectively integrated into the main story rather than being presented as separate blocks of text.

Body: Evaluation 

I find “The Last Inch” by James Aldridge a very engaging and emotional story since it highlights the idea of a father’s unconditional love and determination in the face of adversity. I was also impressed by the vivid descriptions and strong character development of the father and son.

Conclusion 

“The Last Inch” by James Aldridge is an engaging and emotional narrative that will appeal to readers of all ages. It is a story of strength, dedication, and the unbreakable link between father and son. Though some backstory could be integrated more smoothly, “The Last Inch” impresses with its emotional punch. It leaves the readers touched by the raw power of fatherly love and human will.

📚 Critique Essay Examples

With all of the information and tips provided above, your way will become clearer when you have a solid example of a critique essay.

Below is a critical response to The Yellow Wallpaper by Charlotte Perkins Gilman.

When speaking of feminist literature that is prominent and manages to touch on incredibly controversial issues, The Yellow Wallpaper is the first book that comes to mind. Written from a first-person perspective, magnifying the effect of the narrative, the short story by Charlotte Perkins Gilman introduces the reader to the problem of the physical and mental health of the women of the 19th century. However, the message that is intended to concern feminist ideas is rather subtle. Written in the form of several diary entries, the novel offers a mysterious plot, and at the same time, shockingly realistic details.

What really stands out about the novel is the fact that the reader is never really sure how much of the story takes place in reality and how much of it happens in the psychotic mind of the protagonist. In addition, the novel contains a plethora of description that contributes to the strain and enhances the correlation between the atmosphere and the protagonist’s fears: “The color is repellent, almost revolting; a smoldering unclean yellow, strangely faded by the slow-turning sunlight” (Gilman).

Despite Gilman’s obvious intent to make the novel a feminist story with a dash of thriller thrown in, the result is instead a thriller with a dash of feminism, as Allen (2009) explains. However, there is no doubt that the novel is a renowned classic. Offering a perfect portrayal of the 19th-century stereotypes, it is a treasure that is certainly worth the read.

If you need another critique essay example, take a look at our sample on “ The Importance of Being Earnest ” by Oscar Wilde.

And here are some more critique paper examples for you check out:

• A Good Man Is Hard to Find: Critique Paper
• Critique on “The Yellow Wallpaper” by Charlotte Perkins Gilman
• “When the Five Rights Go Wrong” Article Critique
• Homer’s Iliad and Odyssey — Comparison & Critique
• “The TrueBlue Study”: Qualitative Article Critique 
• Ethical Conflict Associated With Managed Care: Views of Nurse Practitioners’: Article Critique 
• Benefits and Disadvantages of Prone Positioning in Severe Acute Respiratory Distress: Article Critique
• Reducing Stress in Student Nurses: Article Critique
• Management of Change and Professional Safety – Article Critique
• “Views of Young People Towards Physical Activity”: Article Critique

Seeing an example of a critique is so helpful. You can find many other examples of a critique paper at the University of Minnesota and John Hopkins University. Plus, you can check out this video for a great explanation of how to write a critique.

• Critical Analysis
• Writing an Article Critique
• The Critique Essay
• Critique Essay
• Writing a Critique
• Writing A Book Critique
• Media Critique
• Tips for an Effective Creative Writing Critique
• How to Write an Article Critique
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May I know who’s the author? For my citation activity.

Hello, Kriszha! You can reference it as a web source/web page.

Wow…great work… kindly can you assist me in writing a critique about indiscipline in a school

That’s an interesting demonstration I watched. However, my weakness is that I’m very poor in language and analysing issues.

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Types of Peer Review

Following the submission of the manuscript, a preliminary review round is conducted by the editor to determine whether the manuscript is consistent with the journal’s aim and scope. To analyze the research’s quality, it is moved to the desk of peer reviewers before getting published. This collective process is termed as “Peer review.” It is an essential component of scholarly publication because it is responsible for screening authentic research content and providing readers with reliable data. In academic publishing, peer review processes are classified into seven types.

The main distinction is how well the editors, reviewers, and authors are aware of the identities of each other.

1) Single-Blind Review

A single-blind review is also known as a single anonymized review. It is the most common one among all the types.

Here, the reviewers are aware of the author’s identity, but it does not disclose the reviewer’s details to the author.

This allows reviewers to provide feedback without the fear of interference from the author.

2) Double-Blind Review

Both the author and the reviewers are unaware of each other in a double-blind (or double-anonymized) review. This process conceals the identities from each other.

It is believed that double-blind review helps in the publication of manuscripts on the basis of merit instead of the reputation of the author.

3) Open Peer Review

It discloses the identities of both reviewer and the author. It usually means that the reviewers are aware of your identity as an author and that your identity will be revealed to you at some point during the review or publication process. One of the major disadvantages of this process is that the identification may influence the review process.

4) Post-Publication Review

In this process, review occurs after publication. Some journals provide this exclusive platform of post-publication peer review.

5) Transparent Review

The author’s identity is disclosed in a transparent peer review, but the reviewers can choose if they want to share their identities or not. Their identities cannot reveal until the report is signed by them.

6) Collaborative Review

This process provides an opportunity for discussion between the reviewers and authors among themselves during the process directly   to improve the manuscript. It provides a rich forum for discussion and allows all groups to resolve any conflicts or dichotomies in real time. As a result, this can reduce multiple editing rounds. However, the identities of the reviewers are not made public prior to publication, although they can become public at the time of publication.

But this process consumes time and resources. To implement this set system, frequently a technological platform must be in place, where staffs are needed to monitor and repair any sorts of bugs and glitches.

7) Cascading Peer Review

If the editor rejects a manuscript for incompatible niche or low priority, he/she refers the author to an alternate journal for submission along with the reviewer’s report.

It helps the author to publish his/her manuscript, although it takes more time than the traditional methods.

Conclusion:

It is up to the journal to determine the type of peer review process for each paper. However, not all publications follow the peer review process.

But, publishing peer-review materials alongside articles increase the transparency of the peer-review process and provide readers with credible sources of information.

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May 15, 2024

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Two decades of studies suggest health benefits associated with plant-based diets, but caution urged

by Public Library of Science

Vegetarian and vegan diets are generally associated with better status on various medical factors linked to cardiovascular health and cancer risk, as well as lower risk of cardiovascular diseases, cancer, and death, according to a new review of 48 previously published papers. Angelo Capodici and colleagues present these findings in the open-access journal PLOS ONE on May 15, 2024.

Prior studies have linked certain diets with increased risk of cardiovascular disease and cancer. A diet that is poor in plant products and rich in meat, refined grains, sugar, and salt is associated with higher risk of death. Reducing consumption of animal-based products in favor of plant-based products has been suggested to lower the risk of cardiovascular disease and cancer. However, the overall benefits of such diets remain unclear.

To deepen an understanding of the potential benefits of plant-based diets, Capodici and colleagues reviewed 48 papers published between January 2000 and June 2023 that had compiled evidence from multiple prior studies. Following an "umbrella" review approach, they extracted and analyzed data from the 48 papers on links between plant-based diets, cardiovascular health , and cancer risk.

Their analysis showed that, overall, vegetarian and vegan diets have a robust statistical association with better health status on a number of risk factors associated with cardiometabolic diseases, cancer, and mortality, such as blood pressure , management of blood sugar, and body mass index. Such diets are associated with reduced risk of ischemic heart disease, gastrointestinal and prostate cancer , and death from cardiovascular disease.

However, among pregnant women specifically, those with vegetarian diets faced no difference in their risk of gestational diabetes and hypertension compared to those on non-plant-based diets.

Overall, these findings suggest that plant-based diets are associated with significant health benefits. However, the researchers note, the statistical strength of this association is significantly limited by the many differences between past studies in terms of the specific diet regimens followed, patient demographics, study duration, and other factors.

Moreover, some plant-based diets may introduce vitamin and mineral deficiencies for some people. Thus, the researchers caution against large-scale recommendation of plant-based diets until more research is completed.

The authors add, "Our study evaluates the different impacts of animal-free diets for cardiovascular health and cancer risk showing how a vegetarian diet can be beneficial to human health and be one of the effective preventive strategies for the two most impactful chronic diseases on human health in the 21st century."

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5 Best AI Research Paper Summarizers (May 2024)

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Table Of Contents

In the fast-paced world of academic research, keeping up with the ever-growing body of literature can be a daunting task. Researchers and students often find themselves inundated with lengthy research papers, making it challenging to quickly grasp the core ideas and insights. AI-powered research paper summarizers have emerged as powerful tools, leveraging advanced algorithms to condense lengthy documents into concise and readable summaries.

In this article, we will explore the top AI research paper summarizers, each designed to streamline the process of understanding and synthesizing academic literature:

1. Tenorshare AI PDF Tool

Tenorshare AI PDF Tool is a cutting-edge solution that harnesses the power of artificial intelligence to simplify the process of summarizing research papers. With its user-friendly interface and advanced AI algorithms, this tool quickly analyzes and condenses lengthy papers into concise, readable summaries, allowing researchers to grasp the core ideas without having to read the entire document.

One of the standout features of Tenorshare AI PDF Tool is its interactive chat interface, powered by ChatGPT. This innovative functionality enables users to ask questions and retrieve specific information from the PDF document, making it easier to navigate and understand complex research papers. The tool also efficiently extracts critical sections and information, such as the abstract, methodology, results, and conclusions, streamlining the reading process and helping users focus on the most relevant parts of the document.

Key features of Tenorshare AI PDF Tool:

• AI-driven summarization that quickly condenses lengthy research papers
• Interactive chat interface powered by ChatGPT for retrieving specific information
• Automatic extraction of critical sections and information from the paper
• Batch processing capabilities for handling multiple PDF files simultaneously
• Secure and private, with SSL encryption and the option to delete uploaded files

Elicit is an AI-powered research assistant that improves the way users find and summarize academic papers. With its intelligent search capabilities and advanced natural language processing, Elicit helps researchers quickly identify the most relevant papers and understand their core ideas through automatically generated summaries.

By simply entering keywords, phrases, or questions, users can leverage Elicit's AI algorithms to search through its extensive database and retrieve the most pertinent papers. The tool offers various filters and sorting options, such as publication date, study types, and citation count, enabling users to refine their search results and find exactly what they need. One of Elicit's most impressive features is its ability to generate concise summaries of the top papers related to the search query, capturing the key findings and conclusions and saving researchers valuable time.

Key features of Elicit:

• Intelligent search that understands the context and meaning of search queries
• Filters and sorting options for refining search results
• Automatic summarization of the top papers related to the search query
• Detailed paper insights, including tested outcomes, participant information, and trustworthiness assessment
• Inline referencing for transparency and accuracy verification

3. QuillBot

QuillBot is an AI-powered writing platform that offers a comprehensive suite of tools to enhance and streamline the writing process, including a powerful Summarizer tool that is particularly useful for condensing research papers. By leveraging advanced natural language processing and machine learning algorithms, QuillBot's Summarizer quickly analyzes lengthy articles, research papers, or documents and generates concise summaries that capture the core ideas and key points.

One of the key advantages of QuillBot's Summarizer is its ability to perform extractive summarization, which involves identifying and extracting the most critical sentences and information from the research paper while maintaining the original context. Users can customize the summary length to be either short (key sentences) or long (paragraph format) based on their needs, and the output can be generated in either a bullet point list format or as a coherent paragraph. This flexibility allows researchers to tailor the summary to their specific requirements and preferences.

Key features of QuillBot's Summarizer:

• AI-powered extractive summarization that identifies and extracts key information
• Customizable summary length (short or long) to suit different needs
• Bullet point or paragraph output for flexible formatting
• Improved reading comprehension by condensing the paper into its core concepts
• Integration with other QuillBot tools, such as Paraphraser and Grammar Checker, for further enhancement

4. Semantic Scholar

Semantic Scholar is a free, AI-powered research tool developed by the Allen Institute for AI that improves the way researchers search for and discover scientific literature. By employing advanced natural language processing, machine learning, and machine vision techniques, Semantic Scholar provides a smarter and more efficient way to navigate the vast landscape of academic publications.

One of the standout features of Semantic Scholar is its ability to generate concise, one-sentence summaries of research papers, capturing the essence of the content and allowing researchers to quickly grasp the main ideas without reading lengthy abstracts. This feature is particularly useful when browsing on mobile devices or when time is limited. Additionally, Semantic Scholar highlights the most important and influential citations within a paper, helping researchers focus on the most relevant information and understand the impact of the research.

Key features of Semantic Scholar:

• Concise one-sentence summaries of research papers for quick comprehension
• Identification of the most influential citations within a paper
• Personalized paper recommendations through the “Research Feed” feature
• Semantic Reader for in-line citation cards with summaries and “skimming highlights”
• Personal library management with the ability to save and organize papers

5. IBM Watson Discovery

IBM Watson Discovery is a powerful AI-driven tool designed to analyze and summarize large volumes of unstructured data, including research papers, articles, and scientific publications. By harnessing the power of cognitive computing, natural language processing, and machine learning, Watson Discovery enables researchers to quickly find relevant information and gain valuable insights from complex documents.

