professional competision integration of doctor , with evidence from the right reaserch,and preferantion or values that patient get Sumber :ml.scribd.com The main purpose EBM is to help the processes take clinical decision,for prevent, diagnosis, theuraphetic, or rehabilitation based on evidence scientific that can be trust and responsibility www.ml.scribd.com (1) lack acess from scientific evidence, (2) lack of knowledge of critical appraisal and research method (3) there is no support from organization, (4) there is no support from relation. Sumber :www.fk.unair.ac.id Pasien Mulailah dari pasien, bisa berupa : Masalah klinis apa yang dimiliki pasien kita Pertanyaan yang dikemukakan oleh pasien kita sehubungan dengan perawatan penyakitnya2. Pertanyaan Masalah dari pasien seperti tersebut no 1 kemudian dibuat pertanyaan. Sumber Mulailah melakukan pencarian sumber journal melalui internet untuk menjawab pertanyan tersebut Evaluasi apakah jurnal yang kita peroleh cukup valid , penting dan bisadiaplikasikan 5. Pasien Aplikasikan temuan berdasarkan bukti ilmiah tersebut ke pasiendengan mempertimbangkan kepentinga atau kebutuhan pasien dan kemampuan klinis dokter 6. Evaluasi hasil perawatan pasien tersebut Defining Clinically Relevant Questions Searching for the Best Evidence Critically Appraising the Evidence Applying the Evidence Evaluating the Performance of EBM Sumber : www.nlm.gov 5w 1h questions Questions that relevant with the problem and can help us to conclude what kind of illness or what will we do to the patient Questions that appear after we identify and formulate the problem The foremost reason for using EBM is to improve the care delivered to our patients Sumber :www.nlm.gov Original Documents Autobiographies, diaries, e-mail, interviews, letters, minutes, news film footage, official records, photographs, raw research data, speeches. Creative Works Art, drama, films, music, novels, poetry. Relics or Artifacts Buildings, clothing, DNA, furniture, jewelry, pottery Sumber :knowledgecenter.unr.edu Because the doctor doesn’t update his knowledge about a new technology Because there are always come new research everytime Valid The newest one The contain of the journal are proved Publish by the integrated organitation Have a license (ISSN) Written by someone that have more knowledge in the subject Consist of some references Help you use research evidence in decision making Help public health organizations document and share lessons learned Be modified and adapted for use in your health unit Sumber :health-evidence.ca Face validity: Face validity simply means that the validity is taken at face value Content validity: In the context of content validity,we draw an inference from the test scores to a larger domain of items similar to those on the test Criterion: When the focus of the test is on criterion validity, we draw an inference from test scores to performance Construct: When construct validity is emphasized, as the name implies, we draw an inference form test scores to a psychological construct. Construct validation as unification: The criterion and the content models tends to be empirical-oriented while the construct model is inclined to be theoretical