Prof Nursalam
Prof Nursalam
Prof Nursalam
PENELITIAN ILMU
KEPERAWATAN
Prof. Dr. Nursalam, M.Nurs (Hons)
Pengurus AIPNI
Ketua Dewan Redaksi Jurnal Ners
Reviewer IWCJ
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METODOLOGI PENELITIAN (MMP)
SKRIPSI TESIS - DESERTASI II. METODOLOGI D-S-V-I-A
Mencari kebenaran: 1. DESAIN
(Korespondensi & Koherensi) 2. POPULASI, SAMPEL &
SAMPLING,BESAR SAMPEL
1. KEILMUAN - BIDANG 3. VARIABEL & DEFINISI
I.
OPERASIONAL
M
2. KASUS 4. PENGUMPULAN DATA
A
(INSTRUMENT, WAKTU &
S TEMPAT, PROSEDUR)
A 3. MASALAH (F1-F2) 5. ANALISIS DATA
L
A
6. TOPIK /
4. RUMUSAN MASALAH
& KERANGKA KONSEP
TEMA
H
JUDUL
III. PENULISAN - HASIL
5. TUJUAN
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1. SEARCHING OF RESEARCH
PROBLEM ---- Phenomena
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AREA TOPIK
RISET KEPERAWATAN
1. ANAK
2. MATERNITAS
3. MEDIKAL BEDAH
4. JIWA
5. KOMUNITAS & KELUARGA
6. GERONTIK
7. MANAJEMEN DAN PENDIDIKAN
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A GOOD TOPIC? N-O-C-T
NOVELTY
ORIGINALITY
CONTRIBUTION ON THEORY AND PRACTICE
TRENDS / PREVALENCY
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LANGKAH PENELUSURAN
MASALAH & PENULISAN
ARTIKEL VIA RISET
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SEARCHING NURSING RESEARCH PROBLEM (P-34)
1. TOPIC
IDEA
Prolonged 1st Stage of labour NURSING SCIENCE: MATERNITY,
PEDIATRIC, etc.
BRAINSTROMING
Factors that cause the prolonged? 2. CASE SELECTION: INC,
Hospitalisation stress,, etc.
LITERATURE REVIEW
Factors: 5P, the dominant one is psyche: 3. NURSING PROBLEM:
husband support - has not been studied NANDA / GORDON (F1-F2)
Prolonged 1st stage of labour
VARIABLES 5P (power, passage, passanger,
psychological, provider ...) F-I-N-E-R
Anxiety, straining strength , age, parity, family support,
Admission time, stress etc.
FRAMEWORK
4. RESEARCH QUESTIONS (Q-S-S)
What is the effect of husband support on acceleration of cervix dilatation 1st stage of Labour for inpartum mother?
MALNUTRITION ?
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WHY.....
TRADITIONAL MEDICINE
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WHY.....
ENVIRONMENT
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WHY.....
HEALTH BEHAVIOR
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DISASTER MANAGEMENT
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HOW?
STRESS
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13
CONTOH ..... PENGGALIAN MASALAH
PENELITIAN KEP MATERNITAS
KEPERAWATAN
MATERNITAS
Askep Askep Askep Askep Askep Ibu Askep dgn Askep pd Ibu
Ibu Prenatal Ibu Ibu Postnatal pada Resiko Tinggi ggn Akseptor KB
Intranatal BBLR Kehamilan reproduksi
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Lanjutan .......
KEPERAWATAN
MATERNITAS
Higiene Vulva Breast care Mobilisasi Diet Ibu Manajemen Senam kala
menyusui laktasi nifas
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SPIDER PNC (POST NATAL CARE)
WEB
? ?
Pijat oxytocin
Senam ?
nifas ?
?
Involusi Uteri
?
POST PARTUM
?
?
?
? ?
?
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SPIDER INPARTUM (1ST STAGE OF LABOUR )
WEB
?
Pregnant ?
Nutrition excercise ?
status ?
?
Power:
Nutrisi
?
INPARTUM
?
?
?
? ?
?
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SPIDER DIABETES MELLITUS
WEB
? ?
?
Treatment ?
?
? Activity : type (DM
excercise, walking, etc)
Diabetic
?
wound
?
