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Writing a Research Paper for an Academic Journal: A Five-step Recipe for Perfection

The answer to writing the perfect research paper is as simple as following a step-by-step recipe. Here we bring to you a recipe for effortlessly planning, writing, and publishing your paper as a peer reviewed journal article.

Updated on March 15, 2022

As a young researcher, getting your paper published as a journal article is a huge milestone; but producing it may seem like climbing a mountain compared to, perhaps, the theses, essays, or conference papers you have produced in the past.

You may feel overwhelmed with the thought of carrying innumerable equipment and may feel incapable of completing the task. But, in reality, the answer to writing the perfect research paper is as simple as following a recipe with step-by-step instructions.

In this blog, I aim to bring to you the recipe for effortlessly planning, writing, and publishing your paper as a peer reviewed journal article. I will give you the essential information, key points, and resources to keep in mind before you begin the writing process for your research papers.

Secret ingredient 1: Make notes before you begin the writing process

Because I want you to benefit from this article on a personal level, I am going to give away my secret ingredient for producing a good research paper right at the beginning. The one thing that helps me write literally anything is — cue the drum rolls — making notes.

Yes, making notes is the best way to remember and store all that information, which is definitely going to help you throughout the process of writing your paper. So, please pick up a pen and start making notes for writing your research paper.

Step 1. Choose the right research topic

Although it is important to be passionate and curious about your research article topic, it is not enough. Sometimes the sheer excitement of having an idea may take away your ability to focus on and question the novelty, credibility, and potential impact of your research topic.

On the contrary, the first thing that you should do when you write a journal paper is question the novelty, credibility, and potential impact of your research question.

It is also important to remember that your research, along with the aforementioned points, must be original and relevant: It must benefit and interest the scientific community.

All you have to do is perform a thorough literature search in your research field and have a look at what is currently going on in the field of your topic of interest. This step in academic writing is not as daunting as it may seem and, in fact, is quite beneficial for the following reasons:

• You can determine what is already known about the research topic and the gaps that exist.
• You can determine the credibility and novelty of your research question by comparing it with previously published papers.
• If your research question has already been studied or answered before your first draft, you first save a substantial amount of time by avoiding rejections from journals at a much later stage; and second, you can study and aim to bridge the gaps of previous studies, perhaps, by using a different methodology or a bigger sample size.

So, carefully read as much as you can about what has already been published in your field of research; and when you are doing so, make sure that you make lots of relevant notes as you go along in the process. Remember, your study does not necessarily have to be groundbreaking, but it should definitely extend previous knowledge or refute existing statements on the topic.

Secret ingredient 2: Use a thematic approach while drafting your manuscript

For instance, if you are writing about the association between the level of breast cancer awareness and socioeconomic status, open a new Word or Notes file and create subheadings such as “breast cancer awareness in low- and middle-income countries,” “reasons for lack of awareness,” or “ways to increase awareness.”

Under these subheadings, make notes of the information that you think may be suitable to be included in your paper as you carry out your literature review. Ensure that you make a draft reference list so that you don't miss out on the references.

Step 2: Know your audience

Finding your research topic is not synonymous with communicating it, it is merely a step, albeit an important one; however, there are other crucial steps that follow. One of which is identifying your target audience.

Now that you know what your topic of interest is, you need to ask yourself “Who am I trying to benefit with my research?” A general mistake is assuming that your reader knows everything about your research topic. Drafting a peer reviewed journal article often means that your work may reach a wide and varied audience.

Therefore, it is a good idea to ponder over who you want to reach and why, rather than simply delivering chunks of information, facts, and statistics. Along with considering the above factors, evaluate your reader's level of education, expertise, and scientific field as this may help you design and write your manuscript, tailoring it specifically for your target audience.

Here are a few points that you must consider after you have identified your target audience:

• Shortlist a few target journals: The aims and scope of the journal usually mention their audience. This may help you know your readers and visualize them as you write your manuscript. This will further help you include just the right amount of background and details.
• View your manuscript from the reader's perspective: Try to think about what they might already know or what they would like more details on.
• Include the appropriate amount of jargon: Ensure that your article text is familiar to your target audience and use the correct terminology to make your content more relatable for readers - and journal editors as your paper goes through the peer review process.
• Keep your readers engaged: Write with an aim to fill a knowledge gap or add purpose and value to your reader's intellect. Your manuscript does not necessarily have to be complex, write with a simple yet profound tone, layer (or sub-divide) simple points and build complexity as you go along, rather than stating dry facts.
• Be specific: It is easy to get carried away and forget the essence of your study. Make sure that you stick to your topic and be as specific as you can to your research topic and audience.

Secret ingredient 3: Clearly define your key terms and key concepts

Do not assume that your audience will know your research topic as well as you do, provide compelling details where it is due. This can be tricky. Using the example from “Secret ingredient 2,” you may not need to define breast cancer while writing about breast cancer awareness. However, while talking about the benefits of awareness, such as early presentation of the disease, it is important to explain these benefits, for instance, in terms of superior survival rates.

Step 3: Structure your research paper with care

After determining the topic of your research and your target audience, your overflowing ideas and information need to be structured in a format generally accepted by journals.

Most academic journals conventionally accept original research articles in the following format: Abstract, followed by the Introduction, Methods, Results, and Discussion sections, also known as the IMRaD, which is a brilliant way of structuring a research paper outline in a simplified and layered format. In brief, these sections comprise the following information:

In closed-access journals, readers have access to the abstract/summary for them to decide if they wish to purchase the research paper. It's an extremely important representative of the entire manuscript.

All information provided in the abstract must be present in the manuscript, it should include a stand-alone summary of the research, the main findings, the abbreviations should be defined separately in this section, and this section should be clear, decluttered, and concise.

Introduction

This section should begin with a background of the study topic, i.e., what is already known, moving on to the knowledge gaps that exist, and finally, end with how the present study aims to fill these gaps, or any hypotheses that the authors may have proposed.

This section describes, with compelling details, the procedures that were followed to answer the research question.

The ultimate factor to consider while producing the methods section is reproducibility; this section should be detailed enough for other researchers to reproduce your study and validate your results. It should include ethical information (ethical board approval, informed consent, etc.) and must be written in the past tense.

This section typically presents the findings of the study, with no explanations or interpretations. Here, the findings are simply stated alongside figures or tables mentioned in the text in the correct sequential order. Because you are describing what you found, this section is also written in the past tense.

Discussion and conclusion

This section begins with a summary of your findings and is meant for you to interpret your results, compare them with previously published papers, and elaborate on whether your findings are comparable or contradictory to previous literature.

This section also contains the strengths and limitations of your study, and the latter can be used to suggest future research. End this section with a conclusion paragraph, briefly summarizing and highlighting the main findings and novelty of your study.

Step 4: Cite credible research sources

Now that you know who and what you are writing for, it's time to begin the writing process for your research paper. Another crucial factor that determines the quality of your manuscript is the detailed information within. The introduction and discussion sections, which make a massive portion of the manuscript, majorly rely on external sources of information that have already been published.

Therefore, it is absolutely indispensable to extract and cite these statements from appropriate, credible, recent, and relevant literature to support your claims. Here are a few pointers to consider while choosing the right sources:

Cite academic journals

These are the best sources to refer to while writing your research paper, because most articles submitted to top journals are rejected, resulting in high-quality articles being filtered-out. In particular, peer reviewed articles are of the highest quality because they undergo a rigorous process of editorial review, along with revisions until they are judged to be satisfactory.

But not just any book, ideally, the credibility of a book can be judged by whether it is published by an academic publisher, is written by multiple authors who are experts in the field of interest, and is carefully reviewed by multiple editors. It can be beneficial to review the background of the author(s) and check their previous publications.

Cite an official online source

Although it may be difficult to judge the trustworthiness of web content, a few factors may help determine its accuracy. These include demographic data obtained from government websites (.gov), educational resources (.edu), websites that cite other pertinent and trustworthy sources, content meant for education and not product promotion, unbiased sources, or sources with backlinks that are up to date. It is best to avoid referring to online sources such as blogs and Wikipedia.

Do not cite the following sources

While citing sources, you should steer clear from encyclopedias, citing review articles instead of directly citing the original work, referring to sources that you have not read, citing research papers solely from one country (be extensively diverse), anything that is not backed up by evidence, and material with considerable grammatical errors.

Although these sources are generally most appropriate and valid, it is your job to critically read and carefully evaluate all sources prior to citing them.

Step 5: Pick the correct journal

Selecting the correct journal is one of the most crucial steps toward getting published, as it not only determines the weightage of your research but also of your career as a researcher. The journals in which you choose to publish your research are part of your portfolio; it directly or indirectly determines many factors, such as funding, professional advancement, and future collaborations.

The best thing you can do for your work is to pick a peer-reviewed journal. Not only will your paper be polished to the highest quality for editors, but you will also be able to address certain gaps that you may have missed out.

Besides, it always helps to have another perspective, and what better than to have it from an experienced peer?

A common mistake that researchers tend to make is leave the task of choosing the target journal after they have written their paper.

Now, I understand that due to certain factors, it can be challenging to decide what journal you want to publish in before you start drafting your paper, therefore, the best time to make this decision is while you are working on writing your manuscript. Having a target journal in mind while writing your paper has a great deal of benefits.

• As the most basic benefit, you can know beforehand if your study meets the aims and scope of your desired journal. It will ensure you're not wasting valuable time for editors or yourself.
• While drafting your manuscript, you could keep in mind the requirements of your target journal, such as the word limit for the main article text and abstract, the maximum number of figures or tables that are allowed, or perhaps, the maximum number of references that you may include.
• Also, if you choose to submit to an open-access journal, you have ample amount of time to figure out the funding.
• Another major benefit is that, as mentioned in the previous section, the aims and scope of the journal will give you a fair idea on your target audience and will help you draft your manuscript appropriately.

It is definitely easier to know that your target journal requires the text to be within 3,500 words than spending weeks writing a manuscript that is around, say, 5,000 words, and then spending a substantial amount of time decluttering. Now, while not all journals have very specific requirements, it always helps to short-list a few journals, if not concretely choose one to publish your paper in.

AJE also offers journal recommendation services if you need professional help with finding a target journal.

Secret ingredient 4: Follow the journal guidelines

Perfectly written manuscripts may get rejected by the journal on account of not adhering to their formatting requirements. You can find the author guidelines/instructions on the home page of every journal. Ensure that as you write your manuscript, you follow the journal guidelines such as the word limit, British or American English, formatting references, line spacing, line/page numbering, and so on.

Our ultimate aim is to instill confidence in young researchers like you and help you become independent as you write and communicate your research. With the help of these easy steps and secret ingredients, you are now ready to prepare your flavorful manuscript and serve your research to editors and ultimately the journal readers with a side of impact and a dash of success.

Lubaina Koti, BS

Scientific Writer

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Article Contents

Primacy of the research question, structure of the paper, writing a research article: advice to beginners.

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Thomas V. Perneger, Patricia M. Hudelson, Writing a research article: advice to beginners, International Journal for Quality in Health Care , Volume 16, Issue 3, June 2004, Pages 191–192, https://doi.org/10.1093/intqhc/mzh053

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Writing research papers does not come naturally to most of us. The typical research paper is a highly codified rhetorical form [ 1 , 2 ]. Knowledge of the rules—some explicit, others implied—goes a long way toward writing a paper that will get accepted in a peer-reviewed journal.

A good research paper addresses a specific research question. The research question—or study objective or main research hypothesis—is the central organizing principle of the paper. Whatever relates to the research question belongs in the paper; the rest doesn’t. This is perhaps obvious when the paper reports on a well planned research project. However, in applied domains such as quality improvement, some papers are written based on projects that were undertaken for operational reasons, and not with the primary aim of producing new knowledge. In such cases, authors should define the main research question a posteriori and design the paper around it.

Generally, only one main research question should be addressed in a paper (secondary but related questions are allowed). If a project allows you to explore several distinct research questions, write several papers. For instance, if you measured the impact of obtaining written consent on patient satisfaction at a specialized clinic using a newly developed questionnaire, you may want to write one paper on the questionnaire development and validation, and another on the impact of the intervention. The idea is not to split results into ‘least publishable units’, a practice that is rightly decried, but rather into ‘optimally publishable units’.

What is a good research question? The key attributes are: (i) specificity; (ii) originality or novelty; and (iii) general relevance to a broad scientific community. The research question should be precise and not merely identify a general area of inquiry. It can often (but not always) be expressed in terms of a possible association between X and Y in a population Z, for example ‘we examined whether providing patients about to be discharged from the hospital with written information about their medications would improve their compliance with the treatment 1 month later’. A study does not necessarily have to break completely new ground, but it should extend previous knowledge in a useful way, or alternatively refute existing knowledge. Finally, the question should be of interest to others who work in the same scientific area. The latter requirement is more challenging for those who work in applied science than for basic scientists. While it may safely be assumed that the human genome is the same worldwide, whether the results of a local quality improvement project have wider relevance requires careful consideration and argument.

Once the research question is clearly defined, writing the paper becomes considerably easier. The paper will ask the question, then answer it. The key to successful scientific writing is getting the structure of the paper right. The basic structure of a typical research paper is the sequence of Introduction, Methods, Results, and Discussion (sometimes abbreviated as IMRAD). Each section addresses a different objective. The authors state: (i) the problem they intend to address—in other terms, the research question—in the Introduction; (ii) what they did to answer the question in the Methods section; (iii) what they observed in the Results section; and (iv) what they think the results mean in the Discussion.

