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Inhoud ................................................................................................................................................................................... 2
ONDERZOEK .......................................................................................................................................................................... 3
1) onderwerp en probleemstelling .............................................................................................................................. 3
evidence-based practice ............................................................................................................................................... 3
wrm ebp ........................................................................................................................................................................ 3
ebp: bottom-up approach ............................................................................................................................................ 3
is er altijd wetenschappelijk beweijs beschikbaar? ...................................................................................................... 3
ebp = 5-stappen methode ............................................................................................................................................ 3
stap 1: het klinisch probleem vertalen in beantwoordbare vraag ................................................................................ 4
2) theorie ..................................................................................................................................................................... 6
stap 2: het efficiënt zoeken & selecteren vd beste evidentie ....................................................................................... 6
onderzoek als cyclus ..................................................................................................................................................... 6
literatuur zoeken .......................................................................................................................................................... 7
definiëren en operationaliseren ................................................................................................................................... 9
conceptueel model ....................................................................................................................................................... 9
hypothesen ................................................................................................................................................................. 10
3) onderzoeksopzet ................................................................................................................................................... 10
stap 3: kritisch beoordelen vd gevonden evidentie .................................................................................................... 10
methodologie.............................................................................................................................................................. 10
KWALITEIT ........................................................................................................................................................................... 18
Probleem..................................................................................................................................................................... 18
Oplossing .................................................................................................................................................................... 18
Aanleiding -> internationaal ....................................................................................................................................... 18
6 dimensies v kwaliteit................................................................................................................................................ 18
Joy in work .................................................................................................................................................................. 19
, ONDERZOEK
EBP = 5-stappen methode
1) Klinisch probleem vertalen nr een vraag
2) Beste wetenschappelijk onderzoek
3) Evidentie kritische beoordelen
4) Nemen ve beslissing
5) Proces evalueren
1) ONDERWERP EN PROBLEEMSTELLING
EVIDENCE-BASED PRACTICE
• Werken met up-to-date en beschikbare onderzoeksresultaten
• Kennis & ervaring vd zorgverlener
• Wensen, waarden patiënt
➢ Evenwicht in vinden
WRM EBP
• Kwaliteitsvolle zorg -> juist handelen in juiste omstandigheden, op juiste ogenblik, …
• Efficiënt (zo vlot mogelijk) en effectief (doel bereiken) werken
• Veiligheid
- Er sterven nog moeders/kinderen -> die we kunnen voorkomen
EBP: BOTTOM-UP APPROACH
• <-> wetenschappelijk onderzoek -> top-down approach
• Vertrekken ve klinisch probleem
- “op maat van” -> afhankelijk v populatie
- Draagvlak vergroten -> vroedvrouwen zullen het meer gebruiken, want vraag komt vanuit vroedvrouwen
IS ER ALTIJD WETENSCHAPPELIJK BEWEIJS BESCHIKBAAR?
• Sommige zaken zijn moeilijk te onderzoeken -> ethisch
• Soms is evidentie nt betrouwbaar gng
EBP = 5-STAPPEN METHODE
6) Klinisch probleem vertalen nr een vraag
7) Beste wetenschappelijk onderzoek
8) Evidentie kritische beoordelen
9) Nemen ve beslissing
10) Proces evalueren
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