Nursing Evidance Based

EBP mengkombinasikan
informasi yang dipetoleh
dari hasil penelitian yang
didesain dengan baik,
keahlian klinis, perhatian
pasien, danpilihan pasien
(Hpllomean G, et aL,2006
Evidence Based Nursing

l. Penggabuhgan bukti yang diperoleh

dari 'hasit'penelitian dan praktek 'klinis
ditambah dengan pilihan dari pasien ke
dalam keputusan klinis (lvhilhall,"1998).

2. Penggunaan teori dan infolmasi yang

diperoleh berdasarkan hasil penelitian
secara teliti, jelas dan bijaksana dalam
pemberian keputusan tentang asuahan
Kep pada individu atau sekelompok
pasien dan dengan mempertimbangkan
kebutuhan dan pilihan dari pasien
tersebut (Ingersoll G:2000)
Tujuan
Tujuan EBN memberikan data
pada perawat praktisi berdasarkan
bukti ilmiah agar dapat
memberikan perawatan secara
efektif dengan menggunakan hasil
penelitian yang terbaik,
menyelesaikan masalah yang ada
di tempat pemberian pelayanan
terhadap pasien, mencapai
kesempurnaan dalam pemberian
asuhan keperawatan dan jaminan
standar kualitas"dan untuk
memicu adanya inovasi (Grinspun,
Virani & Bajnok, 2OOll2OO2).
7 Step Of EBP
Step Zero: Cultivate a spirit
of inquiry. ...
Step 1: Ask clinical questions
in PICOT format. ...
Step 2: Search for the best
evidence. ...
Step 3: Critically appraise the
evidence.
Step 4: Integrate the
evidence with clinical
expertise and patient
preferences and value
Step 5: Evaluate the
outcomes of the practice
decisions or changes based
on evidence
Step 6: Disseminate EBP
results
PICOT Format

POPULATION OF INTEREST (P)

INTERVENTION OR AREA OF
INTEREST (I),

COMPARISON INTERVENTION
OR GROUP (C),

OUTCOME (O),

AND TIME (T)

 Example one: Topic is water
immersion in labour
• Question 1: Does • Question 2: Is birth
immersion in water in water safe for
during the first the fetus/ neonate?
stage of labour •P = neonates born
reduce the use of of women who
pharmacological birthed in water I
analgesia? = immersion in
• P = women in water
labour •C = not in water
• I = immersion in •O = wellbeing –
water e.g. APGAR
• C = not in water score, or cord
gases
• O = analgesia used
 PICOT FORMAT

cara untuk membingkai pertanyaan

tentang apakah penggunaan tim
tersebut akan menghasilkan hasil
yang positif:

"Di rumah sakit perawatan akut

(populasi pasien), bagaimana
memiliki tim respon cepat
( intervensi) dibandingkan dengan
tidak memiliki tim respon
(perbandingan) mempengaruhi
jumlah serangan jantung (hasil)
selama periode tiga bulan (waktu)?
"
 Select a specialized database
• CINAHL Plus (Cumulative Index to Nursing and
Allied Health Literature); indexes nursing and
allied health literature
• MEDLINE/PUBMED premier biomedical
database
• PsycINFO: International coverage of the
professional and academic literature in
psychology, medicine, psychiatry, nursing,
sociology, education, pharmacology, physiology,
linguistics, and other areas.
• Cochrane Database of Systematic Reviews,
presynthesized sources
 SPIDER
• The SPIDER tool may assist public health
professionals in effectively searching for
qualitative and mixed-methods research.
• The SPIDER tool can be used as a structure for
the literature search strategy in synthesizing
research evidence on the experiences of
individuals and communities on an issue,
together with quantitative research on
intervention effectiveness, to understand how a
public health intervention may be received and
accessed in your community.
 SPIDER
• The systematic review process in qualitative
research is known as meta-synthesis, which
uses an explicit and systematic method to
find, interpret and analyze data from many
qualitative studies (Rice, 2008).
 SPIDER
The SPIDER tool was developed by adapting the PICO tool as follows:
• (S) Sample:
– smaller samples are used in qualitative research, where findings are not
intended to be generalized to the general population.
• (PI) Phenonemon of Interest:
– qualitative research examines how and why certain experiences, behaviours
and decisions are occurring (in contrast to effectiveness of an intervention).
• (D) Design:
– the study design influences the robustness of the study analysis and
findings.
• (E) Evaluation:
– evaluation outcomes may include more subjective outcomes (such as views,
attitudes, etc.).
• (R) Research type:
– qualitative, quantitative and mixed-methods research could be searched for.
 The SPIDER Tool: An Alternative Search
Strategy to PIC
What are young parents’ experiences of attending antenatal
education?
 Procedure—Search Strategy
What are young parents’ experiences of attending
antenatal education?
thank you!