In turn, each basic section addresses several topics, and may be divided into subsections (Table 1 ). In the Introduction, the authors should explain the rationale and background to the study. What is the research question, and why is it important to ask it? While it is neither necessary nor desirable to provide a full-blown review of the literature as a prelude to the study, it is helpful to situate the study within some larger field of enquiry. The research question should always be spelled out, and not merely left for the reader to guess.

Typical structure of a research paper

The Methods section should provide the readers with sufficient detail about the study methods to be able to reproduce the study if so desired. Thus, this section should be specific, concrete, technical, and fairly detailed. The study setting, the sampling strategy used, instruments, data collection methods, and analysis strategies should be described. In the case of qualitative research studies, it is also useful to tell the reader which research tradition the study utilizes and to link the choice of methodological strategies with the research goals [ 3 ].

The Results section is typically fairly straightforward and factual. All results that relate to the research question should be given in detail, including simple counts and percentages. Resist the temptation to demonstrate analytic ability and the richness of the dataset by providing numerous tables of non-essential results.

The Discussion section allows the most freedom. This is why the Discussion is the most difficult to write, and is often the weakest part of a paper. Structured Discussion sections have been proposed by some journal editors [ 4 ]. While strict adherence to such rules may not be necessary, following a plan such as that proposed in Table 1 may help the novice writer stay on track.

References should be used wisely. Key assertions should be referenced, as well as the methods and instruments used. However, unless the paper is a comprehensive review of a topic, there is no need to be exhaustive. Also, references to unpublished work, to documents in the grey literature (technical reports), or to any source that the reader will have difficulty finding or understanding should be avoided.

Having the structure of the paper in place is a good start. However, there are many details that have to be attended to while writing. An obvious recommendation is to read, and follow, the instructions to authors published by the journal (typically found on the journal’s website). Another concerns non-native writers of English: do have a native speaker edit the manuscript. A paper usually goes through several drafts before it is submitted. When revising a paper, it is useful to keep an eye out for the most common mistakes (Table 2 ). If you avoid all those, your paper should be in good shape.

Common mistakes seen in manuscripts submitted to this journal

Huth EJ . How to Write and Publish Papers in the Medical Sciences , 2nd edition. Baltimore, MD: Williams & Wilkins, 1990 .

Browner WS . Publishing and Presenting Clinical Research . Baltimore, MD: Lippincott, Williams & Wilkins, 1999 .

Devers KJ , Frankel RM. Getting qualitative research published. Educ Health 2001 ; 14 : 109 –117.

Docherty M , Smith R. The case for structuring the discussion of scientific papers. Br Med J 1999 ; 318 : 1224 –1225.

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How to Write and Publish a Research Paper in 7 Steps

What comes next after you're done with your research? Publishing the results in a journal of course! We tell you how to present your work in the best way possible.

This post is part of a series, which serves to provide hands-on information and resources for authors and editors.

Things have gotten busy in scholarly publishing: These days, a new article gets published in the 50,000 most important peer-reviewed journals every few seconds, while each one takes on average 40 minutes to read. Hundreds of thousands of papers reach the desks of editors and reviewers worldwide each year and 50% of all submissions end up rejected at some stage.

In a nutshell: there is a lot of competition, and the people who decide upon the fate of your manuscript are short on time and overworked. But there are ways to make their lives a little easier and improve your own chances of getting your work published!

Well, it may seem obvious, but before submitting an academic paper, always make sure that it is an excellent reflection of the research you have done and that you present it in the most professional way possible. Incomplete or poorly presented manuscripts can create a great deal of frustration and annoyance for editors who probably won’t even bother wasting the time of the reviewers!

This post will discuss 7 steps to the successful publication of your research paper:

• Check whether your research is publication-ready
• Choose an article type
• Choose a journal
• Construct your paper
• Decide the order of authors
• Check and double-check
• Submit your paper

1. Check Whether Your Research Is Publication-Ready

Should you publish your research at all?

If your work holds academic value – of course – a well-written scholarly article could open doors to your research community. However, if you are not yet sure, whether your research is ready for publication, here are some key questions to ask yourself depending on your field of expertise:

• Have you done or found something new and interesting? Something unique?
• Is the work directly related to a current hot topic?
• Have you checked the latest results or research in the field?
• Have you provided solutions to any difficult problems?
• Have the findings been verified?
• Have the appropriate controls been performed if required?
• Are your findings comprehensive?

If the answers to all relevant questions are “yes”, you need to prepare a good, strong manuscript. Remember, a research paper is only useful if it is clearly understood, reproducible and if it is read and used .

2. Choose An Article Type

The first step is to determine which type of paper is most appropriate for your work and what you want to achieve. The following list contains the most important, usually peer-reviewed article types in the natural sciences:

Full original research papers disseminate completed research findings. On average this type of paper is 8-10 pages long, contains five figures, and 25-30 references. Full original research papers are an important part of the process when developing your career.

Review papers present a critical synthesis of a specific research topic. These papers are usually much longer than original papers and will contain numerous references. More often than not, they will be commissioned by journal editors. Reviews present an excellent way to solidify your research career.

Letters, Rapid or Short Communications are often published for the quick and early communication of significant and original advances. They are much shorter than full articles and usually limited in length by the journal. Journals specifically dedicated to short communications or letters are also published in some fields. In these the authors can present short preliminary findings before developing a full-length paper.

3. Choose a Journal

Are you looking for the right place to publish your paper? Find out here whether a De Gruyter journal might be the right fit.

Submit to journals that you already read, that you have a good feel for. If you do so, you will have a better appreciation of both its culture and the requirements of the editors and reviewers.

Other factors to consider are:

• The specific subject area
• The aims and scope of the journal
• The type of manuscript you have written
• The significance of your work
• The reputation of the journal
• The reputation of the editors within the community
• The editorial/review and production speeds of the journal
• The community served by the journal
• The coverage and distribution
• The accessibility ( open access vs. closed access)

4. Construct Your Paper

Each element of a paper has its purpose, so you should make these sections easy to index and search.

Don’t forget that requirements can differ highly per publication, so always make sure to apply a journal’s specific instructions – or guide – for authors to your manuscript, even to the first draft (text layout, paper citation, nomenclature, figures and table, etc.) It will save you time, and the editor’s.

Also, even in these days of Internet-based publishing, space is still at a premium, so be as concise as possible. As a good journalist would say: “Never use three words when one will do!”

Let’s look at the typical structure of a full research paper, but bear in mind certain subject disciplines may have their own specific requirements so check the instructions for authors on the journal’s home page.

4.1 The Title

It’s important to use the title to tell the reader what your paper is all about! You want to attract their attention, a bit like a newspaper headline does. Be specific and to the point. Keep it informative and concise, and avoid jargon and abbreviations (unless they are universally recognized like DNA, for example).

4.2 The Abstract

This could be termed as the “advertisement” for your article. Make it interesting and easily understood without the reader having to read the whole article. Be accurate and specific, and keep it as brief and concise as possible. Some journals (particularly in the medical fields) will ask you to structure the abstract in distinct, labeled sections, which makes it even more accessible.

A clear abstract will influence whether or not your work is considered and whether an editor should invest more time on it or send it for review.

4.3 Keywords

Keywords are used by abstracting and indexing services, such as PubMed and Web of Science. They are the labels of your manuscript, which make it “searchable” online by other researchers.

Include words or phrases (usually 4-8) that are closely related to your topic but not “too niche” for anyone to find them. Make sure to only use established abbreviations. Think about what scientific terms and its variations your potential readers are likely to use and search for. You can also do a test run of your selected keywords in one of the common academic search engines. Do similar articles to your own appear? Yes? Then that’s a good sign.

4.4 Introduction

This first part of the main text should introduce the problem, as well as any existing solutions you are aware of and the main limitations. Also, state what you hope to achieve with your research.

Do not confuse the introduction with the results, discussion or conclusion.

4.5 Methods

Every research article should include a detailed Methods section (also referred to as “Materials and Methods”) to provide the reader with enough information to be able to judge whether the study is valid and reproducible.

Include detailed information so that a knowledgeable reader can reproduce the experiment. However, use references and supplementary materials to indicate previously published procedures.

4.6 Results

In this section, you will present the essential or primary results of your study. To display them in a comprehensible way, you should use subheadings as well as illustrations such as figures, graphs, tables and photos, as appropriate.

4.7 Discussion

Here you should tell your readers what the results mean .

Do state how the results relate to the study’s aims and hypotheses and how the findings relate to those of other studies. Explain all possible interpretations of your findings and the study’s limitations.

Do not make “grand statements” that are not supported by the data. Also, do not introduce any new results or terms. Moreover, do not ignore work that conflicts or disagrees with your findings. Instead …

Be brave! Address conflicting study results and convince the reader you are the one who is correct.

4.8 Conclusion

Your conclusion isn’t just a summary of what you’ve already written. It should take your paper one step further and answer any unresolved questions.

Sum up what you have shown in your study and indicate possible applications and extensions. The main question your conclusion should answer is: What do my results mean for the research field and my community?

4.9 Acknowledgments and Ethical Statements

It is extremely important to acknowledge anyone who has helped you with your paper, including researchers who supplied materials or reagents (e.g. vectors or antibodies); and anyone who helped with the writing or English, or offered critical comments about the content.

Learn more about academic integrity in our blog post “Scholarly Publication Ethics: 4 Common Mistakes You Want To Avoid” .

Remember to state why people have been acknowledged and ask their permission . Ensure that you acknowledge sources of funding, including any grant or reference numbers.

Furthermore, if you have worked with animals or humans, you need to include information about the ethical approval of your study and, if applicable, whether informed consent was given. Also, state whether you have any competing interests regarding the study (e.g. because of financial or personal relationships.)

4.10 References

The end is in sight, but don’t relax just yet!

De facto, there are often more mistakes in the references than in any other part of the manuscript. It is also one of the most annoying and time-consuming problems for editors.

Remember to cite the main scientific publications on which your work is based. But do not inflate the manuscript with too many references. Avoid excessive – and especially unnecessary – self-citations. Also, avoid excessive citations of publications from the same institute or region.

5. Decide the Order of Authors

In the sciences, the most common way to order the names of the authors is by relative contribution.

Generally, the first author conducts and/or supervises the data analysis and the proper presentation and interpretation of the results. They put the paper together and usually submit the paper to the journal.

Co-authors make intellectual contributions to the data analysis and contribute to data interpretation. They review each paper draft. All of them must be able to present the paper and its results, as well as to defend the implications and discuss study limitations.

Do not leave out authors who should be included or add “gift authors”, i.e. authors who did not contribute significantly.

6. Check and Double-Check

As a final step before submission, ask colleagues to read your work and be constructively critical .

Make sure that the paper is appropriate for the journal – take a last look at their aims and scope. Check if all of the requirements in the instructions for authors are met.

Ensure that the cited literature is balanced. Are the aims, purpose and significance of the results clear?

Conduct a final check for language, either by a native English speaker or an editing service.

7. Submit Your Paper

When you and your co-authors have double-, triple-, quadruple-checked the manuscript: submit it via e-mail or online submission system. Along with your manuscript, submit a cover letter, which highlights the reasons why your paper would appeal to the journal and which ensures that you have received approval of all authors for submission.

It is up to the editors and the peer-reviewers now to provide you with their (ideally constructive and helpful) comments and feedback. Time to take a breather!

If the paper gets rejected, do not despair – it happens to literally everybody. If the journal suggests major or minor revisions, take the chance to provide a thorough response and make improvements as you see fit. If the paper gets accepted, congrats!

It’s now time to get writing and share your hard work – good luck!

If you are interested, check out this related blog post

[Title Image by Nick Morrison via Unsplash]

David Sleeman

David Sleeman worked as Senior Journals Manager in the field of Physical Sciences at De Gruyter.

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• Starting the research process

A Beginner's Guide to Starting the Research Process

When you have to write a thesis or dissertation , it can be hard to know where to begin, but there are some clear steps you can follow.

The research process often begins with a very broad idea for a topic you’d like to know more about. You do some preliminary research to identify a  problem . After refining your research questions , you can lay out the foundations of your research design , leading to a proposal that outlines your ideas and plans.

This article takes you through the first steps of the research process, helping you narrow down your ideas and build up a strong foundation for your research project.

Table of contents

Step 1: choose your topic, step 2: identify a problem, step 3: formulate research questions, step 4: create a research design, step 5: write a research proposal, other interesting articles.

First you have to come up with some ideas. Your thesis or dissertation topic can start out very broad. Think about the general area or field you’re interested in—maybe you already have specific research interests based on classes you’ve taken, or maybe you had to consider your topic when applying to graduate school and writing a statement of purpose .

Even if you already have a good sense of your topic, you’ll need to read widely to build background knowledge and begin narrowing down your ideas. Conduct an initial literature review to begin gathering relevant sources. As you read, take notes and try to identify problems, questions, debates, contradictions and gaps. Your aim is to narrow down from a broad area of interest to a specific niche.

Make sure to consider the practicalities: the requirements of your programme, the amount of time you have to complete the research, and how difficult it will be to access sources and data on the topic. Before moving onto the next stage, it’s a good idea to discuss the topic with your thesis supervisor.

>>Read more about narrowing down a research topic

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So you’ve settled on a topic and found a niche—but what exactly will your research investigate, and why does it matter? To give your project focus and purpose, you have to define a research problem .

The problem might be a practical issue—for example, a process or practice that isn’t working well, an area of concern in an organization’s performance, or a difficulty faced by a specific group of people in society.

Alternatively, you might choose to investigate a theoretical problem—for example, an underexplored phenomenon or relationship, a contradiction between different models or theories, or an unresolved debate among scholars.

