1 / 24

Research Application in Nursing Practice

Research Application in Nursing Practice. Hana Rizmadewi Agustina, S.Kp, MN Department of Fundamental of Nursing Universitas Padjadjaran Nursing Research Methodology. Why need to use research?.

wilma-mathis
Download Presentation

Research Application in Nursing Practice

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Research Application in Nursing Practice Hana Rizmadewi Agustina, S.Kp, MN Department of Fundamental of Nursing Universitas Padjadjaran Nursing Research Methodology

  2. Why need to use research? • Tenaga kesehatan kadang dipenuhi oleh rasa ketidakpastian tindakan apa yang paling efektif untuk mendapatkan hasil yg terbaik untuk pasien  Evidence base practice (EBP) • EBP  pendekatan yg dpt membantu praktisi untuk memberikan kualitas pelayanan yang terbaik dalam memenuhi kenutuhan pasien dan keluarganya

  3. What is EBP? • Penggunaan secara sungguh-sungguh dari evidence terbaik dengan menggabungkan keahlian klinik dan nilai/lingk untuk perawatan bagi pasien (Straus, et al., 2005) • Membantu praktisi untuk memberikan kualitas pelayanan yang tinggi dlm rangka memenuhi kebutuhan pasien dan klg yang multifacet (Melnyk & Fineout-Overholt, 2005) • Meningkatkan kualitas intervensi keperawatan dari yang berbasis tradisi atau kebiasaan menjadi intervensi berbasis fakta dan hasil riset

  4. The importance of evidence

  5. The importance of evidence

  6. EBP & Evidence • EBP menggunakan “Best Evidence” yang didapat melalui : • Scientific knowledge from randomized clinical trials, observational studies • Expert opinion • Expert consensus • Other

  7. The cognitive continuum. Thompson, C. et al. Evid Based Nurs 2004;7:68-72

  8. Research Utilization Menggunakan hasil penelitian Diambil secara Random Mendukung tindakan keperawatan Kurang systematic Evidence-Based Practice Mempertimbangkan semua riset Menggunakan hasil riset berdasarkan review yg terintegrasi Dikaitkan dengan keahlian klinik dan sistem nilai dari pasien Lebih sistematik systematic Research utilization & EBP

  9. Goals of EBP • Memecahkan masalah di klinik • Mencapai pelayanan yang terbaik • Mengenalkan inovasi • Mengurangi variasi dalam pelayanan keperawatan • Membantu dengan efektif dan efisien dlm membuat keputusan • Memecahkan masalah dlm sistem regulasi • Mencapai sistem pengaturan yang terbaik

  10. Who are the Users of Evidence-Based Practice • Nurses (RN, LVN, NP) • Nursing assistants • Physicians • Physical Therapists • Pharmacists • Nutritionist • Others

  11. Steps in EBP • Menentukan masalah pasien • Identifikasi informasi yg diperlukan untuk memecahkan masalah • Mencari literature • Penilaian secara kritis terhadap evidence yg ada • Melakukan extraksi sbg jawaban klinik • Membuat protokol • Evaluasi

  12. Problem Focused Triggers 1. Risk Management Data 2. Process Improvement Data 3. Internal/External Benchmarking Data 4. Financial Data 5. Identification of Clinical Problem Knowledge Focused Triggers 1. New Research or Other Literature 2. National Agencies or Organizational Standards & Guidelines 3. Philosophies of Care 4. Questions from Institutional Standards Committee Is this Topic a Priority For the Organization? Consider Other Triggers No Yes = a decision Point Form a Team The Iowa Model ofEvidence Based Practice to Promote Quality Care

  13. The Iowa Model ofEvidence Based Practice to Promote Quality Care Assemble Relevant Research & Related Literature Critique & Synthesize Research for Use in Practice Is There a Sufficient Research Base? Yes No Pilot the Change in Practice 1. Select Outcomes to be Achieved 2. Collect Baseline Data 3. Design Evidence-Based Practice (EBP) Guideline(s) 4. Implement EBP on Pilot Units 5. Evaluate Process & Outcomes 6. Modify the Practice Guideline Conduct Research Base Practice on Other Types of Evidence 1. Case Reports 2. Expert Opinion 3. Scientific Principles 4. Theory

  14. Questions example • Apakah air kran (tap water) bisa dipakai untuk membersihkan luka? • Apakah semua luka harus dibersihkan dengan cairan yang steril?

  15. Source of literatures • CINAHL • OVID/MEDLINE • www.joannabriggs.edu.au

  16. OVID

  17. Cinahl

  18. EBP Sample • EBP kateter.pdf • EBP Skin care.pdf • EBP Surgical.pdf • water for wound cleansing.pdf

  19. Barriers in EBP utilization • Health care organizations  culture, policy, multi professional team, working load • Lack of skills and knowledge • Lack of support, motivation, and incentives

  20. Steven’s ACE Star Model • Discovery • Summary • Translation • Implementation • Evaluation

  21. Discover • Riset asli • Melakukan pencarian literatur • Summary • Melakukan sintesa semua riset kedalam satu makna yg mencakup keseluruhan  Ini yg membedakan dg “research utilization” dari Evidence-based practice  Dpt disebut sintesa evidence • Meningkatkan kekuatan dan efek data • Mengurangi bias • Mengkaji konsistensi • Memelihara generalizability

  22. Translation • Evidence yg ada dipertimbangkan dg keahlian klinik dan nilai-nilai • Menghasilkan panduan praktek, praktik yg terbaik, protokol, standar, klinikal atau pathway • Implementation • Translation diwujudkan kedalam praktik • Dimana perubahan akan dilakukan • Evaluation • Dampak dari perubahan terukur • Kaji variabel (hasil kesehatan, efisiensi, biaya atau kepuasan)

  23. SUMBER EBP ? • Journal • Organisasi khusus • Publikasi pemerintah • Organisasi komersial • Database • Medline • National Guidelines Clearinghouse (NCG) • Cinahl • HAPI (Health and Pyschosocial Instruments) • Cochrane Reviews • PsychInfo • Sport Discus • Message services

  24. SUMBER EBP(LANJUT) • Background InformationUptoDateHarrison’s OnlineE-books • Filtered ResourcesACP PierCochraneNatural StandardInfoPOEMSMDConsult (First Consult)Natural Medicines Comprehensive DatabaseOTseekerPhysiotherapy Evidence Database (PEDro)National Guideline Clearinghouse • Unfiltered ResourcesOVID MEDLINEPubMedCINAHLPsycINFOBIOSIS

More Related