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    Konsep Dasar Evidence Based Dalam Asuhan Kebidanan: Riona Sanjaya, S.St.,M.Keb

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    Fitri Juliasari
    This document discusses the basic concepts of evidence-based practice in midwifery care. It emphasizes that evidence-based practice involves integrating the best available evidence from research with clinical expertise and patient values. The document outlines the different levels of evidence from research studies like randomized controlled trials and observational studies. It also discusses formulating clear clinical questions, searching for the best available evidence, analyzing the strengths and weaknesses of evidence, applying evidence to clinical practice, and evaluating the effectiveness of empirical evidence. The importance of evidence-based practice in midwifery is that it can improve safety, increase competence, meet patient satisfaction, and fulfill professional obligations and standards of care.

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    Konsep Dasar Evidence Based Dalam Asuhan Kebidanan: Riona Sanjaya, S.St.,M.Keb

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    Fitri Juliasari
    48 views21 pages
    This document discusses the basic concepts of evidence-based practice in midwifery care. It emphasizes that evidence-based practice involves integrating the best available evidence from research with clinical expertise and patient values. The document outlines the different levels of evidence from research studies like randomized controlled trials and observational studies. It also discusses formulating clear clinical questions, searching for the best available evidence, analyzing the strengths and weaknesses of evidence, applying evidence to clinical practice, and evaluating the effectiveness of empirical evidence. The importance of evidence-based practice in midwifery is that it can improve safety, increase competence, meet patient satisfaction, and fulfill professional obligations and standards of care.

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    This document discusses the basic concepts of evidence-based practice in midwifery care. It emphasizes that evidence-based practice involves integrating the best available evidence from research with clinical expertise and patient values. The document outlines the different levels of evidence from research studies like randomized controlled trials and observational studies. It also discusses formulating clear clinical questions, searching for the best available evidence, analyzing the strengths and weaknesses of evidence, applying evidence to clinical practice, and evaluating the effectiveness of empirical evidence. The importance of evidence-based practice in midwifery is that it can improve safety, increase competence, meet patient satisfaction, and fulfill professional obligations and standards of care.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    48 views21 pages

    Konsep Dasar Evidence Based Dalam Asuhan Kebidanan: Riona Sanjaya, S.St.,M.Keb

    Uploaded by

    Fitri Juliasari
    This document discusses the basic concepts of evidence-based practice in midwifery care. It emphasizes that evidence-based practice involves integrating the best available evidence from research with clinical expertise and patient values. The document outlines the different levels of evidence from research studies like randomized controlled trials and observational studies. It also discusses formulating clear clinical questions, searching for the best available evidence, analyzing the strengths and weaknesses of evidence, applying evidence to clinical practice, and evaluating the effectiveness of empirical evidence. The importance of evidence-based practice in midwifery is that it can improve safety, increase competence, meet patient satisfaction, and fulfill professional obligations and standards of care.

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    of 21

    RIONA SANJAYA,S.ST.,M.

    Keb

    KONSEP DASAR EVIDENCE


    BASED DALAM ASUHAN
    KEBIDANAN
    Evidence based ??
    Pengertian

    Evidence Berdasarkan
    based Bukti
    Medicine

    Policy
    Evidence
    Based Midwifery

    Report
    This is congruent with the principles
    of effective and high-quality care, in
    which midwives, and all
    practitioners, strive to provide the
    very best care to each individual.

    As Sackett et al (2000) emphasize,


    EBP is more than just the best
    evidence, it is the integration of best
    evidence with high-quality clinical
    skills, such as communication
    and assessment, as well as the
    application of evidence to the
    particular belief systems, values and
    context of the client’s life.
    Therapy / Prevention / Etiology / Harm

    Levels of Diagnosis
    Evidence
    Prognosis
    Diagnosis is the first step in clinical
    management
    We need to make diagnosis before we can
    DIAGNOSIS discuss prognosis and treatment with our
    patient
    Diagnosis is rare definitive
    Making diagnosis means estimating the
    probability of a disease or condition
    PROGNOSTIC
    BASIC PRINCIPLES FOR
    DETERMINING BEST AVAILABLE EVIDENCE
    Grade of Level of
    Recommendation Evidence

    A 1a Systematic Review (with homogeneity) of Randomized Controlled Trials


    1b Individual Randomized Controlled Trial (with narrow confidence Interval)
    1c All or none
    2a Systematic Review (with homogeneity) of cohort studies

    B 2b Individual cohort study (including low quality RCT; e.g. <80% follow-up)
    2c “Outcomes” Research
    3a Systematic Review (with homogeneity) of case-control studies
    3b Individual Case-Control Study

    C 4 Case-series (and poor quality cohort and case-control studies)

    D 5 Expert opinion without explicit critical appraisal, or based on physiology,


    bench research or “first principles”
    A
    •Consistent, good-quality
    patient-oriented evidence
    Strength of B
    Recommendation •Inconsistent or limited-quality
    Taxonomy (SORT)
    patient-oriented evidence
    C
    •Consensus, disease-oriented
    evidence
    FORMULATING A CLEAR
    QUESTION BASED ON A
    CLINICAL PROBLEM

    LITERATURE REVIEW TO
    SEARCH BEST AVAILABLE
    EVIDENCE

    ANALYSIS OF STRENGTHS
    AND WEAKNESSES OF
    EVIDENCES

    USE OF BEST EVIDENCE IN


    CLINICAL PRACTICE

    EVALUATING THE EFFICACY


    OF EMPERICAL EVIDENCES
    Dalam Evidence-based practise, pemahaman mengenai desain
    penelitian amat penting, oleh karena desain penelitian amat
    menentukan validitas penelitian.

    Pemilihan desain penelitian yang tidak sesuai dengan tujuan


    penelitian menyebabkan hasil penelitian tidak atau kurang sahih,
    sehingga tidak dapat diaplikasikan pada pasien yang kita kelola
    KENAPA PENERAPAN EVIDENCE
    BASED DALAM ASUHAN KEBIDANAN
    DAN PRAKTIK KEBIDANAN PENTING
    DILAKUKAN ??
    Keamanan bagi
    nakes

    Meningkatkan Memenuhi kepuasan


    kompetensi pelanggan

    Memenuhi tuntutan dan kewajiban


    sebagai profesional
    Correct application of the principles of
    EBM help clinicians make better
    diagnostic and management decisions

    Physicians need to understand


    the logic of and basis
    for statistical procedures
    Clinicians need to understand the way in
    which results are expressed statistically before
    they can apply findings to their clinical
    practice.

    The size of the effect and the precision of the


    estimate of that efect are both important.

    Elliott EJ, Kennedy K.


    Evidence-based Pediatrics,
    2004.
    TERIMAKASIH

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