To put the problem in context and set your objectives, you can write a problem statement . This describes who the problem affects, why research is needed, and how your research project will contribute to solving it.

>>Read more about defining a research problem

Next, based on the problem statement, you need to write one or more research questions . These target exactly what you want to find out. They might focus on describing, comparing, evaluating, or explaining the research problem.

A strong research question should be specific enough that you can answer it thoroughly using appropriate qualitative or quantitative research methods. It should also be complex enough to require in-depth investigation, analysis, and argument. Questions that can be answered with “yes/no” or with easily available facts are not complex enough for a thesis or dissertation.

In some types of research, at this stage you might also have to develop a conceptual framework and testable hypotheses .

>>See research question examples

The research design is a practical framework for answering your research questions. It involves making decisions about the type of data you need, the methods you’ll use to collect and analyze it, and the location and timescale of your research.

There are often many possible paths you can take to answering your questions. The decisions you make will partly be based on your priorities. For example, do you want to determine causes and effects, draw generalizable conclusions, or understand the details of a specific context?

You need to decide whether you will use primary or secondary data and qualitative or quantitative methods . You also need to determine the specific tools, procedures, and materials you’ll use to collect and analyze your data, as well as your criteria for selecting participants or sources.

>>Read more about creating a research design

Finally, after completing these steps, you are ready to complete a research proposal . The proposal outlines the context, relevance, purpose, and plan of your research.

As well as outlining the background, problem statement, and research questions, the proposal should also include a literature review that shows how your project will fit into existing work on the topic. The research design section describes your approach and explains exactly what you will do.

You might have to get the proposal approved by your supervisor before you get started, and it will guide the process of writing your thesis or dissertation.

>>Read more about writing a research proposal

If you want to know more about the research process , methodology , research bias , or statistics , make sure to check out some of our other articles with explanations and examples.

Methodology

• Sampling methods
• Simple random sampling
• Stratified sampling
• Cluster sampling
• Likert scales
• Reproducibility

 Statistics

• Null hypothesis
• Statistical power
• Probability distribution
• Effect size
• Poisson distribution

Research bias

• Optimism bias
• Cognitive bias
• Implicit bias
• Hawthorne effect
• Anchoring bias
• Explicit bias

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A DIY guide to starting your own journal

An antidote to frustrations with traditional academic publishing might be to launch a grass-roots open access journal. Here are the steps to consider

Judith Johnson

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Academic publishing’s profit margins are reportedly higher than those of Apple, Google and Amazon . It has long struck me as a racket: academics sign their work over to private businesses for free, then their universities pay the same businesses hefty fees to read what they publish. Academics also edit these journals and provide the peer reviews, usually for free.

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Open access journals are growing in number, but most of these charge fees for publication that far outstrip real costs. For years, I have been intrigued and encouraged to see the development of peer-reviewed open access journals that do not charge authors to publish with them. These include the International Journal of Music, Health and Wellbeing (IJMHW), whose principal editor is James Williams , a senior lecturer at the University of Derby, and Psychreg Journal of Psychology (PJP) , whose chief editor is Dennis Relojo-Howell , founder of the psychology blog Psychreg . These journals offer a solution that previously would have been regarded as impossible: they are both free to the authors and free to readers.

10 steps for starting an academic journal

Whatever the focus of your journal, the steps for setting one up are similar.

• Identify the gap. What is the need your journal will meet? How will it improve information-sharing in your field? Once you’ve identified this gap, you need to set the scope of your journal. Decide which types of articles you will include and those you won’t.
• Build a website that will home your journal. A full description of this process is beyond the capacity of this article (and my expertise!), but the key parts of this are to buy a domain name, find a web-hosting company and then prepare the content within this. Popular web-creation platforms are wordpress.com, wix.com and weebly.com. Relojo-Howell suggested that it’s also worth looking into the Public Knowledge Project : this provides Open Journal Systems (OJS), software designed to support the setting up and management of open access journals.
• Set up an editorial board. Both Williams and Relojo-Howell highlighted the importance of this. First, this group can provide the strategic direction and support that can get your journal started and help it grow. Second, this group can provide credibility to the project. As Relojo-Howell said: “When I started, potential contributors were only interested in who was on the editorial board. I have never been asked about the journal’s impact factor.”
• Involve associate editors who can provide support. Williams described the importance of including a multi-skilled team. “We have editors with different areas of expertise and skillsets, including people who are familiar with copy-editing and academic publishing.”
• Call for papers. You can spread the word about your new journal via social media and personal networks and by contacting relevant university departments. As Williams said: “We have only ever advertised the journal in the UK, but we have received submissions from Australia, Canada, the US and Asia.”
• Manage your submissions. Traditional journals use manuscript-management software, but this can come with a steep price tag. Open Journal Systems (OJS)  provides a free-to-use alternative, but this isn’t necessary. “I use a spreadsheet to keep on top of submissions,” Williams said. “It works fine.”
• Copy-edit and typeset your articles. While this might feel like a challenge, it is possible to do using widely available software. Williams uses Word and Adobe programmes to provide a professional-looking finish to his articles. Relojo-Howell uses “a combination of paid-for fonts and free Google fonts”.
• Apply for an international standard serial number (ISSN). In the UK, this involves submitting an application to the British Library . Williams suggested that the British Library would expect to see evidence of around three or four previous publications and a commitment to continue publishing on a regular basis.
• Plan how to give your articles a digital object identifier (DOI). DOIs are a string of numbers, letters and symbols that are used to permanently identify an article or document and link it to the web. Relojo-Howell recommends using Zenodo for this purpose. Initially funded by EU project funding, Zenodo is now open to all research outputs and offers its services free of charge for open access publishers.
• Wider registration. There are a variety of international platforms with which to register journals, including Web of Science, PubMed and SCOPUS . This will be a longer-term process, however. Dom Mitchell  from the Directory of Open Access Journals (DOAJ)  has stated: “DOAJ requires that an open access journal has published five original research articles, among other things, before we will consider it for indexing...We also require that the journal has an ISSN that has been registered and fully confirmed.”

Other challenges include finding peer reviewers ( “ We approach academics who are working closely in the field of the article and send personal requests,” said Williams) and establishing that your journal is a genuine academic grass-roots initiative, in light of the growth of predatory journals.

Judith Johnson is an associate professor in the School of Psychology at the University of Leeds.

This is an edited version of a post, “ How to start a journal and beat the academic publishing racket ”, that was first published on Judith Johnson’s blog.

If you would like advice and insight from academics and university staff delivered direct to your inbox each week,  sign up for the Campus newsletter .

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• Education and Communications
• Journal Writing

How to Write a Journal

Last Updated: March 21, 2024 Fact Checked

This article was co-authored by Catherine Boswell, PhD . Dr. Catherine Boswell is a Licensed Psychologist and a Co-Founder of Psynergy Psychological Associates, a private therapy practice based in Houston, Texas. With over 15 years of experience, Dr. Boswell specializes in treating individuals, groups, couples, and families struggling with trauma, relationships, grief, and chronic pain. She holds a Ph.D. in Counseling Psychology from the University of Houston. Dr. Bowell has taught courses to Master’s level students at the University of Houston. She is also an author, speaker, and coach. There are 9 references cited in this article, which can be found at the bottom of the page. This article has been fact-checked, ensuring the accuracy of any cited facts and confirming the authority of its sources. This article has been viewed 241,117 times.

Journal writing is a creative form of recording your feelings free from the fear of judgement or criticism. Writing in a journal can allow you to work through complex issues in your life, exploring them thoroughly and candidly. It can also be a way of relieving stress, rather than inadvertently taking out your unexplored feelings on someone else. See Step 1 below to start writing your own journal.

Journal Entry Template

Starting Your Own Journal

• If you're looking at computer-based options for your journal, you might want to consider starting a blog - essentially an online journal that other people can read . A variety of free blog sites exist, some of which allow you to control who can and cannot read your blog.

• If you're writing a blog, you may want to begin by addressing your readers.

• As an exception to this rule, if you're writing a blog, while you'll want to be open with your emotions, consider your audience. You may want to consider censoring your most intense and/or personal thoughts.

• Many journal-writers like to add an entry every night before bed. This is a healthy routine because it allows the writer to relax and unwind at the end of the day by "letting out" any lingering emotions. Be sure to write honestly, don't overthink it, and stay focused.

• Use your past entries to reflect on your life. As you read, ask yourself questions like, "Am I the same person who wrote this entry?", "Is my life going the way I want it to?", and "How can I work to solve any problems that may have been troubling me when I wrote this entry?"

• The experiences you have while travelling can be some of the most influential ones in your life. Discovering the beauty of nature, making a friend in a far-off place, and even simply leaving your home can shape you, so document these things!

• If you're using a digital journal, like a blog, try adding photographs to your posts, including links, and choosing colorful templates.

Writing Great Journal Entries

• If you're having trouble turning off your filter, try writing "free form" as an exercise - scrawling your thoughts down in a stream-of-consciousness form the moment they come to you, whether they make sense or not.

• For instance, were you in a miserable mood when you wrote yesterday, but are now feeling better? Comment on this! By doing so, you may start to understand why you felt this way in the first place.

• You may find that, by pursuing a prompt, your writing ventures into interesting new areas you might otherwise never have explored. Be adventurous and pursue these new topics to your heart's content!

• The diary of Samuel Pepys
• The Diary of a Young Girl (Anne Frank's diary)
• The diary of Jemima Conduct
• The diary of Franz Kafka
• Bridget Jones's Diary
• Diary of a Wimpy Kid
• The Color Purple
• Flowers for Algernon
• Gentlemen Prefer Blondes

Expert Q&A

Reader Videos

Share a quick video tip and help bring articles to life with your friendly advice. Your insights could make a real difference and help millions of people!

• Find a secluded and familiar place to write (for example, your bedroom with the door locked), but other secluded places are good too. (Your backyard.) Thanks Helpful 7 Not Helpful 0
• It's best to write with a pen because pencil can fade. Thanks Helpful 8 Not Helpful 3
• It's best if it is a secret. It's better if no one reads about your feelings and your secrets. Thanks Helpful 6 Not Helpful 3

• Always keep it in a safe no-one-knows box of secrets after writing. It's best if it has a lock. Thanks Helpful 85 Not Helpful 7
• If this person does and reads it, confront them and tell them you absolutely do not want them to read it. Then take necessary precautions, such as getting a notebook with a lock. Thanks Helpful 77 Not Helpful 7
• Your secrets may be posted around the net if you don't lock it. (This is for blog authors only.) Thanks Helpful 60 Not Helpful 8
• Someone could find out about your journal. Thanks Helpful 67 Not Helpful 15

Things You'll Need

• A cheap but good composition notebook.
• A working pen or pencil.
• Colouring in pens or pencils.

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• ↑ https://docs.google.com/
• ↑ https://psychcentral.com/blog/ready-set-journal-64-journaling-prompts-for-self-discovery
• ↑ https://www.psychologytoday.com/us/blog/mindful-musings/201611/3-reasons-let-yourself-feel-your-emotions
• ↑ Catherine Boswell, PhD. Licensed Psychologist. Expert Interview. 29 December 2020.
• ↑ https://www.writersdigest.com/whats-new/7-writing-routines-that-work
• ↑ https://www.theguardian.com/lifeandstyle/2014/mar/22/how-to-start-journal-writing-drawing
• ↑ https://www.washingtonpost.com/travel/tips/travel-photos-journal-memories-/
• ↑ https://www.urmc.rochester.edu/encyclopedia/content.aspx?ContentID=4552&ContentTypeID=1
• ↑ https://psychcentral.com/blog/ready-set-journal-64-journaling-prompts-for-self-discovery#the-journal-prompts

About This Article

To write a journal entry, start by writing down the date, time, and location where you're writing. Then, let your emotions flow and write about your feelings, like your family life, crush, or dreams. Try not to overthink it by writing things down as soon as they come into your head. You can also use writing prompts. To make your entries as useful as possible, get into a routine of writing regularly. Then, review your past entries to assess your feelings with the benefit of hindsight. To see a list of some famous journal writers and get tips on how to decorate your journal, read on! Did this summary help you? Yes No

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How to Journal

Your complete guide to getting started with journaling.

Do you want to learn how to journal, but are unsure where to start?  Or you want to know what to write in a journal?  Maybe you’ve heard of creative journaling and are curious what it is? Perhaps you’re a writer and want to journal to deepen your craft?

This comprehensive “How to Journal” article will answer all of your questions about journal writing. For example, what journal writing is, how you can use it, and what benefits you can experience from this type of writing.  It also includes many journal writing prompts to help you get started. Lastly, while journal writing is typically a solitary act, you don’t have to journal alone or in isolation.  This article will tell you where you can get some help and support for your journal writing, including being part of a journal writing community or group.

This Article Covers:

What is Journal Writing?

What can i use journaling for.

• How to Journal – What are the Benefits?
• Getting Started with Journaling
• Creating a Journal Writing Ritual
• How to Journal – What To Write?
• How Often Should I Write in my Journal?

Do You Need to Write Regularly in a Journal?

• How To Journal Consistently –  Creating the Journaling Habit
• How to Journal – What Help and Support Can I Get?
• In Conclusion

Before we talk about how to journal, let’s look at what journaling is.

Journal Writing is the practice of taking time for yourself to write and reflect on your thoughts, feelings and life experiences.  There are many suggestions for how to journal and what to write about. However, the beauty of journal writing is you can do it in your own way. This means you can really make it your own creative and life enhancing practice.

There are lots of people who write in a journal.  I recently heard that 16% of the world’s population regularly writes in a journal. You could loosely test this claim yourself by asking a group of friends or family if they write in a journal and see what percentage say yes.