Central Theme
Blood glucose
DM
?
?
?
? ?
?
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SPIDER TOPIC / PROBLEM: PATIENT SATISFACTION
WEB
Hospital dont know
what px-expect Operating Over
Wards theater All Patients
No case conference
Nobody takes any No name tag Nurse
interest
The Problems
Poor Relationship with
Scope of
health team
Never H.E-when
Pt.discharge
PATIENT SATISFACTION
THEORITICALREVIEW (USE OF
NURSING THEORIES & OTHER
RELEVANT THEORY)
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KAJIAN MASALAH
REVIEW OF THE LITERATURE
Research should be built on the work of others
The Literature is all the written sources relevant to your
topic
Primary source
Written by the person who originated , or is responsible for
generating, the ideas published
Secondary source
Summarizes or quotes content from primary sources
Paraphrase the works of primary authors
Meta-analysis or systematic reviews
Your work should mostly contain primary sources. Citations should be
of primary sources not secondary sources
Generally, try to keep cited references to within 5 years
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3. DEVELOP A
A. FRAMEWORK (QUANTITATIVE)
B. RESEARCH QUESTION
(QUALITATIVE)
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FRAMEWORK
DEVELOPMENT
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What is the link between nursing
theory and the research process?
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Nursing also utilizes non-nursing
theories
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MEMILIH TEORI &
MEMBERIKAN RASIONAL
a. Menganalisis impelementasi sebelumnya
Implementasi terdahulu dapat dijadikan
sebagai masukan untuk menetapkan
intervensi saat ini.
Mengidentifikasi faktor-faktor yang dapat
ditindaklanjuti untuk ditargetkan dalam
intervensi.
Mengidentifikasi hambatan yang terjadi
serta fasilitas yang memadai.
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b. Mengkaji Beberapa Teori
Mengkaji beberapa teori (keperawatan dan
non keperawatan yang relevan) dan
komponen utamanya yang mungkin sesuai
dengan situasi yang dihadapi
Mengidentifikasi faktor-faktor penentu yang
mempengaruhi suatu perubahan perilaku
atau pemberian intervensi dapat
mempengaruhi hasil yang diinginkan
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c. Kajian Literatur (Literature Review)
What do you know from the literature about
this change mechanism?
What if any theories have been employed for
this type of change?
Consider the strength of this evidence
What have others interested in this
mechanism/strategy previously used?
How well has this mechanism/strategy
produced change?
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1. COMFORT THEORY (Kolcaba)
Best
Practices
Best
Policies
Kolcaba (2007)
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2. SELF CARE (OREM
Self-care
R R
Conditioning
Conditioning
Self-care
factors
factors
capabilities R Therapeutic
(self-care self-care
agency) < demand
Deficit
Conditioning
R R
factors
Nursing
Agency
(supportive
FIG. OREM SELF CARE DEFICIT Educative)
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3.CARING
The Structure of Caring
Maintaining
belief
Knowing
Being
with
Doing
for
Enabling
( )
Client
well-
being
The structure of caring as linked to the nurses philosophical attitude, informed understandings, message
conveyed, therapeutic actions, and intended outcome. (from Swanson, K. M. [1993]. Nursing as
informed caring for well-being of others. Image: The Journal of Nursing Scholarship, 25 [4], 352-357.)
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4. Human Interaction for
Goal Attainment (King)
FEEDBACK
PERCEPTION
NURSE
JUDGMENT
ACTION
REAC INTERAC TRANSACTION
TION TION
PATIENT ACTION
JUDGMENT
PERCEPTION
FEEDBACK
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5. SUNRISE (LEININGER)
a Mother Infant a
cb b
c
d d
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7. SERVEQUAL
PERCEIVED SERVICE QUALITY
(Parasuraman)
Word of Personal Past
mouth needs experience
Service Quality
Expected
Dimensions: Service Quality Assessment
service
(RATER) 1. Expectations exceeded
Reliability ES<PS (Quality surprise)
Assurance Perceived 2. Expectations met
Tangibles service ES~PS (Satisfactory quality)
Empathy 3. Expectations not met
Responsiveness ES>PS (Unacceptable quality)
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8. MODEL OF PERCEIVED
UNCERTAINTY IN ILLNESS Coping:
Mobilizing
Strategies
Affect-
control
strategies
Danger (+)
Stimulati frame
Appraisal
Symptom pattern (-) Interference
Event familiarity Uncertainty Illusion Adaptation
Even congruency
(+) Opportunity (+)
(+)
(-)
Cognitive Structure providers Coping:
capacities Credible authority buffering
Social support strategies
Education
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How do you expect to get from
CURRENT EBP
PRACTICE
Where are you now?