One of the key strengths of IBM Watson Discovery is its ability to understand the context, concepts, and relationships within the text, allowing it to identify patterns, trends, and connections that may be overlooked by human readers. This makes it easier to navigate and summarize complex research papers, as the tool can highlight important entities, relationships, and topics within the document. Users can create customizable queries, filter, and categorize data to generate summaries of the most relevant research findings, and the tool's advanced search capabilities enable precise searches and retrieval of specific information from large document libraries.

Key features of IBM Watson Discovery:

• Cognitive capabilities that understand context, concepts, and relationships within the text
• Customizable queries and filtering for generating summaries of relevant research findings
• Relationship identification to highlight important entities, relationships, and topics
• Significant time-saving by automating the discovery of information and insight

Empowering Researchers with AI-Driven Summarization Tools

The emergence of AI-powered research summarizers has transformed the way researchers and academics approach scientific literature. By leveraging advanced natural language processing, machine learning, and cognitive computing, these innovative tools enable users to quickly find, understand, and summarize complex research papers, saving valuable time and effort.

Each of these AI research summarizers offers unique features and benefits that cater to researchers' diverse needs. As these tools continue to evolve and improve, they will undoubtedly play an increasingly crucial role in empowering researchers to navigate the ever-expanding universe of scientific knowledge more efficiently and effectively.

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Alex McFarland is an AI journalist and writer exploring the latest developments in artificial intelligence. He has collaborated with numerous AI startups and publications worldwide.

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This paper is in the following e-collection/theme issue:

Published on 16.5.2024 in Vol 13 (2024)

National Public Health Dashboards: Protocol for a Scoping Review

Authors of this article:

• Itzhak Yanovitzky 1 , BA, MA, PhD   ; 
• Gretchen Stahlman 2 , BS, MS, PhD   ; 
• Justine Quow 1 , BA, MA   ; 
• Matthew Ackerman 1 , BA, MS, MSc   ; 
• Yehuda Perry 1 , BA, MSc   ; 
• Miriam Kim 1 , BA  

1 School of Communication & Information, Rutgers University, New Brunswick, NJ, United States

2 School of Information, Florida State University, Tallahassee, FL, United States

Corresponding Author:

Itzhak Yanovitzky, BA, MA, PhD

School of Communication & Information

Rutgers University

4 Huntington St

New Brunswick, NJ, 08901

United States

Phone: 1 848 932 8852

Email: [email protected]

Background: The COVID-19 pandemic highlighted the importance of robust public health data systems and the potential utility of data dashboards for ensuring access to critical public health data for diverse groups of stakeholders and decision makers. As dashboards are becoming ubiquitous, it is imperative to consider how they may be best integrated with public health data systems and the decision-making routines of diverse audiences. However, additional progress on the continued development, improvement, and sustainability of these tools requires the integration and synthesis of a largely fragmented scholarship regarding the purpose, design principles and features, successful implementation, and decision-making supports provided by effective public health data dashboards across diverse users and applications.

Objective: This scoping review aims to provide a descriptive and thematic overview of national public health data dashboards including their purpose, intended audiences, health topics, design elements, impact, and underlying mechanisms of use and usefulness of these tools in decision-making processes. It seeks to identify gaps in the current literature on the topic and provide the first-of-its-kind systematic treatment of actionability as a critical design element of public health data dashboards.

Methods: The scoping review follows the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews) guidelines. The review considers English-language, peer-reviewed journal papers, conference proceedings, book chapters, and reports that describe the design, implementation, and evaluation of a public health dashboard published between 2000 and 2023. The search strategy covers scholarly databases (CINAHL, PubMed, Medline, and Web of Science) and gray literature sources and uses snowballing techniques. An iterative process of testing for and improving intercoder reliability was implemented to ensure that coders are properly trained to screen documents according to the inclusion criteria prior to beginning the full review of relevant papers.

Results: The search process initially identified 2544 documents, including papers located via databases, gray literature searching, and snowballing. Following the removal of duplicate documents (n=1416), nonrelevant items (n=839), and items classified as literature reviews and background information (n=73), 216 documents met the inclusion criteria: US case studies (n=90) and non-US case studies (n=126). Data extraction will focus on key variables, including public health data characteristics; dashboard design elements and functionalities; intended users, usability, logistics, and operation; and indicators of usefulness and impact reported.

Conclusions: The scoping review will analyze the goals, design, use, usefulness, and impact of public health data dashboards. The review will also inform the continued development and improvement of these tools by analyzing and synthesizing current practices and lessons emerging from the literature on the topic and proposing a theory-grounded and evidence-informed framework for designing, implementing, and evaluating public health data dashboards.

International Registered Report Identifier (IRRID): DERR1-10.2196/52843

Introduction

The disjointed public health response to the COVID-19 pandemic highlighted the critical importance of having robust public health data systems in place and the potential utility of data dashboards for ensuring timely and unrestricted access to critical public health data. Data dashboards have been used extensively in the pandemic, collating real-time public health data, including confirmed cases, deaths, and testing figures, to keep the public informed and support policymakers in refining interventions [ 1 , 2 ]. The growing availability of data visualization platforms and tools, coupled with the ubiquitous use of dashboards to chronicle different aspects of the COVID-19 pandemic, increased the appeal of data dashboards to a wide and diverse range of decision makers including public health leaders and professionals, health care providers, community leaders, policymakers, and advocates [ 3 , 4 ]. Data dashboards are frequently touted as cost-effective means to share and access public health and other types of publicly available data because they integrate and transform complex data into intuitive information displays, afford immediate availability and near-universal access of multiple and diverse groups of users to data, and allow users to explore data on their own to answer questions that are important to them [ 5 - 8 ]. They are also increasingly recognized for their democratizing potential, both in terms of making data available to a wider and more diverse range of audiences and ensuring that diverse stakeholders, particularly those who are less privileged and are most likely to be impacted by how data are interpreted and used in decision-making, have the power and opportunity to shape what and how data are used in this context, thus reframing how we think about health disparities and social determinants of health [ 9 ].

As public health data dashboards are poised to become more ubiquitous, it is imperative to proactively consider how they may be best integrated with data systems and decision-making routines of diverse audiences to advance sound, equitable, and sustainable public health policies and practices [ 3 , 10 ]. Getting there likely requires additional investments in the continued development, improvement, and sustainability of these tools, but progress in this direction is currently impeded by considerable fragmentation in the academic literature regarding the purpose (why) and intended audiences (who) of public health data dashboards, the design philosophy and features (what) that enable informed and consistent use of these tools across user populations and decision-making contexts, the causal mechanisms (how) that link use of public health data dashboards to users’ decisions and actions, and the factors (conditions, circumstances, and support mechanisms) that explain variations in use and usefulness of these tools across users and applications [ 3 , 8 , 10 , 11 ]. A systematic review and synthesis of the extant literature on this topic that is focused on closing these gaps can therefore be extremely valuable for developing a theory-grounded and evidence-informed framework to guide the design, implementation, and evaluation of effective public health data dashboards.

Aims and Prior Work

This scoping review will provide a descriptive and thematic overview of the purpose; intended audiences; health topics; design elements and characteristics; evidence of the impact of national public health data dashboards; and the processes used for development, implementation, and evaluation. Previous reviews of the literature on this topic have focused on identifying and evaluating key design features of public health data dashboards, but most were limited to a specific health topic, such as COVID-19 [ 2 , 12 ], food and nutrition systems [ 13 ], infectious diseases [ 14 ], and environmental hazards [ 15 ], or were limited in focus to specific design features such as data visualization design [ 16 ] or usability and usefulness [ 4 ]. By comparison, the planned scoping review will be much broader and comprehensive in terms of the scope of health topics and applications considered, but also in terms of considering different potential goals of data dashboards (eg, alert, educate, and persuade), theories of action (or how dashboards are presumed or expected to work), and outcomes of use (including impact indicators)—and comparing these across different settings and intended audiences.

In addition, this scoping review is poised to provide the first-of-its-kind systematic treatment of actionability as a critical design element of public health data dashboards. Stimulated by disjointed public health response to the COVID-19 pandemic, there has been a growing interest in the question of what makes public health data dashboards actionable, that is, ensuring they provide an optimal match for both purpose and use of data in support of decisions that lead to sound and equitable public health policies and practices [ 17 ]. Yet, actionability, as applied to public health data dashboards, is not yet fully defined or sufficiently operationalized to inform the design and implementation of such tools. Ivanković et al [ 18 ], for example, defined data dashboard actionability according to 7 features: (1) knowing and clearly stating the desired consumers of the information, (2) selecting and presenting appropriate indicators, (3) clearly stating the sources of data and methods used to generate indicators, (4) demonstrating variation over time and linking changes to public health interventions, (5) providing as high a spatial resolution as possible to enable consumers to evaluate local risk, (6) disaggregating data to population subgroups to further enable evaluation of risk, and (7) providing narrative information to enhance interpretation of the data by the consumer. This type of user-centered conception understands actionability as a function of both usability and degree of match between data and users’ information needs is intuitive but may not be adequate or sufficient to assess the actionability of dashboards intended for a general audience [ 19 ]. Other scholars in this space considered a design-centered conception of actionability [ 20 ]. In their view, to be actionable, dashboards must prompt or trigger users to act on data by being integrated, via behavioral design, into users’ data use practices or routines such as assessing performance on tasks or progress on goals. Finally, some advocate for a decision-centered conception of actionability, whereby data dashboards are considered actionable to the extent they provide data, analyses, and forecasts (eg, predictive analytics) that allow decision makers to make an informed choice among alternatives [ 19 , 21 , 22 ]. All 3 conceptions appear to be relevant to the definition and operationalization of actionability as a key design feature of public health data dashboard and the scoping review will be instrumental both in terms of more fully explicating actionability based on the integration of existing conceptions, as well as identifying additional potential dimensions that may be used to this end.

Accordingly, the key research questions that will be addressed by this study are as follows: (1) What is the current landscape of national public health data dashboards? Who creates them, for what purpose, with what data, and for whom? (2) What processes and frameworks are used for the development, implementation, and evaluation of national public health data dashboards? What are common metrics or indicators for assessing use and impact? (3) What design approaches, principles, and features are most frequently incorporated in national public health data dashboards? How may they be associated with the actionability of these tools?

Study Design

Given the aims of this study and the considerable diversity in research questions and methodologies used across disciplines and fields to study public health data dashboards, a scoping review of the literature is a sound choice. A scoping review is a type of evidence synthesis that aims to identify and map relevant scholarship that meets predetermined inclusion criteria regarding the topic, field, context, concept, or issue under review [ 23 ]. Like other types of systematic reviews, rigorous scoping reviews are based on well-defined methodological guidance and reporting standards that include a priori protocol, eligibility criteria, and a comprehensive search strategy. Accordingly, this study will follow the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews), which is the most up-to-date and advanced approach for conducting and reporting scoping reviews [ 24 ].

Selection Criteria and Search Strategy

For the purposes of this scoping review, we define the “public health data dashboard” as a publicly accessible, web-based, and regularly updated information management and data visualization tool that displays and tracks certain public health indicators, metrics, and data points that can support decisions regarding population health. This definition is inclusive of a broad range of population health-relevant data such as vital statistics, epidemiological surveillance, aggregated measures of access and use of health services, community health indicators, and health information ecology (eg, data that tracks the spread of misinformation about a health topic), but excludes the use of data dashboards in clinical and health care organizations (eg, data used to track or benchmark internal performance or practices), as well as dashboards incorporated into patient portals.

Accordingly, the target population of this scoping review consists of all English-language, full-text, peer-reviewed journal papers, conference proceedings, book chapters, and reports that describe the design, implementation, and evaluation of a public health dashboard published between 2000 and 2023. Whereas the rapid advancements in dashboard technology in recent years may warrant a greater focus on more recent research, adopting a broader historical perspective can be useful for determining what, if anything, changed over time regarding the design philosophies and theories of action guiding the development and implementation of these tools. For the same reason, no geographical location, health focus, or methodological orientation–based restrictions will be imposed as selection criteria. Research reports involving data dashboards that do not use national data sources (eg, regional, state, or county level) are beyond the scope of the current review as prior research suggests that published case studies of these types of dashboards are not comparable given considerable variations in the resources available to develop and maintain data dashboards, availability and quality of data, and intended audiences [ 25 ]. However, we recognize that such case studies can contribute valuable insights regarding the actionability of public health data dashboards despite being underrepresented in the current literature on the topic [ 3 ]. Accordingly, we plan to compare and contextualize the findings of this scoping review against the findings and conclusions of several recent studies that systematically assessed key design and use elements of state-level data dashboards [ 25 - 27 ]. In addition, the next phase of this project, which involves the mapping and analysis of publicly accessible national and state-level US public health data dashboards, was intentionally designed to produce a more systematic and complete account of similarities and differences among public health data dashboards across levels.