Each person will give a slightly different answer when asked, “What is journaling?” But in essence, journaling is the simple and profound act of capturing and understanding our lives through expressive writing and story. Expressive writing includes writing about our thoughts and feelings while gaining self-awareness and new discoveries along the way. Journaling is all about exploring and enriching life through narrative, words and creative self-expression through writing.

Journaling is…

• a powerful tool for personal growth, self-discovery, improved health and creative self-expression
• a fun and creative life enhancing practice
• used by many successful people, including Oprah and Jack Canfield (author of Chicken Soup for the Soul books), to achieve success in life and work

“Journal writing is one of the rare forms of writing in which freedom of form and content support each other magically.”   –  Stephanie Dowrick

You can use journal writing to get to know yourself better, solve problems, make life decisions, improve your health and increase feelings of gratitude and joy.  Journaling can also help you heal from stressful life circumstances, deal with grief and loss, or other life transitions. Or just journal for the pure love it!

Journaling is a fun, nourishing and creative practice that simply requires something to write with and write on. Whether it’s a pen and notebook, loose paper, cue cards, you get to choose your journaling tools!

People use journal writing in different ways for a variety of reasons. One person might journal to heal a broken heart writing an unsent letter sharing what they wish they’d said to that person.  Someone else might journal to celebrate their accomplishments and make a list of their recent successes in their journal.

There are also a wide variety of journaling methods and techniques to get the most out of your journaling. You can use it for whatever matters most to you at this time in your life.

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How to Journal – What are the Benefits?

There are many evidence-based benefits of journal writing from over 30 years of research in the expressive writing field.  Yes, journal writing is a field of work!

People use the journaling process for many reasons, including to:

• stimulate a healthier mind and body
• vent and express thoughts and feelings in a healthy, constructive manner
• increase self-awareness
• create clarity for decision-making
• track progress and personal growth
• celebrate successes
• heal emotional pain and trauma
• increase self-care
• manage stress and prevent burnout
• gain broader and multiple perspectives
• practice writing in a non-judgmental setting
• improve creative thinking
• preserve memories
• get closer to God or a divine energy source

Today, journaling is widely accepted as a means for cultivating wellness as part of a whole person health approach. This includes the emotional, physical, psychological and spiritual dimensions of well-being. Journaling is also being used across various disciplines, such as education, psychology, leadership, business, health, creative writing, coaching and counselling fields, as a powerful tool for learning and growth.

How to Journal – Getting Started

Get organized.

One of the first things to do when you start a journal is get your journaling tools organized.

It can be fun to pick out your favourite pen and an inspiring journal. Look online or go into any book, stationary or office supply store and you’ll find all kinds of journals, pens, markers and other things you might like to use in your journal such as stickers or other creative touches.

So over time, you can experiment with your journaling tools. Do you like blank pages or lined? Would you prefer a small journal or a large sketchbook style journal?  Would you use the same style journal or mix it up and try something new each time you begin a new one?

Sometimes people use loose leaf paper and put their journaling pages in a binder, or write small entries on cue cards. And some people even use big 18 x 24 pages of paper for larger visual journaling entries. You can create a mixed media art journal and much more.

Just Write!

The key is to pick some simple journaling tools to start with – a pen and notebook – and just start writing.

Your writing will teach you what you need. For example, I used to write in a small lined journal and over the years, my writing longed for larger, open, clear spaces to fill. Now I use an 8 ½ by 11 blank page sketchbook, spiral bound and I keep my pilot pen in the spine of the journal.

Find your own tools and make your own way as you write. The only way to journal, is to write. And then write some more.

Whether you’re an avid journal writer, someone who journaled in the past, or have never written in a journal before:

“There is a Spanish proverb which says: there is no road, we make the road as we walk. I would say the same thing about journal writing: we make the path as we write.” Christina Baldwin

How to Journal – Creating Writing Rituals

What is a journaling writing ritual.

Dr. James Pennebaker, author of Writing to Heal: A Guided Journal for Recovering from Trauma & Emotional Upheaval , suggests some conditions that help enhance the expressive writing process.  His research shows that creating a journal writing ritual is very beneficial.

Being focused, non-judgmental, and connected to your interior world fosters deeper writing. But, it’s not a frame of mind that everyone can simply switch on and off.

The idea behind creating a ritual is to create a unique environment and/or behavior which helps you sink into the best journal writing mindset possible. The purpose of the ritual is to take you away from everyday life. Your ritual contains the cues you create for yourself which help you become relaxed, alert, and reflective.

How do you Create a Journal Writing Ritual?

Here are some suggestions, but remember, the ritual you create to transition into deeper journal writing is uniquely yours.

• Select some music that creates a sense of serenity. Play it for five minutes, focusing on simply listening to the music. Consider closing your eyes. Do not read your mail or straighten out your desk! You may want to have just one piece of music you use each time as your centering pre-writing ritual. Or choose three or four pieces you love for some variety.
• Begin with several minutes of a meditation or a prayer. You can write just for the occasion or create something spontaneously each time.
• Brew a cup of tea or coffee, or pour yourself some fresh juice. Perhaps a glass of wine? Spend a few minutes holding the cup, feeling the warmth, smelling the aromas of your drink and deeply enjoy those sensations.

Write in an environment that’s inspiring for your journal writing

• This could be by a bright and sunny window or a softly lit corner nestled in a cozy chair.
• Light a candle and while lighting the candle say an affirmation, your intention or make a wish.

Journal at approximately the same time each day

• This doesn’t have to be at the same hour each day, but it’s helpful if it’s at the same time in your daily routine. For example half an hour before bed, which will work whether you go to bed at 10pm or at midnight.

The trick, of course, is to find the cues that help you settle in quickly. Initially, experiment with different rituals to see which feels best and then stick with the practice once you’ve found one you like. Remember to use as many of your senses (smell, sight, touch, hearing and taste) as you can when creating your centering ritual.

How to Journal – What To Write

You can write about anything you want to write about. For example write about your day including your thoughts, feelings, problems, challenges, upsets, joys, successes and dreams. Here are some journaling prompts to help you get started:

• Right now, I am feeling…
• In the moment, I notice…
• Currently, I am thinking about…
• So far, the best part about my week is…

You can also write about what you don’t want to write about—and explore your resistance!

Resistance offers you information about where you’re feeling stuck, perhaps procrastinating, or simply not quite sure how to proceed. Here are some journaling prompts to play with around resistance:

• At the moment, I don’t really want to write about (and then write about it anyways)…
• I am feeling resistant because…
• If I wasn’t feeling resistant, what might be different in my life right now…

You can free write (simply go to the page and start writing) or you can do more structured journal writing activities such as using prompts.

There are many other journal writing techniques and methods such as mind maps, cluster drawings, dialogue writing, captured moments, poetic writing and more that you can learn about and use to keep your journal writing fresh and interesting.

Access our free 7 Servings of Journal Juice for new ideas on what to write about in your journal. And you’ll also receive journal writing prompts, exercises, tips and our inspiring Journaling Museletter .

How To Journal – How Often Should I Write

There are no rules about how often you should write in your journal. Like anything, the more often you do something that’s good for you, the more benefits you get from it. I doubt you would go for one walk around the block and expect to experience significant health benefits from it.

The same is true for journaling. While that one walk would have offered you ‘in the moment’ benefits like time to relax, feeling good from moving your body, fresh air and more, the same is true for journaling.

You could gain a sense of relief, renewal and replenishment from just 10 minutes of writing about your thoughts, feelings and life observations.

Journal Regularly

Much like any other activity that’s good for you like brushing your teeth, meditating or eating a healthy diet, journaling can also be done regularly. Journaling makes a great healthy daily habit.

Set a Timer

I often facilitate timed journal writing exercises in workshops and retreats that I offer. It’s a core part of my Transformational Writing for Wellness Salon , a 6 week group coaching program that takes people into the heart and art of transformational journaling.

So often people say, “I can’t believe how much I wrote in just 5 minutes” or “I can’t believe I gained new insights when I just wrote for 7 minutes!”

Journaling to Cope

Many people only write in their journals when they are going through difficult times. Then once things are going better, they stop writing. This is also a valuable way to use your journal as a life companion to help you cope during stressful or troubled times.

The key is not to get too caught up in “shoulds”: I should journal today, I should journal more often. That’s because ‘shoulds’ can open the door for negative self-talk and feelings of inadequacy and shame. Instead, your journaling practice is best treated like a kind friend. You journal because you want to, and because it’s an enjoyable, or at least helpful, relaxing experience.

It’s a question that most journal writers face at some point. Does it matter if you write often in your journal? Well, whether you write regularly depends on your purpose for writing. Is it to preserve memories? To sort out issues? To track physical or emotional, spiritual, or intellectual progress? Track health symptoms?

If journal writing is pleasurable, then writing is its own reward. If journal writing becomes a task you “should” do, rather than something you enjoy, then you’ll write less consistently.

So part of the issue can be reframed by asking, ”How do I make journal writing pleasurable?” The answer to this question will help you find your own way to make journaling a consistent and enjoyable habit.

How To Journal Consistently –  Creating the Journaling Habit

Think of writing a journal entry as the lowest cost and highest benefit way of taking care of your health. Remember that writing about meaningful events or activities in your life has been proven to positively impact your overall health without major cost of time or money and without having to leave your home!

If you do want to write in your journal on a regular basis and truly create the journaling habit, here are a few ideas to help you keep writing consistently:

Make your journal writing more upbeat

• Review the good things that have happened in your day—your attitude, your progress toward a goal, a minor victory, even a two-minute interaction with someone that went well.
• Remind yourself about the good stuff in your life and your good qualities.

Write when you have difficult issues in your life that need to be resolved

• Who doesn’t experience difficult times? Consider the time that you write in your journal as an oasis of self-nurturing in your day. It’s a time to vent, rant, reflect, and process just for you.

If possible, write at the same time every day

• Incorporate your writing practice into a daily routine.

Make it short and fun!

• Write a one-word journal entry that captures your day.
• It’s a challenge to come up with that one word. You can think about it while you are doing some mindless life maintenance activity—like flossing your teeth, taking out the garbage, or folding clothes.
• Then once you’ve determined that word, writing your journal entry takes almost no time.

Go deeper with our How to Journal Consistently article >>

Back to the question: Does it really matter that you write consistently?

Writing consistently helps you maintain your journaling practice. It means that when you re-read your journal, there are enough entries to have meaning and flow.

Your ability to write consistently in your journal will be determined by how you feel and doing what’s right for you. So, while you’re writing and when you finish, notice how you feel.

• Did you like the process?
• Were you feeling relaxed and soothed during or after writing?
• Did you feel at times frustrated, angry, confused, despairing?

This whole spectrum of emotions is simply part of the process of journal writing. I know that I feel better most of the time after I write – like I’ve released a burden or relived a pleasurable part of my day.

How to Journal – What Help and Support Can I Get?

One of the best ways to learn more about how to journal is with the support of a like minded community. When we join with fellow journal writers there are regular opportunities to connect, learn and be inspired about journaling. People who like yoga connect in yoga communities, and the same is true for meditation, scrapbooking, running and more. There is a human instinct to find supportive communities who share our passion or interest, so we can learn and grow together.

At the IAJW, our journal writing community is for extroverts and introverts alike. Perhaps you want the inspiration and support of a community, but would rather sit back quietly and take it all in. Or maybe you want to chat with fellow journal writers live on our monthly Zoom Chats with guest experts. You can gain regular  help and support for your unique approach to journal writing.

Join our Online Journal Writing Community

We know there is power in community. So come join fellow journal writers in the International Association for Journal Writing ! We offer a learning and inspirational community for journal writers worldwide. Access monthly online writing circles, interviews with guest experts in the field of journaling and expressive writing, courses, journaling tools, e-books and much more.

Treat Yourself to a Journal Writing Retreat

Lastly, you might want to join one of our virtual Renew You Writing Retreats . Take 3 hours for yourself to journal in a guided and nourishing way. Whether you want to kick-start or reinvigorate your journaling practice, this retreat gives you time for creative self-care and renewal!

“Wow! What an awesome experience! I must admit I was a tad bit skeptical about an online retreat. But woah! Was I wrong! The Renew You Writing Retreat was so invigorating, uplifting, therapeutic, inspirational….just plain awesomesauce. Have you ever had an experience like that? You go in a little skeptical and come out blown away? Have you had the experience of being deeply inspired through writing and sharing with others? If not, you’re missing out! Thank you, Lynda, for creating such a wonderful space and experience.” Airial W. Dandridge, Certified Life Coach

How to Journal – In Conclusion

If you’ve read this far, I know you’re passionate (or at least curious about) the many benefits of  journal writing. Journaling is an empowering experience because you’re always the expert of your own life. Journaling helps you explore both your inner and outer worlds and make sense of your life experience.

As a Registered Social Worker and Certified Co-Active Life Coach, I have been immersed in human transformation, growth, change and wellness for the past 30 years. I’ve learned many different tools and techniques for self-care, healing and growth through my studies and first-hand experience. Journaling is my go to practice that helps me live an intentional, healthy and happy life. And it has helped many people to do the same! Including you, perhaps?

There is only one way to experience the many benefits of journal writing—pick up your pen and write!

“Writing was the healing place where I could collect bits and pieces, where I could put them together again…written words change us all and make us more than we could ever be without them.” bell hooks

May your journaling support you to live an incredible life!

Next steps:.

• Join our Journaling Community with IAJW Membership>>
• Check out our  Journal Writing Facebook group>>
• Explore our Journal Writing Store>>

Authors :  Lynda Monk, Director of IAJW and Ruth Folit, Founder of IAJW , partnered to write this How to Journal article, attempting to answer some of the most common questions that new and, in some cases, even seasoned journal writers have.

