Findings from high-quality meta-ethnographies have been used in clinical guidelines. However, the reporting quality of published meta-ethnographies varies and is often poor, especially researchers’ descriptions of what they did to arrive at their findings. Low-quality reporting means that people, such as patients, NHS staff and managers, cannot judge the quality and thoroughness of a meta-ethnography. This can lead to lack of trust in meta-ethnography findings (which could be of great benefit) meaning that they are not used to improve decisions, services and patient care. To ensure that evidence from meta-ethnographies is used, researchers must carry out quality meta-ethnographies and report them to a high standard, but there is no tailored guideline to help researchers do this. The aim of the eMERGe project was to develop a guideline to improve the way researchers report meta-ethnographies.