Our search procedure is designed to minimize potential errors in our search strategies that negatively affect the quality and validity of this scoping review [ 28 ]. First, in collaboration with a research librarian, we searched both the Medical Subject Headings database and keywords listed in recently (2019 and onward) published journal papers on the topic of public health data dashboards to identify the most relevant keywords and terms for searching for relevant publications that meet our inclusion criteria. In the next step, we followed an established procedure [ 29 ] to experiment with different combinations of databases and search queries to optimize the recall (sensitivity) and precision (specificity) of our search strategy. Given the aims of this scoping review, we opted for a search strategy that maximizes coverage, that is, will increase the likelihood of identifying all or as many as possible relevant resources. Hence, the reviewer needs to select a search system that provides the best coverage of the chosen search topic. Accordingly, we searched CINAHL, PubMed, Medline, and Web of Science databases in June 2023 for published research reports using the search query ([“dashboard” OR “data dashboard” OR “Information visualization” OR “data visualization”] AND [“public health” OR “population health”]). These databases were selected because they were identified, via rigorous testing, as providing optimal coverage of research published across a broad range of disciplines and fields [ 30 ]. In our testing, this combination of databases and search queries increased recall but resulted in a precision level of about 25%, providing a rough estimate of the expected number of relevant documents returned by the search. We conducted supplementary searches of gray literature using the same search query to search OpenGrey for additional documents that met all selection criteria.

Study Selection

All papers retrieved by the search across the 4 databases were imported into and initially reviewed using Zotero (Corporation for Digital Scholarship), a free and open-source reference management software to manage bibliographic data. After duplicate records were identified and duplicates removed, the remaining pool of documents was manually screened by members of the research team for relevance. All coders (n=5) first received training on the task and then were provided with a random sample of 45 records to screen for relevance by applying the selection criteria. Agreement among coders was assessed using Krippendorff α [ 31 ], and the test result was significantly lower (α=0.37) than the acceptable standard (α=0.70). Coders then received additional training on the task of screening items for relevance and then independently coded a fresh set of 25 randomly selected items. An intercoder agreement was reassessed and reached an acceptable standard (α=0.78), allowing coders to proceed with the task, with any potential ambiguity regarding relevance resolved via a full team review.

Data Charting

A preliminary list of data elements for charting is presented in Textbox 1 , but an iterative process will be used to identify additional elements for data extraction and analysis as the study progresses and based on inputs received from the project’s expert advisory group (composed of national data dashboard creators). A standardized data extraction form will be developed and pilot-tested by following the same procedure described above for validating the screening and selection procedure including tests of intercoder agreement. Once a high level of agreement is achieved, coders will proceed to extract the data from all documents included in this scoping review. Any confusion or disagreement regarding data extraction will be resolved by discussion among research team members.

Study identifiers

• Metadata (title, authors, journal, year of publication, and keywords)
• Study type (eg, descriptive, exploratory, and explanatory)
• Research methodology
• Study focus (eg, development, implementation, and evaluation)
• Geographic location (country)

Data characteristics

• Data sources
• Health topics
• Type of data (eg, epidemiological, health services, and behavioral)
• Populations represented in the data
• Indicators or metrics selected for visualizations
• Data level of granularity (eg, national, state, county, and city)

Dashboard design characteristics

• Stated goals or purposes of the dashboard (eg, tracking or monitoring)
• Design philosophy cited (eg, user-friendly, functional, and co-design)
• Design process (eg, iterative and collaborative)
• Dashboard features (eg, customization and search functionalities)
• Data visualization tools (eg, maps, graphs, and tables)

Users and usability

• Intended audiences
• Public access (open, restricted/limited, requires registration)
• Dissemination channels (eg, social media, news outlets, email, and listserv)
• Reported use- or usability-related barriers or challenges

Logistics or operation

• Ownership or hosting
• Source of funding
• Software tools (commercial and open source)
• Data updating and quality assurance protocols
• Technical support (eg, user manuals, training, and customer service option)

Performance and usefulness or impact evaluation

• Evaluation methodology
• Use or usability indicators captured (eg, website analytics and user ratings)
• Impact indicators or other evidence of impact
• Explanations given for observed effects or impact (or lack of)

Data Collection, Curation, and Analysis

Data extraction and collection will be performed using a web-based survey tool (Qualtrics; Silver Lake Technology Management, LLC) as, in our experience, this method improves workflow and reduces recording errors compared with alternative methods (eg, entering data in a spreadsheet). The data file generated will be cleaned and then converted to an SPSS (IBM Corp) file for data analyses (mainly frequency counts and cross-tabulation of variables). This scoping review will follow the PRISMA-ScR checklist [ 24 ] for reporting methods and outcomes.

In June 2023, electronic database searches for relevant papers were completed using the search procedure outlined above. After the removal of duplicate results, the remaining records were screened manually by members of the research team following the procedure outlined above. The PRISMA flow diagram ( Figure 1 ) summarizes the process and outcomes of the screening process. As shown, a total of 2529 documents (peer-reviewed journal papers, conference proceedings, and book chapters) were initially retrieved. An automated Zotero plugin was initially used to remove duplicate records (n=1385), leaving 1144 records. A manual quality control screening identified additional duplicate records (primarily preprint and published versions of the same work), leaving 1113 records. Following the addition of “grey literature” sources (n=10) and additional papers that were identified through our snowballing review of sources cited in other related literature reviews (n=5) [ 2 , 4 , 12 , 32 ], the corpus included 1128 documents. Of these, a total of 289 documents (or 25.6% of all documents screened) met the study’s selection criteria and were retained for analysis. This percentage is consistent with the estimate of precision we produced (25%) based on our initial experimentation and testing of our search strategy. These documents can be divided into three general categories of research studies: (1) US case studies of national public health data dashboard (n=90), (2) non-US case studies of national public health data dashboards (n=127), and (3) reviews of the literature and other background information items such as expert evaluations of dashboard design elements that are not specific to a particular data dashboard (n=73), which are therefore excluded (but will be consulted for comparing and contextualizing the scoping review findings), leaving a total of 216 case studies included in the review. We will conduct an initial round of review to determine whether and how differences across case studies may influence the validity and reliability of the findings and the conclusion drawn from this scoping review before deciding on the final pool of papers to be coded and analyzed. We aim to finish the coding and analysis of papers and draft the final report by mid-2024. Findings will be summarized narratively (with the addition of summary tables and graphs) and organized around the research questions motivating the review. The final report will be submitted for publication along with the completed PRISMA-ScR reporting checklist.

Principal Findings

As public health data dashboards are poised to become more ubiquitous, it is imperative to proactively consider how they may be best designed to leverage public health data systems and meet the information needs of diverse audiences to support sound decisions regarding equitable and sustainable public health policies and practices [ 3 , 10 ]. However, the scientific literature available to inform such efforts is considerably fragmented, lacking a standard, coherent focus regarding the goals, design, use, usefulness, and impact of these tools, as well as regarding factors (ie, conditions, circumstances, and support mechanisms) that explain variations in their use and usefulness across users and applications [ 3 , 8 , 10 , 11 ]. We intended to use the findings of this scoping review to inform the development of a theory-grounded and evidence-informed framework for guiding the design, implementation, and evaluation of effective public health data dashboards. In addition, the review will produce evidence that can be used for identifying important gaps and deficiencies, but possibly also best practices, in current practices that can enhance the efficient and effective use of these tools moving forward.

Limitations

The scoping review methodology used in this study has several limitations. First, whereas we took multiple steps to ensure the rigor of our literature search and screening strategy, it is still reasonable to assume that some relevant studies are overlooked. However, by opting for a procedure designed to maximize coverage at the expense of precision, we are potentially able to mitigate this limitation. Second, because the studies included in the review vary considerably in the type and depth of the information provided, data extraction and analysis may not be sufficiently robust to support sound conclusions and recommendations based on findings. We will take care to qualify any conclusions or recommendations accordingly and to reflect critically on the state of research on this topic. Third, it is possible for potential bias in findings and conclusions to creep in because studies that considered a particular type of data dashboard are disproportionately represented in the literature on the topic, for example, studies of COVID-19 data dashboards [ 4 ]. If this is the case, we will make sure to minimize bias by clustering dashboards of the same type (including multiple studies of the same data dashboard) and analyzing them separately. Fourth, limiting the scope of the review to national public health data dashboards may result in potentially missing valuable insights that can be drawn from case studies of regional, state, and county-level data dashboards. However, such insights may be gleaned from recently published work that systematically collected and analyzed such case studies [ 25 - 27 ] and will also emerge from the next phase of this research project (mapping and analysis of the national and state-level public health data dashboards ecosystem in the United States).

Conclusions

Public health data dashboards have significant potential to ensure timely and unrestricted access to critical public health data that can inform decisions made by a wide range of stakeholders and decision-makers. This scoping review will inform the continued development and improvement of these tools by analyzing and synthesizing current practices and lessons emerging from the literature on the topic and proposing a theory-grounded and evidence-informed framework for designing, implementing, and evaluating public health data dashboards.

Acknowledgments

This scoping review was funded by the Robert Wood Johnson Foundation. The views expressed here do not necessarily reflect the views of the Foundation, which had no role in the study design, decision to publish, or drafting of the manuscript. IY and GS contributed to the study concept and design, pretesting and refinement of the search strategy, citation and database management, screening of identified papers, and drafting of the manuscript. JQ, MA, YP, and MK contributed to the pretesting and refinement of the search strategy, screening of identified papers, and initial development of the data extraction instrument. All authors read and approved the paper for submission. The authors attest that there was no use of generative artificial intelligence technology in the generation of text, figures, or other informational content of this manuscript.

Data Availability

The data sets generated or analyzed during this study are available from the corresponding author on reasonable request.

Conflicts of Interest

None declared.

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Abbreviations

Edited by A Mavragani; submitted 18.09.23; peer-reviewed by B Katz; comments to author 07.02.24; revised version received 13.02.24; accepted 19.02.24; published 16.05.24.

©Itzhak Yanovitzky, Gretchen Stahlman, Justine Quow, Matthew Ackerman, Yehuda Perry, Miriam Kim. Originally published in JMIR Research Protocols (https://www.researchprotocols.org), 16.05.2024.

This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Research Protocols, is properly cited. The complete bibliographic information, a link to the original publication on https://www.researchprotocols.org, as well as this copyright and license information must be included.

• Open access
• Published: 13 May 2024

Sexual and reproductive health implementation research in humanitarian contexts: a scoping review

• Alexandra Norton 1 &
• Hannah Tappis 2  

Reproductive Health volume  21 , Article number:  64 ( 2024 ) Cite this article

85 Accesses

Metrics details

Meeting the health needs of crisis-affected populations is a growing challenge, with 339 million people globally in need of humanitarian assistance in 2023. Given one in four people living in humanitarian contexts are women and girls of reproductive age, sexual and reproductive health care is considered as essential health service and minimum standard for humanitarian response. Despite growing calls for increased investment in implementation research in humanitarian settings, guidance on appropriate methods and analytical frameworks is limited.

A scoping review was conducted to examine the extent to which implementation research frameworks have been used to evaluate sexual and reproductive health interventions in humanitarian settings. Peer-reviewed papers published from 2013 to 2022 were identified through relevant systematic reviews and a literature search of Pubmed, Embase, PsycInfo, CINAHL and Global Health databases. Papers that presented primary quantitative or qualitative data pertaining to a sexual and reproductive health intervention in a humanitarian setting were included.

Seven thousand thirty-six unique records were screened for inclusion, and 69 papers met inclusion criteria. Of these, six papers explicitly described the use of an implementation research framework, three citing use of the Consolidated Framework for Implementation Research. Three additional papers referenced other types of frameworks used in their evaluation. Factors cited across all included studies as helping the intervention in their presence or hindering in their absence were synthesized into the following Consolidated Framework for Implementation Research domains: Characteristics of Systems, Outer Setting, Inner Setting, Characteristics of Individuals, Intervention Characteristics, and Process.

This review found a wide range of methodologies and only six of 69 studies using an implementation research framework, highlighting an opportunity for standardization to better inform the evidence for and delivery of sexual and reproductive health interventions in humanitarian settings. Increased use of implementation research frameworks such as a modified Consolidated Framework for Implementation Research could work toward both expanding the evidence base and increasing standardization.

Plain English summary

Three hundred thirty-nine million people globally were in need of humanitarian assistance in 2023, and meeting the health needs of crisis-affected populations is a growing challenge. One in four people living in humanitarian contexts are women and girls of reproductive age, and provision of sexual and reproductive health care is considered to be essential within a humanitarian response. Implementation research can help to better understand how real-world contexts affect health improvement efforts. Despite growing calls for increased investment in implementation research in humanitarian settings, guidance on how best to do so is limited. This scoping review was conducted to examine the extent to which implementation research frameworks have been used to evaluate sexual and reproductive health interventions in humanitarian settings. Of 69 papers that met inclusion criteria for the review, six of them explicitly described the use of an implementation research framework. Three used the Consolidated Framework for Implementation Research, a theory-based framework that can guide implementation research. Three additional papers referenced other types of frameworks used in their evaluation. This review summarizes how factors relevant to different aspects of implementation within the included papers could have been organized using the Consolidated Framework for Implementation Research. The findings from this review highlight an opportunity for standardization to better inform the evidence for and delivery of sexual and reproductive health interventions in humanitarian settings. Increased use of implementation research frameworks such as a modified Consolidated Framework for Implementation Research could work toward both expanding the evidence base and increasing standardization.

Peer Review reports

Over the past few decades, the field of public health implementation research (IR) has grown as a means by which the real-world conditions affecting health improvement efforts can be better understood. Peters et al. put forward the following broad definition of IR for health: “IR is the scientific inquiry into questions concerning implementation – the act of carrying an intention into effect, which in health research can be policies, programmes, or individual practices (collectively called interventions)” [ 1 ].