Where do you want to be?
Potential Barriers to change?
Possible facilitators to Change?
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5 Steps to EBP
1. Ask the burning clinical question
2. Collect the most relevant and best evidence
3. Critically appraise the evidence
4. Integrate all evidence with ones clinical
expertise, patient preferences, and values in
making a practice decision or change
5. Evaluate the practice decision or change
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Forming A Good Questions:
EVIDENCE BASED - PICO
P = Patient population or disease of interest (age, gender,
ethnicity, with a certain disorder hepatitis)
I = Intervention or range of interventions of interest
(exposure to disease, prognostic factor A, risk behavior)
C = Comparison, you want to compare the intervention
against (no disease, placebo or no intervention,
prognostic factor B, absence of risk factor)
O = Outcome of interest (accuracy of diagnosis, rate
of occurrence of adverse outcome)
In (P) immobile acute care patients, what is the effect
of (I) turning every 2 hours on (O) prevention of
pressure ulcers compared with (C) not turning
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patients every 2 hours?
d. Memberikan Rasional pada Teori
yang Dipilih
Determinan Teori/model Komponen Rasional
program intervensi
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Kemandirian Self care deficit Supportive-educative Teori Orem menjelaskan
pasien theory (Orem) system: melatih teknik tentang bagaimana
purse lips breathing pada seseorang dapat
pasien dengan PPOK meningkatkan kemandirian
seseorang dalam memenuhi
kebutuhannya, dengan
mengajarkan teknik purse
lips breathing pasien dapat
melakukan sendiri saat
sesak untuk meningkatkan
pernapasannya.
Feedback
Person as adaptive system. (From Roy, C. [1984]. Introduction to nursing: An adaptation model
[2nd ed., p. 30]. Englewood Cliffs, NJ: Prentice Hall.)
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STRESSOR RESP. PERCEPTION (COGNATOR)
(Enviromental Role Sell-Concept
Interdepen- Physiological
stimuli External) Function dence Mode
RESP. BIOLOGICAL
Caring
Behavior
-Predisposing INDIVIDU
(Demographics)
--Enabling
functional psychological
--Reinforcing
status state
Severity of Psychosocial
Deseast
Interpersonal IMMUNE
Relations STATUS ?
Treatment
Regimen
Lived Experience
Potential Psychosocial
Co-Factors Moderators Psychosocial
Functioning
Person Neuro-
Immunological Quality of Life
Factors Perceived Coping Endocrine
Mediators
Stress Pattern Mediators
s Physical
Pre tx: Health
Critical
Factors
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PNI
A
Perceptio
nLearning Imitation,
reinforcement, insight
R
I nt ADAPTIF
Emotion Defenses to seek
relief , affective
N
appraisal &
attachement
GExternal
stimuli
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PAKAR
REGULATOR
Neural
Internal Spinal Effectors Automatic
stimuli cord;brainstem and reflex
autonomic reflexes response
Chemical
CNS
Chemical
External
stimuli
Neural Perception Short term Psychomotor Effectors
memory choice of
response
Long term
memory
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PENERAPAN TOERI ROY & PNI TERHADAP RESPON ADAPTASI
BIOPSIKOSIOSPIRITUAL PADA PASIEN HIV AIDS
CARING (PAKAR)
RESPONS PERSEPSI
(KOGNISI)
K
Respons Spiritual Respons Sosial Respons Penerimaan diri O
P
Harapan Emosi Denial I
Tabah Cemas Anger N
Hikmah Interaksi Bargaining H
G
O
Depression-Acceptance
S
T
RESPONS
BIOLOGIS
HPA-AXIS D
Adrenal a
(Cortisol ) b
b
IL2,IFN- a
Th-1 Th-2
Sel Plasma
(CD4 ) (CD4 ) M
IFN- c
E
Ab- HIV
n
NK-cell CTL
w
e
e
Nursalam (2007) 2
0
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0
1
FRAMEWORK (p.403 ADAPTATION & PNI)
Counseling for patient
with Stress pre op
Learning process
(cognator)
Perception Coping (+)
(+)
Cognition -
Emotion
Stress A
D
A
Hypotalamus
H (CRF)
P
Adrenal medulla T
P (Catecolamines A
Pituitary
(ACTH) - endorphin T
A I
Adrenal Cortex Vital signs O
AXIS (Cortisol ) (T, P, R, PB) N
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Holistic Caring Penerapan caring dalam Teori ini menekankan peran
Care (Swanson) meningktkan mutu dan caring dalam meningkatkan
keselamatan pasien pelayanan berfokus pada
pasien (kepuasan) dan
mencegah terjadinnya
adverse event (dekubitus,
medication error, plebitis,
pneumonia, infeksi daerah
operasi, dan jatuh).
