APLIKASII PENERAP APLIKAS PENERAPAN EVIDENCE EVIDENCE BASED PRACTICE MELALUI RISET KEPARAWATAN
OLEH UNTUNG SUJIANTO
PROGRAM STUDI ILMU KEPERAWATAN FAKULTAS KEDOKTERAN UNIVERSITAS DIPONEGORO SEMARANG
TUJUAN PENDIDIKAN NERS YANG TERKAIT DENGAN BIDANG RISET
Mengindentifi!"i #eng!n!$i"i"
#!"!$!%
d!n
e"e%!t!n
#en"inte"i"
deng!n
inf&'#!"i
(!ng
'e$e)!n*
Me'en+!n!!n d!n #e$!"!n!!n ,ene$iti!n d!$!# -id!ng e,e'!.!t!n
Mengg/n!!n
%!"i$0%!"i$
,ene$iti!n
d!n
i,te
e"e%!t!n d!$!# ,e$!(!n!n e,e'!.!t!n "e"/!i deng!n "t!nd!' ,'!te e,e'!.!t!n
Mene'!,!n ,'in"i, d!n te%ni ,en!$!'!n (!ng te,!t d!$!# -e'fii' "e+!'! $&gi"1 'iti" d!n #!di'i*
PENDAHULUAN
Pengg/n!!n E)iden+e B!"ed P'!+ti+e 2EBP3 d!n ,ed!n e,e'!.!t!n 2SOP3 #ening!t!n /!$it!" ,e'!.!t!n ,!"ien d!n #e#ini#!$!n e"en4!ng!n !nt!'! %!"i$ ,ene$iti!n d!n ,'!te*
H!"i$ ,ene$iti!n 4!'!ng te'integ'!"i e d!$!# ,'!te ,!d! .!t/ (!ng te,!t*
B!$!" d!n B&'en #e$!,&'!n -!%.! -/t/% .!t/ "!#,!i 56 t!%/n /nt/ ,ene$iti!n (!ng !!n di#!"/!n e d!$!# ,'!te*
D!$!# -e-e'!,! !"/" te#/!n ,ene$iti!n !d! (!ng tid! ,e'n!% te'integ'!"i d!$!# ,'!ti*
Pene'4e#!%!n -/ti te'-!'/ d!$!# ,'!te #e'/,!!n t!nt!ng!n (!ng #e#,eng!'/%i -e'-!g!i ting!t "i"te# e"e%!t!n*
LATARBELAKANG
EBP !d!$!% ,engg/n!!n -/ti ,ene$iti!n "!!t ini di-in!"i!n deng!n e!%$i!n $ini" d!n ni$!i0ni$!i ,!"ien /nt/ #e'/#/"!n inte')en"i *
Ge'!!n EBP didi'i!n &$e% P'&fe"&' A'+%i-!$d Le#!n C&+%'!ne1 CBE1 FRCP1 FFCM 25787057993 ,!d! t!%/n 576:* D' C&+%'!n1 "e-/!% e,ide#i Ingg'i"1 #engidentifi!"i e"en4!ng!n !nt!'! ,'!te d!n ,ed!n "!!t ini -e'-!"i" f!t!; -/ti*
Se$!n4/tn(!1 Re)ie. C&+%'!n (!ng die#-!ng!n te$!% #enge)!$/!"i ,ene$iti!n d!n #en"inte"i" f!t! ,!d! ,ene$iti!n1 "e%ingg! #e#f!"i$it!"i ,enge#-!ng!n ,'!ti ,e'!.!t!n (!ng did!"!'!n ,!d! inf&'#!"i (!ng ,!$ing d!,!t di!nd!$!n*
Men/'/t Me$(n d!n Fine&/t0O)e'%&$t1 eti! #e#-/!t e,/t/"!n $ini" -e'-!"i" f!t!; -/ti1 )!'i!-e$0)!'i!-e$ -e'i/t %!'/" di,e'ti#-!ng!n < St!t/" ,!"ien = < P'efe'en"i d!n tind!!n1 d!n < Menet!,!n e!d!!n d!'i #!"!$!%*
PROSESEBP
MELNYK AND FINEOUT0OVERHOLD DESCRIBE AN EVIDENCE TABLE WHERE THE LEVEL OF EVIDENCE IS AS FOLLOWS 2FROM HIGHEST TO LOWEST RANK3>
5* :* ?* @* * * 6*
S("te#!ti+ 'e)ie. &f #/$ti,$e '!nd +&nt'&$$ed t'i!$"* Sing$e '!nd +&nt'&$$ed t'i!$* We$$0de"igned n&n'!nd +&nt'&$$ed t'i!$"* We$$0de"igned +!"e0+&nt'&$ !nd +&%&'t "t/die"* S("te#!ti+ 'e)ie." &f de"+'i,ti)e !nd /!$it!ti)e "t/die"* Sing$e de"+'i,ti)e &' /!$it!ti)e "t/d(* O,ini&n &f !/t%&'itie" !nd e,e't +#ittee"*