As IR emphasizes real-world circumstances, the context within which a health intervention is delivered is a core consideration. However, much IR implemented to date has focused on higher-resource settings, with many proposed frameworks developed with particular utility for a higher-income setting [ 2 ]. In recognition of IR’s potential to increase evidence across a range of settings, there have been numerous reviews of the use of IR in lower-resource settings as well as calls for broader use [ 3 , 4 ]. There have also been more focused efforts to modify various approaches and frameworks to strengthen the relevance of IR to low- and middle-income country settings (LMICs), such as the work by Means et al. to adapt a specific IR framework for increased utility in LMICs [ 2 ].

Within LMIC settings, the centrality of context to a health intervention’s impact is of particular relevance in humanitarian settings, which present a set of distinct implementation challenges [ 5 ]. Humanitarian responses to crisis situations operate with limited resources, under potential security concerns, and often under pressure to relieve acute suffering and need [ 6 ]. Given these factors, successful implementation of a particular health intervention may require different qualities than those that optimize intervention impact under more stable circumstances [ 7 ]. Despite increasing recognition of the need for expanded evidence of health interventions in humanitarian settings, the evidence base remains limited [ 8 ]. Furthermore, despite its potential utility, there is not standardized guidance on IR in humanitarian settings, nor are there widely endorsed recommendations for the frameworks best suited to analyze implementation in these settings.

Sexual and reproductive health (SRH) is a core aspect of the health sector response in humanitarian settings [ 9 ]. Yet, progress in addressing SRH needs has lagged far behind other services because of challenges related to culture and ideology, financing constraints, lack of data and competing priorities [ 10 ]. The Minimum Initial Service Package (MISP) for SRH in Crisis Situations is the international standard for the minimum set of SRH services that should be implemented in all crisis situations [ 11 ]. However, as in other areas of health, there is need for expanded evidence for planning and implementation of SRH interventions in humanitarian settings. Recent systematic reviews of SRH in humanitarian settings have focused on the effectiveness of interventions and service delivery strategies, as well as factors affecting utilization, but have not detailed whether IR frameworks were used [ 12 , 13 , 14 , 15 ]. There have also been recent reviews examining IR frameworks used in various settings and research areas, but none have explicitly focused on humanitarian settings [ 2 , 16 ].

Given the need for an expanded evidence base for SRH interventions in humanitarian settings and the potential for IR to be used to expand the available evidence, a scoping review was undertaken. This scoping review sought to identify IR approaches that have been used in the last ten years to evaluate SRH interventions in humanitarian settings.

This review also sought to shed light on whether there is a need for a common framework to guide research design, analysis, and reporting for SRH interventions in humanitarian settings and if so, if there are any established frameworks already in use that would be fit-for-purpose or could be tailored to meet this need.

The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) extension for scoping reviews was utilized to guide the elements of this review [ 17 ]. The review protocol was retrospectively registered with the Open Science Framework ( https://osf.io/b5qtz ).

Search strategy

A two-fold search strategy was undertaken for this review, which covered the last 10 years (2013–2022). First, recent systematic reviews pertaining to research or evaluation of SRH interventions in humanitarian settings were identified through keyword searches on PubMed and Google Scholar. Four relevant systematic reviews were identified [ 12 , 13 , 14 , 15 ] Table 1 .

Second, a literature search mirroring these reviews was conducted to identify relevant papers published since the completion of searches for the most recent review (April 2017). Additional file 1 includes the search terms that were used in the literature search [see Additional file 1 ].

The literature search was conducted for papers published from April 2017 to December 2022 in the databases that were searched in one or more of the systematic reviews: PubMed, Embase, PsycInfo, CINAHL and Global Health. Searches were completed in January 2023 Table 2 .

Two reviewers screened each identified study for alignment with inclusion criteria. Studies in the four systematic reviews identified were considered potentially eligible if published during the last 10 years. These papers then underwent full-text review to confirm satisfaction of all inclusion criteria, as inclusion criteria were similar but not fully aligned across the four reviews.

Literature search results were exported into a citation manager (Covidence), duplicates were removed, and a step-wise screening process for inclusion was applied. First, all papers underwent title and abstract screening. The remaining papers after abstract screening then underwent full-text review to confirm satisfaction of all inclusion criteria. Title and abstract screening as well as full-text review was conducted independently by both authors; disagreements after full-text review were resolved by consensus.

Data extraction and synthesis

The following content areas were summarized in Microsoft Excel for each paper that met inclusion criteria: publication details including author, year, country, setting [rural, urban, camp, settlement], population [refugees, internally displaced persons, general crisis-affected], crisis type [armed conflict, natural disaster], crisis stage [acute, chronic], study design, research methods, SRH intervention, and intervention target population [specific beneficiaries of the intervention within the broader population]; the use of an IR framework; details regarding the IR framework, how it was used, and any rationale given for the framework used; factors cited as impacting SRH interventions, either positively or negatively; and other key findings deemed relevant to this review.

As the focus of this review was on the approach taken for SRH intervention research and evaluation, the quality of the studies themselves was not assessed.

Twenty papers underwent full-text review due to their inclusion in one or more of the four systematic reviews and meeting publication date inclusion criteria. The literature search identified 7,016 unique papers. After full-text screening, 69 met all inclusion criteria and were included in the review. Figure  1 illustrates the search strategy and screening process.

Flow chart of paper identification

Papers published in each of the 10 years of the review timeframe (2013–2022) were included. 29% of the papers originated from the first five years of the time frame considered for this review, with the remaining 71% papers coming from the second half. Characteristics of included publications, including geographic location, type of humanitarian crisis, and type of SRH intervention, are presented in Table  3 .

A wide range of study designs and methods were used across the papers, with both qualitative and quantitative studies well represented. Twenty-six papers were quantitative evaluations [ 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 ], 17 were qualitative [ 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 ], and 26 used mixed methods [ 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 , 70 , 71 , 72 , 73 , 74 , 75 , 76 , 77 , 78 , 79 , 80 , 81 , 82 , 83 , 84 , 85 , 86 ]. Within the quantitative evaluations, 15 were observational, while five were quasi-experimental, five were randomized controlled trials, and one was an economic evaluation. Study designs as classified by the authors of this review are summarized in Table  4 .

Six papers (9%) explicitly cited use of an IR framework. Three of these papers utilized the Consolidated Framework for Implementation Research (CFIR) [ 51 , 65 , 70 ]. The CFIR is a commonly used determinant framework that—in its originally proposed form in 2009—is comprised of five domains, each of which has constructs to further categorize factors that impact implementation. The CFIR domains were identified as core content areas influencing the effectiveness of implementation, and the constructs within each domain are intended to provide a range of options for researchers to select from to “guide diagnostic assessments of implementation context, evaluate implementation progress, and help explain findings.” [ 87 ] To allow for consistent terminology throughout this review, the original 2009 CFIR domains and constructs are used.

Guan et al. conducted a mixed methods study to assess the feasibility and effectiveness of a neonatal hepatitis B immunization program in a conflict-affected rural region of Myanmar. Guan et al. report mapping data onto the CFIR as a secondary analysis step. They describe that “CFIR was used as a comprehensive meta-theoretical framework to examine the implementation of the Hepatitis B Virus vaccination program,” and implementation themes from multiple study data sources (interviews, observations, examination of monitoring materials) were mapped onto CFIR constructs. They report their results in two phases – Pre-implementation training and community education, and Implementation – with both anchored in themes that they had mapped onto CFIR domains and constructs. All but six constructs were included in their analysis, with a majority summarized in a table and key themes explored further in the narrative text. They specify that most concerns were identified within the Outer Setting and Process domains, while elements identified within the Inner Setting domain provided strength to the intervention and helped mitigate against barriers [ 70 ].

Sarker et al. conducted a qualitative study to assess provision of maternal, newborn and child health services to Rohingya refugees residing in camps in Cox’s Bazar, Bangladesh. They cite using CFIR as a guide for thematic analysis, applying it after a process of inductive and deductive coding to index these codes into the CFIR domains. They utilized three of the five CFIR domains (Outer Setting, Inner Setting, and Process), stating that the remaining two domains (Intervention Characteristics and Characteristics of Individuals) were not relevant to their analysis. They then proposed two additional CFIR domains, Context and Security, for use in humanitarian contexts. In contrast to Guan et al., CFIR constructs are not used nor mentioned by Sarker et al., with content under each domain instead synthesized as challenges and potential solutions. Regarding the CFIR, Sarker et al. write, “The CFIR guided us for interpretative coding and creating the challenges and possible solutions into groups for further clarification of the issues related to program delivery in a humanitarian crisis setting.” [ 51 ]

Sami et al. conducted a mixed methods case study to assess the implementation of a package of neonatal interventions at health facilities within refugee and internally displaced persons camps in South Sudan. They reference use of the CFIR earlier in the study than Sarker et al., basing their guides for semi-structured focus group discussions on the CFIR framework. They similarly reference a general use of the CFIR framework as they conducted thematic analysis. Constructs are referenced once, but they do not specify whether their application of the CFIR framework included use of domains, constructs, or both. This may be in part because they then applied an additional framework, the World Health Organization (WHO) Health System Framework, to present their findings. They describe a nested approach to their use of these frameworks: “Exploring these [CFIR] constructs within the WHO Health Systems Framework can identify specific entry points to improve the implementation of newborn interventions at critical health system building blocks.” [ 65 ]

Three papers cite use of different IR frameworks. Bolan et al. utilized the Theoretical Domains Framework in their mixed methods feasibility study and pilot cluster randomized trial evaluating pilot use of the Safe Delivery App by maternal and newborn health workers providing basic emergency obstetric and newborn care in facilities in the conflict-affected Maniema province of the Democratic Republic of the Congo (DRC). They used the Theroetical Domains Framework in designing interview questions, and further used it as the coding framework for their analysis. Similar to the CFIR, the Theoretical Domains Framework is a determinant framework that consists of domains, each of which then includes constructs. Bolan et al. utilized the Theoretical Domains Framework at the construct level in interview question development and at the domain level in their analysis, mapping interview responses to eight of the 14 domains [ 83 ]. Berg et al. report using an “exploratory design guided by the principles of an evaluation framework” developed by the Medical Research Council to analyze the implementation process, mechanisms of impact, and outcomes of a three-pillar training intervention to improve maternal and neonatal healthcare in the conflict-affected South Kivu province of the DRC [ 67 , 88 ]. Select components of this evaluation framework were used to guide deductive analysis of focus group discussions and in-depth interviews [ 67 ]. In their study of health workers’ knowledge and attitudes toward newborn health interventions in South Sudan, before and after training and supply provision, Sami et al. report use of the Conceptual Framework of the Role of Attitudes in Evidence-Based Practice Implementation in their analysis process. The framework was used to group codes following initial inductive coding analysis of in-depth interviews [ 72 ].

Three other papers cite use of specific frameworks in their intervention evaluation [ 19 , 44 , 76 ]. As a characteristic of IR is the use of an explicit framework to guide the research, the use of the frameworks in these three papers meets the intention of IR and serves the purpose that an IR framework would have in strengthening the analytical rigor. Castle et al. cite use of their program’s theory of change as a framework for a mixed methods evaluation of the provision of family planning services and more specifically uptake of long-acting reversible contraception use in the DRC. They describe use of the theory of change to “enhance effectiveness of [long-acting reversible contraception] access and uptake.” [ 76 ] Thommesen et al. cite use of the AAAQ (Availability, Accessibility, Acceptability and Quality) framework in their qualitative study assessing midwifery services provided to pregnant women in Afghanistan. This framework is focused on the “underlying elements needed for attainment of optimum standard of health care,” but the authors used it in this paper to evaluate facilitators and barriers to women accessing midwifery services [ 44 ]. Jarrett et al. cite use of the Centers for Disease Control and Prevention’s (CDC) Guidelines for Evaluating Public Health Surveillance Systems to explore the characteristics of a population mobility, mortality and birth surveillance system in South Kivu, DRC. Use of these CDC guidelines is cited as one of four study objectives, and commentary is included in the Results section pertaining to each criteria within these guidelines, although more detail regarding use of these guidelines or the authors’ experience with their use in the study is not provided [ 19 ].

Overall, 22 of the 69 papers either explicitly or implicitly identified IR as relevant to their work. Nineteen papers include a focus on feasibility (seven of which did not otherwise identify the importance of exploring questions concerning implementation), touching on a common outcome of interest in implementation research [ 89 ].

While a majority of papers did not explicitly or implicitly use an IR framework to evaluate their SRH intervention of focus, most identified factors that facilitated implementation when they were present or served as a barrier when absent. Sixty cite factors that served as facilitators and 49 cite factors that served as barriers, with just three not citing either. Fifty-nine distinct factors were identified across the papers.

Three of the six studies that explicitly used an IR framework used the CFIR, and the CFIR is the only IR framework that was used by multiple studies. As previously mentioned, Means et al. put forth an adaptation of the CFIR to increase its relevance in LMIC settings, proposing a sixth domain (Characteristics of Systems) and 11 additional constructs [ 2 ]. Using the expanded domains and constructs as proposed by Means et al., the 59 factors cited by papers in this review were thematically grouped into the six domains: Characteristics of Systems, Outer Setting, Inner Setting, Characteristics of Individuals, Intervention Characteristics, and Process. Within each domain, alignment with CFIR constructs was assessed for, and alignment was found with 29 constructs: eight of Means et al.’s 11 constructs, and 21 of the 39 standard CFIR constructs. Three factors did not align with any construct (all fitting within the Outer Setting domain), and 14 aligned with a construct label but not the associated definition. Table 5 synthesizes the mapping of factors affecting SRH intervention implementation to CFIR domains and constructs, with the construct appearing in italics if it is considered to align with that factor by label but not by definition.

