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Dr Rita Sekarsari SKp., Sp KV., MHSM
Non Pharmacological Management Hypertension
Berbasis Bukti *)
*) National Symposium Hypertension “WHAT NURSE SHOULD DO?”
Dalam Rangka HUT RSJHK ke 34, Auditorium RSJPDHK - 26 Oktober 2019
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No Pendidikan
1 AKPER DEPKES RI 1985
2 S1 PSIK UI 1993
3 S2 Monas Uni Melbourne 2001
4 Pengakuan Ns Sp KV 2011
5 S3 FIK UI 2013, Doktor
Keperawatan
No Organisasi saat ini
1 Ketua II PP PPNI 2010-2015 (Mei)
2 President INKAVIN 2005-2011-2016
3 Ketua Kolegium Keperawatan
Spesialis Kardiovaskular 2011-2017-
sd saat ini.
4 Pengurus MTKI 2011- 2016
5 Surveior KARS 2010 -
Pembimbing Akreditasi KARS 2014 -
Konsilor Survei Areditasi KARS 2015
Tim Fungsional KARS 2017 -
6 Pengurus PERSI 2015-2018
No Pekerjaan
1 Ka Sub Komite Mutu RSJHK
2016 -
2 Koordinator Program Diklat
RSJPDHK 2012 - 2016
3 Ketua Sub Komite Keperawatan
RSJPDHK 2007 - 2012
4 Manajer Instalasi Rawat Inap &
Ketua Komite Keperawatan
RSJPDHK 2001- 2007
5 Ka Ru ICU RSJPDHK 1993 -
2001
6 Supervisor Keperawatan
RSJPDHK
1993 - 2009
Kontak :
Ph: 08151626004
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OBJEKTIF
I. Evidence Based & Filosofis Asuhan
II. Non Pharmacological Management Hypertension Berbasis Bukti
III. Penutup
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Evidence Based Nursing Practice
Penggunaan simultan antara keahlian klinis individual
(individual clinical expertise) dan bukti ilmiah terbaik
yang ada dari hasil riset (the best available external
clinical evidence from systematic research) untuk
membantu mengarahkan pembuatan keputusan klinik
dengan mempertimbangkan nilai2 yang dianut pasien.
Integrasi dari “clinically relevant research, clinical expertise
and patient preference” dalam membuat keputusan tentang
asuhan pasien yang efektif secara individual.
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4 FondasiPPA Asuhan pasien
Pelayanan
Fokus Person
(Person Centred
Care)
Manajemen
Risiko RS
→ Risiko Klinis
• Asuhan Medis• Asuhan Keperawatan• Asuhan Gizi• Asuhan Obat
• Evidence Based• Value Based
EBM/NVBM/N
Etik
KebutuhanPasien
•Mutu•PatientSafety
“Safety is a
fundamental principle
of patient care and a
critical component of
Quality Management.”
(World Alliance for Patient
Safety, Forward Programme,
WHO, 2004)
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FIGURE 5-1 Relationship among core competencies for health professionals.
SOURCE: IOM (2003).
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Acquire the evidence
Category of Evidence
I a Evidence for meta-analysis of randomized control trials
I b Evidence from at least one randomized controlled trial
II a Evidence from at least one controlled study without
randomisastion
II b Evidence from at least one other type of quasi-
experimental study
III Evidence non experimental descriptive studies, such as
comparative/correlation/case control studies
IV Evidence from expert committee report or opinions or
clinical experience of respected authorities or both
FOUND IN
JOURNAL
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SOURCE OF QUESTION
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SOURCE OF QUESTION
ebscohost.com sciencedirect.com ProQuest.com
scopus.com sci-hub.cc
IOSR JNHS
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CONTOH:
JOURNAL CARDIOVASCULAR, atl
Arteriosclerosis
Arteriosclorosis Thrombosis: A Journal of Vascular Biology
Arteriosclorosis, Thrombosis & Vascular Biology
Cardiovascular Research
Circulation
Circulation: Cardiovascular Intervention
Circulation Research
European Heart Journal
Hypertension
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Journal of the American Society of Echocardiography
Journal of Thoracic & Cardiovascular Surgery
Seminar in Cardiothoracic & Vascular Anesthesia
Stroke
International Journal of Angiology
Journal of Cardiovascular Nursing
CONTOH:
JOURNAL CARDIOVASCULAR, atl
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Anatomy of a Scientific Article
Abstract
Introduction
Materials and Methods
Results
Discussion
Conclusion
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Non Pharmacological Management Hypertension
Berbasis Bukti
?
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HypertensionBy Toni L. Ripley, Pharm.D., FCCP, BCPS, AHSCP-CHC; and Anna Barbato, Pharm.D., BCPS, AHSCP-CHC
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Nursing Best Practice GuidelineShaping the future of Nursing
Nursing Managementof Hypertension
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2015
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2006
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The areas
massaged
were
categorized
as the whole
body, the
head, the
neck, and
back area
(including
the face,
neck,
shoulders,
upper chest,
andback).
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PENUTUP
NERS SANGAT BERPERAN PENTING DAN UTAMA
MENURUNKAN MORBITAS, MORTALITAS, LOS,
QUALITY OF LIFE PASIEN HIPERTENSI
MELALUI NON PHARMACOLOGICAL MANAGEMENT
HYPERTENSION BERBASIS BUKTI
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Menjadi Ners
Profesional adalah
Pengabdian Luhur