23 Comments

Such a wonderful article. Thank you for sharing!

Thanks, Diana!

I went to write lots bits to remember and copied it almost word for word in my common place book,but I love to write and am trying to get back into it,I’m writing for recovery from am 8yr relationship with a covert gaslighting narcissist,and I couldn’t write,let alone relax,I have been out for almost 2yrs,and when I start to feel joy or something didn’t work out and I’m hard on myself,I swear I can feel his presence in my house,he doesn’t know where I am,I left him and moved 2hr away in a different state,the feeling is almost overwhelming

Hi Dixie, personal writing can help heal from painful relationships. It’s great you are getting back into it!

Thank you both Lynda and Ruth for this wonderfully informative resource. Never too old to learn something new! Thank you both for bringing this to us.

Thanks, Lyn. Glad it offered some new ideas!

Great article Lynda! You’ve covered so many bases – lots of work, and very informative and knowledgeable as always :) Emma-Louise

Hi Emma, thanks for your kind feedback!

You two put together a beautiful and accessible piece here. It’s filled with all the vast experience and love you have for journaling. Thanks, Beth

Thanks so much, Beth! Your feedback means a lot to us.

Lynda, a beautiful gift to receive, words combing thoughts, insightful expressions and creative suggestions. Thank you for sharing a writing world held in heart, pen or typing starts journaling what is seen, felt or sensed from a human inner essence. Whole ❤️ Namaste.

Thank you, Denise! Namaste.

My name is Jacki Smallwood. I have been watching your sight on Facebook, and all the various gifts you have given while on the sight. I have been in a nursing home for 3 years and in quarantine for the past 11 months, not leaving my room, no guests, no funerals or graduation s. To keep my sanity u journal, I share my journaling with other residents through Messenger to help others cope. I don’t have access to copy machine nor anyone to take it out to staples. I am asking if anyone of your organization would donate material that would help me so much and then share with others. I get 45.00 a month from SS and need every penny for my needs. Anything you can do would be so helpful.

Seniors are a special group often ignored through this Covid.

Thank you for anything you could for me.

Jacky Smallwood

Hi Jacky, thank you for your note and request. I removed your mailing address from your original comment before publishing it for your privacy. I will reach out to you by email. I am glad journaling is helping you during this difficult time. More to follow, Lynda

Lynda, I’m very grateful to have ran across this article. I used to journal a lot when I was younger and I write poetry and music pretty consistently for the last few years. I have been told journaling could be amazing for me to get over some of my past pains and nasty relationships and getting to know myself, growing into a stronger (as well as better person), and just for my general mental health. So, as I begin to journal this very day, I was writing down many things that I want to include and accomplish with this journal inside the front pages of my book and I happened to run across your article! Now I just want to give you a big thank you BECAUSE I attained a lot of information, ideas, and format to include in my new journaling experience! I’m very excited to embark and I just wanted to let you know again I’m grateful for running across your words.

Chelsea Venice, Florida

Hi Chelsea, thanks for your note and for sharing some of your journaling hopes! I love the serendipity that you found our journaling website. We have lots of free journaling resources, including journaling prompts, that might be helpful along the way. You can find them here if you are interested: https://iajw.org/free-journaling-resources/ Happy journaling!

Thanks for your article esp the prompts to change the language and freshen up what I usually write.

wonderful article

Thank you so much for this article! When I was in my deepest months I would always journal but then once I got better I stopped journaling. I really want to get back into it but instead of writing about the bad in my life, I am going to focus on the good.

thank you for this article!

You’re welcome, Gwen. Thanks for reading.

I love the ideas for making journaling more appealing in order to journal more consistently. Sometimes I get so caught up in the “should do’s” that I forget that there really are no rules!

Very informative article on journaling! I’ve found journaling to be a wonderful practice for self-discovery and personal growth.

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How to Make a Research Paper Title with Examples

What is a research paper title and why does it matter?

A research paper title summarizes the aim and purpose of your research study. Making a title for your research is one of the most important decisions when writing an article to publish in journals. The research title is the first thing that journal editors and reviewers see when they look at your paper and the only piece of information that fellow researchers will see in a database or search engine query. Good titles that are concise and contain all the relevant terms have been shown to increase citation counts and Altmetric scores .

Therefore, when you title research work, make sure it captures all of the relevant aspects of your study, including the specific topic and problem being investigated. It also should present these elements in a way that is accessible and will captivate readers. Follow these steps to learn how to make a good research title for your work.

How to Make a Research Paper Title in 5 Steps

You might wonder how you are supposed to pick a title from all the content that your manuscript contains—how are you supposed to choose? What will make your research paper title come up in search engines and what will make the people in your field read it? 

In a nutshell, your research title should accurately capture what you have done, it should sound interesting to the people who work on the same or a similar topic, and it should contain the important title keywords that other researchers use when looking for literature in databases. To make the title writing process as simple as possible, we have broken it down into 5 simple steps.

Step 1: Answer some key questions about your research paper

What does your paper seek to answer and what does it accomplish? Try to answer these questions as briefly as possible. You can create these questions by going through each section of your paper and finding the MOST relevant information to make a research title.

Step 2: Identify research study keywords

Now that you have answers to your research questions, find the most important parts of these responses and make these your study keywords. Note that you should only choose the most important terms for your keywords–journals usually request anywhere from 3 to 8 keywords maximum.

Step 3: Research title writing: use these keywords

“We employed a case study of 60 liver transplant patients around the US aged 20-50 years to assess how waiting list volume affects the outcomes of liver transplantation in patients; results indicate a positive correlation between increased waiting list volume and negative prognosis after the transplant procedure.”

The sentence above is clearly much too long for a research paper title. This is why you will trim and polish your title in the next two steps.

Step 4: Create a working research paper title

To create a working title, remove elements that make it a complete “sentence” but keep everything that is important to what the study is about. Delete all unnecessary and redundant words that are not central to the study or that researchers would most likely not use in a database search.

“ We employed a case study of 60 liver transplant patients around the US aged 20-50 years to assess how the waiting list volume affects the outcome of liver transplantation in patients ; results indicate a positive correlation between increased waiting list volume and a negative prognosis after transplant procedure ”

Now shift some words around for proper syntax and rephrase it a bit to shorten the length and make it leaner and more natural. What you are left with is:

“A case study of 60 liver transplant patients around the US aged 20-50 years assessing the impact of waiting list volume on outcome of transplantation and showing a positive correlation between increased waiting list volume and a negative prognosis” (Word Count: 38)

This text is getting closer to what we want in a research title, which is just the most important information. But note that the word count for this working title is still 38 words, whereas the average length of published journal article titles is 16 words or fewer. Therefore, we should eliminate some words and phrases that are not essential to this title.

Step 5: Remove any nonessential words and phrases from your title

Because the number of patients studied and the exact outcome are not the most essential parts of this paper, remove these elements first:

 “A case study of 60 liver transplant patients around the US aged 20-50 years assessing the impact of waiting list volume on outcomes of transplantation and showing a positive correlation between increased waiting list volume and a negative prognosis” (Word Count: 19)

In addition, the methods used in a study are not usually the most searched-for keywords in databases and represent additional details that you may want to remove to make your title leaner. So what is left is:

“Assessing the impact of waiting list volume on outcome and prognosis in liver transplantation patients” (Word Count: 15)

In this final version of the title, one can immediately recognize the subject and what objectives the study aims to achieve. Note that the most important terms appear at the beginning and end of the title: “Assessing,” which is the main action of the study, is placed at the beginning; and “liver transplantation patients,” the specific subject of the study, is placed at the end.

This will aid significantly in your research paper title being found in search engines and database queries, which means that a lot more researchers will be able to locate your article once it is published. In fact, a 2014 review of more than 150,000 papers submitted to the UK’s Research Excellence Framework (REF) database found the style of a paper’s title impacted the number of citations it would typically receive. In most disciplines, articles with shorter, more concise titles yielded more citations.

Adding a Research Paper Subtitle

If your title might require a subtitle to provide more immediate details about your methodology or sample, you can do this by adding this information after a colon:

“ : a case study of US adult patients ages 20-25”

If we abide strictly by our word count rule this may not be necessary or recommended. But every journal has its own standard formatting and style guidelines for research paper titles, so it is a good idea to be aware of the specific journal author instructions , not just when you write the manuscript but also to decide how to create a good title for it.

Research Paper Title Examples

The title examples in the following table illustrate how a title can be interesting but incomplete, complete by uninteresting, complete and interesting but too informal in tone, or some other combination of these. A good research paper title should meet all the requirements in the four columns below.

Tips on Formulating a Good Research Paper Title

In addition to the steps given above, there are a few other important things you want to keep in mind when it comes to how to write a research paper title, regarding formatting, word count, and content:

• Write the title after you’ve written your paper and abstract
• Include all of the essential terms in your paper
• Keep it short and to the point (~16 words or fewer)
• Avoid unnecessary jargon and abbreviations
• Use keywords that capture the content of your paper
• Never include a period at the end—your title is NOT a sentence

Research Paper Writing Resources

We hope this article has been helpful in teaching you how to craft your research paper title. But you might still want to dig deeper into different journal title formats and categories that might be more suitable for specific article types or need help with writing a cover letter for your manuscript submission.

In addition to getting English proofreading services , including paper editing services , before submission to journals, be sure to visit our academic resources papers. Here you can find dozens of articles on manuscript writing, from drafting an outline to finding a target journal to submit to.

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An agreement between the Carolina Consortium and Springer Nature gives USC Columbia corresponding authors the opportunity to publish articles in eligible Springer Nature journals free of charge. It’s one of a growing number of open access agreements made available by University Libraries. Open access publication is not only more affordable, it also allows scholars to make their work more discoverable and accessible to the global community. With more than 3,000 journals across a wide range of disciplines, Springer Nature is a leading publisher of academic research. Read more about this resource here . 

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Contents of Volume 93, Number 348 HTML articles powered by AMS MathViewer View front and back matter from the print issue

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

Published on 11.4.2024 in Vol 26 (2024)

Patients’ Experiences With Digitalization in the Health Care System: Qualitative Interview Study

Authors of this article:

Original Paper

• Christian Gybel Jensen 1 * , MA   ; 
• Frederik Gybel Jensen 1 * , MA   ; 
• Mia Ingerslev Loft 1, 2 * , MSc, PhD  

1 Department of Neurology, Rigshospitalet, Copenhagen, Denmark

2 Institute for People and Technology, Roskilde University, Roskilde, Denmark

*all authors contributed equally

Corresponding Author:

Mia Ingerslev Loft, MSc, PhD

Department of Neurology

Rigshospitalet

Inge Lehmanns Vej 8

Phone: 45 35457076

Email: [email protected]

Background: The digitalization of public and health sectors worldwide is fundamentally changing health systems. With the implementation of digital health services in health institutions, a focus on digital health literacy and the use of digital health services have become more evident. In Denmark, public institutions use digital tools for different purposes, aiming to create a universal public digital sector for everyone. However, this digitalization risks reducing equity in health and further marginalizing citizens who are disadvantaged. Therefore, more knowledge is needed regarding patients’ digital practices and experiences with digital health services.

Objective: This study aims to examine digital practices and experiences with public digital health services and digital tools from the perspective of patients in the neurology field and address the following research questions: (1) How do patients use digital services and digital tools? (2) How do they experience them?

Methods: We used a qualitative design with a hermeneutic approach. We conducted 31 semistructured interviews with patients who were hospitalized or formerly hospitalized at the department of neurology in a hospital in Denmark. The interviews were audio recorded and subsequently transcribed. The text from each transcribed interview was analyzed using manifest content analysis.

Results: The analysis provided insights into 4 different categories regarding digital practices and experiences of using digital tools and services in health care systems: social resources as a digital lifeline, possessing the necessary capabilities, big feelings as facilitators or barriers, and life without digital tools. Our findings show that digital tools were experienced differently, and specific conditions were important for the possibility of engaging in digital practices, including having access to social resources; possessing physical, cognitive, and communicative capabilities; and feeling motivated, secure, and comfortable. These prerequisites were necessary for participants to have positive experiences using digital tools in the health care system. Those who did not have these prerequisites experienced challenges and, in some cases, felt left out.

Conclusions: Experiences with digital practices and digital health services are complex and multifaceted. Engagement in digital practices for the examined population requires access to continuous assistance from their social network. If patients do not meet requirements, digital health services can be experienced as exclusionary and a source of concern. Physical, cognitive, and communicative difficulties might make it impossible to use digital tools or create more challenges. To ensure that digitalization does not create inequities in health, it is necessary for developers and institutions to be aware of the differences in digital health literacy, focus on simplifying communication with patients and next of kin, and find flexible solutions for citizens who are disadvantaged.

Introduction

In 2022, the fourth most googled question in Denmark was, “Why does MitID not work?” [ 1 ]. MitID (My ID) is a digital access tool that Danes use to enter several different private and public digital services, from bank accounts to mail from their municipality or the state. MitID is a part of many Danish citizens’ everyday lives because the public sector in Denmark is digitalized in many areas. In recent decades, digitalization has changed how governments and people interact and has demonstrated the potential to change the core functions of public sectors and delivery of public policies and services [ 2 ]. When public sectors worldwide become increasingly digitalized, this transformation extends to the public health sectors as well, and some studies argue that we are moving toward a “digital public health era” that is already impacting the health systems and will fundamentally change the future of health systems [ 3 ]. While health systems are becoming more digitalized, it is important that both patients and digitalized systems adapt to changes in accordance with each other. Digital practices of people can be understood as what people do with and through digital technologies and how people relate to technology [ 4 ]. Therefore, it is relevant to investigate digital practices and how patients perceive and experience their own use of digital tools and services, especially in relation to existing digital health services. In our study, we highlight a broad perspective on experiences with digital practices and particularly add insight into the challenges with digital practices faced by patients who have acute or chronic illness, with some of them also experiencing physical, communicative, or cognitive difficulties.