Table 6 lists the CFIR constructs that were not found to have alignment with any factor cited by the papers in this review.

This scoping review sought to assess how IR frameworks have been used to bolster the evidence base for SRH interventions in humanitarian settings, and it revealed that IR frameworks, or an explicit IR approach, are rarely used. All four of the systematic reviews identified with a focus on SRH in humanitarian settings articulate the need for more research examining the effectiveness of SRH interventions in humanitarian settings, with two specifically citing a need for implementation research/science [ 12 , 13 ]. The distribution of papers across the timeframe included in this review does suggest that more research on SRH interventions for crisis-affected populations is taking place, as a majority of relevant papers were published in the second half of the review period. The papers included a wide range of methodologies, which reflect the differing research questions and contexts being evaluated. However, it also invites the question of whether there should be more standardization of outcomes measured or frameworks used to guide analysis and to facilitate increased comparison, synthesis and application across settings.

Three of the six papers that used an IR framework utilized the CFIR. Guan et al. used the CFIR at both a domain and construct level, Sarker et al. used the CFIR at the domain level, and Sami et al. did not specify which CFIR elements were used in informing the focus group discussion guide [ 51 , 65 , 70 ]. It is challenging to draw strong conclusions about the applicability of CFIR in humanitarian settings based on the minimal use of CFIR and IR frameworks within the papers reviewed, although Guan et al. provides a helpful model for how analysis can be structured around CFIR domains and constructs. It is worth considering that the minimal use of IR frameworks, and more specifically CFIR constructs, could be in part because that level of prescriptive categorization does not allow for enough fluidity in humanitarian settings. It also raises questions about the appropriate degree of standardization to pursue for research done in these settings.

The mapping of factors affecting SRH intervention implementation provides an example of how a modified CFIR framework could be used for IR in humanitarian contexts. This mapping exercise found factors that mapped to all five of the original CFIR domains as well as the sixth domain proposed by Means et al. All factors fit well within the definition for the selected domain, indicating an appropriate degree of fit between these existing domains and the factors identified as impacting SRH interventions in humanitarian settings. On a construct level, however, the findings were more variable, with one-quarter of factors not fully aligning with any construct. Furthermore, over 40% of the CFIR constructs (including the additional constructs from Means et al.) were not found to align with any factors cited by the papers in this review, also demonstrating some disconnect between the parameters posed by the CFIR constructs and the factors cited as relevant in a humanitarian context.

It is worth noting that while the CFIR as proposed in 2009 was used in this assessment, as well as in the included papers which used the CFIR, an update was published in 2022. Following a review of CFIR use since its publication, the authors provide updates to construct names and definitions to “make the framework more applicable across a range of innovations and settings.” New constructs and subconstructs were also added, for a total of 48 constructs and 19 subconstructs across the five domains [ 90 ]. A CFIR Outcomes Addendum was also published in 2022, based on recommendations for the CFIR to add outcomes and intended to be used as a complement to the CFIR determinants framework [ 91 ]. These expansions to the CFIR framework may improve applicability of the CFIR in humanitarian settings. Several constructs added to the Outer Setting domain could be of particular utility – critical incidents, local attitudes, and local conditions, each of which could help account for unique challenges faced in contexts of crisis. Sub-constructs added within the Inner Setting domain that seek to clarify structural characteristics and available resources would also be of high utility based on mapping of the factors identified in this review to the original CFIR constructs. As outcomes were not formally included in the CFIR until the 2022 addendum, a separate assessment of implementation outcomes was not undertaken in this review. However, analysis of the factors cited by papers in this review as affecting implementation was derived from the full text of the papers and thus captures content relevant to implementation determinants that is contained within the outcomes.

Given the demonstrated need for additional flexibility within an IR framework for humanitarian contexts, while not a focus of this review, it is worth considering whether a different framework could provide a better fit than the CFIR. Other frameworks have differing points of emphasis that would create different opportunities for flexibility but that do not seem to resolve the challenges experienced in applying the CFIR to a humanitarian context. As one example, the EPIS (Exploration, Preparation, Implementation, Sustainment) Framework considers the impact of inner and outer context on each of four implementation phases; while the constructs within this framework are broader than the CFIR, an emphasis on the intervention characteristics is missing, a domain where stronger alignment within the CFIR is also needed [ 92 ]. Alternatively, the PRISM (Practical, Robust Implementation and Sustainability Model) framework is a determinant and evaluation framework that adds consideration of context factors to the RE-AIM (Reach, Effectiveness, Adoption, Implementation, Maintenance) outcomes framework. It has a stronger emphasis on intervention aspects, with sub-domains to account for both organization and patient perspectives within the intervention. While PRISM does include aspects of context, external environment considerations are less robust and intentionally less comprehensive in scope, which would not provide the degree of alignment possible between the Characteristics of Systems and Outer Setting CFIR domains for the considerations unique to humanitarian environments [ 93 ].

Reflecting on their experience with the CFIR, Sarker et al. indicate that it can be a “great asset” in both evaluating current work and developing future interventions. They also encourage future research of humanitarian health interventions to utilize the CFIR [ 51 ]. The other papers that used the CFIR do not specifically reflect on their experience utilizing it, referring more generally to having felt that it was a useful tool [ 65 , 70 ]. On their use of an evaluation framework, Berg et al. reflected that it lent useful structure and helped to identify aspects affecting implementation that otherwise would have gone un-noticed [ 67 ]. The remaining studies that utilized an IR framework did not specifically comment on their experience with its use [ 72 , 83 ]. While a formal IR framework was not engaged by other studies, a number cite a desire for IR to contribute further detail to their findings [ 21 , 37 ].

In their recommendations for strengthening the evidence base for humanitarian health interventions, Ager et al. speak to the need for “methodologic innovation” to develop methodologies with particular applicability in humanitarian settings [ 7 ]. As IR is not yet routinized for SRH interventions, this could be opportune timing for the use of a standardized IR framework to gauge its utility. Using an IR framework to assess factors influencing implementation of the MISP in initial stages of a humanitarian response, and interventions to support more comprehensive SRH service delivery in protracted crises, could lend further rigor and standardization to SRH evaluations, as well as inform strategies to improve MISP implementation over time. Based on categorizing factors identified by these papers as relevant for intervention evaluation, there does seem to be utility to a modified CFIR approach. Given the paucity of formal IR framework use within SRH literature, it would be worth conducting similar scoping exercises to assess for explicit use of IR frameworks within the evidence base for other health service delivery areas in humanitarian settings. In the interim, the recommended approach from this review for future IR on humanitarian health interventions would be a modified CFIR approach with domain-level standardization and flexibility for constructs that may standardize over time with more use. This would enable use of a common analytical framework and vocabulary at the domain level for stakeholders to describe interventions and the factors influencing the effectiveness of implementation, with constructs available to use and customize as most appropriate for specific contexts and interventions.

This review had a number of limitations. As this was a scoping review and a two-part search strategy was used, the papers summarized here may not be comprehensive of those written pertaining to SRH interventions over the past 10 years. Papers from 2013 to 2017 that would have met this scoping review’s inclusion criteria may have been omitted due to being excluded from the systematic reviews. The review was limited to papers available in English. Furthermore, this review did not assess the quality of the papers included or seek to assess the methodology used beyond examination of the use of an IR framework. It does, however, serve as a first step in assessing the extent to which calls for implementation research have been addressed, and identify entry points for strengthening the science and practice of SRH research in humanitarian settings.

With one in 23 people worldwide in need of humanitarian assistance, and financing required for response plans at an all-time high, the need for evidence to guide resource allocation and programming for SRH in humanitarian settings is as important as ever [ 94 ]. Recent research agenda setting initiatives and strategies to advance health in humanitarian settings call for increased investment in implementation research—with priorities ranging from research on effective strategies for expanding access to a full range of contraceptive options to integrating mental health and psychosocial support into SRH programming to capturing accurate and actionable data on maternal and perinatal mortality in a wide range of acute and protracted emergency contexts [ 95 , 96 ]. To truly advance guidance in these areas, implementation research will need to be conducted across diverse humanitarian settings, with clear and consistent documentation of both intervention characteristics and outcomes, as well as contextual and programmatic factors affecting implementation.

Conclusions

Implementation research has potential to increase impact of health interventions particularly in crisis-affected settings where flexibility, adaptability and context-responsive approaches are highlighted as cornerstones of effective programming. There remains significant opportunity for standardization of research in the humanitarian space, with one such opportunity occurring through increased utilization of IR frameworks such as a modified CFIR approach. Investing in more robust sexual and reproductive health research in humanitarian contexts can enrich insights available to guide programming and increase transferability of learning across settings.

Availability of data and materials

The datasets analyzed during the current study are available from the corresponding author on reasonable request.

Abbreviations

Availability, Accessibility, Acceptability and Quality

Centers for Disease Control and Prevention

Consolidated Framework for Implementation Research

Democratic Republic of the Congo

Exploration, Preparation, Implementation, Sustainment

• Implementation research

Low and middle income country

Minimum Initial Service Package

Practical, Robust Implementation and Sustainability Model

Preferred Reporting Items for Systematic Reviews and Meta-Analyses

Reach, Effectiveness, Adoption, Implementation, Maintenance

• Sexual and reproductive health

World Health Organization

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Cultural Relativity and Acceptance of Embryonic Stem Cell Research

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There is a debate about the ethical implications of using human embryos in stem cell research, which can be influenced by cultural, moral, and social values. This paper argues for an adaptable framework to accommodate diverse cultural and religious perspectives. By using an adaptive ethics model, research protections can reflect various populations and foster growth in stem cell research possibilities.

INTRODUCTION

Stem cell research combines biology, medicine, and technology, promising to alter health care and the understanding of human development. Yet, ethical contention exists because of individuals’ perceptions of using human embryos based on their various cultural, moral, and social values. While these disagreements concerning policy, use, and general acceptance have prompted the development of an international ethics policy, such a uniform approach can overlook the nuanced ethical landscapes between cultures. With diverse viewpoints in public health, a single global policy, especially one reflecting Western ethics or the ethics prevalent in high-income countries, is impractical. This paper argues for a culturally sensitive, adaptable framework for the use of embryonic stem cells. Stem cell policy should accommodate varying ethical viewpoints and promote an effective global dialogue. With an extension of an ethics model that can adapt to various cultures, we recommend localized guidelines that reflect the moral views of the people those guidelines serve.

Stem cells, characterized by their unique ability to differentiate into various cell types, enable the repair or replacement of damaged tissues. Two primary types of stem cells are somatic stem cells (adult stem cells) and embryonic stem cells. Adult stem cells exist in developed tissues and maintain the body’s repair processes. [1] Embryonic stem cells (ESC) are remarkably pluripotent or versatile, making them valuable in research. [2] However, the use of ESCs has sparked ethics debates. Considering the potential of embryonic stem cells, research guidelines are essential. The International Society for Stem Cell Research (ISSCR) provides international stem cell research guidelines. They call for “public conversations touching on the scientific significance as well as the societal and ethical issues raised by ESC research.” [3] The ISSCR also publishes updates about culturing human embryos 14 days post fertilization, suggesting local policies and regulations should continue to evolve as ESC research develops. [4]  Like the ISSCR, which calls for local law and policy to adapt to developing stem cell research given cultural acceptance, this paper highlights the importance of local social factors such as religion and culture.

I.     Global Cultural Perspective of Embryonic Stem Cells

Views on ESCs vary throughout the world. Some countries readily embrace stem cell research and therapies, while others have stricter regulations due to ethical concerns surrounding embryonic stem cells and when an embryo becomes entitled to moral consideration. The philosophical issue of when the “someone” begins to be a human after fertilization, in the morally relevant sense, [5] impacts when an embryo becomes not just worthy of protection but morally entitled to it. The process of creating embryonic stem cell lines involves the destruction of the embryos for research. [6] Consequently, global engagement in ESC research depends on social-cultural acceptability.

a.     US and Rights-Based Cultures

In the United States, attitudes toward stem cell therapies are diverse. The ethics and social approaches, which value individualism, [7] trigger debates regarding the destruction of human embryos, creating a complex regulatory environment. For example, the 1996 Dickey-Wicker Amendment prohibited federal funding for the creation of embryos for research and the destruction of embryos for “more than allowed for research on fetuses in utero.” [8] Following suit, in 2001, the Bush Administration heavily restricted stem cell lines for research. However, the Stem Cell Research Enhancement Act of 2005 was proposed to help develop ESC research but was ultimately vetoed. [9] Under the Obama administration, in 2009, an executive order lifted restrictions allowing for more development in this field. [10] The flux of research capacity and funding parallels the different cultural perceptions of human dignity of the embryo and how it is socially presented within the country’s research culture. [11]

b.     Ubuntu and Collective Cultures

African bioethics differs from Western individualism because of the different traditions and values. African traditions, as described by individuals from South Africa and supported by some studies in other African countries, including Ghana and Kenya, follow the African moral philosophies of Ubuntu or Botho and Ukama , which “advocates for a form of wholeness that comes through one’s relationship and connectedness with other people in the society,” [12] making autonomy a socially collective concept. In this context, for the community to act autonomously, individuals would come together to decide what is best for the collective. Thus, stem cell research would require examining the value of the research to society as a whole and the use of the embryos as a collective societal resource. If society views the source as part of the collective whole, and opposes using stem cells, compromising the cultural values to pursue research may cause social detachment and stunt research growth. [13] Based on local culture and moral philosophy, the permissibility of stem cell research depends on how embryo, stem cell, and cell line therapies relate to the community as a whole. Ubuntu is the expression of humanness, with the person’s identity drawn from the “’I am because we are’” value. [14] The decision in a collectivistic culture becomes one born of cultural context, and individual decisions give deference to others in the society.

