Although synthesis of quantitative studies has an established profile within the research community, it is argued here that other methods are required to combine qualitative data that maintain methodological integrity. Qualitative Research Synthesis is such an approach since it takes a constructionist stance and thus combines findings within approaches and not across qualitative methodological difference. The purpose is to make sense of concepts, categories or themes that have recurred across a particular data set in order to develop a comprehensive picture of the findings. The approach requires adhering to a methodological rigorous process while at the same time striving for transparency. Qualitative Research Synthesis, although methodologically grounded and rigorous, is an approach that should be undertaken only by those dedicated to the processes of in-depth interpretation. It requires holding ourselves to the same standard as with discovery research, including having clear goals, adequate appropriate methods, significant results, effective presentation and reflective critique.