An international Organization for Economic Cooperation and Development report indicates that countries are digitalized to different extents and in different ways; however, this does not mean that countries do not share common challenges and insights into the implementation of digital services [ 2 ].

In its global Digital Government Index, Denmark is presented as one of the leading countries when it comes to public digitalization [ 2 ]. Recent statistics indicate that approximately 97% of Danish families have access to the internet at home [ 5 ]. The Danish health sector already offers many different digital services, including web-based delivery of medicine, e-consultations, patient-related outcome questionnaires, and seeking one’s own health journal or getting test results through; “Sundhed” [ 6 ] (the national health portal) and “Sundhedsjournalen” (the electronic patient record); or the apps “Medicinkortet” (the shared medication record), “Minlæge” (My Doctor, consisting of, eg, communication with the general practitioner), or “MinSP” (My Health Platform, consisting of, eg, communication with health care staff in hospitals) [ 6 - 8 ].

The Danish Digital Health Strategy from 2018 aims to create a coherent and user-friendly digital public sector for everyone [ 9 ], but statistics indicate that certain groups in society are not as digitalized as others. In particular, the older population uses digital services the least, with 5% of people aged 65 to 75 years and 18% of those aged 75 to 89 years having never used the internet in 2020 [ 5 ]. In parts of the literature, it has been problematized how the digitalization of the welfare state is related to the marginalization of older citizens who are socially disadvantaged [ 10 ]. However, statistics also indicate that the probability of using digital tools increases significantly as a person’s experience of using digital tools increases, regardless of their age or education level [ 5 ].

Understanding the digital practices of patients is important because they can use digital tools to engage with the health system and follow their own health course. Researching experiences with digital practices can be a way to better understand potential possibilities and barriers when patients use digital health services. With patients becoming more involved in their own health course and treatment, the importance of patients’ health literacy is being increasingly recognized [ 11 ]. The World Health Organization defines health literacy as the “achievement of a level of knowledge, personal skills and confidence to take action to improve personal and community health by changing personal lifestyles and living conditions” [ 12 ]. Furthermore, health literacy can be described as “a person’s knowledge and competencies to meet complex demands of health in modern society, ” and it is viewed as a critical step toward patient empowerment [ 11 , 12 ]. In a digitalized health care system, this also includes the knowledge, capabilities, and resources that individuals require to use and benefit from eHealth services, that is, “digital health literacy (eHealth literacy)” [ 13 ]. An eHealth literacy framework created by Norgaard et al [ 13 ] identified that different aspects, for example, the ability to process information and actively engage with digital services, can be viewed as important facets of digital health literacy. This argument is supported by studies that demonstrate how patients with cognitive and communicative challenges experience barriers to the use of digital tools and require different approaches in the design of digital solutions in the health sector [ 14 , 15 ]. Access to digital services and digital literacy is becoming increasingly important determinants of health, as people with digital literacy and access to digital services can facilitate improvement of health and involvement in their own health course [ 16 ].

The need for a better understanding of eHealth literacy and patients’ capabilities to meet public digital services’ demands as well as engage in their own health calls for a deeper investigation into digital practices and the use of digital tools and services from the perspective of patients with varying digital capabilities. Important focus areas to better understand digital practices and related challenges have already been highlighted in various studies. They indicate that social support, assessment of value in digital services, and systemic assessment of digital capabilities are important in the use and implementation of digital tools, and they call for better insight into complex experiences with digital services [ 13 , 17 , 18 ]. Therefore, we aimed to examine digital practices and experiences with public digital health services and digital tools from the perspective of patients, addressing the following research questions: how do patients use digital services and digital tools, and how do they experience them?

We aimed to investigate digital practices and experiences with digital health services and digital tools; therefore, we used a qualitative design and adopted a hermeneutic approach as the point of departure, which means including preexisting knowledge of digital practices but also providing room for new comprehension [ 19 ]. Our interpretive approach is underpinned by the philosophical hermeneutic approach by Gadamer et al [ 19 ], in which they described the interpretation process as a “hermeneutic circle,” where the researcher enters the interpretation process with an open mind and historical awareness of a phenomenon (preknowledge). We conducted semistructured interviews using an interview guide. This study followed the COREQ (Consolidated Criteria for Reporting Qualitative Research) checklist [ 20 ].

Setting and Participants

To gain a broad understanding of experiences with public digital health services, a purposive sampling strategy was used. All 31 participants were hospitalized or formerly hospitalized patients in a large neurological department in the capital of Denmark ( Table 1 ). We assessed whether including patients from the neurological field would give us a broad insight into the experiences of digital practices from different perspectives. The department consisted of, among others, 8 inpatient units covering, for example, acute neurology and stroke units, from which the patients were recruited. Patients admitted to a neurological department can have both acute and transient neurological diseases, such as infections in the brain, stroke, or blood clot in the brain from which they can recover completely or have persistent physical and mental difficulties, or experience chronic neurological and progressive disorders such as Parkinson disease and dementia. Some patients hospitalized in neurological care will have communicative and cognitive difficulties because of their neurological disorders. Nursing staff from the respective units helped the researchers (CGJ, FGJ, and MIL) identify patients who differed in terms of gender, age, and severity of neurological illness. Some patients (6/31, 19%) had language difficulties; however, a speech therapist assessed them as suitable participants. We excluded patients with severe cognitive difficulties and those who were not able to speak the Danish language. Including patients from the field of neurology provided an opportunity to study the experience of digital health practice from various perspectives. Hence, the sampling strategy enabled the identification and selection of information-rich participants relevant to this study [ 21 ], which is the aim of qualitative research. The participants were invited to participate by either the first (CGJ) or last author (MIL), and all invited participants (31/31, 100%) chose to participate.

All 31 participants were aged between 40 to 99 years, with an average age of 71.75 years ( Table 1 ). Out of the 31 participants, 10 (32%) had physical disabilities or had cognitive or communicative difficulties due to sequela in relation to neurological illness or other physical conditions.

Data Collection

The 31 patient interviews were conducted over a 2-month period between September and November 2022. Of the 31 patients, 20 (65%) were interviewed face-to-face at the hospital in their patient room upon admission and 11 (35%) were interviewed on the phone after being discharged. The interviews had a mean length of 20.48 minutes.

We developed a semistructured interview guide ( Table 2 ). The interview questions were developed based on the research aim, findings from our preliminary covering of literature in the field presented in the Introduction section, and identified gaps that we needed to elaborate on to be able to answer our research question [ 22 ]. The semistructured interview guide was designed to support the development of a trusting relationship and ensure the relevance of the interviews’ content [ 22 ]. The questions served as a prompt for the participants and were further supported by questions such as “please tell me more” and “please elaborate” throughout the interview, both to heighten the level of detail and to verify our understanding of the issues at play. If the participant had cognitive or communicative difficulties, communication was supported using a method called Supported Communication for Adults with Aphasia [ 23 ] during the interview.

The interviews were performed by all authors (CGJ, FGJ, and MIL individually), who were skilled in conducting interviews and qualitative research. The interviewers are not part of daily clinical practice but are employed in the department of neurology from where the patients were recruited. All interviews were audio recorded and subsequently transcribed verbatim by all 3 authors individually.

a PRO: patient-related outcome.

Data Analysis

The text from each transcribed interview was analyzed using manifest content analysis, as described by Graneheim and Lundman [ 24 ]. Content analysis is a method of analyzing written, verbal, and visual communication in a systematic way [ 25 ]. Qualitative content analysis is a structured but nonlinear process that requires researchers to move back and forth between the original text and parts of the text during the analysis. Manifest analysis is the descriptive level at which the surface structure of the text central to the phenomenon and the research question is described. The analysis was conducted as a collaborative effort between the first (CGJ) and last authors (MIL); hence, in this inductive circular process, to achieve consistency in the interpretation of the text, there was continued discussion and reflection between the researchers. The transcriptions were initially read several times to gain a sense of the whole context, and we analyzed each interview. The text was initially divided into domains that reflected the lowest degree of interpretation, as a rough structure was created in which the text had a specific area in common. The structure roughly reflected the interview guide’s themes, as guided by Graneheim and Lundman [ 24 ]. Thereafter, the text was divided into meaning units, condensed into text-near descriptions, and then abstracted and labeled further with codes. The codes were categorized based on similarities and differences. During this process, we discussed the findings to reach a consensus on the content, resulting in the final 4 categories presented in this paper.

Ethical Considerations

The interviewees received oral and written information about the study and its voluntary nature before the interviews. Written informed consent was obtained from all participants. Participants were able to opt of the study at any time. Data were anonymized and stored electronically on locked and secured servers. The Ethics Committee of the Capitol Region in Denmark was contacted before the start of the study. This study was registered and approved by the ethics committee and registered under the Danish Data Protection Agency (number P2021-839). Furthermore, the ethical principles of the Declaration of Helsinki were followed for this study.

The analysis provided insights into 4 different categories regarding digital practices and experiences of using digital tools and services in health care systems: social resources as a digital lifeline, possessing the necessary capabilities, big feelings as facilitators or barriers, and life without digital tools.

Social Resources as a Digital Lifeline

Throughout the analysis, it became evident that access to both material and social resources was of great importance when using digital tools. Most participants already possessed and had easy access to a computer, smartphone, or tablet. The few participants who did not own the necessary digital tools told us that they did not have the skills needed to use these tools. For these participants, the lack of material resources was tied particularly to a lack of knowledge and know-how, as they expressed that they would not know where to start after buying a computer—how to set it up, connect it to the internet, and use its many systems.

However, possessing the necessary material resources did not mean that the participants possessed the knowledge and skill to use digital tools. Furthermore, access to material resources was also a question of having access to assistance when needed. Some participants who had access to a computer, smartphone, and tablet and knew how to use these tools still had to obtain help when setting up hardware, updating software, or getting a new device. These participants were confident in their own ability to use digital devices but also relied on family, friends, and neighbors in their everyday use of these tools. Certain participants were explicitly aware of their own use of social resources when expressing their thoughts on digital services in health care systems:

I think it is a blessing and a curse. I think it is both. I would say that if I did not have someone around me in my family who was almost born into the digital world, then I think I would be in trouble. But I feel sorry for those who do not have that opportunity, and I know quite a few who do not. They get upset, and it’s really frustrating. [Woman, age 82 years]

The participants’ use of social resources indicates that learning skills and using digital tools are not solely individual tasks but rather continuously involve engagement with other people, particularly whenever a new unforeseen problem arises or when the participants want a deeper understanding of the tools they are using:

If tomorrow I have to get a new ipad...and it was like that when I got this one, then I had to get XXX to come and help me move stuff and he was sweet to help with all the practical stuff. I think I would have cursed a couple of times (if he hadn’t been there), but he is always helpful, but at the same time he is also pedagogic so I hope that next time he showed me something I will be able to do it. [Man, age 71 years]

For some participants, obtaining assistance from a more experienced family member was experienced as an opportunity to learn, whereas for other participants, their use of public digital services was even tied directly to assistance from a spouse or family member:

My wife, she has access to mine, so if something comes up, she can just go in and read, and we can talk about it afterwards what (it is). [Man, age 85 years]

The participants used social resources to navigate digital systems and understand and interpret communication from the health care system through digital devices. Another example of this was the participants who needed assistance to find, answer, and understand questionnaires from the health care department. Furthermore, social resources were viewed as a support system that made participants feel more comfortable and safer when operating digital tools. The social resources were particularly important when overcoming unforeseen and new challenges and when learning new skills related to the use of digital tools. Participants with physical, cognitive, and communicative challenges also explained how social resources were of great importance in their ability to use digital tools.

Possessing the Necessary Capabilities

The findings indicated that possessing the desire and knowing how to use digital tools are not always enough to engage with digital services successfully. Different health issues can carry consequences for motor skills and mobility. Some of these consequences were visibly affecting how our participants interacted with digital devices, and these challenges were somewhat easy to discover. However, our participants revealed hidden challenges that posed difficulties. In some specific cases, cognitive and communicative inabilities can make it difficult to use digital tools, and this might not always be clear until the individual tries to use a device’s more complex functions. An example of this is that some participants found it easy to turn on a computer and use it to write but difficult to go through security measures on digital services or interpret and understand digital language. Remembering passwords and logging on to systems created challenges, particularly for those experiencing health issues that directly affect memory and cognitive abilities, who expressed concerns about what they were able to do through digital tools:

I think it is very challenging because I would like to use it how I used to before my stroke; (I) wish that everything (digital skills) was transferred, but it just isn’t. [Man, age 80 years]

Despite these challenges, the participants demonstrated great interest in using digital tools, particularly regarding health care services and their own well-being. However, sometimes, the challenges that they experienced could not be conquered merely by motivation and good intentions. Another aspect of these challenges was the amount of extra time and energy that the participants had to spend on digital services. A patient diagnosed with Parkinson disease described how her symptoms created challenges that changed her digital practices:

Well it could for example be something like following a line in the device. And right now it is very limited what I can do with this (iPhone). Now I am almost only using it as a phone, and that is a little sad because I also like to text and stuff, but I also find that difficult (...) I think it is difficult to get an overview. [Woman, age 62 years]

Some participants said that after they were discharged from the hospital, they did not use the computer anymore because it was too difficult and too exhausting , which contributed to them giving up . Using digital tools already demanded a certain amount of concentration and awareness, and some diseases and health conditions affected these abilities further.