Consent differs in cultures where thought and moral philosophy are based on a collective paradigm. So, applying Western bioethical concepts is unrealistic. For one, Africa is a diverse continent with many countries with different belief systems, access to health care, and reliance on traditional or Western medicines. Where traditional medicine is the primary treatment, the “’restrictive focus on biomedically-related bioethics’” [is] problematic in African contexts because it neglects bioethical issues raised by traditional systems.” [15] No single approach applies in all areas or contexts. Rather than evaluating the permissibility of ESC research according to Western concepts such as the four principles approach, different ethics approaches should prevail.

Another consideration is the socio-economic standing of countries. In parts of South Africa, researchers have not focused heavily on contributing to the stem cell discourse, either because it is not considered health care or a health science priority or because resources are unavailable. [16] Each country’s priorities differ given different social, political, and economic factors. In South Africa, for instance, areas such as maternal mortality, non-communicable diseases, telemedicine, and the strength of health systems need improvement and require more focus [17] Stem cell research could benefit the population, but it also could divert resources from basic medical care. Researchers in South Africa adhere to the National Health Act and Medicines Control Act in South Africa and international guidelines; however, the Act is not strictly enforced, and there is no clear legislation for research conduct or ethical guidelines. [18]

Some parts of Africa condemn stem cell research. For example, 98.2 percent of the Tunisian population is Muslim. [19] Tunisia does not permit stem cell research because of moral conflict with a Fatwa. Religion heavily saturates the regulation and direction of research. [20] Stem cell use became permissible for reproductive purposes only recently, with tight restrictions preventing cells from being used in any research other than procedures concerning ART/IVF.  Their use is conditioned on consent, and available only to married couples. [21] The community's receptiveness to stem cell research depends on including communitarian African ethics.

c.     Asia

Some Asian countries also have a collective model of ethics and decision making. [22] In China, the ethics model promotes a sincere respect for life or human dignity, [23] based on protective medicine. This model, influenced by Traditional Chinese Medicine (TCM), [24] recognizes Qi as the vital energy delivered via the meridians of the body; it connects illness to body systems, the body’s entire constitution, and the universe for a holistic bond of nature, health, and quality of life. [25] Following a protective ethics model, and traditional customs of wholeness, investment in stem cell research is heavily desired for its applications in regenerative therapies, disease modeling, and protective medicines. In a survey of medical students and healthcare practitioners, 30.8 percent considered stem cell research morally unacceptable while 63.5 percent accepted medical research using human embryonic stem cells. Of these individuals, 89.9 percent supported increased funding for stem cell research. [26] The scientific community might not reflect the overall population. From 1997 to 2019, China spent a total of $576 million (USD) on stem cell research at 8,050 stem cell programs, increased published presence from 0.6 percent to 14.01 percent of total global stem cell publications as of 2014, and made significant strides in cell-based therapies for various medical conditions. [27] However, while China has made substantial investments in stem cell research and achieved notable progress in clinical applications, concerns linger regarding ethical oversight and transparency. [28] For example, the China Biosecurity Law, promoted by the National Health Commission and China Hospital Association, attempted to mitigate risks by introducing an institutional review board (IRB) in the regulatory bodies. 5800 IRBs registered with the Chinese Clinical Trial Registry since 2021. [29] However, issues still need to be addressed in implementing effective IRB review and approval procedures.

The substantial government funding and focus on scientific advancement have sometimes overshadowed considerations of regional cultures, ethnic minorities, and individual perspectives, particularly evident during the one-child policy era. As government policy adapts to promote public stability, such as the change from the one-child to the two-child policy, [30] research ethics should also adapt to ensure respect for the values of its represented peoples.

Japan is also relatively supportive of stem cell research and therapies. Japan has a more transparent regulatory framework, allowing for faster approval of regenerative medicine products, which has led to several advanced clinical trials and therapies. [31] South Korea is also actively engaged in stem cell research and has a history of breakthroughs in cloning and embryonic stem cells. [32] However, the field is controversial, and there are issues of scientific integrity. For example, the Korean FDA fast-tracked products for approval, [33] and in another instance, the oocyte source was unclear and possibly violated ethical standards. [34] Trust is important in research, as it builds collaborative foundations between colleagues, trial participant comfort, open-mindedness for complicated and sensitive discussions, and supports regulatory procedures for stakeholders. There is a need to respect the culture’s interest, engagement, and for research and clinical trials to be transparent and have ethical oversight to promote global research discourse and trust.

d.     Middle East

Countries in the Middle East have varying degrees of acceptance of or restrictions to policies related to using embryonic stem cells due to cultural and religious influences. Saudi Arabia has made significant contributions to stem cell research, and conducts research based on international guidelines for ethical conduct and under strict adherence to guidelines in accordance with Islamic principles. Specifically, the Saudi government and people require ESC research to adhere to Sharia law. In addition to umbilical and placental stem cells, [35] Saudi Arabia permits the use of embryonic stem cells as long as they come from miscarriages, therapeutic abortions permissible by Sharia law, or are left over from in vitro fertilization and donated to research. [36] Laws and ethical guidelines for stem cell research allow the development of research institutions such as the King Abdullah International Medical Research Center, which has a cord blood bank and a stem cell registry with nearly 10,000 donors. [37] Such volume and acceptance are due to the ethical ‘permissibility’ of the donor sources, which do not conflict with religious pillars. However, some researchers err on the side of caution, choosing not to use embryos or fetal tissue as they feel it is unethical to do so. [38]

Jordan has a positive research ethics culture. [39] However, there is a significant issue of lack of trust in researchers, with 45.23 percent (38.66 percent agreeing and 6.57 percent strongly agreeing) of Jordanians holding a low level of trust in researchers, compared to 81.34 percent of Jordanians agreeing that they feel safe to participate in a research trial. [40] Safety testifies to the feeling of confidence that adequate measures are in place to protect participants from harm, whereas trust in researchers could represent the confidence in researchers to act in the participants’ best interests, adhere to ethical guidelines, provide accurate information, and respect participants’ rights and dignity. One method to improve trust would be to address communication issues relevant to ESC. Legislation surrounding stem cell research has adopted specific language, especially concerning clarification “between ‘stem cells’ and ‘embryonic stem cells’” in translation. [41] Furthermore, legislation “mandates the creation of a national committee… laying out specific regulations for stem-cell banking in accordance with international standards.” [42] This broad regulation opens the door for future global engagement and maintains transparency. However, these regulations may also constrain the influence of research direction, pace, and accessibility of research outcomes.

e.     Europe

In the European Union (EU), ethics is also principle-based, but the principles of autonomy, dignity, integrity, and vulnerability are interconnected. [43] As such, the opportunity for cohesion and concessions between individuals’ thoughts and ideals allows for a more adaptable ethics model due to the flexible principles that relate to the human experience The EU has put forth a framework in its Convention for the Protection of Human Rights and Dignity of the Human Being allowing member states to take different approaches. Each European state applies these principles to its specific conventions, leading to or reflecting different acceptance levels of stem cell research. [44]

For example, in Germany, Lebenzusammenhang , or the coherence of life, references integrity in the unity of human culture. Namely, the personal sphere “should not be subject to external intervention.” [45]  Stem cell interventions could affect this concept of bodily completeness, leading to heavy restrictions. Under the Grundgesetz, human dignity and the right to life with physical integrity are paramount. [46] The Embryo Protection Act of 1991 made producing cell lines illegal. Cell lines can be imported if approved by the Central Ethics Commission for Stem Cell Research only if they were derived before May 2007. [47] Stem cell research respects the integrity of life for the embryo with heavy specifications and intense oversight. This is vastly different in Finland, where the regulatory bodies find research more permissible in IVF excess, but only up to 14 days after fertilization. [48] Spain’s approach differs still, with a comprehensive regulatory framework. [49] Thus, research regulation can be culture-specific due to variations in applied principles. Diverse cultures call for various approaches to ethical permissibility. [50] Only an adaptive-deliberative model can address the cultural constructions of self and achieve positive, culturally sensitive stem cell research practices. [51]

II.     Religious Perspectives on ESC

Embryonic stem cell sources are the main consideration within religious contexts. While individuals may not regard their own religious texts as authoritative or factual, religion can shape their foundations or perspectives.

The Qur'an states:

“And indeed We created man from a quintessence of clay. Then We placed within him a small quantity of nutfa (sperm to fertilize) in a safe place. Then We have fashioned the nutfa into an ‘alaqa (clinging clot or cell cluster), then We developed the ‘alaqa into mudgha (a lump of flesh), and We made mudgha into bones, and clothed the bones with flesh, then We brought it into being as a new creation. So Blessed is Allah, the Best of Creators.” [52]

Many scholars of Islam estimate the time of soul installment, marked by the angel breathing in the soul to bring the individual into creation, as 120 days from conception. [53] Personhood begins at this point, and the value of life would prohibit research or experimentation that could harm the individual. If the fetus is more than 120 days old, the time ensoulment is interpreted to occur according to Islamic law, abortion is no longer permissible. [54] There are a few opposing opinions about early embryos in Islamic traditions. According to some Islamic theologians, there is no ensoulment of the early embryo, which is the source of stem cells for ESC research. [55]

In Buddhism, the stance on stem cell research is not settled. The main tenets, the prohibition against harming or destroying others (ahimsa) and the pursuit of knowledge (prajña) and compassion (karuna), leave Buddhist scholars and communities divided. [56] Some scholars argue stem cell research is in accordance with the Buddhist tenet of seeking knowledge and ending human suffering. Others feel it violates the principle of not harming others. Finding the balance between these two points relies on the karmic burden of Buddhist morality. In trying to prevent ahimsa towards the embryo, Buddhist scholars suggest that to comply with Buddhist tenets, research cannot be done as the embryo has personhood at the moment of conception and would reincarnate immediately, harming the individual's ability to build their karmic burden. [57] On the other hand, the Bodhisattvas, those considered to be on the path to enlightenment or Nirvana, have given organs and flesh to others to help alleviate grieving and to benefit all. [58] Acceptance varies on applied beliefs and interpretations.

Catholicism does not support embryonic stem cell research, as it entails creation or destruction of human embryos. This destruction conflicts with the belief in the sanctity of life. For example, in the Old Testament, Genesis describes humanity as being created in God’s image and multiplying on the Earth, referencing the sacred rights to human conception and the purpose of development and life. In the Ten Commandments, the tenet that one should not kill has numerous interpretations where killing could mean murder or shedding of the sanctity of life, demonstrating the high value of human personhood. In other books, the theological conception of when life begins is interpreted as in utero, [59] highlighting the inviolability of life and its formation in vivo to make a religious point for accepting such research as relatively limited, if at all. [60] The Vatican has released ethical directives to help apply a theological basis to modern-day conflicts. The Magisterium of the Church states that “unless there is a moral certainty of not causing harm,” experimentation on fetuses, fertilized cells, stem cells, or embryos constitutes a crime. [61] Such procedures would not respect the human person who exists at these stages, according to Catholicism. Damages to the embryo are considered gravely immoral and illicit. [62] Although the Catholic Church officially opposes abortion, surveys demonstrate that many Catholic people hold pro-choice views, whether due to the context of conception, stage of pregnancy, threat to the mother’s life, or for other reasons, demonstrating that practicing members can also accept some but not all tenets. [63]

Some major Jewish denominations, such as the Reform, Conservative, and Reconstructionist movements, are open to supporting ESC use or research as long as it is for saving a life. [64] Within Judaism, the Talmud, or study, gives personhood to the child at birth and emphasizes that life does not begin at conception: [65]

“If she is found pregnant, until the fortieth day it is mere fluid,” [66]

Whereas most religions prioritize the status of human embryos, the Halakah (Jewish religious law) states that to save one life, most other religious laws can be ignored because it is in pursuit of preservation. [67] Stem cell research is accepted due to application of these religious laws.

We recognize that all religions contain subsets and sects. The variety of environmental and cultural differences within religious groups requires further analysis to respect the flexibility of religious thoughts and practices. We make no presumptions that all cultures require notions of autonomy or morality as under the common morality theory , which asserts a set of universal moral norms that all individuals share provides moral reasoning and guides ethical decisions. [68] We only wish to show that the interaction with morality varies between cultures and countries.

III.     A Flexible Ethical Approach

The plurality of different moral approaches described above demonstrates that there can be no universally acceptable uniform law for ESC on a global scale. Instead of developing one standard, flexible ethical applications must be continued. We recommend local guidelines that incorporate important cultural and ethical priorities.

