findings However, Sandelowski, Docherty. and Emden (1997) in their seminal work on qualitative nthesis concluded that studies should not be excluded from a review based on quality, but that those individuals synthesizing the literature should use quality criteria general enough be applied to any qualitative study Therefore to. and seven criteria suggested by Kitto. Chesters. Grbich (2008) were used for assessing qualitative research in this synthesis: (a) clarification refers to a statement about the aims or research question (b) justification is an explanation of why qualitative was the best for addressing the study approach aims / question. (C) procedural rigor is a statement about data collection and analysis methods. (D) representativeness refers to the sampling techniques used to address the questioni (e) interpretation is a conceptual discussion about the results.