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e. Identifikasi kesenjangan
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4. WRITE AIM AND OBJECTIVES
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RUMUS TUJUAN
BLOOM + Tuj. Penlitian + (V V)
(C2-C6)
Menjelaskan DESKRIPSI
Menganalisis
PERBEDAAN
Mengidentifikasi
HUBUNGAN
Mempelajari
Mengukur
PENGARUH
dll SEBAB-AKIBAT
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TUJUAN (adaptasi & PNI) - konseling
Umum: Menjelaskan pengaruh konseling terhadap penurunan
TTV dan modulasi respons imun pada pasien pre
Operasi
Khusus
1. Menjelaskan pengaruh konseling terhadap coping pasien
2. Menjelaskan pengaruh konseling terhadap penurunan respons
stres
3. Menjelaskan pengaruh konseling terhadap penurunan tanda
tanda vital
4. Menjelaskan pengaruh penerapan caring terhadap modulasi
respons imun (cortisol,CD4; cytokin; Ig)
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TUJUAN PENELITIAN
(UMUM & KHUSUS)
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5. JUDUL / TOPIK
PENELITIAN
1. SINGKAT DAN JELAS
2. TIDAK MELEBIHI 12 KATA
3. TERGAMBAR TUJUAN DAN VARIABEL
PENELITIAN (DESAIN, SAMPEL, TEMPAT)
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TITLE TO EXPLAIN (TAKE OUT)
EFFECT OF PRE OP COUNSELING IN NURSING
CARE ON REDUCING STRESS RESPONSE, VITAL
SIGNS AND IMMUNE RESPONSE MODULATION
FOR PATIENT WITH PRE OP
OR
PRE OP COUNSELING IN NURSING CARE ON
REDUCING STRESS RESPONSE, VITAL SIGNS,
AND IMMUNE RESPONSE MODULATION FOR
PATIENT WITH PRE OP
Oleh: Nursalam
NIM . 090214910D
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MANFAAT PENELITIAN
Manfaat teoritis
penyuluhan sebagai stimulus dalam proses
pembelajaran dalam merubah kognisi seseorang
berdasarkan konsep Adaptasi (Roy) dan PNI
(Ader)
Manfaat praktis
Merubah perilaku pasien secara positif untuk
datang ke POSYANDU dalam mencegah sakit
pada anak BALITA.