While the Declaration of Helsinki is more relevant to people in clinical trials receiving ESC products, in keeping with the tradition of protections for research subjects, consent of the donor is an ethical requirement for ESC donation in many jurisdictions including the US, Canada, and Europe. [69] The Declaration of Helsinki provides a reference point for regulatory standards and could potentially be used as a universal baseline for obtaining consent prior to gamete or embryo donation.

For instance, in Columbia University’s egg donor program for stem cell research, donors followed standard screening protocols and “underwent counseling sessions that included information as to the purpose of oocyte donation for research, what the oocytes would be used for, the risks and benefits of donation, and process of oocyte stimulation” to ensure transparency for consent. [70] The program helped advance stem cell research and provided clear and safe research methods with paid participants. Though paid participation or covering costs of incidental expenses may not be socially acceptable in every culture or context, [71] and creating embryos for ESC research is illegal in many jurisdictions, Columbia’s program was effective because of the clear and honest communications with donors, IRBs, and related stakeholders.  This example demonstrates that cultural acceptance of scientific research and of the idea that an egg or embryo does not have personhood is likely behind societal acceptance of donating eggs for ESC research. As noted, many countries do not permit the creation of embryos for research.

Proper communication and education regarding the process and purpose of stem cell research may bolster comprehension and garner more acceptance. “Given the sensitive subject material, a complete consent process can support voluntary participation through trust, understanding, and ethical norms from the cultures and morals participants value. This can be hard for researchers entering countries of different socioeconomic stability, with different languages and different societal values. [72]

An adequate moral foundation in medical ethics is derived from the cultural and religious basis that informs knowledge and actions. [73] Understanding local cultural and religious values and their impact on research could help researchers develop humility and promote inclusion.

IV.     Concerns

Some may argue that if researchers all adhere to one ethics standard, protection will be satisfied across all borders, and the global public will trust researchers. However, defining what needs to be protected and how to define such research standards is very specific to the people to which standards are applied. We suggest that applying one uniform guide cannot accurately protect each individual because we all possess our own perceptions and interpretations of social values. [74] Therefore, the issue of not adjusting to the moral pluralism between peoples in applying one standard of ethics can be resolved by building out ethics models that can be adapted to different cultures and religions.

Other concerns include medical tourism, which may promote health inequities. [75] Some countries may develop and approve products derived from ESC research before others, compromising research ethics or drug approval processes. There are also concerns about the sale of unauthorized stem cell treatments, for example, those without FDA approval in the United States. Countries with robust research infrastructures may be tempted to attract medical tourists, and some customers will have false hopes based on aggressive publicity of unproven treatments. [76]

For example, in China, stem cell clinics can market to foreign clients who are not protected under the regulatory regimes. Companies employ a marketing strategy of “ethically friendly” therapies. Specifically, in the case of Beike, China’s leading stem cell tourism company and sprouting network, ethical oversight of administrators or health bureaus at one site has “the unintended consequence of shifting questionable activities to another node in Beike's diffuse network.” [77] In contrast, Jordan is aware of stem cell research’s potential abuse and its own status as a “health-care hub.” Jordan’s expanded regulations include preserving the interests of individuals in clinical trials and banning private companies from ESC research to preserve transparency and the integrity of research practices. [78]

The social priorities of the community are also a concern. The ISSCR explicitly states that guidelines “should be periodically revised to accommodate scientific advances, new challenges, and evolving social priorities.” [79] The adaptable ethics model extends this consideration further by addressing whether research is warranted given the varying degrees of socioeconomic conditions, political stability, and healthcare accessibilities and limitations. An ethical approach would require discussion about resource allocation and appropriate distribution of funds. [80]

While some religions emphasize the sanctity of life from conception, which may lead to public opposition to ESC research, others encourage ESC research due to its potential for healing and alleviating human pain. Many countries have special regulations that balance local views on embryonic personhood, the benefits of research as individual or societal goods, and the protection of human research subjects. To foster understanding and constructive dialogue, global policy frameworks should prioritize the protection of universal human rights, transparency, and informed consent. In addition to these foundational global policies, we recommend tailoring local guidelines to reflect the diverse cultural and religious perspectives of the populations they govern. Ethics models should be adapted to local populations to effectively establish research protections, growth, and possibilities of stem cell research.

For example, in countries with strong beliefs in the moral sanctity of embryos or heavy religious restrictions, an adaptive model can allow for discussion instead of immediate rejection. In countries with limited individual rights and voice in science policy, an adaptive model ensures cultural, moral, and religious views are taken into consideration, thereby building social inclusion. While this ethical consideration by the government may not give a complete voice to every individual, it will help balance policies and maintain the diverse perspectives of those it affects. Embracing an adaptive ethics model of ESC research promotes open-minded dialogue and respect for the importance of human belief and tradition. By actively engaging with cultural and religious values, researchers can better handle disagreements and promote ethical research practices that benefit each society.

This brief exploration of the religious and cultural differences that impact ESC research reveals the nuances of relative ethics and highlights a need for local policymakers to apply a more intense adaptive model.

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[5] Concerning the moral philosophies of stem cell research, our paper does not posit a personal moral stance nor delve into the “when” of human life begins. To read further about the philosophical debate, consider the following sources:

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[7] Socially, at its core, the Western approach to ethics is widely principle-based, autonomy being one of the key factors to ensure a fundamental respect for persons within research. For information regarding autonomy in research, see: Department of Health, Education, and Welfare, & National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research (1978). The Belmont Report. Ethical principles and guidelines for the protection of human subjects of research.; For a more in-depth review of autonomy within the US, see: Beauchamp, T. L., & Childress, J. F. (1994). Principles of Biomedical Ethics . Oxford University Press.

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[9] Stem Cell Research Enhancement Act of 2005, H. R. 810, 109 th Cong. (2001). https://www.govtrack.us/congress/bills/109/hr810/text ; Bush, G. W. (2006, July 19). Message to the House of Representatives . National Archives and Records Administration. https://georgewbush-whitehouse.archives.gov/news/releases/2006/07/20060719-5.html

[10] National Archives and Records Administration. (2009, March 9). Executive order 13505 -- removing barriers to responsible scientific research involving human stem cells . National Archives and Records Administration. https://obamawhitehouse.archives.gov/the-press-office/removing-barriers-responsible-scientific-research-involving-human-stem-cells

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[13] Source for further reading: Tangwa G. B. (2007). Moral status of embryonic stem cells: perspective of an African villager. Bioethics , 21(8), 449–457. https://doi.org/10.1111/j.1467-8519.2007.00582.x , see also Mnisi, F. M. (2020). An African analysis based on ethics of Ubuntu - are human embryonic stem cell patents morally justifiable? African Insight , 49 (4).

[14] Jecker, N. S., & Atuire, C. (2021). Bioethics in Africa: A contextually enlightened analysis of three cases. Developing World Bioethics , 22 (2), 112–122. https://doi.org/10.1111/dewb.12324

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[18] Oosthuizen, H. (2013). Legal and Ethical Issues in Stem Cell Research in South Africa. In: Beran, R. (eds) Legal and Forensic Medicine. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-32338-6_80 , see also: Gaobotse G (2018) Stem Cell Research in Africa: Legislation and Challenges. J Regen Med 7:1. doi: 10.4172/2325-9620.1000142

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[21] Kooli, C. Review of assisted reproduction techniques, laws, and regulations in Muslim countries.  Middle East Fertil Soc J   24 , 8 (2020). https://doi.org/10.1186/s43043-019-0011-0 ; Gaobotse, G. (2018) Stem Cell Research in Africa: Legislation and Challenges. J Regen Med 7:1. doi: 10.4172/2325-9620.1000142

[22] Pang M. C. (1999). Protective truthfulness: the Chinese way of safeguarding patients in informed treatment decisions. Journal of medical ethics , 25(3), 247–253. https://doi.org/10.1136/jme.25.3.247

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[36] Association for the Advancement of Blood and Biotherapies.  https://www.aabb.org/regulatory-and-advocacy/regulatory-affairs/regulatory-for-cellular-therapies/international-competent-authorities/saudi-arabia

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Culturally, autonomy practices follow a relational autonomy approach based on a paternalistic deontological health care model. The adherence to strict international research policies and religious pillars within the regulatory environment is a great foundation for research ethics. However, there is a need to develop locally targeted ethics approaches for research (as called for in Alahmad, G., Aljohani, S., & Najjar, M. F. (2020). Ethical challenges regarding the use of stem cells: interviews with researchers from Saudi Arabia. BMC medical ethics, 21(1), 35. https://doi.org/10.1186/s12910-020-00482-6), this decision-making approach may help advise a research decision model. For more on the clinical cultural autonomy approaches, see: Alabdullah, Y. Y., Alzaid, E., Alsaad, S., Alamri, T., Alolayan, S. W., Bah, S., & Aljoudi, A. S. (2022). Autonomy and paternalism in Shared decision‐making in a Saudi Arabian tertiary hospital: A cross‐sectional study. Developing World Bioethics , 23 (3), 260–268. https://doi.org/10.1111/dewb.12355 ; Bukhari, A. A. (2017). Universal Principles of Bioethics and Patient Rights in Saudi Arabia (Doctoral dissertation, Duquesne University). https://dsc.duq.edu/etd/124; Ladha, S., Nakshawani, S. A., Alzaidy, A., & Tarab, B. (2023, October 26). Islam and Bioethics: What We All Need to Know . Columbia University School of Professional Studies. https://sps.columbia.edu/events/islam-and-bioethics-what-we-all-need-know

[39] Ababneh, M. A., Al-Azzam, S. I., Alzoubi, K., Rababa’h, A., & Al Demour, S. (2021). Understanding and attitudes of the Jordanian public about clinical research ethics.  Research Ethics ,  17 (2), 228-241.  https://doi.org/10.1177/1747016120966779

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[43] The EU’s definition of autonomy relates to the capacity for creating ideas, moral insight, decisions, and actions without constraint, personal responsibility, and informed consent. However, the EU views autonomy as not completely able to protect individuals and depends on other principles, such as dignity, which “expresses the intrinsic worth and fundamental equality of all human beings.” Rendtorff, J.D., Kemp, P. (2019). Four Ethical Principles in European Bioethics and Biolaw: Autonomy, Dignity, Integrity and Vulnerability. In: Valdés, E., Lecaros, J. (eds) Biolaw and Policy in the Twenty-First Century. International Library of Ethics, Law, and the New Medicine, vol 78. Springer, Cham. https://doi.org/10.1007/978-3-030-05903-3_3

[44] Council of Europe. Convention for the protection of Human Rights and Dignity of the Human Being with regard to the Application of Biology and Medicine: Convention on Human Rights and Biomedicine (ETS No. 164) https://www.coe.int/en/web/conventions/full-list?module=treaty-detail&treatynum=164 (forbidding the creation of embryos for research purposes only, and suggests embryos in vitro have protections.); Also see Drabiak-Syed B. K. (2013). New President, New Human Embryonic Stem Cell Research Policy: Comparative International Perspectives and Embryonic Stem Cell Research Laws in France.  Biotechnology Law Report ,  32 (6), 349–356. https://doi.org/10.1089/blr.2013.9865

[45] Rendtorff, J.D., Kemp, P. (2019). Four Ethical Principles in European Bioethics and Biolaw: Autonomy, Dignity, Integrity and Vulnerability. In: Valdés, E., Lecaros, J. (eds) Biolaw and Policy in the Twenty-First Century. International Library of Ethics, Law, and the New Medicine, vol 78. Springer, Cham. https://doi.org/10.1007/978-3-030-05903-3_3

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[47] Regulation of Stem Cell Research in Germany . Eurostemcell. (2017, April 26). https://www.eurostemcell.org/regulation-stem-cell-research-germany

[48] Regulation of Stem Cell Research in Finland . Eurostemcell. (2017, April 26). https://www.eurostemcell.org/regulation-stem-cell-research-finland

[49] Regulation of Stem Cell Research in Spain . Eurostemcell. (2017, April 26). https://www.eurostemcell.org/regulation-stem-cell-research-spain

[50] Some sources to consider regarding ethics models or regulatory oversights of other cultures not covered:

Kara MA. Applicability of the principle of respect for autonomy: the perspective of Turkey. J Med Ethics. 2007 Nov;33(11):627-30. doi: 10.1136/jme.2006.017400. PMID: 17971462; PMCID: PMC2598110.

Ugarte, O. N., & Acioly, M. A. (2014). The principle of autonomy in Brazil: one needs to discuss it ...  Revista do Colegio Brasileiro de Cirurgioes ,  41 (5), 374–377. https://doi.org/10.1590/0100-69912014005013

Bharadwaj, A., & Glasner, P. E. (2012). Local cells, global science: The rise of embryonic stem cell research in India . Routledge.