PENERAPAN EBP > MODEL LOWA
Me#f&'#/$!"i!n ,e't!n(!!n tent!ng #!"!$!% (!ng di%!d!,i
Mene$/"/'i -/ti0-/ti te'-!i (!ng te'"edi! /nt/ #eng!t!"i #!"!$!% te'"e-/t
Meng!4i -/ti1 )!$idit!" d!n e"e/!i!nn(! deng!n &ndi"i ,'!te
Mene'!,!n %!"i$ !4i!n
Menge)!$/!"i ,ene'!,!nn(! 2ine'4!n(!3
S!$!% "!t/ #!"!$!% (!ng ,!$ing #en!nt!ng d!$!# #engg/n!!n EBP d!$!# ,'!ti $ini" !d!$!% -e$!4!' -!g!i#!n! ,e't!n(!!n $ini" +//, 4e$!";-en!' "e%ingg! "/!t/ tin4!/!n $ite'!t/' (!ng "e"/!i d!,!t di$!/!n*
S!$!% "!t/ #et&de (!ng d!,!t dig/n!!n !d!$!% #&de$ PICO>
PICO !d!$!% +!'! "i"te#!ti" /nt/ #engidentifi!"i &n"e,0&n"e, ,enting d!$!# "e-/!% !"/"1 d!n #e'/#/"!n ,e't!n(!!n /nt/ ,en+!'i!n*
PICO #en/nt/n d!$!# -e'fii' tent!ng %!$ (!ng "t'!tegi"
Pe'$/ di,e'%!ti!n d!$!# inte')en"i ,e'-!nding!n*
Be'-!g!i 4eni" "/#-e' d!(! EBP #e#e'$/!n -e'-!g!i ting!t e%/"/"!n
MODEL PICO
P > ,!tient
I
C > +,!'i"&n inte')enti&n
O > &/t+e
> inte')enti&n
PERTIMBANGAN
Men4!$!n!n EBP #e$!$/i 'i"et -/t/% d//ng!n (!ng -!i "e,e'ti "e,e'ti inte'net1 d!t!-!"e"1 inte'n!ti&n!$ 4&/'n!$"1 d$$ (!ng -i"! #e#-e'i!n !"e" -!gi it! /nt/ #e$i%!t /, t& d!t! e)iden+e*
M!#,/ #eng!n!$i"! e"e"/!in -/ti deng!n "it/!"i $&!$1 #enget!%/i deng!n -!i ting!t /!$it!" d!n e/!t!n -/ti (!ng !'tin(! #e#i$ii e#!#,/!n #et&d&$&gi i$#i!% d!n "t!ti"ti (!ng -!i*
Meng/#,/$!n -/ti i$#i!%1 e#/di!n #enginte','et!"i!nn(!1 "e't! #eng!,$i!"i!n e d!$!# ,e$!(!n!n e,e'!.!t!n "/!t/ /"!%! (!ng ,e'$/ di$!/!n te'/" #ene'/"* It 'e!$$( need" t'!ined 1 "i$$ed1 !nd e,e'ien+ed ,'&fe""i&n!$"*
Hind!'!n "/!t/ -/d!(! $!#! -egini "!4! ,!"ien 4/g! "e#-/%1 d!n tid! !d! #!"!$!%1 en!,! #/"ti 'e,&t
KESIMPULAN •
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EBP #e'/,!!n -!gi!n ,enting d!'i /!$it!" e"e%!t!n d!n ,'!ti e,e'!.!t!n* Pe'!.!t ,e'$/ #e#!%!#i ,'&"e" ,enge#-!ng!n ,e't!n(!!n $ini" (!ng 4e$!" d!n te'f&/"* P'&"e" Pi+& !d!$!% 5 +!'! /nt/ #e#f!"i$it!"i ,enge#-!ng!n d!$!# #en+!'i ,e't!n(!!n* Pe'!.!t te'f!"i$it!"i d!$!# #e#,'&"e" ,e't!n(!!n $ini" d!n te#/!n ,ene$iti!n (!ng dig/n!!n /nt/ #e#!"ti!n -!%.! ,'!te e,e'!.!t!n -e'd!"!'!n $!(!n!n -e'-!"i" f!t!; -/ti ,!$ing /,0t&0d!te e,!d! ,!"ien* Pe'!.!t %!'/" #e#!%!#i &n"e, EBP d!n +!'!0+!'! /nt/ #enginteg'!"i!n te#/!n ,ene$iti!n e d!$!# ,'!te*