Big Feelings as Facilitators or Barriers

The findings revealed a wide range of digital practices in which digital tools were used as a communication device, as an entertainment device, and as a practical and informative tool for ordering medicine, booking consultations, asking health-related questions, or receiving email from public institutions. Despite these different digital practices, repeating patterns and arguments appeared when the participants were asked why they learned to use digital tools or wanted to improve their skills. A repeating argument was that they wanted to “follow the times, ” or as a participant who was still not satisfied with her digital skills stated:

We should not go against the future. [Woman, age 89 years]

The participants expressed a positive view of the technological developments and possibilities that digital devices offered, and they wanted to improve their knowledge and skills related to digital practice. For some participants, this was challenging, and they expressed frustration over how technological developments “moved too fast ,” but some participants interpreted these challenges as a way to “keep their mind sharp. ”

Another recurring pattern was that the participants expressed great interest in using digital services related to the health care system and other public institutions. The importance of being able to navigate digital services was explicitly clear when talking about finding test answers, written electronic messages, and questionnaires from the hospital or other public institutions. Keeping up with developments, communicating with public institutions, and taking an interest in their own health and well-being were described as good reasons to learn to use digital tools.

However, other aspects also affected these learning facilitators. Some participants felt alienated while using digital tools and described the practice as something related to feelings of anxiety, fear, and stupidity as well as something that demanded “a certain amount of courage. ” Some participants felt frustrated with the digital challenges they experienced, especially when the challenges were difficult to overcome because of their physical conditions:

I get sad because of it (digital challenges) and I get very frustrated and it takes a lot of time because I have difficulty seeing when I look away from the computer and have to turn back again to find out where I was and continue there (...) It pains me that I have to use so much time on it. [Man, age 71 years]

Fear of making mistakes, particularly when communicating with public institutions, for example, the health care system, was a common pattern. Another pattern was the fear of misinterpreting the sender and the need to ensure that the written electronic messages were actually from the described sender. Some participants felt that they were forced to learn about digital tools because they cared a lot about the services. Furthermore, fears of digital services replacing human interaction were a recurring concern among the participants. Despite these initial and recurring feelings, some participants learned how to navigate the digital services that they deemed relevant. Another recurring pattern in this learning process was repetition, the practice of digital skills, and consistent assistance from other people. One participant expressed the need to use the services often to remember the necessary skills:

Now I can figure it out because now I’ve had it shown 10 times. But then three months still pass... and then I think...how was it now? Then I get sweat on my forehead (feel nervous) and think; I’m not an idiot. [Woman, age 82 years]

For some participants, learning how to use digital tools demanded time and patience, as challenges had to be overcome more than once because they reappeared until the use of digital tools was more automatized into their everyday lives. Using digital tools and health services was viewed as easier and less stressful when part of everyday routines.

Life Without Digital Tools: Not a Free Choice

Even though some participants used digital tools daily, other participants expressed that it was “too late for them.” These participants did not view it as a free choice but as something they had to accept that they could not do. They wished that they could have learned it earlier in life but did not view it as a possibility in the future. Furthermore, they saw potential in digital services, including digital health care services, but they did not know exactly what services they were missing out on. Despite this lack of knowledge, they still felt sad about the position they were in. One participant expressed what she thought regarding the use of digital tools in public institutions:

Well, I feel alright about it, but it is very, very difficult for those of us who do not have it. Sometimes you can feel left out—outside of society. And when you do not have one of those (computers)...A reference is always made to w and w (www.) and then you can read on. But you cannot do that. [Woman, age 94 years]

The feeling of being left out of society was consistent among the participants who did not use digital tools. To them, digital systems seemed to provide unfair treatment based on something outside of their own power. Participants who were heavily affected by their medical conditions and could not use digital services also felt left out because they saw the advantages of using digital tools. Furthermore, a participant described the feelings connected to the use of digital tools in public institutions:

It is more annoying that it does not seem to work out in my favour. [Woman, age 62 years]

These statements indicated that it is possible for individuals to want to use digital tools and simultaneously find them too challenging. These participants were aware that there are consequences of not using digital tools, and that saddens them, as they feel like they are not receiving the same treatment as other people in society and the health care system.

Principal Findings

The insights from our findings demonstrated that our participants had different digital practices and different experiences with digital tools and services; however, the analysis also highlighted patterns related to how digital services and tools were used. Specific conditions were important for the possibility of digital practice, including having access to social resources; possessing the necessary capabilities; and feeling motivated, secure, and comfortable . These prerequisites were necessary to have positive experiences using digital tools in the health care system, although some participants who lived up to these prerequisites were still skeptical toward digital solutions. Others who did not live up to these prerequisites experienced challenges and even though they were aware of opportunities, this awareness made them feel left out. A few participants even viewed the digital tools as a threat to their participation in society. This supports the notion of Norgaard et al [ 13 ] that the attention paid to digital capability demands from eHealth systems is very important. Furthermore, our findings supported the argument of Hjeltholt and Papazu [ 17 ] that it is important to better understand experiences related to digital services. In our study, we accommodate this request and bring forth a broad perspective on experiences with digital practices; we particularly add insight into the challenges with digital practices for patients who also have acute or chronic illness, with some of them also experiencing physical, communicative, and cognitive difficulties. To our knowledge, there is limited existing literature focusing on digital practices that do not have a limited scope, for example, a focus on perspectives on eHealth literacy in the use of apps [ 26 ] or intervention studies with a focus on experiences with digital solutions, for example, telemedicine during the COVID-19 pandemic [ 27 ]. As mentioned by Hjeltholt et al [ 10 ], certain citizens are dependent on their own social networks in the process of using and learning digital tools. Rasi et al [ 28 ] and Airola et al [ 29 ] argued that digital health literacy is situated and should include the capabilities of the individual’s social network. Our findings support these arguments that access to social resources is an important condition; however, the findings also highlight that these resources can be particularly crucial in the use of digital health services, for example, when interpreting and understanding digital and written electronic messages related to one’s own health course or when dealing with physical, cognitive, and communicative disadvantages. Therefore, we argue that the awareness of the disadvantages is important if we want to understand patients’ digital capabilities, and the inclusion of the next of kin can be evident in unveiling challenges that are unknown and not easily visible or when trying to reach patients with digital challenges through digital means.

Studies by Kayser et al [ 30 ] and Kanoe et al [ 31 ] indicated that patients’ abilities to interpret and understand digital health–related services and their benefits are important for the successful implementation of eHealth services—an argument that our findings support. Health literacy in both digital and physical contexts is important if we want to understand how to better design and implement services. Our participants’ statements support the argument that communication through digital means cannot be viewed as similar to face-to-face communication and that an emphasis on digital health literacy demonstrates how health systems are demanding different capabilities from the patients [ 13 ]. We argue that it is important to communicate the purposes of digital services so that both the patient and their next of kin know why they participate and how it can benefit them. Therefore, it is important to make it as clear as possible that digital health services can benefit the patient and that these services are developed to support information, communication, and dialogue between patients and health professionals. However, our findings suggest that even after interpreting and understanding the purposes of digital health services, some patients may still experience challenges when using digital tools.

Therefore, it is important to understand how and why patients learn digital skills, particularly because both experience with digital devices and estimation of the value of digital tools have been highlighted as key factors for digital practices [ 5 , 18 ]. Our findings indicate that a combination of these factors is important, as recognizing the value of digital tools was not enough to facilitate the necessary learning process for some of our participants. Instead, our participants described the use of digital tools as complex and continuous processes in which automation of skills, assistance from others, and time to relearn forgotten knowledge were necessary and important facilitators for learning and understanding digital tools as well as becoming more comfortable and confident in the use of digital health services. This was particularly important, as it was more encouraging for our participants to learn digital tools when they felt secure, instead of feeling afraid and anxious, a point that Bailey et al [ 18 ] also highlighted. The value of digital solutions and the will to learn were greater when challenges were viewed as something to overcome and learn from instead of something that created a feeling of being stupid. This calls for attention on how to simplify and explain digital tools and services so that users do not feel alienated. Our findings also support the argument that digital health literacy should take into account emotional well-being related to digital practice [ 32 ].

The various perspectives that our participants provided regarding the use of digital tools in the health care system indicate that patients are affected by the use of digital health services and their own capabilities to use digital tools. Murray et al [ 33 ] argued that the use of digital tools in health sectors has the potential to improve health and health delivery by improving efficacy, efficiency, accessibility, safety, and personalization, and our participants also highlighted these positive aspects. However, different studies found that some patients, particularly older adults considered socially vulnerable, have lower digital health literacy [ 10 , 34 , 35 ], which is an important determinant of health and may widen disparities and inequity in health care [ 16 ]. Studies on older adult populations’ adaptation to information and communication technology show that engaging with this technology can be limited by the usability of technology, feelings of anxiety and concern, self-perception of technology use, and the need for assistance and inclusive design [ 36 ]. Our participants’ experiences with digital practices support the importance of these focus areas, especially when primarily older patients are admitted to hospitals. Furthermore, our findings indicate that some older patients who used to view themselves as being engaged in their own health care felt more distanced from the health care system because of digital services, and some who did not have the capabilities to use digital tools felt that they were treated differently compared to the rest of society. They did not necessarily view themselves as vulnerable but felt vulnerable in the specific experience of trying to use digital services because they wished that they were more capable. Moreover, this was the case for patients with physical and cognitive difficulties, as they were not necessarily aware of the challenges before experiencing them. Drawing on the phenomenological and feministic approach by Ahmed [ 37 ], these challenges that make patients feel vulnerable are not necessarily visible to others but can instead be viewed as invisible institutional “walls” that do not present themselves before the patient runs into them. Some participants had to experience how their physical, cognitive, or communicative difficulties affected their digital practice to realize that they were not as digitally capable as they once were or as others in society. Furthermore, viewed from this perspective, our findings could be used to argue that digital capabilities should be viewed as a privilege tied to users’ physical bodies and that digital services in the health care system are indirectly making patients without this privilege vulnerable. This calls for more attention to the inequities that digital tools and services create in health care systems and awareness that those who do not use digital tools are not necessarily indifferent about the consequences. Particularly, in a context such as the Danish one, in which the digital strategy is to create an intertwined and user-friendly public digital sector for everyone, it needs to be understood that patients have different digital capabilities and needs. Although some have not yet had a challenging experience that made them feel vulnerable, others are very aware that they receive different treatment and feel that they are on their own or that the rest of the society does not care about them. Inequities in digital health care, such as these, can and should be mitigated or prevented, and our investigation into the experiences with digital practices can help to show that we are creating standards and infrastructures that deliberately exclude the perspectives of those who are most in need of the services offered by the digital health care system [ 8 ]. Therefore, our findings support the notions that flexibility is important in the implementation of universal public digital services [ 17 ]; that it is important to adjust systems in accordance with patients’ eHealth literacy and not only improve the capabilities of individuals [ 38 ]; and that the development and improvement of digital health literacy are not solely an individual responsibility but are also tied to ways in which institutions organize, design, and implement digital tools and services [ 39 ].

Limitations

This qualitative study provided novel insights into the experiences with public digital health services from the perspective of patients in the Danish context, enabling a deeper understanding of how digital health services and digital tools are experienced and used. This helps build a solid foundation for future interventions aimed at digital health literacy and digital health interventions. However, this study has some limitations. First, the study was conducted in a country where digitalization is progressing quickly, and people, therefore, are accustomed to this pace. Therefore, readers must be aware of this. Second, the study included patients with different neurological conditions; some of their digital challenges were caused or worsened by these neurological conditions and are, therefore, not applicable to all patients in the health system. However, the findings provided insights into the patients’ digital practices before their conditions and other challenges not connected to neurological conditions shared by patients. Third, the study was broad, and although a large number of informants was included, from a qualitative research perspective, we would recommend additional research in this field to develop interventions that target digital health literacy and the use of digital health services.

Conclusions

Experiences with digital tools and digital health services are complex and multifaceted. The advantages in communication, finding information, or navigating through one’s own health course work as facilitators for engaging with digital tools and digital health services. However, this is not enough on its own. Furthermore, feeling secure and motivated and having time to relearn and practice skills are important facilitators. Engagement in digital practices for the examined population requires access to continuous assistance from their social network. If patients do not meet requirements, digital health services can be experienced as exclusionary and a source of concern. Physical, cognitive, and communicative difficulties might make it impossible to use digital tools or create more challenges that require assistance. Digitalization of the health care system means that patients do not have the choice to opt out of using digital services without having consequences, resulting in them receiving a different treatment than others. To ensure digitalization does not create inequities in health, it is necessary for developers and the health institutions that create, design, and implement digital services to be aware of differences in digital health literacy and to focus on simplifying communication with patients and next of kin through and about digital services. It is important to focus on helping individuals meet the necessary conditions and finding flexible solutions for those who do not have the same privileges as others if the public digital sector is to work for everyone.

Acknowledgments

The authors would like to thank all the people who gave their time to be interviewed for the study, the clinical nurse specialists who facilitated interviewing patients, and the other nurses on shift who assisted in recruiting participants.

Conflicts of Interest

None declared.

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Abbreviations

Edited by A Mavragani; submitted 14.03.23; peer-reviewed by G Myreteg, J Eriksen, M Siermann; comments to author 18.09.23; revised version received 09.10.23; accepted 27.02.24; published 11.04.24.

©Christian Gybel Jensen, Frederik Gybel Jensen, Mia Ingerslev Loft. Originally published in the Journal of Medical Internet Research (https://www.jmir.org), 11.04.2024.