For further research on specific European countries regarding ethical and regulatory framework, we recommend this database: Regulation of Stem Cell Research in Europe . Eurostemcell. (2017, April 26). https://www.eurostemcell.org/regulation-stem-cell-research-europe   

[51] Klitzman, R. (2006). Complications of culture in obtaining informed consent. The American Journal of Bioethics, 6(1), 20–21. https://doi.org/10.1080/15265160500394671 see also: Ekmekci, P. E., & Arda, B. (2017). Interculturalism and Informed Consent: Respecting Cultural Differences without Breaching Human Rights.  Cultura (Iasi, Romania) ,  14 (2), 159–172.; For why trust is important in research, see also: Gray, B., Hilder, J., Macdonald, L., Tester, R., Dowell, A., & Stubbe, M. (2017). Are research ethics guidelines culturally competent?  Research Ethics ,  13 (1), 23-41.  https://doi.org/10.1177/1747016116650235

[52] The Qur'an  (M. Khattab, Trans.). (1965). Al-Mu’minun, 23: 12-14. https://quran.com/23

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[54] Aksoy, S. (2005). Making regulations and drawing up legislation in Islamic countries under conditions of uncertainty, with special reference to embryonic stem cell research. Journal of Medical Ethics , 31: 399-403.; see also: Mahmoud, Azza. "Islamic Bioethics: National Regulations and Guidelines of Human Stem Cell Research in the Muslim World." Master's thesis, Chapman University, 2022. https://doi.org/10.36837/ chapman.000386

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[57] Jafari, M., Elahi, F., Ozyurt, S. & Wrigley, T. (2007). 4. Religious Perspectives on Embryonic Stem Cell Research. In K. Monroe, R. Miller & J. Tobis (Ed.),  Fundamentals of the Stem Cell Debate: The Scientific, Religious, Ethical, and Political Issues  (pp. 79-94). Berkeley: University of California Press.  https://escholarship.org/content/qt9rj0k7s3/qt9rj0k7s3_noSplash_f9aca2e02c3777c7fb76ea768ba458f0.pdf https://doi.org/10.1525/9780520940994-005

[58] Lecso, P. A. (1991). The Bodhisattva Ideal and Organ Transplantation.  Journal of Religion and Health ,  30 (1), 35–41. http://www.jstor.org/stable/27510629 ; Bodhisattva, S. (n.d.). The Key of Becoming a Bodhisattva . A Guide to the Bodhisattva Way of Life. http://www.buddhism.org/Sutras/2/BodhisattvaWay.htm

[59] There is no explicit religious reference to when life begins or how to conduct research that interacts with the concept of life. However, these are relevant verses pertaining to how the fetus is viewed. (( King James Bible . (1999). Oxford University Press. (original work published 1769))

Jerimiah 1: 5 “Before I formed thee in the belly I knew thee; and before thou camest forth out of the womb I sanctified thee…”

In prophet Jerimiah’s insight, God set him apart as a person known before childbirth, a theme carried within the Psalm of David.

Psalm 139: 13-14 “…Thou hast covered me in my mother's womb. I will praise thee; for I am fearfully and wonderfully made…”

These verses demonstrate David’s respect for God as an entity that would know of all man’s thoughts and doings even before birth.

[60] It should be noted that abortion is not supported as well.

[61] The Vatican. (1987, February 22). Instruction on Respect for Human Life in Its Origin and on the Dignity of Procreation Replies to Certain Questions of the Day . Congregation For the Doctrine of the Faith. https://www.vatican.va/roman_curia/congregations/cfaith/documents/rc_con_cfaith_doc_19870222_respect-for-human-life_en.html

[62] The Vatican. (2000, August 25). Declaration On the Production and the Scientific and Therapeutic Use of Human Embryonic Stem Cells . Pontifical Academy for Life. https://www.vatican.va/roman_curia/pontifical_academies/acdlife/documents/rc_pa_acdlife_doc_20000824_cellule-staminali_en.html ; Ohara, N. (2003). Ethical Consideration of Experimentation Using Living Human Embryos: The Catholic Church’s Position on Human Embryonic Stem Cell Research and Human Cloning. Department of Obstetrics and Gynecology . Retrieved from https://article.imrpress.com/journal/CEOG/30/2-3/pii/2003018/77-81.pdf.

[63] Smith, G. A. (2022, May 23). Like Americans overall, Catholics vary in their abortion views, with regular mass attenders most opposed . Pew Research Center. https://www.pewresearch.org/short-reads/2022/05/23/like-americans-overall-catholics-vary-in-their-abortion-views-with-regular-mass-attenders-most-opposed/

[64] Rosner, F., & Reichman, E. (2002). Embryonic stem cell research in Jewish law. Journal of halacha and contemporary society , (43), 49–68.; Jafari, M., Elahi, F., Ozyurt, S. & Wrigley, T. (2007). 4. Religious Perspectives on Embryonic Stem Cell Research. In K. Monroe, R. Miller & J. Tobis (Ed.),  Fundamentals of the Stem Cell Debate: The Scientific, Religious, Ethical, and Political Issues  (pp. 79-94). Berkeley: University of California Press.  https://escholarship.org/content/qt9rj0k7s3/qt9rj0k7s3_noSplash_f9aca2e02c3777c7fb76ea768ba458f0.pdf https://doi.org/10.1525/9780520940994-005

[65] Schenker J. G. (2008). The beginning of human life: status of embryo. Perspectives in Halakha (Jewish Religious Law).  Journal of assisted reproduction and genetics ,  25 (6), 271–276. https://doi.org/10.1007/s10815-008-9221-6

[66] Ruttenberg, D. (2020, May 5). The Torah of Abortion Justice (annotated source sheet) . Sefaria. https://www.sefaria.org/sheets/234926.7?lang=bi&with=all&lang2=en

[67] Jafari, M., Elahi, F., Ozyurt, S. & Wrigley, T. (2007). 4. Religious Perspectives on Embryonic Stem Cell Research. In K. Monroe, R. Miller & J. Tobis (Ed.),  Fundamentals of the Stem Cell Debate: The Scientific, Religious, Ethical, and Political Issues  (pp. 79-94). Berkeley: University of California Press.  https://escholarship.org/content/qt9rj0k7s3/qt9rj0k7s3_noSplash_f9aca2e02c3777c7fb76ea768ba458f0.pdf https://doi.org/10.1525/9780520940994-005

[68] Gert, B. (2007). Common morality: Deciding what to do . Oxford Univ. Press.

[69] World Medical Association (2013). World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects. JAMA , 310(20), 2191–2194. https://doi.org/10.1001/jama.2013.281053 Declaration of Helsinki – WMA – The World Medical Association .; see also: National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research. (1979).  The Belmont report: Ethical principles and guidelines for the protection of human subjects of research . U.S. Department of Health and Human Services.  https://www.hhs.gov/ohrp/regulations-and-policy/belmont-report/read-the-belmont-report/index.html

[70] Zakarin Safier, L., Gumer, A., Kline, M., Egli, D., & Sauer, M. V. (2018). Compensating human subjects providing oocytes for stem cell research: 9-year experience and outcomes.  Journal of assisted reproduction and genetics ,  35 (7), 1219–1225. https://doi.org/10.1007/s10815-018-1171-z https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6063839/ see also: Riordan, N. H., & Paz Rodríguez, J. (2021). Addressing concerns regarding associated costs, transparency, and integrity of research in recent stem cell trial. Stem Cells Translational Medicine , 10 (12), 1715–1716. https://doi.org/10.1002/sctm.21-0234

[71] Klitzman, R., & Sauer, M. V. (2009). Payment of egg donors in stem cell research in the USA.  Reproductive biomedicine online ,  18 (5), 603–608. https://doi.org/10.1016/s1472-6483(10)60002-8

[72] Krosin, M. T., Klitzman, R., Levin, B., Cheng, J., & Ranney, M. L. (2006). Problems in comprehension of informed consent in rural and peri-urban Mali, West Africa.  Clinical trials (London, England) ,  3 (3), 306–313. https://doi.org/10.1191/1740774506cn150oa

[73] Veatch, Robert M.  Hippocratic, Religious, and Secular Medical Ethics: The Points of Conflict . Georgetown University Press, 2012.

[74] Msoroka, M. S., & Amundsen, D. (2018). One size fits not quite all: Universal research ethics with diversity.  Research Ethics ,  14 (3), 1-17.  https://doi.org/10.1177/1747016117739939

[75] Pirzada, N. (2022). The Expansion of Turkey’s Medical Tourism Industry.  Voices in Bioethics ,  8 . https://doi.org/10.52214/vib.v8i.9894

[76] Stem Cell Tourism: False Hope for Real Money . Harvard Stem Cell Institute (HSCI). (2023). https://hsci.harvard.edu/stem-cell-tourism , See also: Bissassar, M. (2017). Transnational Stem Cell Tourism: An ethical analysis.  Voices in Bioethics ,  3 . https://doi.org/10.7916/vib.v3i.6027

[77] Song, P. (2011) The proliferation of stem cell therapies in post-Mao China: problematizing ethical regulation,  New Genetics and Society , 30:2, 141-153, DOI:  10.1080/14636778.2011.574375

[78] Dajani, R. (2014). Jordan’s stem-cell law can guide the Middle East.  Nature  510, 189. https://doi.org/10.1038/510189a

[79] International Society for Stem Cell Research. (2024). Standards in stem cell research . International Society for Stem Cell Research. https://www.isscr.org/guidelines/5-standards-in-stem-cell-research

[80] Benjamin, R. (2013). People’s science bodies and rights on the Stem Cell Frontier . Stanford University Press.

Olivia Bowers

MS Bioethics Columbia University (Disclosure: affiliated with Voices in Bioethics)

Mifrah Hayath

SM Candidate Harvard Medical School, MS Biotechnology Johns Hopkins University

Article Details

This work is licensed under a Creative Commons Attribution 4.0 International License .

Ancient trees show how hot summers have gotten

The northern hemisphere had its hottest summer in 2,000 years, and 2024 could be just as bad..

By Justine Calma , a senior science reporter covering energy and the environment with more than a decade of experience. She is also the host of Hell or High Water: When Disaster Hits Home , a podcast from Vox Media and Audible Originals.

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A summer marked by deadly heatwaves across Asia, Europe, and North America last year turns out to have been the hottest in the Northern Hemisphere in at least 2,000 years, according to a new study published in the journal Nature .

Officially , 2023 went down in history books as the hottest on record for the planet — but those records only started in 1850. To see how drastically the climate has changed over millennia, the authors of the new paper studied ancient tree rings to gauge fluctuations in temperatures over the years.

The results show us how extreme the weather is becoming . And while temperatures have reached unprecedented peaks, they’re also a warning of what’s to come unless policymakers do more to turn down the heat.

The cross section of a tree can tell us about its life and the world in which it lived

“Personally, I’m not surprised, but I’m worried,” Jan Esper, lead author of the study and a professor of climatology at Johannes Gutenberg University, said in a briefing with reporters. “The longer we wait, the more expensive it will be and the more difficult it will be to mitigate or even stop [global warming].”

For this study, Esper and his colleagues were limited to data they could collect from the Northern Hemisphere outside of tropical regions. Most of the oldest meteorological stations, dating as far back as the mid- to late 1800s, are located in the Northern Hemisphere. And of those, 45 of 58 are in Europe. To look further back in time and across a broader area, they relied on tree rings from the wood archives of archaeologists.

The cross section of a tree can tell us about its life and the world in which it lived. Many trees add a layer of light-colored “earlywood” each spring and a layer of dark “latewood” each summer. Counting up the rings shows the tree’s age . Thicker rings might indicate a warmer year in trees that time their growing seasons with changes in temperature.

This is a treasure trove of data in cooler climates with defined seasons. But unfortunately, again, it’s found mostly in the Northern Hemisphere. There’s a dearth of this data in more arid and tropical regions in the Southern Hemisphere , where there might be fewer trees or trees that don’t share the same growing patterns.

A treasure trove of data in cooler climates with defined seasons

Working with what they had, the researchers found that land temperatures in the summer of 2023 in the Northern Hemisphere were 2.2 degrees Celsius higher than average temperatures between the years 1–1890. On paper, that might look like a small difference. When it comes to life on Earth, that is a significant shift.

It’s a steeper rise in temperature than the goal set out in the landmark Paris agreement, which strives to stop global temperatures from climbing more than 1.5 to 2 degrees Celsius higher than they were before the Industrial Revolution.

Two degrees Celsius of global warming would be enough to shift 13 percent of Earth’s ecosystems to a new biome, according to the Intergovernmental Panel on Climate Change . Much of the Amazon rainforest is in danger of becoming a savannah , for example. Coral reefs would decline by 99 percent, and nearly 40 percent of the world’s population could experience severe heatwaves at least once every five years.

• El Niño expected to smash heat records in 2024

We saw a deadly taste of that already last year, with record-breaking heatwaves across Europe, North America, and China that would have been “ extremely rare or even impossible  without human-caused warming,” according to an international collaboration of researchers called World Weather Attribution. 

It was a particularly sweltering year in part because of an  El Niño climate pattern that dealt a double whammy alongside climate change in 2023.   El Niño hasn’t ended yet, so that combo is already expected to make this summer another scorcher . Meeting the goals of the Paris accord would stop climate change in its tracks , however, if countries around the world can transition to clean energy by 2050.

“I am not concerned about myself because I’m too old, but I have two children and there are many other children out there. And for them [global warming is] really dangerous,” Esper said. “So we should do as much as possible as soon as possible.”

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Google opens up its smart home to everyone and will make google tvs home hubs, someone finally made a heat pump that looks good inside your home, microsoft announces the proteus controller, a gamepad for xbox gamers with disabilities, lego barad-dûr revealed: sauron’s dark tower from the lord of the rings is $460.