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6. WRITE CHAPTER 1
(INTRODUCTION)
1.1 BACKGROUND (MSKS / MKSS)
1.2 SEARCHING RESEARCH PROBLEM
1.3 RESEARCH QUESTIONS
1.4 AIM AND OBJECTIVE (BASED ON
FRAMEWORK)
1.5 BENEFIT
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CHAPTER 1,2,3: ALREADY
BAB 1 S/D BAB 3 SUDAH TERJAWAB
CHAPTER 1: INTRODUCTION
1. Background (MSKS / MKSS)
Paragraph 1: problems (F1 & F2)
Paragraph 2: scale of the problems
Paragraph 3: chronological
Paragraph 4: Solution
2. Research questions
3. Aim and objectives
4. Benefit (theoretically & Practice)
CHAPTER 2: LITERATURE REVIEW
CHAPTER 3: FRAMEWORK AND HYPOTHESIS
CHAPTER 4: RESEACH METHODS nursalam-MASALAH
7. WRITE CHAPTER 4
(RESEARCH METHODS)
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9. MENULIS HASIL DAN
MEMASUKAN KE JURNAL
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BAGAIMANA
PENULISAN
NASKAH dlm
JURNAL YG BAIK
? Suhadi Ibnu (2013)
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Jurnal
Publikasi (berkala) ilmiah yang
memuat informasi tentang kegiatan
dan hasil kegiatan bidang IPTEKS
tertentu
Berfungsi mengkomunikasikan
aktivitas dan hasil pengembangan
IPTEKS
Sarana komunikasi ilmiah antara
pihak-pihak yang terlibat di bidang
IPTEKS yang sama/sejenis
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Ciri-ciri Artikel dalam Jurnal Ilmiah
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Sifat Artikel Ilmiah
Objektif
Rasional
Kritis
Pembaharu dan
up-to-date
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Muatan Jurnal
(Menurut Peraturan Dirjen Dikti No.49/DIKTI/Kep/2011
Artikel Utama
Artikel Hasil Penelitian
Artikel Telaah
Review Buku Baru
Case Report
Obituari
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Contoh:
ARTIKEL HASIL PENELITIAN
KUANTITATIF
1. Judul
2. Nama Penulis
3. Abstrak dan Kata kunci
4. Bagian Pendahuluan
5. Bahan dan Metode
6. Hasil dan Pembahasan
7. Simpulan dan Saran
8. Daftar Rujukan (5 thn terakhir)
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KUALITATIF
Judul
Nama penulis
Abstrak
Pendahuluan
Metode (fenomenologi, grounded theory, etnografi,
study kasus, biografi)
Hasil dan Pembahasan
Simpulan dan Saran
Daftar Pustaka
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Format Artikel Penelitian (Cout: MGW)
-----------JUDUL -----------
Penulis
bstrak: -------------------------------------
----------------------------------------------
----------------------------------------------
ata kunci: -------------------------------
-------Pendahuluan (tanpa sub judul) -----------------
---------------------------------------------------------------
-------------------------------------------------------
---------------------------------------------------------------
BAHAN & METODE
-------------------------------------------------------
---------------------------------------------------------------
HASIL
-------------------------------------------------------
---------------------------------------------------------------
BAHASAN
-------------------------------------------------------
---------------------------------------------------------------
SIMPULAN DAN SARAN
-------------------------------------------------------
---------------------------------------------------------------
DAFTAR RUJUKAN
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1. JUDUL
1. SINGKAT DAN JELAS
2. TIDAK MELEBIHI 10 (Inggris) - 12 KATA (Indonesia)
3. TERGAMBAR TUJUAN DAN VARIABEL PENELITIAN (DESAIN,
SAMPEL, TEMPAT)
Contoh:
Model Asuhan keperawatan terhadap respons kognisi dan biologis
pada penderita HIV AIDS (jurnal Ners, vol. 6 no. 2011
Prediktor beban merawat dan tingkat depresi pada caregiver dlm merawat
Lansia dgn dimensia di masyarakat.
(jurnal ners, vol. 8 no.1 2013
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2. Abstrak dan Kata Kunci: I-M-R-A-D
I: Masalah dan/atau
tujuan penelitian
M: Metode/pendekatan
R-A:Hasil penelitian
D: Discussion & Conclusion
Dua versi: B.