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 the Journal of Medical Internet Research, is properly cited. The complete bibliographic information, a link to the original publication on https://www.jmir.org/, as well as this copyright and license information must be included.

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• v.9(7); 2013 Jul

Ten Simple Rules for Writing a Literature Review

Marco pautasso.

1 Centre for Functional and Evolutionary Ecology (CEFE), CNRS, Montpellier, France

2 Centre for Biodiversity Synthesis and Analysis (CESAB), FRB, Aix-en-Provence, France

Literature reviews are in great demand in most scientific fields. Their need stems from the ever-increasing output of scientific publications [1] . For example, compared to 1991, in 2008 three, eight, and forty times more papers were indexed in Web of Science on malaria, obesity, and biodiversity, respectively [2] . Given such mountains of papers, scientists cannot be expected to examine in detail every single new paper relevant to their interests [3] . Thus, it is both advantageous and necessary to rely on regular summaries of the recent literature. Although recognition for scientists mainly comes from primary research, timely literature reviews can lead to new synthetic insights and are often widely read [4] . For such summaries to be useful, however, they need to be compiled in a professional way [5] .

When starting from scratch, reviewing the literature can require a titanic amount of work. That is why researchers who have spent their career working on a certain research issue are in a perfect position to review that literature. Some graduate schools are now offering courses in reviewing the literature, given that most research students start their project by producing an overview of what has already been done on their research issue [6] . However, it is likely that most scientists have not thought in detail about how to approach and carry out a literature review.

Reviewing the literature requires the ability to juggle multiple tasks, from finding and evaluating relevant material to synthesising information from various sources, from critical thinking to paraphrasing, evaluating, and citation skills [7] . In this contribution, I share ten simple rules I learned working on about 25 literature reviews as a PhD and postdoctoral student. Ideas and insights also come from discussions with coauthors and colleagues, as well as feedback from reviewers and editors.

Rule 1: Define a Topic and Audience

How to choose which topic to review? There are so many issues in contemporary science that you could spend a lifetime of attending conferences and reading the literature just pondering what to review. On the one hand, if you take several years to choose, several other people may have had the same idea in the meantime. On the other hand, only a well-considered topic is likely to lead to a brilliant literature review [8] . The topic must at least be:

• interesting to you (ideally, you should have come across a series of recent papers related to your line of work that call for a critical summary),
• an important aspect of the field (so that many readers will be interested in the review and there will be enough material to write it), and
• a well-defined issue (otherwise you could potentially include thousands of publications, which would make the review unhelpful).

Ideas for potential reviews may come from papers providing lists of key research questions to be answered [9] , but also from serendipitous moments during desultory reading and discussions. In addition to choosing your topic, you should also select a target audience. In many cases, the topic (e.g., web services in computational biology) will automatically define an audience (e.g., computational biologists), but that same topic may also be of interest to neighbouring fields (e.g., computer science, biology, etc.).

Rule 2: Search and Re-search the Literature

After having chosen your topic and audience, start by checking the literature and downloading relevant papers. Five pieces of advice here:

• keep track of the search items you use (so that your search can be replicated [10] ),
• keep a list of papers whose pdfs you cannot access immediately (so as to retrieve them later with alternative strategies),
• use a paper management system (e.g., Mendeley, Papers, Qiqqa, Sente),
• define early in the process some criteria for exclusion of irrelevant papers (these criteria can then be described in the review to help define its scope), and
• do not just look for research papers in the area you wish to review, but also seek previous reviews.

The chances are high that someone will already have published a literature review ( Figure 1 ), if not exactly on the issue you are planning to tackle, at least on a related topic. If there are already a few or several reviews of the literature on your issue, my advice is not to give up, but to carry on with your own literature review,

The bottom-right situation (many literature reviews but few research papers) is not just a theoretical situation; it applies, for example, to the study of the impacts of climate change on plant diseases, where there appear to be more literature reviews than research studies [33] .

• discussing in your review the approaches, limitations, and conclusions of past reviews,
• trying to find a new angle that has not been covered adequately in the previous reviews, and
• incorporating new material that has inevitably accumulated since their appearance.

When searching the literature for pertinent papers and reviews, the usual rules apply:

• be thorough,
• use different keywords and database sources (e.g., DBLP, Google Scholar, ISI Proceedings, JSTOR Search, Medline, Scopus, Web of Science), and
• look at who has cited past relevant papers and book chapters.

Rule 3: Take Notes While Reading

If you read the papers first, and only afterwards start writing the review, you will need a very good memory to remember who wrote what, and what your impressions and associations were while reading each single paper. My advice is, while reading, to start writing down interesting pieces of information, insights about how to organize the review, and thoughts on what to write. This way, by the time you have read the literature you selected, you will already have a rough draft of the review.

Of course, this draft will still need much rewriting, restructuring, and rethinking to obtain a text with a coherent argument [11] , but you will have avoided the danger posed by staring at a blank document. Be careful when taking notes to use quotation marks if you are provisionally copying verbatim from the literature. It is advisable then to reformulate such quotes with your own words in the final draft. It is important to be careful in noting the references already at this stage, so as to avoid misattributions. Using referencing software from the very beginning of your endeavour will save you time.

Rule 4: Choose the Type of Review You Wish to Write

After having taken notes while reading the literature, you will have a rough idea of the amount of material available for the review. This is probably a good time to decide whether to go for a mini- or a full review. Some journals are now favouring the publication of rather short reviews focusing on the last few years, with a limit on the number of words and citations. A mini-review is not necessarily a minor review: it may well attract more attention from busy readers, although it will inevitably simplify some issues and leave out some relevant material due to space limitations. A full review will have the advantage of more freedom to cover in detail the complexities of a particular scientific development, but may then be left in the pile of the very important papers “to be read” by readers with little time to spare for major monographs.

There is probably a continuum between mini- and full reviews. The same point applies to the dichotomy of descriptive vs. integrative reviews. While descriptive reviews focus on the methodology, findings, and interpretation of each reviewed study, integrative reviews attempt to find common ideas and concepts from the reviewed material [12] . A similar distinction exists between narrative and systematic reviews: while narrative reviews are qualitative, systematic reviews attempt to test a hypothesis based on the published evidence, which is gathered using a predefined protocol to reduce bias [13] , [14] . When systematic reviews analyse quantitative results in a quantitative way, they become meta-analyses. The choice between different review types will have to be made on a case-by-case basis, depending not just on the nature of the material found and the preferences of the target journal(s), but also on the time available to write the review and the number of coauthors [15] .

Rule 5: Keep the Review Focused, but Make It of Broad Interest

Whether your plan is to write a mini- or a full review, it is good advice to keep it focused 16 , 17 . Including material just for the sake of it can easily lead to reviews that are trying to do too many things at once. The need to keep a review focused can be problematic for interdisciplinary reviews, where the aim is to bridge the gap between fields [18] . If you are writing a review on, for example, how epidemiological approaches are used in modelling the spread of ideas, you may be inclined to include material from both parent fields, epidemiology and the study of cultural diffusion. This may be necessary to some extent, but in this case a focused review would only deal in detail with those studies at the interface between epidemiology and the spread of ideas.

While focus is an important feature of a successful review, this requirement has to be balanced with the need to make the review relevant to a broad audience. This square may be circled by discussing the wider implications of the reviewed topic for other disciplines.

Rule 6: Be Critical and Consistent

Reviewing the literature is not stamp collecting. A good review does not just summarize the literature, but discusses it critically, identifies methodological problems, and points out research gaps [19] . After having read a review of the literature, a reader should have a rough idea of:

• the major achievements in the reviewed field,
• the main areas of debate, and
• the outstanding research questions.

It is challenging to achieve a successful review on all these fronts. A solution can be to involve a set of complementary coauthors: some people are excellent at mapping what has been achieved, some others are very good at identifying dark clouds on the horizon, and some have instead a knack at predicting where solutions are going to come from. If your journal club has exactly this sort of team, then you should definitely write a review of the literature! In addition to critical thinking, a literature review needs consistency, for example in the choice of passive vs. active voice and present vs. past tense.

Rule 7: Find a Logical Structure

Like a well-baked cake, a good review has a number of telling features: it is worth the reader's time, timely, systematic, well written, focused, and critical. It also needs a good structure. With reviews, the usual subdivision of research papers into introduction, methods, results, and discussion does not work or is rarely used. However, a general introduction of the context and, toward the end, a recapitulation of the main points covered and take-home messages make sense also in the case of reviews. For systematic reviews, there is a trend towards including information about how the literature was searched (database, keywords, time limits) [20] .

How can you organize the flow of the main body of the review so that the reader will be drawn into and guided through it? It is generally helpful to draw a conceptual scheme of the review, e.g., with mind-mapping techniques. Such diagrams can help recognize a logical way to order and link the various sections of a review [21] . This is the case not just at the writing stage, but also for readers if the diagram is included in the review as a figure. A careful selection of diagrams and figures relevant to the reviewed topic can be very helpful to structure the text too [22] .

Rule 8: Make Use of Feedback

Reviews of the literature are normally peer-reviewed in the same way as research papers, and rightly so [23] . As a rule, incorporating feedback from reviewers greatly helps improve a review draft. Having read the review with a fresh mind, reviewers may spot inaccuracies, inconsistencies, and ambiguities that had not been noticed by the writers due to rereading the typescript too many times. It is however advisable to reread the draft one more time before submission, as a last-minute correction of typos, leaps, and muddled sentences may enable the reviewers to focus on providing advice on the content rather than the form.

Feedback is vital to writing a good review, and should be sought from a variety of colleagues, so as to obtain a diversity of views on the draft. This may lead in some cases to conflicting views on the merits of the paper, and on how to improve it, but such a situation is better than the absence of feedback. A diversity of feedback perspectives on a literature review can help identify where the consensus view stands in the landscape of the current scientific understanding of an issue [24] .

Rule 9: Include Your Own Relevant Research, but Be Objective

In many cases, reviewers of the literature will have published studies relevant to the review they are writing. This could create a conflict of interest: how can reviewers report objectively on their own work [25] ? Some scientists may be overly enthusiastic about what they have published, and thus risk giving too much importance to their own findings in the review. However, bias could also occur in the other direction: some scientists may be unduly dismissive of their own achievements, so that they will tend to downplay their contribution (if any) to a field when reviewing it.

In general, a review of the literature should neither be a public relations brochure nor an exercise in competitive self-denial. If a reviewer is up to the job of producing a well-organized and methodical review, which flows well and provides a service to the readership, then it should be possible to be objective in reviewing one's own relevant findings. In reviews written by multiple authors, this may be achieved by assigning the review of the results of a coauthor to different coauthors.

Rule 10: Be Up-to-Date, but Do Not Forget Older Studies

Given the progressive acceleration in the publication of scientific papers, today's reviews of the literature need awareness not just of the overall direction and achievements of a field of inquiry, but also of the latest studies, so as not to become out-of-date before they have been published. Ideally, a literature review should not identify as a major research gap an issue that has just been addressed in a series of papers in press (the same applies, of course, to older, overlooked studies (“sleeping beauties” [26] )). This implies that literature reviewers would do well to keep an eye on electronic lists of papers in press, given that it can take months before these appear in scientific databases. Some reviews declare that they have scanned the literature up to a certain point in time, but given that peer review can be a rather lengthy process, a full search for newly appeared literature at the revision stage may be worthwhile. Assessing the contribution of papers that have just appeared is particularly challenging, because there is little perspective with which to gauge their significance and impact on further research and society.

Inevitably, new papers on the reviewed topic (including independently written literature reviews) will appear from all quarters after the review has been published, so that there may soon be the need for an updated review. But this is the nature of science [27] – [32] . I wish everybody good luck with writing a review of the literature.

Acknowledgments

Many thanks to M. Barbosa, K. Dehnen-Schmutz, T. Döring, D. Fontaneto, M. Garbelotto, O. Holdenrieder, M. Jeger, D. Lonsdale, A. MacLeod, P. Mills, M. Moslonka-Lefebvre, G. Stancanelli, P. Weisberg, and X. Xu for insights and discussions, and to P. Bourne, T. Matoni, and D. Smith for helpful comments on a previous draft.

Funding Statement

This work was funded by the French Foundation for Research on Biodiversity (FRB) through its Centre for Synthesis and Analysis of Biodiversity data (CESAB), as part of the NETSEED research project. The funders had no role in the preparation of the manuscript.

Evaluating Hookup Culture on Campus: A Lesbian Separatist Perspective

• Megan Ruskey Rutgers University

Hookup culture on the college campus simultaneously offers young women a venue for sexual liberation, while reproducing gender inequities observed throughout much of society. Thus, women are subjected to power imbalances, sexual dissatisfaction, and restrictions in their own bodily autonomy in the pursuit of casual sex. Given this bind, I set out to evaluate hookup culture from the framework expressed through lesbian separatist practice. Specifically, I analyze The Furies Collective, a lesbian separatist group operating in Washington D.C. from the years 1970-1972. In these two years, the Furies developed a self-titled newspaper, educational networks, and a compelling set of feminist principles to guide their activism. In this project, I draw insight from both a personal interview with Furies Collective founder Charlotte Bunch, as well as primary and academic sources. This research finds that while hookup culture does reflect various societal and physical inequities for women, it also provides opportunities for homosocial bonding, as demonstrated in lesbian separatism, that work to make this culture more satisfactory for women. Therefore, in order to benefit from the liberating aspects of hookup culture, women can capitalize on the separatist spaces associated with the hookup environment, like the sorority and pre-game, to fortify connections with one another as a means of protection in hookup spaces.

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