Indonesia dan
Inggris
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Contoh: ABSTRACT (by Nursalam, Kadek, Mishabatul, Effendy)
JNEP (2014)
SLEEP HYGIENE BEHAVIOR AMONG BALINESE ADOLESCENT
Introduction: Sleep hygiene is very important for predicting the quality and quantity of sleep in
adolescent students. Studies in recent yearsshowed thenumber ofadolescentswhoget sleep
disturbancesdue topoor sleepbehaviorincreased by 72,9%, however only a few study explored the
sleep hygiene behaviour particularly from developing country setting. The purpose of this study
was to know sleep hygiene in adolescent students in Bali. Method: Design used in this study was
descriptive analytic with cross-sectional approach. The population was all students of class X and
XI in PGRI Negara High School. Total sample was 46 respondents. Data were collected by using
questionnaires modification Adolescent Sleep Hygiene Scale (ASHS) and it was analyzed by using
multiple linear regression test with level of significance <0,05. Result: The result showed that
sleep hygiene for adolescents Balinese in terms of most of the physiological aspect of sleep
hygiene behaviors to have enough category(50,00%). Reviewed from the cognitive aspect showed
on less category(71,74%). Most have sleephygiene behavior with good category(41,32%) on the
emotional aspect. The sleep environment aspect showed on lessc ategory(45,65%). The daytime
sleep aspect, most have sleep hygiene behavior with enough category(50,00%) and the sleep
stability aspect on less category(43,48%). Discussion and conclusion: It can be concluded that
most of Balinese adolescents has sleep hygiene with less to moderate category. Further studies
should be done related intervention to improve sleep quality.
Keywords : sleep hygiene, Balinese, adolescent
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3. Bagian Pendahuluan (MKSS)
Berisi:
Masalah penelitian
Kronologis
Skala masalah
Solusi (usulan pemecahan)
Tujuan
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4. BAHAN DAN METODE PENELITIAN:
D-S-V-I-A
Desain
Populasi, sampel, sampel size, sampling
Variabel
Instruments & bahan
Analysis
Etchical clearance??? wajib utk Jurnal
International
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5. HASIL (WHAT) & PEMBAHASAN
NO ITEM PENJELASAN
Bagian Kalimat Pengantar
Deskriptif (Isi) Gambaran Lokasi Penelitian
Data Umum: Penyajian karakteristik pasien yg
diteliti (tidak ditampilkan)
Data Khusus: Penyajian variabel yg diteliti secara
rinci(tabel, gambar dll)
Setiap Tabel / gambar harus dijelaskan di bawahnya,
meliputi:
1) Amati data yg ada
2) Hubungan pokok yg akan diuji
3) Mencari angka-angka yg
menyimpang
4) Tulis hasil uji statistik
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PEMBAHASAN
PERLU PENJABARAN PERTANYAAN WHY & HOW
1. Isi: F-T-O: Fakta (hasil penelitian); Teori; dan Opini
(pendapat peneliti)
2. Menganalisa makna penemuan penelitian (hasil dihubungkan dgn.
pertanyaan penelitian: membandingkan dgn. temuan sebelumnya
(apakah memperkuat; berlawanan; atau sama sekali baru)
3. Setiap pertanyaan dijelaskan (didukung dgn. referensi yg memadai)
4. Menghubungkan dgn ilmu teori yg ada; fakta di lapangan
5. Perlu dituliskan hasil temuan dan keterbatasan
6. Penulisan secara wajar (tidak berlebihan) menuliskan makna hasil
penelitian
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6. SIMPULAN DAN SARAN
Isi kesimpulan:
1) Menjawab masalah atau tujuan (khusus) penelitian / membuktikan
hipotesis
2) Didasarkan pada hasil dan pembahasan
3) Memberikan makna dari temuan
4) Menggunakan bahasa yang jelas dan singkat
5) Meminimalkan / meniadakan hasil-hasil angka statistik
SARAN
Saran harus operasional dan dapat diterapkan
Dituliskan berdasarkan kesimpulan yang masih belum sesuai dengan
tujuan penelitian ataupun adanya kesenjangan dengan fakta dan standar
Ditujukan untuk kepentingan masayarakat (konsumen) dan
perkembangan ilmu pengetahuan (i.e. perlu dilakukan penelitian lebih
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SIMPULAN
KIAT-KIAT KEBERHASILAN
1. Tergantung pada kinerja pengelola berkala
2. Keseriusan penulis artikel dlm mendukung pengelola
berkala agar dapat terakreditasi dengan mengikuti
aturan penulisan/gaya selingkung berkala ilmiah
3. Harus ada kerjasama yang baik antara penulis dan
penerbit/pengelola berkala
4. Substansi artikel yang berkualitas
5. Meminamilisasi penghambat penerbitan (biaya, tidak
adanya artikel yang bermutu dan layak untuk
diterbitkan)
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You dont have to be great to get started,
but you have to get started to be great
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--------- Les Brown ----------